All posts by Anson

Oakville Soccer Club 2017 Concussion Baseline Testing Invite

Dear OSC Parents, Players, Staff,

Concussions make up roughly 22% of all soccer-related injuries. One of the biggest concerns following a concussion is the possibility that an athlete returns to sport before the brain has fully healed; sustaining a second compounding concussion has the potential to significantly delay healing and/or cause irreversible brain damage.

Research has shown that symptom resolution occurs much sooner than brain recovery, which may put athletes at risk for returning to sport too quickly–especially if sport clearance is based solely on symptoms.

How are health practitioners, coaches, and parents supposed to know when an athlete is ready to return to sport? In order to know when an athlete has fully recovered, the different areas of the brain that could potentially be affected with a concussion must be assessed, including:

  • Balance;
  • Strength;
  • Reaction time;
  • Neurocognitive performance;
  • Visual processing.

These different test results need to be compared to pre-injury values in order to know when an athlete has returned to their normal pre-concussion baseline values. As such, the best way to ensure that you return to sport safely following a concussion is to get baseline tested before a concussion even occurs.

At Sheddon Physiotherapy and Sports Clinic we offer the most comprehensive concussion baseline testing of any sports medicine clinic in the Oakville and Mississauga area.

If you have further questions regarding concussions, concussion baseline testing, or would like to book an individual or team baseline, please call us at (905) 849-7856.

Frequently Asked Questions

Q: The season has already started, are we too late for concussion baseline tests?A: NO! Preseason is ideal, but anytime during the year is better than no baseline.

Q: Will the cost be covered through my insurance?
A: The cost of the baseline is covered under most Extended Health Plans since it’s administered by a physiotherapist.

Q: My child had a baseline done over a year ago, why should we do it again?
As young athletes mature, their baseline scores can change greatly from one year to the next. Therefore, it is recommended that athletes get a baseline at the beginning of each season.

Q: Isn’t the ImPACT test enough?
A: No! Computerized neuropsychological tests, such as the ImPACT test are only assessing one aspect of concussions, neurocognitive function. In order to properly manage concussions, a baseline test must be multidimensional, assessing the full spectrum of concussion outcomes (i.e., balance, reaction time, visual processing, physical capacity AND neurocognitive function). In order to know when an athlete has fully recovered, the different areas of the brain that could potentially be affected with a concussion must be assessed prior to and after a concussion.

If you have further questions regarding concussions, concussion baseline testing, or would like you book an individual or team baseline, please call us at (905) 849-7856.

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Platelet Rich Plasma (PRP) Therapy: Is it worth all the hype?

Platelet Rich Plasma (PRP) Therapy: Is it worth all the hype?

Tendon and muscle injuries are some of the most common orthopaedic conditions treated in physiotherapy. There is a wide variety of treatment options for these injuries including physical therapy, medications, and different modalities. In recent years, platelet rich plasma (PRP) therapy has become the miracle injection that a lot of athletes are praising for their quick return to sport following injury.


PRP therapy involves drawing blood from the patient, which is then placed in a centrifuge, a machine that separates the different blood cells. The platelet rich portion is then injected into the area of injury, which should stimulate the healing of tissue. With all the hype around this therapy, recent research has focused on whether or not it actually works. Three meta-analyses done by Andia et al., (2014), Sheth et al., (2012) and De Vos et al., (2010) examined whether PRP injections were beneficial in treating tendinopathy of the shoulder, elbow, knee, plantar fascia or Achilles.

Their results consistently demonstrated that PRP injections were found to be no more effective in improving quality of life, pain, and/or function when compared to a control group.

Despite the negative findings, all the researchers agreed that the evidence is limited because of the poor quality of the available studies. Improving the methodology in future studies may help support the use of PRP therapy. If you’re suffering from a tendon or muscle injury and think a PRP injection will get you back on your feet quickly, it’s probably best to save your money and first explore physiotherapy that utilizes treatments that have strong evidence, such as low level laser and eccentric exercise programs, before considering a more expensive PRP therapy.

Andia I, et al. Platelet rich plasma in the conservative treatment of painful tendinopathy: A systematic review and meta-analysis of controlled studies. British Medical Bulletin 2014;110:99-115.
De Vos RJ, et al. Autologous growth factor injections in chronic tendinopathy : A systematic review. British Medical Bulletin 2010; 95:63-77.
Sheth U, et al. Efficacy of autologous platelet rich plasma use for orthopaedic indications: A meta-analysis. The Journal of Bone and Joint Surgery 2012; 94 (4):298-307.

pterygoid muscle Sheddon Physioyherapy Sports Clinic Oakville Mississauga

Persistent Headaches, Earaches, and Facial Pains can be Treated by your Physiotherapist


Did you know that your physio can effectively evaluate and treat TMJ (temporalmandibular joint) pains? Many dentists and physicians refer their patients with persistent headaches, earaches, and facial pains related to the TMJ to physios. Sometimes TMJ conditions are disabling, however can be managed with education, effective home exercise programs, and gentle mobilizations.

Try this:

The lateral pterygoid muscle is often times quite tender in most individuals with TMJ issues or bruxism (the involuntary/habitual grinding of teeth, typically during sleep). Place your index finger inside the mouth. Apply GENTLE pressure towards the head direction, underneath the zygomatic arch. Start with gentle pressure, and gradually increase the muscle squeeze as tolerable–there is no need to go into pain.  Compare left versus right. If you find that this area around your jaw is tender, you can self-massage the area for 1 minute several times per day. Sometimes, relief of the headache, jaw, or other facial pain is sometimes immediate.

If you have a question regarding your headache, ear-ache, or facial pain, contact us here. If you would like to see your Sheddon Therapist, book your appointment today!

pterygoid muscle Sheddon Physioyherapy Sports Clinic Oakville Mississauga

kids physiotherapy Sheddon Physioyherapy Sports Clinic Oakville Mississauga

Sears National Kids Cancer Ride–James Sreblowski

Sears National Kids Cancer Ride

I will be taking part in Coast to Coast Against Cancers Foundation’s very own Sears National Kids Cancer Ride. Every year cancer is responsible for taking more kids from us than any other disease. Not only are 100 percent of proceeds donated but nearly 5 million dollars are raised every year due to the integrity of this foundation.

The Journey will take place in Vancouver on September 10th where two small teams of cyclists will depart. In sixteen days these riders will reach Halifax on September 26th. My role in this amazing cause will be to provide massage therapy for some very tired bodies.


My commitment to this cause is for two reasons: personal goals and professional goals. On a personal level my aim is provide as much support as possible to those in need. Professionally, my intentions are to expand my experience of how Massage Therapy can aid working muscles. Furthermore, how Massage Therapy can prevent muscle soreness/breakdown and facilitate recovery in cyclists and endurance athletes alike, who are performing at the highest level. Ultimately, my experiences will provide me additional skills needed to take your standard treatment to the next level.


During my absence please do not hesitate to seek treatment from our other Registered Massage Therapists on the team. My personal schedule will be closed off from September 7th to September 27th and will re-open on the 28th of September.

In health,

James Sreblowski