Frequently Asked Questions
Common questions about our integrative health approach
General
Integrative health combines multiple treatment disciplines to address the whole person. We look beyond symptoms to understand root causes and create personalized healing strategies that support your body's natural recovery process.
Recovery varies for each patient. Some experience immediate relief, while others require a series of treatments. Our team develops a customized plan that adapts to your body's unique healing timeline.
Our practitioners use gentle, evidence-based techniques designed to minimize discomfort. We prioritize your comfort and work carefully to ensure each treatment supports your healing without unnecessary pain.
Absolutely. Our multidisciplinary approach encourages collaborative care. We design integrated treatment plans that combine different therapies to maximize your recovery and overall wellness.
Prevention is a core part of our philosophy. We provide proactive health strategies, regular assessments, and lifestyle guidance to help you maintain optimal wellness and prevent future health challenges.
Although our services are not covered by OHIP, many extended health care plans will reimburse the fees for our services. Please check with your provider or call the centre for more information.
Our chiropractors can perform physical exams that focus on muscoloskeletal and neurological concerns, as well as order x-rays if necessary.
Our Naturopathic Doctors can also perform physical exams and order laboratory testing such as blood work, urine and stool testing.
Our health care team at TIHC is trained to refer for other services when appropriate such as when prescription medications or more advanced imaging may be needed.
SOMETHING ABOUT THE NURSE PRACTITIONER SHOULD BE ADDED
At TIHC, we pride ourselves in keeping our appointment times. However, due to the nature of medical concerns, delays may occur from time to time when emergencies occur. We will do everything we can to notify you if we are delayed.
Evidence-based treatments have sufficient scientifically valid and clinically proven research to support their use. Some alternative therapies are untested, or have been tested and shown to be ineffective. We shy away from these therapies and focus on what works so you have the best chances at improving your health.
We accept cash, debit, Visa, Amex, and Mastercard.
We currently offer direct billing for all plans that allow for it including Blue Cross (military personnel) and motor vehicle accidents. While most insurance companies allow for direct billing such as Green Shield, Sun Life and Manulife, some individual plans within those companies do not. Please bring in your insurance information and we will be happy to check if we can direct bill for your plan. You can also call your insurance company before coming in to determine if your plan allows for assignment of benefits.
Typically, an appointment can be arranged within a week. If you are having an acute problem that requires earlier attention, let us know and we will get you an appointment as soon as possible.
No referral is necessary to make an appointment with any of our practitioners; however, one may be required for insurance purposes. Feel free to call us or your insurance company to determine if a medical referral may be necessary to access your workplace benefits.
Having a wide range of professionals in one place means we treat a wide variety of conditions. We are experienced in treating everything from acute conditions, such as colds, flus, strains and sprains to chronic pain, illness and disease.
We also treat depression, anxiety and other psychological issues. Maybe you don't have a specific condition and just want to get healthier. We can help with that too!At TIHC, we strive to improve your quality of life through preventative medicine and healthy living. If you have any questions about how TIHC can help you, please contact our centre to speak with us directly.
To learn more about the conditions we treat, visit our Conditions page.
Chiropractic
Yes. Treatments are delivered by licensed professionals using evidence-based techniques suited to your individual needs and comfort level. While it’s common to feel hesitant at first, we take time to explain each option, why we might recommend it, and what it’s meant to accomplish. Many patients begin with a gradual approach and, once they feel safe and supported, choose to try additional techniques later on. Your chiropractor will never rush this process — we move at your pace, with your comfort guiding every decision.
Some patients experience mild soreness afterward, similar to how you might feel after trying a new exercise. Your chiropractor will explain what to expect before beginning any treatment and will always check in about your comfort. We tailor care to your preferences, starting gently and progressing only as you feel ready.
Many people notice improvement within a few visits, but timelines vary depending on the condition, how long symptoms have been present, and daily activity demands. We outline expected results up front — and what we’ll do if progress isn’t where it should be.
After completing a four-year undergraduate degree at an accredited institution, they enrolled in a postgraduate Doctor of Chiropractic degree. Both our Chiropractors are proud graduates of The Canadian Memorial Chiropractic College in Toronto, Ontario. This program is 4 years in duration and consists of over 4200 hours of specialized education in areas such as: anatomy, physiology, rehabilitation, radiology, diagnosis, orthopaedic testing, and chiropractic technique. The fourth and final year consists of a 1000-hour internship utilizing their skills and knowledge to treat patients.
For more information, please visit https://chiropractic.ca/about-canadian-chiropractors/
Naturopathic Medicine
No. Naturopathic medicine is not covered by OHIP in Ontario. However, many patients choose to access care through private health services or workplace benefit plans.
In many cases, yes. Most extended health insurance plans in Canada include coverage for naturopathic services, though the amount and frequency vary by provider. We recommend checking your individual plan details to confirm your coverage.
Your first appointment focuses on understanding the bigger picture. We’ll review your health history, current concerns, lifestyle, and goals so your care plan reflects what matters most to you.
Not necessarily. A common concern is being given too many supplements. At TIHC, the approach is targeted and intentional—using the right nutraceutical or herbal support when it’s appropriate, not simply adding more.
Yes. When appropriate, your naturopathic doctor can order standard bloodwork and other comprehensive lab testing to help clarify what may be contributing to your symptoms.
Testing is based on your symptoms, health history, and treatment goals. Your doctor will explain what each test may help us understand so you can make informed decisions about your care.
No. Many patients come in with symptoms they want to better understand—such as fatigue, digestive concerns, hormone changes, or stress-related issues—without knowing exactly what is causing them.
That depends on your concerns and your goals. Some people notice changes fairly quickly, while others benefit from a more gradual approach focused on steady, sustainable progress.
The short answer is education and regulation. Naturopathic doctors (NDs) are the only practitioners listed above who are licensed professionals. NDs are required to have a minimum of 3 years of pre-medical studies at university followed by four years of full time naturopathic medical school.
NDs are members of their provincial regulatory body and can use the designation ND. The terms herbalist, natural therapist, homeopath and health counsellor are not protected by the law and people with different levels of training can use these titles and are not subject to regulatory processes. When you see an ND, you are choosing quality health care.
Nurse Practitioner
Trenton Integrative Health Centre is expanding its services by adding a Nurse Practitioner (NP) to the care team. This enhancement is designed to improve access to timely, comprehensive primary care while strengthening our interdisciplinary, team‑based approach.
Adding an NP allows the clinic to:
- Improve access to primary care services
- Offer timely appointments for common and complex health concerns
- Support continuity of care for patients
- Strengthen interdisciplinary, team‑based care delivery
This addition reflects our commitment to patient‑centred care and community health needs.
A Nurse Practitioner is a Registered Nurse with advanced graduate education and clinical training. NPs are licensed to provide a wide range of health services independently, including:
- Health assessments and diagnosis
- Prescribing medications
- Ordering and interpreting tests
- Treating acute and chronic conditions
- Providing preventive and wellness care
NPs work collaboratively with other health professionals while practicing autonomously within their regulated scope.
The NP may provide:
- Assessment and treatment of minor illnesses and injuries
- Chronic disease management (e.g., diabetes, hypertension)
- Preventive care and wellness visits
- Medication management and prescription refills
- Diagnostic test ordering and interpretation
- Referrals to specialists or community services
A detailed fee schedule will be available to patients prior to booking appointments.
Yes.
While the province works toward alternative public funding models, Nurse Practitioner services at Trenton Integrative Health Centre will be provided on a fee‑for‑service basis.
This means patients will be responsible for payment at the time of service. TIHC is not able to bill extended health care plans for NP services.
At this time, Nurse Practitioners in Ontario are not permitted to bill OHIP directly for services. As a result, OHIP does not currently cover NP‑provided services in independent or community‑based clinics such as Trenton Integrated Health Centre.
The fee‑for‑service model is necessary because:
- The Government of Ontario has confirmed it will not allow OHIP billing for NP services at this time
- No alternative provincial funding model has yet been implemented
- This approach allows the clinic to continue offering NP care rather than limiting access or reducing services
Our goal is to maintain continuity of care while complying with existing funding regulations.
No.
The fee‑for‑service model is an interim solution while provincial and federal governments work toward sustainable public funding for NP‑provided care. Trenton Integrated Health Centre is actively monitoring policy developments and will adjust services if public funding becomes available.
Yes.
All fees for NP services will be clearly communicated before appointments are booked. Patients will be informed about:
- The cost of services
- What is included in the visit
- Any potential follow‑up fees
We are committed to transparency and patient understanding.
Some extended health benefit plans may reimburse Nurse Practitioner services. While TIHC can bill for other services in the clinic, TIHC does not have access to bill for NP services directly.
Patients are encouraged to check with their insurance provider regarding coverage and reimbursement policies. Therefore patients are responsible for payment at the time of service.
The NP will function as an integral member of the interdisciplinary team, collaborating closely and coordinating care with (insert TIHC team members) and external specialists and allied health professionals. This team‑based approach ensures:
- Coordinated care
- Efficient use of provider expertise
- Comprehensive, holistic treatment plans
Continuing NP services:
- Prevents gaps in access to care
- Reduces wait times for patients
- Supports comprehensive, team‑based care
- Ensures patients have timely options for assessment and treatment
We believe continued access to skilled providers is essential for community health.
Patients can contact Trenton Integrated Health Centre directly to:
- Ask questions about NP services
- Review the fee schedule
- Book an appointment or consultation
Our administrative team is available to support informed decision‑making.
Registered Massage Therapy
Not at all. Many people come in for muscle tension, stress, stiffness, or to address smaller issues before they become more limiting.
That’s completely okay. Your therapist will take time to understand your symptoms, goals, and health history, and help determine whether massage therapy makes sense for your needs.
Pressure is one of the most common concerns patients have. Your therapist will check in during treatment, but you’re always encouraged to speak up. The goal is treatment that feels effective and comfortable for you.
Yes—quite often. Many patients become deeply relaxed and drift off, and that’s completely normal. If you’d rather stay alert, your therapist is happy to chat during treatment.
Yes. At TIHC, massage therapy often works alongside chiropractic care, physiotherapy, or other services as part of a coordinated integrative healthcare approach.
Active Release Techniques
Active Release Techniques (ART) is a form of soft tissue therapy used to treat restrictions in muscles, tendons, ligaments, and fascia. It is commonly offered alongside chiropractic care and physiotherapy in Trenton and across Ontario.
ART is used to address muscle tightness, overuse injuries, nerve irritation, and movement restrictions. It is often used for conditions affecting the neck, back, shoulders, hips, and extremities.
During ART treatment, the practitioner applies targeted pressure while guiding specific movements. Some discomfort may be felt in tight or restricted areas, but treatment is always adjusted to your tolerance.
Unlike general massage therapy, Active Release Techniques is a more targeted soft tissue treatment that focuses on specific restrictions and incorporates active movement during treatment sessions.
Yes. At Trenton Integrative Health Clinic, ART is often integrated with chiropractic care and physiotherapy to support improved movement, reduce discomfort, and enhance overall functional recovery.
The number of sessions varies depending on the condition and how long symptoms have been present. Some patients experience improvement quickly, while others benefit from a short series of treatments as part of a broader care plan.
Acupuncture
TIHC offers both traditional acupuncture and contemporary acupuncture (sometimes called dry needling). Traditional acupuncture is provided by our naturopathic doctor and is rooted in Traditional Chinese Medicine, while contemporary acupuncture is used by chiropractors and physiotherapists to support pain relief and movement.
Traditional acupuncture focuses on restoring balance within the body using acupuncture points along meridians. Contemporary acupuncture or dry needling targets tight or irritated muscles and soft tissues to help reduce pain and improve function.
Most people tolerate treatment very well. The needles used are extremely thin, and sensations are typically mild and brief. Some patients feel a small twitch, ache, or release in the muscle during treatment.
Acupuncture may help with muscle tension, joint pain, headaches, stress, sleep concerns, neck and back pain, sports injuries, and other movement-related or wellness concerns.
Yes. At Trenton Integrative Health Clinic, acupuncture is often integrated with chiropractic care, physiotherapy, or rehabilitation exercises as part of a coordinated treatment plan.
Custom Orthotics
A doctor's referral is required by most insurance companies for reimbursement. If your doctor has already provided a letter, please bring it with you for your practitioner to review, as insurance companies do require very specific language and a diagnosis to be included. If you do not have a doctor's note, TIHC can fax one out for your doctor to sign.
At this time, we can direct bill for Veterans' Affairs members, Canadian Armed Forces members and Greenshield. TIHC will take a $150 deposit and collect the remaining fee when you pick up your orthotics.
Not necessarily—most people can wear their regular shoes with orthotics. However, the right footwear does make a significant difference in comfort and effectiveness. Beth will guide you through which features to look for based on the specific needs of your feet.
Many people notice improvement within a few weeks, but timelines vary depending on the condition, footwear, and activity levels.
While there may be a brief break-in period, Beth ensures every device is properly fitted and comfortable from the start. She also makes adjustments as needed to guarantee your complete satisfaction.
The turnaround time is two weeks. We also ensure you have a signed doctor's note at the time of pickup. If there is any delay, we will be sure to notify you.
HerStrength Program Design
Yes. Strength training can be started at any stage, and a well-designed program begins at a level appropriate for your current ability and comfort.
Your program can be adapted to work around previous injuries, joint sensitivity, or mobility limitations. The goal is to build strength safely while supporting long-term joint health.
Not necessarily. Strength training can include bodyweight movements, resistance bands, light weights, or machines. The goal is gradual, progressive strength that supports your body—not pushing beyond your limits.
Yes. Resistance training is one of the most effective ways to support bone density and reduce the risk of osteoporosis as we age.
Most experts recommend strength training 2–3 times per week, with at least one rest day between sessions to allow muscles to recover and rebuild. This frequency is enough to build and maintain muscle mass, support bone density, and improve metabolism — all of which become increasingly important after 50.
If you're just starting out, two sessions per week is a great place to begin. As your strength and fitness improve, you can progress to three sessions. Each session doesn't need to be long — 30 to 45 minutes of focused, full-body or split training is plenty to see real results.
The key is consistency over intensity. Showing up regularly and progressing gradually will do far more for your long-term health than sporadic intense workouts.
Pelvic Health Physiotherapy
In Ontario, no referral is required — you can self-refer directly.
Some extended health plans may require one for reimbursement, so it’s always good to check your insurance policy.
No. Some people benefit from strengthening exercises, but many require relaxation, coordination, mobility work, and breathing retraining. Overactive or tense pelvic floor muscles can contribute to pain, bladder symptoms, and difficulty emptying — and often respond best to down-training rather than strengthening.
Yes. Even long-standing pelvic health concerns respond well to treatment.
While chronic symptoms may take longer to fully resolve, meaningful improvement in pain, function, and quality of life is possible and common, regardless of age.
No. While internal assessment can provide helpful clinical information in some cases, many pelvic health concerns can be treated effectively without one. All assessments and treatments are consent-based, and your comfort is always the priority.