Manual therapy for musculoskeletal alignment and mobility
Structural osteopathy addresses the body's framework of muscles, joints, and connective tissues through manual therapy. At Revibe Mississauga, clinicians use hands-on techniques following detailed physical assessments. Treatment targets structural imbalances that affect mobility and alignment.
What is Structural Osteopathy
Structural osteopathy is a manual therapy branch within osteopathic practice. Therapists work with muscles, joints, ligaments, and connective tissues using assessment-based techniques. The approach examines how these structures interact and applies targeted manual methods to address restrictions in balance, alignment, and mobility.
Revibe Mississauga offers structural osteopathy alongside physiotherapy, chiropractic care, massage therapy, and other wellness services. Treatment plans reflect individual movement patterns, daily activities, and physical goals. Osteopathic clinicians assess structural restrictions affecting posture, joint mobility, and muscle balance, then coordinate with other disciplines when treatment involves multiple modalities.
Assessment Approach
Assessment of body alignment and movement opens each session. Clinicians observe posture, joint motion, and muscle tone to locate restrictions or imbalances. Hands-on techniques including gentle stretching, joint articulation, and soft-tissue work follow. Each technique selection follows anatomical and biomechanical principles relevant to the identified restrictions.
Who Can Benefit?
Structural osteopathy addresses musculoskeletal restrictions affecting alignment, joint mobility, and movement patterns. Treatment applies to patients experiencing postural strain, joint stiffness, movement limitations, or structural imbalances affecting daily function.
Musculoskeletal Conditions Addressed
Our osteopaths at Revibe use structural techniques to address a wide range of conditions affecting alignment, joint mobility, and musculoskeletal function.
Lower Back Pain and Spinal Restrictions
Lower back pain from mechanical strain, repetitive positioning, or movement restrictions responds to structural osteopathic assessment. Practitioners evaluate spinal alignment, joint mobility, and postural patterns. Manual techniques address joint stiffness, muscle guarding, and tissue restrictions affecting spinal function.
Common scenarios:Office workers with sitting-related back pain, warehouse workers with lifting strain, drivers with chronic lower back stiffness.
Neck Pain and Shoulder Tension
Neck pain develops when forward head posture loads cervical structures. Shoulder tension relates to thoracic mobility restrictions and upper back postural strain. Structural osteopathy addresses cervical joint restrictions, upper thoracic stiffness, and muscle tension patterns affecting neck and shoulder function.
Common scenarios:Computer users with neck stiffness, students with postural neck tension, manual workers with shoulder strain.
Hip and Pelvic Alignment Issues
Hip restrictions reduce joint mobility and affect walking mechanics. Pelvic asymmetry alters load distribution across lower back and leg structures. Sacroiliac joint dysfunction creates lower back and gluteal discomfort. Manual therapy addresses joint mobility, tissue restrictions, and alignment patterns.
Common scenarios:Athletes with hip mobility limitations, postpartum patients with pelvic pain, adults with walking-related discomfort.
Rotator Cuff Problems and Shoulder Dysfunction
Rotator cuff problems stem from altered shoulder blade mechanics and thoracic mobility restrictions. Frozen shoulder restricts joint motion through capsular restrictions. Manual treatment addresses shoulder joint mobility, scapular positioning, and thoracic spine movement affecting shoulder function.
Common scenarios:Athletes with shoulder injuries, overhead workers with rotator cuff strain, patients with frozen shoulder restrictions.
Postural Strain and Movement Restrictions
Repetitive positioning creates postural adaptations including thoracic kyphosis (rounded upper back) and forward shoulder positioning. These patterns restrict movement and create tissue overload. Structural assessment identifies postural restrictions and movement limitations affecting daily activities.
Common scenarios:Desk workers with postural strain, assembly line workers with repetitive positioning, students with forward head posture.
Sports-Related Musculoskeletal Concerns
Sports activities create specific movement demands and injury patterns. Structural osteopathy addresses acute injuries including sprains and strains, chronic overuse conditions, and movement restrictions affecting performance. Treatment focuses on joint mobility, tissue restrictions, and movement pattern assessment.
Common scenarios:Runners with joint restrictions, athletes with overuse injuries, recreational sports participants with movement limitations.
.jpg)
Osteopathic Techniques Used
Osteopaths select techniques based on structural assessment findings. Each method addresses specific restrictions in alignment, joint mobility, and tissue function:
Controlled joint movement techniques address stiffness and alignment. Therapists apply graded forces to move joints through their available range, working within the patient's tolerance. Joint mobilization restores normal motion patterns and reduces restriction-related pain.
These methods combine light muscle contraction with practitioner-applied stretching. Soft-tissue work targets areas showing tension or restriction patterns identified during assessment. Muscle energy techniques reset resting muscle tone and improve tissue extensibility.
Analysis of how the body maintains position during activity forms part of treatment. Clinicians observe movement patterns and may provide specific guidance on alignment and positioning relevant to the patient's daily activities or work demands. Assessment identifies compensatory patterns affecting structure.
Sustained holds apply gentle pressure into fascial restriction barriers (areas of tissue tension). The practitioner waits for tissue release—a softening sensation as connective tissue realigns. Myofascial techniques address restrictions in tissue layers affecting structural alignment and movement.
High-velocity low-amplitude techniques (adjustments) gap joint surfaces when joints become fixated. These methods address specific joint restrictions affecting spinal and extremity mobility. Manipulation techniques follow thorough assessment and patient consent.
How Structural Osteopathy Sessions Work
Initial Consultation (60 minutes): The first session includes a health history review, symptom discussion, and movement goal clarification. Physical assessment follows, covering posture evaluation, mobility testing, and identification of restricted areas. Treatment begins using selected manual techniques based on assessment findings.
Follow-Up Sessions (30 or 45 minutes): Subsequent appointments focus on continued manual treatment and progress tracking. Therapists may provide specific guidance on posture, movement modifications, or exercises between sessions.
Typical Session Flow: Brief check-in on symptoms and progress since last visit, physical reassessment of problem areas and movement quality, hands-on treatment using techniques selected for current presentation, home care guidance including stretches, positioning tips, or activity modifications, and scheduling discussion for follow-up timing based on response.
Coordinated Rehabilitation at Revibe Mississauga, Markham & Burlington
Structural osteopathy combines with other manual and exercise therapies at Revibe. Physiotherapists design strengthening programs that stabilize regions where osteopaths address mobility. Massage therapists address superficial tissue layers while osteopaths work deeper structures. Kinesiologists develop movement retraining to prevent pattern return.
This staged approach moves from passive manual therapy to active rehabilitation. Initial treatment addresses lost motion and structural restrictions. Progressive loading rebuilds tissue tolerance. Movement pattern retraining maintains corrections during functional activities.
Acupuncture modulates pain signals. Shockwave therapy stimulates tissue healing in chronic conditions. Custom orthotics correct foot mechanics that contribute to knee, hip, or back dysfunction. Athletic taping provides temporary support during tissue healing phases.
Practitioners communicate about treatment responses and progression. Shared treatment notes track range of motion changes, strength gains, and functional improvements. This coordination prevents conflicting treatment approaches and optimizes recovery timelines.
Preparing for Your Osteopathy Visit
What to Bring: Ontario health card (for record-keeping), extended health insurance information if using direct billing, list of current medications or supplements, and previous imaging reports if relevant (X-rays, MRI results).
What to Wear: Comfortable clothing that allows movement and provides access to treatment areas. Athletic wear or loose-fitting clothes work well for most sessions. You may be asked to remove outer layers for assessment and treatment.
Arriving for Your Appointment: Plan to arrive 5-10 minutes early for your first visit to complete intake paperwork. Revibe Mississauga has accessible parking and wheelchair-accessible facilities.
First Visit Expectations
Your initial 60-minute appointment includes comprehensive health history, physical assessment of posture and movement, identification of structural restrictions, and first treatment session using selected manual techniques. Practitioners explain findings and discuss treatment recommendations.
Insurance Coverage
Many extended health plans in Ontario cover osteopathic manual therapy. Check your policy for osteopathy benefits or contact Revibe's administrative team for billing questions. Direct billing available for accepted plans.
Frequently Asked Questions About Structural Osteopathy
Osteopathy uses soft-tissue techniques, joint articulation, and stretching methods. Chiropractic care typically focuses on spinal adjustments and joint manipulation. Both address musculoskeletal function through manual therapy but use different technique sets.
Session frequency depends on the condition being addressed, symptom duration, and individual response to treatment. Therapists discuss treatment duration expectations after the initial assessment.
Patients receive techniques within their comfort range. Some methods may cause temporary soreness similar to post-exercise muscle tenderness. Therapists adjust pressure and technique selection based on patient feedback.
OHIP does not cover osteopathic services in Ontario. Extended health insurance plans and workplace benefits often include osteopathy coverage. Check your specific plan details.
Osteopathic practitioners work with patients managing chronic musculoskeletal pain conditions. Treatment addresses mechanical factors contributing to pain patterns. Response varies by individual and condition type.
Wear comfortable clothing that allows movement and provides access to treatment areas. Athletic wear or loose-fitting clothes work well for most sessions.
Osteopathy includes joint mobilization, postural assessment, and structural diagnosis alongside soft-tissue work. Massage therapy focuses primarily on muscle and soft-tissue manipulation. Osteopathic practitioners complete regulated training programs specific to musculoskeletal assessment and treatment.
Revibe osteopathic practitioners work with sports-related injuries including sprains, strains, and overuse conditions. Treatment addresses both acute injuries and chronic sports-related pain patterns.
No referral is required to book osteopathic treatment in Ontario. Patients can schedule appointments directly. Some insurance plans may require referrals for coverage—check your specific policy requirements.
Osteopaths use manual therapy techniques focused on structural relationships between body systems. Physiotherapists incorporate exercise prescription, modalities, and rehabilitation protocols alongside manual therapy. Both professions address musculoskeletal conditions but use different treatment philosophies and methods.
Meet Our Osteopath Practitioners
Anesto Charles Osteopathic Manual Practitioner
Erica Runnalls Osteopathic Manual Practitioner
Emily Wilson Osteopathic Manual Practitioner
What Our Patients Are Saying
Anesto is an excellent osteopath who's been a huge help in my ankle injury recovery. He's knowledgeable, attentive, and takes the time to explain everything clearly. Each session has made a real difference in my mobility and pain levels. I truly appreciate his care and expertise. I highly recommend him!
I have been seeing Anesto for 6-7 months now for Osteopathy. From not knowing what Osteopathy was and not understanding what the benefits could be I decided to try it out. Anesto is such an amazing Osteopath, from my first meeting/assessment with him i knew i was going to be in good hands, he has such a chill and caring personality; which made me feel comfortable. Anesto explained to me what Osteo was, what the benefits it could bring me as well, any questions i would have, he always clarified/explained the cause and effect so well. For context I play 4-5 nights if volleyball, i play golf in the summer and sprinkle in a bit of tennis aswell. My knees, hips and ankles take a lot of impact and with Anesto's guidance, I am so much more pain free; in addition to how my performance in the different sports have gone up. If you are curious on what Osteopathy is or you would want someone to approach therapy in a holistic way, i would 100% recommend you try it specifically with Anesto.
This place was my last stop to my hip and neck pain. I worked with the Osteopath, Anesto and I absolutely love his approach. He helped eliminate that nagging pain that I had for some time. One of the things that stood out the most for me is that he listened to me as I explained what I was going through. Anesto is very knowledgeable with his work and saved me from overthinking about my pain as he explained thoroughly to me what was really happening in my body. Revibe is a very welcoming and clean space and everybody is so kind!
It was recommended that I try osteopathy for my back pain, so I decided to see Emily Wilson at Revibe. During my initial visit, she was very positive, and always makes me feel comfortable during my follow up treatments. Emily explains the treatments to me and helps me understand how it benefits my back pain. I always look forward to my appointments with her! I would highly recommend booking with Emily and trying osteopathy!
Book Your Appointment in Mississauga, Markham or Burlington
Revibe operates clinics in Mississauga (serving Streetsville, Erin Mills, Meadowvale, and surrounding areas) and Markham (serving Unionville, Thornhill, Buttonville, and surrounding areas). Both locations provide comprehensive assessment and treatment services for your health and wellness needs.

Mississauga Clinic
Location: 2290 Dixie Rd, Mississauga, ON L4Y 1Z4
Phone: 905-783-8423
Hours: Monday-Friday 8am-8pm, Saturday 9am-3pm
New patient visits include comprehensive assessment and first treatment session (75 minutes). Bring previous imaging reports, medical diagnoses, and lists of current symptoms. Wear comfortable clothing that allows access to treatment areas.
Serving: Streetsville, Erin Mills, Meadowvale, Churchill Meadows, Lorne Park, Port Credit, Clarkson, and surrounding Mississauga neighborhoods. Convenient access from Highway 403, QEW, and Erin Mills Parkway.
Book Mississauga
Markham Clinic
Location: 220 Torbay Rd, Markham ON, L3R 1G6
Phone: 905-783-8423
Hours: Monday-Friday 8am-8pm, Saturday 9am-3pm
Insurance coverage varies by provider. Extended health plans often include manual therapy and wellness services. Direct billing available for plans that Revibe accepts. Receipts provided for insurance submission or tax purposes.
Serving: Unionville, Thornhill, Markham Village, Buttonville, Milliken, Cornell, Angus Glen, and surrounding Markham and Richmond Hill areas. Easy access from Highway 7, Highway 404, and Major Mackenzie Drive.
Book Markham
Burlington Clinic
Coming Soon
We're excited to announce that our Burlington location will be opening soon. Stay tuned for updates on our new clinic serving the Burlington, Oakville, and surrounding areas.


