Certified in strength and conditioning, advanced neurofunctional sport performance acupuncture and experience with athletes in various sports including marathons and triathlons, hockey, rugby, baseball and track, Joelle can get you moving after injury and well beyond.


Conditions treated:

  • Ankle Sprains and Fractures

  • Knee Injuries (ACL, PCL, LCL, MCL)

  • Patellofemoral and ITB Pain

  • Muscle Strains and Tears

  • Rotator Cuff Injuries

  • AC Joint Sprains/Separation

  • Tennis and Golfers Elbow

  • Pre and Post operative care 

Joelle Karam Physiotherapist, Toronto ON



Acupuncture is a modality that offers the skilled practitioner a way to communicate with the nervous system via the use of sterile, single use needles. The insertion of the acupuncture needle to target tissue under the skin- connective tissue, muscles and nerves - elicits a response from the body that promotes regulation of function. Neurofunctional acupuncture taps into the body's resources to essentially reset the system to encourage more optimal cellular activity.  Through these changes, we are able to reduce pain and improve weaknesses felt by tissue imbalances and movement dysfunction.  



The core is our foundation for movement. The deep core system is made up of the pelvic floor muscles, diaphragm, transverse abdominus and multifidus muscles. Optimal movement requires appropriate and timely recruitment and coordination of these muscles. You will learn how to train your core to prevent injury and optimize overall strength and mobility.


Dysfunction of the core can present in many ways including:

  • Stress or Urinary Incontinence (Leaking with increased abdominal pressure, such as sneezing, coughing, jumping, and laughing)
  • Back Pain
  • Hip Pain or Restrictions
  • Pelvic Pain
  • Shoulder Pain or Restrictions
  • Knee Pain or Restrictions
Joelle Karam Physiotherapist, Toronto ON



The muscles of the pelvic floor are involved in creating and maintaining stability for our body as it moves. It is also responsible for containing our pelvic organs, allowing proper urinary control and balancing pressure changes throughout the abdomen with breath and movement. The act of breathing causes a change in the pressure system of our abdomen. Activities of daily living challenge our ability to control our pressure system with various tasks such as sit to stand, lifting, carrying, pushing, pulling. All of which are seemingly harmless tasks when our body is functioning optimally. Disruptions such as pregnancy, labour and delivery, abdominal or back surgery, hip surgery, or other trauma interrupts core coordination creating signs and symptoms listed below. Pelvic Floor retraining is part of core training. You will learn how to optimally use your pelvic floor muscles to create dynamic stability with function. 


Conditions Treated:

  • Pelvic Pain
  • Hip Pain
  • Back Pain
  • Incontinence
  • Urgency
  • Prolapse
  • Hernias (Inguinal or Sport)
  • Diastasis Recti 



Day to day activities cause micro trauma to our tissue ,which can lead to muscle imbalance and pain. Proper posture, strength and conditioning will help prevent injury and minimize the risk of repetitive strains related to work and life. You will learn to easily incorporate daily exercises in your busy life.


Common Repetitive Strain Injuries:

  • Neck and Shoulder Pain
  • Thoracic Outlet Syndrome
  • Carpel Tunnel Syndrome
  • DeQuervain's Tenosynovitis
  • Back Pain - Chronic and Acute
  • Hip Pain
  • Runner's and Jumper's Knee
  • Achilles Tendonopathy
  • Plantar Fasciitis
Joelle Karam Physiotherapist, Toronto ON