Chiropractic Care & Treatment Services

We use instrument-assisted soft-tissue treatment throughout the clinic, although Doctor Steve has never really called it that.

To him, they are just the scraping tools.

These tools are especially useful when we are working on stubborn tendon and soft-tissue problems in the arms and legs, including plantar fasciitis, Achilles tendon problems, tennis elbow and other areas that feel thick, tight or restricted.

If you have ever had your plantar fascia scraped, you already know this is not exactly the relaxing part of the appointment.

Doctor Steve usually explains it to patients in simple terms: shockwave lets us work through the deeper area, while the scraping tools let us work more directly through tissue closer to the surface. When both make sense, we can approach the injured area in different ways rather than doing one thing and hoping for the best.

We use IASTT most often for arm and leg injuries, but it is also used around the shoulder and in selected neck and back problems.

Like everything else at Nottinghill Family Wellness Centre, we use it because it makes sense for the injury in front of us, not because every patient needs the same treatment.

Dr. Alex Greyvenstein, D.C.

Dr. Alex Greyvenstein is an Oakville native who has been part of the Nottinghill Family Wellness Centre team for approximately five years, first while training and now as one of our chiropractors.

He completed his Bachelor of Science in Kinesiology at McMaster University before earning his Doctor of Chiropractic degree from the Canadian Memorial Chiropractic College.

Dr. Alex grew up playing competitive soccer, and that background carries over naturally into the way he treats sports injuries and active patients.

His approach combines chiropractic treatment with movement, active rehabilitation, strengthening and patient education, with the goal of getting people back to the activity that matters to them.

Meet Dr. Alex Greyvenstein

Dr. Jenn Garven, D.C.

Dr. Jenn Garven grew up in Glen Abbey and completed her undergraduate degree in Kinesiology at Acadia University before graduating Magna Cum Laude from the Canadian Memorial Chiropractic College.

She also completed training in Contemporary Medical Acupuncture at McMaster University.

Dr. Jenn combines chiropractic care, soft-tissue therapy, exercise and acupuncture in her practice depending on the condition and the patient.

Meet Dr. Jenn Garven

Spine and Neck Conditions

• Low Back Pain Treatment
• Neck Pain Treatment
• Sciatica Treatment
• Herniated Disc Treatment
• SI Joint Pain Treatment
• Lumbar Spinal Stenosis
• Tailbone Pain Treatment

Head, Jaw and Upper Extremity Conditions

• Headache Treatment
• TMJ and Jaw Pain Treatment
• Shoulder Pain Treatment
• Tennis Elbow Treatment
• Carpal Tunnel Treatment
• Thumb Pain Treatment

Hip, Knee, Leg and Foot Conditions

• Hip Pain Treatment
• IT Band Treatment
• Knee Pain Treatment
• Running Injury Treatment
• Ankle Sprain Treatment
• Plantar Fasciitis Treatment
• Foot Pain Treatment

Treatment is based on the actual diagnosis.

Pregnancy can also change how the lower back, pelvis and SI joints are loaded. Pregnant and postpartum patients experiencing musculoskeletal pain can learn more about our pregnancy chiropractic care in Oakville.

If the examination shows that a condition falls outside chiropractic scope of practice or another healthcare professional is better suited to manage it, we refer or work collaboratively with the appropriate provider.

Do You Need an X-Ray Before Chiropractic Treatment?

No. Not every chiropractic patient needs an X-ray or other diagnostic imaging.

We do not routinely X-ray every new patient just because they walked through the door.

Imaging should be ordered when the history or examination gives us a reason to believe that the result will help with diagnosis, safety or management.

If Dr. Steve, Dr. Alex or Dr. Jenn finds something during the assessment that warrants imaging or further medical evaluation, they explain why and direct the patient to the appropriate next step.

How Is a Chiropractic Treatment Plan Decided?

There is no single treatment schedule that makes sense for every patient.

We do not believe everybody needs three visits a week for months simply because they walked into a chiropractic clinic.

Recommendations depend on the diagnosis, severity and duration of the problem, functional limitations, overall health, treatment goals and response to care.

Progress is reassessed as treatment continues.

When somebody is improving, the focus shifts toward increased activity, exercise and getting them back to normal function.

When somebody is not improving the way we expect, simply repeating the same treatment indefinitely is not the answer. We reassess the diagnosis, contributing factors and treatment approach and decide whether further investigation or referral is needed.

Nottinghill Family Wellness Centre provides both chiropractic and physiotherapy in the same Oakville clinic.

Some patients need only chiropractic care. Others are better served with physiotherapy, or with both professions working together at different stages of recovery.

Because everybody is under the same roof, our chiropractors and physiotherapy team can communicate and coordinate treatment when that makes sense.

Learn More About Physiotherapy

We offer direct billing to many extended health insurance providers when the patient’s individual plan allows it.

Coverage, deductibles and reimbursement amounts vary from one insurance plan to another, so patients are still responsible for confirming their individual coverage.

Our front desk team handles the direct billing process every day and can help answer questions about submitting a chiropractic visit.

Chiropractic Care for Veterans and CAF Members

Doctor Steve, Dr. Alex and Dr. Jenn welcome Canadian veterans and serving CAF members for chiropractic assessment and care. Our reception team checks the applicable benefits and required authorization before funded treatment begins. Find out how to book chiropractic care using VAC or CAF benefits.

Chiropractors in Ontario are regulated healthcare professionals.

The College of Chiropractors of Ontario defines the chiropractic scope of practice and establishes standards concerning assessment, diagnosis, chiropractic care, informed consent, communication and professional conduct.

Our approach emphasizes appropriate assessment, patient-centred decision making, clear communication, evidence-informed treatment and referral when additional investigation or another healthcare professional is needed.

For conditions such as low back pain, contemporary clinical guidelines emphasize remaining active and incorporating exercise into management. Manual treatments such as spinal manipulation, mobilization or soft tissue therapy may be appropriate for selected patients as part of a broader management plan.

College of Chiropractors of Ontario — Who Are Chiropractors?

College of Chiropractors of Ontario — Standards of Practice

NICE — Low Back Pain and Sciatica Recommendations