SPINE AND JOINT ASSOCIATES LONDON

Spine And Joint Associates London is a family owned multidisciplinary clinic located in Hyde Park London Ontario. We take pride in providing the highest standard of patient-centered care with one-on-one therapeutic treatments tailored to the individual.

Members Of The (OCA) Ontario Chiropractic Association: chiropractic.on.ca

The (CCA) Canadian Chiropractic Association: chiropractic.ca

SIGVARIS MEDICAL COMPRESSION SOCKS/STOCKINGS

Medical Compression Therapy applies a type of elastic device on limbs or other body parts to exert a controlled pressure on them. The device squeezes the vein walls together to improve blood circulation. Medical compression also helps with reduction of edema and recreates conditions beneficial for the healing of chronic inflammatory disorders. Compression socks can relieve the pain of tired, achy legs; help your legs feel more energized and help prevent and treat a variety of symptoms associated with venous insufficiency.

MEDICAL COMPRESSION SOCKS ARE INDICATED FOR:

• Individuals with a profession that requires them to sit or stand for long periods of time

• Individuals who have been prescribed anticoagulants

• Individuals who travel frequently

• Women who are pregnant

• Individuals who have had a Deep Vein Thrombosis (DVT), Phelbitis

• Individuals with Venous Disorders such as Varicose Veins and/or Spider Veins

• Individuals who experience pain and swelling in their legs and feet

SOFT TISSUE MANIPULATION or ADVANCED MYOFASCIAL RELEASE: is used to evaluate the condition of tissues, improve tissue mobility, ease restrictions and aid the body’s life sustaining fluids (blood, lymph, synovial fluid, digestive juices etc.) to flow smoothly restoring optimal function. Avoiding harmful fluid retention and makes the body’s immune system *Myofascial Release, Trigger Point Therapy & Neuromuscular Techniques.

CRANIOSACRAL THERAPY (CST): assesses and treats the mobility of the skull, it may also be used to treat the spine, sacrum and other parts of the body. The goal is to adjust the body’s physiology by restoring optimal balance and neuro-vascular flow surrounding the (CNS) central nervous system.

VISCERAL MANIPULATION: is used to effectively treat organs and viscera of the body. (heart, lungs, liver, spleen, kidneys, stomach, pancreas, intestines, bladder & uterus) Visceral manipulations can improve the mobility of an organ, improve neuro-vascular flow surrounding the organ and ultimately help maximize organ function.

OSTEOPATHY CAN PROVIDE RELIEF FOR A WIDE RANGE OF CONDITIONS:

• Arthritis

• Foot, Ankle, Hip and Knee Pain

• Back Pain, Neck Pain, Sciatica, Scoliosis

• Chronic Pain

• Digestive Issues

• Fibromyalgia, Neuralgia

• Hand, Shoulder and Elbow Pain

• Migraines/Headaches

• Lymphatic Drainage

• Mitigation of Neurodegenerative Illnesses such as Parkinson’s and Multiple Sclerosis

• Postural Issues (from driving, work strain, pregnancy, scoliosis)

• Pediatric/ Infant Conditions (colic, torticollis, digestive disturbances, constipation, reflux, tongue tie, flat head “plagiocephaly”)

• Pain or Posture Concerns During Pregnancy

• Postnatal Care & Rehabilitation After Childbirth

• Scarring Post-Surgery

• Spinal Cord Injuries (traumatic, non-traumatic)

• Sports Injuries

• Tennis Elbow and Golfer’s Elbow

 MOST COMMONLY TREATED CONDITIONS:

• Relieves Symptoms: Multiple Sclerosis, Parkinson’s, Carpal Tunnel, Peripheral Neuropathy

• Provides Relief For: Fibromyalgia, Myofascial Pain, Arthritis, Osteoarthritis and Rheumatoid Arthritis

• Chronic Back Pain, Sciatica, Knee, Foot, Neck & Shoulder Pain

• Headaches & Migraines, Jaw Pain/TMJ

• Golfer’s/ Tennis Elbow, Tendonitis & Inflammatory Bursitis

• Rotator Cuff Dysfunction & Frozen Shoulder

• Muscle Tension/Dysfunction

•  Inflammation/Swelling

• Sports Injuries/Ligament Sprains & Strains, Shin Splints 

• Stroke & Bells Palsy Rehabilitation

• Motor Vehicle Accident Rehabilitation

• Post Surgical Pain/Rehabilitation

• Symptom & Pain Relief During/After Cancer Treatments

• Circulatory Conditions & Post Surgical Rehabilitation

SHOCKWAVE THERAPY INDICATIONS:

• Chronic Musculoskeletal Pain Conditions

• Plantar Fasciitis & Heel Spurs

• Tennis Elbow & Golfer’s Elbow

• Rotator Cuff Injuries & Carpal Tunnel

• Scar Tissue Treatment

• Jumper’s Knee & Morton's Neuroma

• Exostoses of Small Hand Joints

• Achilles/Patellar/Hamstring Tendinopathies

• Shoulder Calcific Tendonitis & Impingement Syndrome

• Sports Injuries, Shin Splints, Bursitis

• Hamstring Pain, Ankle & Foot Pain

• Back Pain, Neck & Shoulder Pain

• Overuse Injuries (RSI)

• Trigger Point Therapy

• Bunions

We use the BTL-6000 Topline Power Shockwave Therapy Unit

REIKI COMING SOON…

Reiki was developed in the 1920s by Mikao Usui in Japan as a spiritual practice. Reiki enhances the body’s own innate ability to heal itself on all levels. Reiki can help restore balance and harmony to the mind, body and spirit thus promoting healing. The energy involved in Reiki healing is considered the “universal energy” that surrounds all life, making this offering an intuitive, non-invasive, gentle option during your healing journey.

This can be a treatment all on its own or as an add on to an additional treatment.

OFFERED BY KAYLA GREEN- REGISTERED MASSAGE THERAPIST, REIKI MASTER LEVEL PRACTITIONER

*Contact the clinic directly for more details or to add yourself to the waitlist

DR. MARK FLUTER- (BSC, DC) CHIROPRACTOR/OWNER

Dr. Mark Fluter graduated in 1999 with an Honours Kinesiology degree from the University of Western Ontario.  In 2005 he graduated from the Canadian Memorial Chiropractic College and he spent the first part of his career working at an outpatient Medical Clinic in Cairo, Egypt.  He later joined the Synergy Centre team in September of 2011. Over the last several years Dr. Fluter created a blended style of treatment with a strong foundation in ongoing functional assessment and diagnosis.  Treatment options include: Mobilizations, Manual Manipulations, Soft Tissue Therapy, Percussive Therapy, Instrument Adjusting, as well as Acupuncture, Electroacupuncture, Shockwave Therapy, Custom Orthotics and Medical Compression Therapy. Dr. Fluter completed the Contemporary Medical Acupuncture Program at McMaster University in 2014 which has provided another effective treatment option to use either on its own, or in conjunction with chiropractic care. He has also taken various continuing education courses in Post Concussion Management, Gut Health and TMJ/TMD Treatments. Dr. Fluter is an advocate of patient responsibility in attaining health care goals.  Younger and older patients alike will be educated in a range of home rehabilitative and postural exercises to achieve long term results. In April of 2018, Dr. Fluter and his wife Kristin opened Spine And Joint Associates located within the Synergy Centre. They have recently relocated to a beautiful new clinic location, rebranded and expanded. Services include Chiropractic, Acupuncture, Shockwave Therapy, Physiotherapy, Concussion Management, Manual Osteopathy, Registered Massage Therapy and Naturopathic Medicine. He is very excited for this new venture and extremely proud to operate a family run practice with a dynamic patient-centered, collaborative team of healthcare professionals.

DR. TIFFANY ROSE LUKAS- (DC) CHIROPRACTOR

Dr. Tiffany Rose Lukas graduated in 2008 with a Bachelor of Science in Health Promotion from the University of Georgia. In 2016 she completed her Chiropractic studies at the Canadian Memorial Chiropractic College.  Dr. Tiffany is dedicated to health and wellness during any cycle of life to prevent injury, restore function, and reduce pain. Her focus includes: Women’s Health and Paediatric Care.

Patients will benefit from her passion to incorporate soft tissue therapy, gymnastics based stretching, and exercise instruction into your care. She will show you and your family how to comfortably create better movement patterns.

Dr. Tiffany is an experienced evidence based diversified Chiropractor specializing in Orthopaedic and Neurological assessments for pre and post natal women, paediatric milestones, developmental delay, intra-oral function (tongue-tie, lip-tie, paediatric TMJD), and aesthetic sport injuries.

Treatment programs include: Hands-on Mobilizations and Manual Manipulations, as well as Shockwave Therapy, Custom-made Orthotics, and Medical Compression Socks when necessary.

DR. KEITH LEUNG- (DC) CHIROPRACTOR

Dr. Keith Leung was born and raised here in London, Ontario. After receiving his degree in Kinesiology at Western University, Dr. Keith completed his Chiropractic degree at Canadian Memorial Chiropractic College in Toronto. Dr. Keith is a diversified practitioner that focuses on identifying the cause of dysfunction, diagnosis, and treatment of various conditions involving the joints, muscles, and nerves. He takes on an evidence-based approach with the aim to restore function and overall health. Some methods of treatment that he uses to help you include:

• Joint Manipulation and Mobilization

• Acupuncture and Shockwave Therapy

• Custom Orthotics

• Myofascial Release Technique

• Proprioceptive Neuromuscular Facilitation

• Instrument Assisted Soft Tissue Therapy

• Rehabilitation Exercises, Functional Taping

• Patient education

During his free time, he likes to play soccer, run, workout at the gym, watch sports, and spend time with family and friends. Other than English, he can also speak Cantonese. Dr. Keith is very excited to be a part of the team and is looking forward to helping you on your path to recovery!

DR. JON KOZAK- (DC) CHIROPRACTOR

Dr. Jon Kozak graduated as a Doctor of Chiropractic from the University of Western States in Portland Oregon in 2020 and prior to that he graduated with a degree in Kinesiology from the University of Western Ontario in 2016. Both of these programmes have given Jon a strong foundation in the science of human movement, nutrition, physiology, biology, communication, diagnosis, and treatment. He is always expanding his understanding of the human animal, and how we can get the most out of our lives and bodies in his evidence-based practice. His practice approach combines chiropractic manipulation with various types of muscle work such as massage in addition to some form of exercise to get the body moving and the patient actively involved with their care. Jon has a friendly happy go lucky personality with a glass half-full outlook on life. Techniques and Services include:

• Chiropractic adjustments, Gentle mobilizations

• Mackenzie Technique & Mulligan Technique

• Pin and stretch, Cupping, Gua Sha/Scraping

• Muscle relaxation techniques, Traction

• Rehabilitative exercises

• Shockwave Therapy & Custom Orthotics

Outside of clinic Jon enjoys various forms of fitness such as cycling, martial arts, and weight lifting. While more of a cycle commuter now, in his heyday his longest ride was 270km on his 27th birthday. He also likes to make youtube videos on various health and wellness topics, based on the 6 aspects of health paradigm that he lives and teaches. They are food, breathing, sunshine, hydration, exercise, and rest. Lets’ walk the path of health together!

DR. ASHTEN BUCK- (ND) NATUROPATHIC DOCTOR

Dr. Ashten Buck, ND has graduated from the Canadian College of Naturopathic Medicine in Toronto, Ontario and is passionate about complex chronic illness. She utilizes an evidence-based medicine approach while also acknowledging that our cells respond to energy, frequency and one's thoughts. Using functional medicine testing and physical assessments, each appointment will be tailored to support the patient's needs. Additionally, Ashten has an honours degree in Nutrition and Dietetics from Western University, practices traditional Chinese acupuncture, has a competitive bodybuilding background and grew up on the indigenous island of Manitoulin. Her appointments will be well-rounded just like Dr. Ashten Buck, ND.

ACCEPTING NEW PATIENTS

RYAN ROSATI- (BHK, MPT) REGISTERED PHYSIOTHERAPIST

Ryan Rosati graduated from the University of Windsor in 2014 with a Bachelor's Degree in Human Kinetics majoring in Movement Science.  He then went on to advance his education completing a Master's Degree in Physical Therapy from the University of Western Ontario in 2016. Ryan believes in evidence based, individualized care tailored to fit patient lifestyle and recovery goals. He looks to treat the source of the condition rather than just the symptoms in order to prevent injury recurrence and optimizing long-term results. His treatment methods include: comprehensive assessments, hands-on care, joint mobilizations, soft tissue release, traction, rehabilitative & postural exercise prescription, education of the condition, acupuncture/dry needling and other modalities (therapeutic ultrasound & Shockwave Therapy). In his spare time, Ryan enjoys watching sports and working out.  He grew up heavily involved in playing and coaching soccer and still enjoys staying active in any way he can.

KENDAL MARRIOTT- (BSC, MPT, PhD) REGISTERED PHYSIOTHERAPIST

Kendal Marriott completed each of her degrees at the University of Western Ontario, including a Bachelor of Science in Kinesiology (2012) and the combined MPT/PhD program, where she graduated with a Master of Physical Therapy (2016) and a Doctor of Philosophy in Rehabilitation Sciences (2017). In addition to her work as a Registered Physiotherapist, she is a completing a Postdoctoral Fellowship in gait biomechanics at the University of Waterloo. Her research focuses on conservative treatments for knee osteoarthritis. Kendal believes in evidence-based practice with a focus on individualizing treatment to address the underlying causes. She has a particular interest in helping individuals with knee osteoarthritis to improve symptom relief and achieve greater function. Kendal has a desire to continue helping individuals with a variety of conditions through multiple treatment methods: education, progressive exercise prescription, joint mobilizations and other modalities. She is excited to continue helping individuals to achieve better pain management and function. 

KARIN A. LORENTO- (MSc, DOMP) MANUAL OSTEOPATHIC PRACTITIONER

Karin A. Lorento had a long journey on her way to becoming a Manual Osteopath: she brings to the table a unique blend of national strength and conditioning, applied kinesiology, and osteopathic sciences, giving her a broad-spectrum view on movement and human physiology.  Karin graduated university the first time around with a double major in social sciences from the University of Guelph in 2004 leading to a career in social work.  It was years later during the pursuit of personal passions that Karin’s career took a hard-right turn towards health sciences, directing her into personal training and leading her to continue her education in applied kinesiology.  Karin obtained her professional certification in Human Performance Development in 2011 from Sheridan College, and at the encouragement of her mentor, was accepted into a pilot MSc program at A. T. Still University of Osteopathic Sciences in Arizona which she completed with a specialization in clinical psychology in 2014. After graduation, it was merely days before head-hunters recruited Karin as the local National Strength and Conditioning Specialist contracted to the Canadian Wheelchair Sports Association. Over the last several years, Karin has been dedicated to working with special populations Paralympic and provincial-level wheelchair athletes. Such a unique field comes with its own set of challenges with chronic pain being at the root.  When her alma matter offered to financially support her continued education towards completing her Manual Osteopathy Degree, Karin jumped at the opportunity to add to her professional toolbox. Manual Osteopathy has provided Karin the ability to take her athlete’s and patient’s chronic pain into her own hands: through treating all the systems as one (craniosacral, visceral, and musculoskeletal) and gently encouraging realignment through hands-on manipulation, Karin is able to effectively manage and mitigate the chronic pain associated with a variety of ailments, with her specializing in spinal cord injuries and neurodegenerative illnesses such as Parkinson’s and Multiple Sclerosis. She is looking forward to furthering her professional development in Advanced Visceral and Advanced Pediatrics.

HILLARY NIEMAN- (M.OMSC, BA KIN) MANUAL OSTEOPATHIC PRACTITIONER

Hillary is an Osteopathic Manual Practitioner that graduated from the Canadian Academy of Osteopathy in 2022. She has always been deeply interested in anatomy and physiology. After completing her Kinesiology degree at Western University in 2015, Hillary gained experience in multiple fields such as long term care, chronic pain, and traumatic brain injury. Choosing to pursue osteopathic education in 2018, she has seen first-hand the positive impact osteopathic manual therapy can have on her patient’s health. She believes that the body is a resilient dynamic unit of function, and strives to ensure every part is able to function harmoniously. Hillary is invested in providing comfort and relief to her patients in a relaxed setting. It is her goal to improve the quality of life of each and every patient. 

Her treatment is gentle, non-invasive, and hands-on focusing on re-aligning the body and restoring movement. An Osteopathic Manual Practitioner is able to assess asymmetry within the anatomy of each individual patient, and apply a variety of techniques to treat the fascia, muscles, and ligamentous tissue. When the anatomy is unrestricted and each joint is moving properly, there is no excessive strain or load placed on one area of the body. This allows the nerves, arteries, veins, and lymphatic systems to flow freely. Osteopathic Manual Therapy can help restore health to all systems of the body.

RACHEL ADKINS- (RMT) REGISTERED MASSAGE THERAPIST

Rachel Adkins graduated from the Fanshawe Massage Therapy accelerated program in 2016. While she attended Fanshawe College, she played for the Fanshawe Woman’s Basketball team. She is currently a Registered Massage Therapist in good standing with the CMTO. Rachel is primarily a deep pressure therapist, with a strong focus on injury rehabilitation and sports massage. She also provides relaxation massage and is trained in both Hot Stone treatments, as well as Cupping Therapy. Rachel believes in treatments focused on her clients and their individual needs, no treatment is the same. She will work with you to create a treatment plan that addresses your concerns and works towards making you feel better in your every day life. Whether you suffer from chronic pain, a recent injury, or are just looking for an hour to yourself to relax; she is more than ready to help you achieve your goals. Rachel enjoys spending her spare time running and watching Disney+.

EVAN RAVN- (RMT) REGISTERED MASSAGE THERAPIST

Evan is an upbeat Registered Massage Therapist who finds an interest in pain, injury and rehabilitation. He has an extensive background working with athletes having been a part of the Fanshawe Mens Varsity Volleyball team for four years. With a passion for helping people reach their best and return to their normal after being injured, Evan is always looking for new treatment methods and information to expand his practice. In his free time Evan is involved in playing a lot of indoor and beach volleyball. He looks forward to meeting you!

TARA JORGENSEN- (RMT) REGISTERED MASSAGE THERAPIST

Tara graduated from Brock University with an Honours degree in Kinesiology in 2019. Tara continued her studies in the Accelerated Massage Therapy program at Ontario College of Health and Technology, graduating in 2021.
While at Brock, Tara coached competitive swimming as well as volunteered as a student athletic therapist where she found a passion for athletic injury prevention and rehabilitation. Tara has unique experience working with multiple sclerosis and stroke patients, as well as individuals with spinal cord injuries and amputations. Tara also has experience in concussion management/rehabilitation and CuppingTherapy.

KAYLA GREEN- (RMT) REGISTERED MASSAGE THERAPIST

Kayla graduated from Fanshawe College in 2015 with a Diploma in Developmental Services and specialized in working with individuals who were deaf and blind. Through this line of work she had unique opportunities to help with communication and mobility needs. While assisting clients during their medical appointments Kayla witnessed the therapeutic benefits of Massage Therapy and wanted to learn more.

She continued her studies to pursue a career as a Registered Massage Therapist, graduating from Anderson College in February 2023. While at Anderson College she had the opportunity to work in the student clinic, which gave her direct clinical exposure treating clients with diverse needs. During her time in the student clinic she also discovered a passion for treating TMJ disorders and migraines.

*Reiki Master Level Practitioner

PAMELA MACDONALD- (RPN) ADVANCED FOOT CARE NURSE

After a lengthy career in the automotive industry Pam decided it was time to follow her desire to help people and transitioned into the healthcare field. Pam has been in nursing for over 10 years, much of that as a Psychiatric Nurse. Through this, she could see the strong need for basic and sometimes extensive foot care and set about obtaining the proper medical foot care training. Pam found a wonderful teacher and mentor through Foot Canada Training and with her guidance Pams’ passion grew even greater. Pam is now able to provide exceptional care as a trained Advanced Foot Care Nurse. In her spare time Pam tries to spend time gardening but mostly just hits the open road on her motorcycle looking for great scenery and the most bends in the road. Pam believes your feet are your foundation and she hopes to help you keep them in the best condition possible.

NOW OFFERING BASIC & ADVANCED FOOT CARE SERVICES: Nail Cleaning, Trimming & Filing, Lower Leg & Foot Massage, Corn & Callus Reduction/Removal, Diabetic Foot Care, Senior Foot Care, Plantar Wart Treatments, Toenail Fungus Treatments and Ingrown Toenail Treatments.

BRENDA PIEPER- PATIENT CARE COORDINATOR

With significant history in office administration and with over 13 years experience, Brenda is a key part of the Spine And Joint Associates team. Brenda is our Patient Care Coordinator, administrator and medical billing specialist dealing with all Motor Vehicle Accident claims, Worker Safety and Insurance Board cases, and Private Medical Insurance Plans. Please feel free to contact Brenda with any questions or to request an appointment with any of our therapists.