Physiotherapy for Pain

 Tim Muller, Physiotherapist

Tim Muller, Physiotherapist

CHANGEpain offers physiotherapy services to patients referred by their CHANGEpain physicians.

Physiotherapist Tim Muller collaborates with our physicians and uses the same medical record as they do.  Tim's recommendations are available to other CHANGEpain clinicians and group program leaders involved in patient care.

Cost:  $100 per 30 minute appointment

Chiropractic and Exercise Physiology for Pain

 Dr. Lindsay Rite DC, Bkin, Exercise physiologist

Dr. Lindsay Rite DC, Bkin, Exercise physiologist

Dr. Lindsay Rite is a Chiropractor, Registered Kinesiologist, and Certified Exercise Physiologist. 

Dr. Rite provides the following services, as appropriate for the individual patient:

  • Myofascial release
  • Brief Action Planning and motivational interviewing
  • Mobilization and manipulation (only if indicated!)
  • Progressive exercise prescription
  • Movement assessment and education
  • Breathing education, taping and orthotics/footwear modifications

Initial Assessment and Treatment Cost: $150 (45 minutes)

Follow Up Appointment Cost: $100 (30 minutes)

Follow up appointments by video conference are available on request.


IMS with Dr. Allan Lam

IMS involves dry needling of affected areas of pain of the body without injecting any substance. The needle sites can be at the epicenter of taut, tender muscle bands, or near the spine where the nerve root may have become irritated and supersensitive. The goal of treatment is to release muscle shortening which presses on and irritates the nerve. The needle also causes a small injury that draws blood to the area, initiating the natural healing process, and the treatment creates an electrical potential in the muscle to make the nerve function normally again. IMS treats the underlying neuropathic condition that causes the pain.

IMS Assessment Cost: $175 

IMS Follow Up Treatment Cost:  $150

Click here for more information about IMS.

Holistic Nutrition Counselling

 Hanna Rakowska, Holistic Nutrionist

Hanna Rakowska, Holistic Nutrionist

Optimizing your diet can have a significant impact on pain management. Hanna unites her knowledge of nutritional therapy with evidence-based dietary interventions specific to chronic pain in order to educate and help people dealing with pain.

Hanna focuses on multiple dietary risk factors for chronic pain, as well as simple nutrition concepts that can greatly affect overall health.  

Hanna offers coaching in:

  • Nutrition specific to your chronic pain condition
  • Nutrition for other health conditions
  • Meal planning 

Initial Assessment Cost: $125 (60 minutes)

Follow Up Appointment Cost: $65 (30 minutes)

Semi-Private Active Rehab (with a Kinesiologist)


Active Rehab is appropriate for patients who would like a safer place to practice exercises and movements, with semi-private guidance by a certified kinesiologist at CHANGEpain Clinic.

CHANGEpain's Kinesiologists are overseen by exercise physiologist, Dr. Lindsay Rite, and can work with patients to practice, modify and progress the exercise prescription plan started by Dr. Lindsay Rite.

Our kinesiologists work closely with both Dr. Rite and the other providers at CHANGEpain, to help better integrate your care.

Please note: Kinesiologists work with patients in a semi-private (2:1) appointment. This is not an individual, one-on-one appointment.

Cost: $35 per 50 minute appointment.

Private Pain Coaching


People have better outcomes when they feel some level of control over their pain.  Self-management is part of a gold standard approach to pain management. 

Do you need extra help figuring out how to

  • Start practicing your own self-management strategies?
  • Follow your care team's recommendations?

Our Pain Coaches

Krista Friesen BA MSc CYT PgCPain

Krista has extensive knowledge and skills in chronic pain management.  She has years of experience working with chronic pain patients (herself included!), and has been with CHANGEpain and its predessor clinics since 2011.  She has deep understanding and background in the treatments and recommendations made by the CHANGEpain clinicians.

Krista offers coaching in:

  • General Pain Management
  • Movement (including yoga and Pilates)
  • Sleep

Sarah Jamieson BComm CYT PgCPain

Sarah combines the therapeutic application of yoga (including meditation, breath work, and philosophy) with graduate level training in pain management to help people in pain increase function and improve their quality of life. Sarah focuses on habit change and emotional awareness as tools to support effective pain management. She enjoys helping people who feel like they know a lot about what they “should” be doing but have a hard time putting knowledge into action. 

 Sarah offers coaching in:

  • General Pain Management
  • Movement (including yoga)
  • Relaxation Training 

Cost:  $125 per 60 minute appointment
Cost:  $65 per 30 minute appointment