STRUCTURAL OSTEOPATHY IN MARKHAM

Correcting alignment, restoring joint function, and relieving chronic musculoskeletal pain naturally.

When the Sore Spot Isn’t the Real Problem

Structural Osteopathy is the foundational, biomechanical approach to osteopathic medicine. It views the human body much like a complex machine; if one part—whether it’s a joint, muscle, or ligament—is misaligned or restricted, it impacts the function and efficiency of the entire system. At Form & Function Markham, our Osteopathic Manual Practitioners perform a detailed physical assessment of your posture, gait, and joint mechanics to understand exactly how your structure is contributing to your symptoms.

Poor posture from prolonged desk work, old sports injuries, repetitive strain, and daily physical stress can cause your skeletal structure to shift and muscles to become chronically tight. By using precise, hands-on mechanical adjustments, we work to correct these physical imbalances. This targeted approach not only provides profound pain relief but also optimizes your body’s alignment, enabling you to move more freely, powerfully, and without the constant burden of discomfort.

Our tailored Structural Osteopathy programs focus on the mechanics of your skeletal and muscular systems, utilizing proven techniques to address:

Restoring Mobility to Stiff Joints: Gentle joint articulation and mobilization techniques designed to increase your available range of motion and eliminate morning stiffness.

    • Correcting Spinal Misalignment: Skilled structural adjustments aimed at relieving pressure on the spine and calming the surrounding muscles for long-term back and neck pain relief.

    • Accelerating Sports Injury Rehabilitation: Facilitating faster recovery for muscle strains, ligament sprains, and joint dysfunctions, while ensuring stronger future resilience.

    • Reversing Postural Strain (Desk Work): Actively correcting common postural imbalances like “tech neck” or rounded shoulders that stem from prolonged computer and smartphone use.

    • Reducing Nerve Compression (Sciatica): Alleviating the physical pressure on trapped nerves that often causes radiating pain, numbness, or tingling down the arms or legs.

      Your back aches again. Same spot as last month. Same spot as the month before.

      You have rubbed it and stretched it. You have tried heat, a new pillow, a weekend of rest. It settles for a few days, then it comes back.

      Massage helps for a day or two. So does the foam roller. Nothing sticks.

      Maybe your days look like this. You drive across Markham to the GO station. You sit for forty minutes to Union. Then it is a desk until the ride home.

      By Thursday your low back is sore, and the ache is creeping into your right hip.

      Or maybe it is your knee. You run the trails near Rouge Park. At kilometre eight, the outside of your left knee starts to complain. Every single run.

      In both cases, the spot that hurts may not be the spot with the problem.

      Why pain shows up in the wrong place

      Your body moves as one connected system. Joints, muscles, and the tissue that links them all share the work.

      When one part gets stiff, its neighbours take on extra load. Over time, the hardest-working neighbour is often the one that starts to hurt.

      Back to that runner. Her knee checks out fine. But her left ankle does not.

      She sprained it playing basketball two winters ago, iced it, and forgot it. The ankle never got its full bend back.

      Ask her to squat, and her left knee drifts inward. Studies link a stiff ankle to exactly that pattern. But a link is not proof of cause, so we test instead of assume.

      Researchers call this idea regional interdependence. In plain words, trouble in one part of the body can show up as pain in another part, sometimes far away.

      Science is still mapping how strong this effect is. So the ankle is a suspect, not a verdict.

      Rubbing the sore spot can buy you a good weekend. If the real problem lives somewhere else, the pain comes back.

      A head-to-toe approach: structural osteopathy

      Structural osteopathy is hands-on care for your body’s frame. That means your joints, your muscles, and the tissue that connects them.

      It is one of several types of osteopathy offered in Markham, and it is the most practical branch. Which joints move well? Which do not? And what are the stiff ones costing their neighbours?

      What a session feels like

      You lie on a treatment table in comfortable clothes. You stay dressed the whole time. The practitioner moves your joints through their range, feeling for stiffness and for differences between your left and right sides.

      Three hands-on techniques do most of the work:

      • Articulation. The joint is moved slowly and steadily through its range, a little further with each pass. It feels like careful stretching that someone else steers.
      • Muscle energy technique. You push gently against the practitioner’s hands for a few seconds, then relax. You do half the work.
      • Soft tissue work. Steady pressure and stretch through muscle. It feels closer to a focused massage.

      Faster techniques that can make a popping sound exist too. They are optional, always discussed first, and never a condition of care.

      One thing you will not hear from us: that a bone is “out of place” and needs to be “put back.” Bones do not wander. What we measure is how freely each joint moves and how the work of moving gets shared.

      The head-to-toe check

      Your first visit starts with your story. Then we look at how you stand, from the front, the side, and the back. We watch you walk.

      We ask you to squat, balance on one leg, and twist your upper body. Then we test the major joints one by one, comparing left with right.

      The sore spot gets careful attention. So do the areas above and below it. That is often where the useful clues hide.

      Then the retest. We treat the stiff areas and check your movement again. If it improves, we keep going. If it does not, we say so and change the plan.

      When treating one area eases another, part of the relief may come from your nervous system calming down. The retest does the judging either way.

      Patterns we see all the time

      Four patterns fill much of our week. Each carries the same caveat: “may help” means may help, because bodies differ and no one can promise results.

      Back and hip pain from a sitting-heavy life. Long sitting can shorten the muscles at the front of your hips and stiffen your mid-back. Your low back then works overtime for both.

      Research support is strongest here. Studies suggest osteopathic treatment may reduce low back pain and improve movement. It may work about as well as other good options, such as exercise. If your back pain has lasted more than a few weeks, this is a sensible place to start.

      Knee pain that may trace back to an old ankle sprain. Ankle sprains stop hurting in weeks. The lost motion can linger for years, quietly changing how you squat, climb stairs, and run. Whether that chain explains your knee pain is something we test, never assume.

      Neck, shoulder, and mid-back strain from desk work. Long laptop days, downtown or in a Markham home office, stiffen the mid-back. The neck and shoulders inherit the load.

      Research here favours hands-on care combined with exercise. So we pair treatment with a posture check (a postural assessment) and simple home exercises. For neck pain treated with hands alone, the evidence is still weak.

      Staying active past 65. A stiff hip can shorten your stride until the other knee and the low back complain. We see this in Markham golfers and pickleball regulars alike.

      Research in this age group is limited. In studies, treatment appears safe and well tolerated. We count success in whether you keep playing.

      Side effects in studies are mostly mild, like muscle soreness that settles within a day or two. Low risk is fair to say. Risk-free is not.

      First, rule out the serious causes

      Some pain needs a doctor before it needs anyone’s hands. See your doctor first, or go to the emergency department, if your pain comes with any of these:

      • weight loss you cannot explain
      • fever or night sweats
      • numbness or weakness that keeps getting worse
      • any loss of bladder or bowel control
      • a serious fall, crash, or other major injury

      We check movement and structure. We are not doctors, and we do not make medical diagnoses. Anything that might be more than a movement problem belongs with your doctor first.

      Structural work is also a poor fit if you want a purely passive fix. Treatment can open a window: less pain, better motion. What you do between visits keeps that window open, and we will ask you to do your part.

      Firm, joint-focused work is not for everyone. If it is more than your body enjoys, a lighter option like cranial sacral therapy may suit you better.

      Your assessment at Form & Function

      Your osteopathic care here is provided by Faheem Kayum, M.OMSc — a credential earned through years of hands-on osteopathic schooling. He is an osteopathic manual practitioner trained at the Canadian Academy of Osteopathy. He has special experience with long-term pain and sports injuries.

      Worth knowing before you book anywhere: manual osteopathy is not a regulated health profession in Ontario. Osteopathic manual practitioners are not physicians. That is exactly why the training behind the title deserves a close look.

      It is also why we work as a team. Your check may point toward physiotherapy, chiropractic care, or your family doctor. If it does, the referral is a short walk down the hall.

      Visits happen in private treatment rooms at our Markham clinic, 8500 Warden Ave., inside the Unionville Athletic Club. We have practised there since 2009. Wear clothes you can move in, and plan for about an hour.

      Direct billing is available with many insurers; just ask when you book. Many extended health plans cover osteopathy. OHIP does not, so check your plan.

       

Questions patients ask us

Q1: Why would you check my feet when my back hurts?

Because a stiff spot low in the body changes the load everywhere above it. We test each distant suspect by hand, and clear feet are a useful answer too.

Only if you choose that. The pop is gas shifting in joint fluid, not a bone snapping into place. Plenty of effective treatment uses slow movement, gentle pushing, and soft tissue work alone.

No. In Ontario, manual osteopathy is not a regulated health profession, we are not doctors, and we cannot give you a medical diagnosis. Check training instead: a credential like the M.OMSc reflects years of hands-on schooling.

No fixed number is worth promising. It depends on how long the pattern has been building and how your body responds, though many patients report change within a few visits. We retest your movement every visit, so you see progress or the lack of it with us. If nothing is changing, we say so and help you find a better next step.

If your pain keeps returning to the same spot no matter what you try, a head-to-toe look at our Markham clinic may be overdue. Book an appointment online or call 905-604-9355. Bring your questions, even the skeptical ones. Comfortable clothes, about an hour, and you will leave knowing what we found and why.

Trusted by Markham Community

Peter Pakatchian profile picture
Peter Pakatchian
2 years ago
I go to Afshin at this location, and he has been amazing from the get-go gave me exercises to strengthen the area of treatment and keeps pushing the limits to bring my shoulder to full potential again.
Receptionist are great and friendly
Edpel John Alpas profile picture
Edpel John Alpas
2 years ago
Great clinic! Nice staff and convenient because of the direct billing to health insurance companies they offer. You don't have to shell out money when you make an appointment with them.
Leah K profile picture
Leah K
2 years ago
I’ve been coming to Form and Function for a few years now and really like it! Michelle is my RMT and is the best!
Sam Atashin profile picture
Sam Atashin
2 years ago
Afshin has been helping me for many sports related injuries. Since he has athletic background, he has amazing understanding on how to treat injuries effectively.
Jacob Crowe profile picture
Jacob Crowe
2 years ago
Francis Rocha profile picture
Francis Rocha
2 years ago
Alex Kan profile picture
Alex Kan
2 years ago
Andrew McCurrie profile picture
Andrew McCurrie
2 years ago
My daughter pulled a muscle that was bothering her for weeks and stopping her doing stuff

When she was done, she felt great and caught up on a bunch of stuff.

I go there for massages. It loosens me up when I can’t move very much. They know what they are doing.
Dorsa Sadaghiani profile picture
Dorsa Sadaghiani
2 years ago
Sisi L profile picture
Sisi L
2 years ago
Michelle Hu is amazing!i got a back injuries and was not able to sit up or move for almost 2 weeks, after 2 appointments i was able to start moving, and another 2 i was fixed!ever since i go once a month to prevent future injuries.
I went into Form & Function with bad neck/shoulder pain. It was my first visit and the minute I walked in, I was greeted by the lovely and sweet receptionist Carla 🥹💕 and then had a wonderful experience with Afshin (physiotherapy) who was very knowledgeable, professional and skilled. All around, an amazing team! 🙏🏽 thank you sooo much! Looking forward to my next appointment ☺️
Nicolo Tiu profile picture
Nicolo Tiu
2 years ago
Best physiotherapy in markham!
Antonella K profile picture
Antonella K
2 years ago
Dr. Chris is very knowledgeable and tries his best to make sure your needs are addressed. My headaches and pain have subsided substantially thanks to him. Highly recommend.
Victor Young profile picture
Victor Young
2 years ago
Ray Parker profile picture
Ray Parker
2 years ago
I have been going to this clinic for about 4 years and I’ve really enjoyed the experience. They have experienced RMTs and physiotherapists. Never had any issues with direct billing and they have been able to accommodate my schedule/ rescheduling request on multiple occasions
Steven Lim profile picture
Steven Lim
2 years ago
Hands down Chris is the best Chiropractor I ever had. I come with different set of problems and each one is treated.
Saurabh Yadav profile picture
Saurabh Yadav
2 years ago
Kyle Yamasaki profile picture
Kyle Yamasaki
2 years ago
Came into Form and Function with stiff shoulder and neck. I was lucky to get an appointment with Afshin who was extremely helpful and professional. After about three treatments my neck and shoulders are feeling much better. Highly recommend this physiotherapy!
Inchara T profile picture
Inchara T
2 years ago
I went with a bad catch in my neck and was so lucky to get appointments. The session was so useful and relieved me from pain. I had struggled for 3 days with unbearable pain in my neck. The massage helped me with my posture and stretch my neck. I am so happy with their service, very polite, professional and experts at their job.
N D profile picture
N D
2 years ago
Stephen H profile picture
Stephen H
2 years ago
Great treatment. Friendly and knowledgeable staff!
Angelo Perera profile picture
Angelo Perera
2 years ago
Dr. Jimmy is very supportive and encourages you to push yourself to be better.
Michael S profile picture
Michael S
2 years ago
After dealing with a nagging groin injury for what feels like forever, I decided to give Form & Function a shot. And boy, am I glad I did! This place has been a game-changer. The personalized program they put together for me has been way more effective than any physio I've tried in the past. Seriously, if you're struggling with a long-term injury like mine, give Form & Function a try. You won't regret it.
Joe Yee profile picture
Joe Yee
2 years ago
Attlee Lam is a true professional. Did an amazing job relieving my pain. Would buy again 🤣
Roland Fernandes profile picture
Roland Fernandes
2 years ago
Dr Jim is an excellent Chiropractic practitioner. I recently sustained a serious cycling injury. Dr Jim treated me and now I am completely out of pain and on my road to total recovery.
I am so grateful for his expertise and knowledge in my treatment.

Thank you Dr. Jim!
Lumi Marin profile picture
Lumi Marin
3 years ago
Rich Gaasenbeek profile picture
Rich Gaasenbeek
3 years ago
I had two treatments with Afshin to fix a bad case of tennis elbow, and combined with diligently doing the exercises he assigned me, the problem was cured after two sessions. Amazing!
Jennifer Feng profile picture
Jennifer Feng
3 years ago
I am an avid volleyball player with multiple injuries. Here I’m always taken care of by this amazing team of people!
Steve Kaske profile picture
Steve Kaske
3 years ago
Attlee did an amazing job!!! Receptionist was very friendly!! Ill be back!! An amazing 1st time massage experience !!!
Montana Dallas profile picture
Montana Dallas
3 years ago
Dr. Chris was extremely hard working and knowledgeable. My muscle gave him a lot of resistance but he worked through it and gave me some much needed relief. He answered all of my many questions clearly and concisely. Great first experience !
Grey M profile picture
Grey M
3 years ago
Best massage I have ever found. great staff, friendly and they know me by name. I never feel like they are taking my business for granted. I can't say enough good things about them. Treat me like family.
Mohamed Maslati profile picture
Mohamed Maslati
3 years ago
I started in Form & Function July 2023, seeing Afshin (physiotherapy), Chris (chiropractic), and Ada (RMT) for my severe low back pain. I had a great assessment and treatment, resulted in a significant improve to my condition. I sincerely appreciate their service and effort, and I highly recommend it for all.
kay asemota profile picture
kay asemota
3 years ago
I had an amazing and relaxing massage with RMT Ada today. My tight and tensed back muscles are relaxed now. I booked my next session with her immediately after so I wouldn’t have a longer wait time.

References

These studies and resources support the claims made in the article.

  • Wainner RS, et al. (2007). Regional interdependence: a musculoskeletal examination model whose time has come. Journal of Orthopaedic & Sports Physical Therapy.
  • Lima YL, et al. (2017). The association of ankle dorsiflexion and dynamic knee valgus: a systematic review and meta-analysis. Physical Therapy in Sport.
  • Macrum E, et al. (2012). Effect of limiting ankle-dorsiflexion range of motion on lower extremity kinematics and muscle-activation patterns during a squat. Journal of Sport Rehabilitation.
  • Rathleff MS, et al. (2014). Is hip strength a risk factor for patellofemoral pain? A systematic review and meta-analysis. British Journal of Sports Medicine.
  • McDevitt A, et al. (2015). Regional interdependence and manual therapy directed at the thoracic spine. Journal of Manual & Manipulative Therapy.
  • Vicente J, Wooley R (2025). The Addition of Thoracic Spine Manipulation or Mobilization to Exercise in Adults With Subacromial Impingement Syndrome. Journal of Sport Rehabilitation.
  • Franke H, Franke JD, Fryer G (2014). Osteopathic manipulative treatment for nonspecific low back pain: a systematic review and meta-analysis. BMC Musculoskeletal Disorders.
  • Sheppard M, et al. (2026). Short-term benefits of osteopathic manipulative treatment for chronic low back pain: systematic review and meta-analysis. Journal of Osteopathic Medicine.
  • Rubinstein SM, et al. (2019). Benefits and harms of spinal manipulative therapy for the treatment of chronic low back pain: systematic review and meta-analysis. BMJ.
  • Franke H, Fryer G, Ostelo RWJG, Kamper SJ (2015). Muscle energy technique for non-specific low-back pain. Cochrane Database of Systematic Reviews.
  • Thomas E, et al. (2019). The efficacy of muscle energy techniques in symptomatic and asymptomatic subjects: a systematic review. Chiropractic & Manual Therapies.
  • Dal Farra F, et al. (2022). Effectiveness of osteopathic interventions in patients with non-specific neck pain: a systematic review and meta-analysis. Complementary Therapies in Clinical Practice.
  • Bagagiolo D, et al. (2025). Efficacy and safety of musculoskeletal manipulations in elderly population with musculoskeletal disorders: a systematic review. BMJ Open.
  • Ontario Osteopathic Association — regulation status in Ontario: https://osteopathyontario.org
  • PubMed (find the studies above): https://pubmed.ncbi.nlm.nih.gov

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  • Mon – Fri: 9:00 am – 8:00 pm

  • Sat – Sun: 9:00 am – 2:00 pm