When Staying Active Comes at a Cost

Sports injuries are one of the most common reasons people walk through our door, and they come in every shape and size. Some are obvious: a rolled ankle on the soccer pitch, a shoulder that gives out during a bench press, a knee that buckles during a change of direction. Others are more subtle, building quietly over weeks of training until a tendon, a joint, or a muscle reaches the point where it cannot keep up with what is being asked of it. Both types are legitimate injuries, and both deserve proper attention.

Our clinic has been treating sports injuries in Burlington since 2005, and the variety never gets old. We see runners dealing with shin pain after ramping up mileage too quickly in the spring. Cyclists coming in with knee or hip complaints after long rides along the Escarpment. Hockey players with groin strains or shoulder issues from the winter season. Soccer players, at every age, with ankle sprains, knee injuries, and hamstring problems. And a growing number of people who would not call themselves “athletes” but who train hard at the gym, play recreational leagues, or simply stay active and push themselves. The label does not matter. If your body broke down during physical activity, it is a sports injury, and we can help.

One of the most important things to understand about sports injuries is that the tissue involved determines the approach. A muscle strain heals differently from a tendon injury, which heals differently from a ligament sprain or a cartilage problem. Lumping them all together under “sports injury” is fine for a conversation, but when it comes to treatment, the specifics matter. That is why we spend time getting the diagnosis right before we start treating. Knowing what to do after a sports injury and who to see in those first few days can make a significant difference in how smoothly the recovery goes.

The good news is that most sports injuries respond very well to conservative treatment when they are addressed properly. The body is remarkably good at healing itself; it just needs the right conditions and the right guidance to do it efficiently. Rest alone is rarely the full answer. Controlled loading, progressive strengthening, and a clear plan to return to activity tend to produce much better long-term outcomes than simply waiting for the pain to go away.

From our experience, the biggest mistake people make with sports injuries is waiting too long to get them assessed. A minor issue that could have been resolved in a few weeks can turn into a chronic problem that takes months to sort out. Early intervention does not mean overreacting. It means understanding what you are dealing with so you can make smart decisions about training, recovery, and when to push through versus when to pull back.

Why Do Sports Injuries Happen?

Sports injuries can result from a single incident or accumulate over time. These are the factors we see most often:

  • Sudden changes in direction, speed, or force during sport

  • Contact or collision with another player, the ground, or equipment

  • Increasing training volume or intensity too quickly

  • Returning to sport after a break without adequate preparation

  • Muscle imbalances or weakness that leave certain areas vulnerable

  • Poor movement patterns or technique that place excessive stress on specific tissues

  • Inadequate warm-up or insufficient recovery between sessions

  • Playing through minor pain until it becomes a bigger problem

Getting to the Bottom of What Went Wrong

Every sports injury has a story, and that story matters. When you come in, we start by understanding the mechanism: what you were doing, how it happened, what you felt, and how the area has behaved since. An ankle sprain during a basketball game is a different conversation from a gradual onset of shoulder pain during swimming, and the assessment reflects that.

The physical examination is hands-on and thorough. We test the structures that are most likely involved based on the mechanism and location, checking range of motion, strength, joint stability, and tissue sensitivity. We also look beyond the injury site, because sports injuries often reveal underlying issues that contributed to the problem in the first place. A hamstring strain, for example, may have as much to do with hip weakness or lumbar stiffness as it does with the hamstring itself.

For Burlington’s active community, we see seasonal patterns that inform our thinking. Spring brings a wave of running injuries as people transition from indoor training to outdoor mileage. Summer fills up with cycling, soccer, and baseball complaints. Fall and winter bring hockey, skiing, and snowboarding injuries into the mix. Knowing what activities are in season helps us anticipate the most likely diagnoses, but we never assume. Every assessment starts fresh. After a sports injury, massage is often valuable for soft tissue work and fits into the early assessment and treatment process.

If clinical testing raises a concern about a fracture, significant ligament tear, or another structural issue that may need further investigation, we will refer for imaging. But most sports injuries can be diagnosed accurately through a detailed history and a thorough physical exam, and treatment can begin right away.

Sports therapy patient performing balance exercise on stability device during rehabilitation session

From Injured to Stronger Than Before

Treatment That Gets You Back to What You Love

The first thing we want to do after a sports injury is establish what you can still do. Complete rest has its place in the very acute stages, but we move away from it as quickly as possible. Controlled, pain-guided movement in the early days preserves strength, maintains range of motion, and sends the right signals to the healing tissue. The goal is never just to stop the pain. It is to build the area back to a level where it can handle the demands of your sport without breaking down again.

Manual therapy is a big part of the early phase. Soft tissue work, joint mobilization, and techniques like Active Release help reduce guarding, improve movement, and address the compensatory patterns that almost always develop after an injury. If you have been limping, guarding, or favouring one side, the muscles and joints around the injury site adapt to those patterns quickly, and they need attention too.

The core of every sports injury recovery program is progressive strengthening. This is where we rebuild the capacity of the injured tissue and make sure the surrounding muscles are strong enough to protect it going forward. The exercises are specific to your sport and your body. A cyclist needs different things from a hockey player, and a recreational runner has different demands than someone training for a competitive season. You can’t go wrong with strong, and the strongest version of the injured area is always the goal, not just getting back to baseline.

Returning to sport is a process, not a single event. We use a graduated approach that introduces sport-specific movements progressively: jogging before sprinting, straight-line running before cutting, light practice before full competition. Jumping back in at full intensity before the tissue is ready is the fastest way to re-injure yourself, and we have seen it happen too many times to let it slide. Soccer knee injuries are a good example of how structured return-to-play protocols reduce the risk of reinjury, and the same principles apply across nearly every sport we treat in Burlington.

Every injury is different, and so is every athlete. Some people are back to full activity in a couple of weeks. Others need a more structured program over several months. We set honest expectations, adjust the plan as things progress, and make sure you are genuinely ready before we clear you to return.

Sports Injury Treatment in Burlington

Our multidisciplinary team works together to get you from injury back to sport. Each discipline brings something different to the table, and the combination is what makes recovery thorough and lasting.

chiropractic spine icon

Chiropractic Treatment

Our chiropractors assess and treat the joint and soft tissue components of sports injuries throughout the body. Active Release Technique is one of the most effective tools for resolving muscle and tendon injuries quickly, while Graston Technique addresses scar tissue and chronic tissue changes that can develop if an injury lingers. Treatment is hands-on, targeted, and designed to restore function as efficiently as possible.

physiotherapy with ball icon

Physiotherapy

Our physiotherapists build sport-specific rehabilitation programs that progress you from injury through to return to play. Shockwave therapy and laser therapy support tissue healing for tendon and muscle injuries, while exercise-based rehabilitation rebuilds strength, power, and movement quality. If biomechanical issues contributed to the injury, orthotics may be part of the long-term solution.

massage icon

Massage Therapy

Our massage therapists treat the muscular tension, guarding, and compensatory tightness that develop alongside sports injuries. Deep tissue work, myofascial release, and sport-specific massage techniques help restore tissue mobility and prepare the body for progressive loading. Acupuncture may also be used to support pain management and recovery.

Getting Back on the Field, the Trail, or the Gym

Sports injury recovery follows a clear progression. Respecting each stage gives you the best chance of returning to full activity without setbacks.

Managing the Acute Phase

The first priority is controlling pain, swelling, and inflammation while preserving as much movement as possible. Manual therapy, activity modification, and early mobility exercises set the foundation for what comes next.

Restoring Baseline Function

As symptoms settle, we rebuild basic strength, range of motion, and movement quality. This stage bridges the gap between injury and the more demanding work ahead, making sure the tissue can handle everyday loads comfortably.

Sport-Specific Conditioning

Progressive strengthening, power development, and movement drills tailored to your sport prepare the injured area for the forces it will face during competition or training. This is where we close the gap between “feeling better” and “being ready.”

Cleared for Competition

The final stage tests your body under sport-specific conditions: sprinting, cutting, jumping, throwing, or whatever your activity demands. We use objective benchmarks and symptom monitoring to confirm you are ready, not just hopeful.

Sports Injury Questions We Hear at the Clinic

Whether this is your first sports injury or one of many, there are usually questions about what to do, how long it will take, and when you can get back to your activity. Here are the ones we hear most.

Every injury and every athlete is different. These answers reflect general principles, and the right approach for you will depend on what the assessment reveals.

Helping Burlington patients move better since 2005.

Either can be a great starting point, and at our clinic both work together. Chiropractors tend to focus on joint mechanics and soft tissue techniques like Active Release, while physiotherapists design progressive exercise programs and use modalities like shockwave and laser therapy. For most sports injuries, a combination of both produces the best results.

As soon as you can. Early assessment helps you understand what you are dealing with, which makes it much easier to manage your training and recovery from day one. Waiting weeks or months for an injury to “sort itself out” is one of the most common reasons a minor issue becomes a chronic one.

In many cases, yes, with modifications. The key is identifying which activities aggravate the injury and which ones you can continue safely. Complete rest is rarely the best approach for more than a day or two. We help you find the right balance between staying active and allowing the injury to heal.

It depends on the tissue involved and the severity. A mild muscle strain may resolve in one to three weeks. A tendon injury or ligament sprain can take six to twelve weeks. More significant structural injuries may require several months. The most important factor in recovery time is following a structured rehabilitation plan consistently.

Not always. Many sports injuries can be diagnosed accurately through a clinical assessment without imaging. If we suspect a fracture, significant ligament tear, or another structural issue that would change the treatment plan, we will refer for the appropriate imaging. But in most cases, we can begin treatment based on the clinical findings.

We see a wide range, but the most common include running injuries (shin splints, plantar fasciitis, IT band pain), soccer and hockey injuries (ankle sprains, knee injuries, groin strains), cycling-related knee and hip pain, gym injuries (shoulder impingement, lower back strain), and overuse injuries from any sport where training volume increased too quickly.

Meet Our Practitioners

Our clinicians work collaboratively to support recovery across a wide range of conditions.

Dr. Kevin McIntyre

Dr. Kevin McIntyre B.Kin, DC

Clinic Director

Dr. Leslie McDowall

Dr. Leslie McDowall B.Sc, DC

Clinic Director

Beth Slack

Elisabeth (Beth) Slack

Registered Physiotherapist

Samantha Costabile

Samantha Costabile

Registered Physiotherapist

Deanna St. Clair

Deanna St. Clair

Registered Physiotherapist

Valerie Morris

Valerie Morris

Registered Massage Therapist

Ryan Smith

Ryan Smith

Registered Massage Therapist

Michael DeCiantis

Michael DeCiantis

Registered Massage Therapist

Maraisa (Mara) Ockenden

Allie Hoegl

Registered Physiotherapist