Manual Osteopathy in Oakville
Sandy Botros, DOMP, Manual Osteopathic Practitioner · Full 60-minute thorough assessment · Five stars on Google, 300+ reviews · Fridays in Oakville
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Manual osteopathy in Oakville at Wellmax is hands-on release work for stiff joints, tight muscles and posture strain, provided by Sandy Botros, DOMP, Manual Osteopathic Practitioner. Your first 60-minute visit includes a full assessment of your posture, joints and mobility, plus your first treatment. Follow-ups are 30 or 45 minutes, and Sandy treats on Fridays.
Osteopathy appointments available on Fridays
Sandy Botros, DOMP, treats on Fridays at Wellmax in Oakville. Friday times can fill, so book early.
The consult is free. The 60-minute assessment and first treatment is $130. Prefer to call? (905) 829-1100.
Who you will see
Sandy Botros, DOMP, Manual Osteopathic Practitioner. Sandy brings an academic background in physiotherapy and a strong foundation in anatomy and movement to every session. Read Sandy’s bio.

Our promise
A full 60-minute assessment and your first treatment in the same visit, a plan with an end point, and honest guidance. No pressure and no lock-in. We want you moving well and independent, not tied into endless appointments.
Why Oakville trusts Wellmax
Five stars on Google, 300+ reviews for Wellmax Physiotherapy. Private treatment rooms, free parking at the door, and a wheelchair-accessible clinic. Read our patient reviews.
Manual osteopathy in Oakville is now part of the care you can book at Wellmax Physiotherapy, alongside physiotherapy, chiropractic care, massage therapy and naturopathic medicine. This page explains what manual osteopathy is, what happens at each visit, who it suits, how it compares with the other hands-on services under our roof, and what to check with your insurance before you book.
- Looking for an osteopath in Oakville?
- What is manual osteopathy?
- Your osteopathy visit at Wellmax, step by step
- Who can manual osteopathy help?
- What techniques does a manual osteopathic practitioner use?
- Meet Sandy Botros, DOMP, our Manual Osteopathic Practitioner
- Manual osteopathy, physiotherapy, chiropractic or massage: which should you book?
- How many osteopathy sessions will you need?
- How much does manual osteopathy cost in Oakville?
- Is manual osteopathy covered by insurance?
- When is manual osteopathy not the right first step?
- What we see at Wellmax
- Manual osteopathy near you in Oakville, Mississauga and Burlington
- Book manual osteopathy in Oakville
- Frequently Asked Questions
Looking for an osteopath in Oakville?
Many people search for an "osteopath" when they want gentle, hands-on care for stiffness and muscle tension. At Wellmax in Oakville, that care is provided by Sandy Botros, DOMP, a Manual Osteopathic Practitioner. We use her title exactly as her credential reads, so you know what you are booking. DOMP stands for Diploma in Osteopathic Manual Practice.
What that means in plain words: a manual osteopathic practitioner looks at how your joints, muscles and posture work together, then uses gentle, hands-on techniques to ease stiffness and tension. It is hands-on care, and every technique is explained before it is used.
What it is not: Sandy is not a medical doctor and does not use the title Dr. She does not prescribe medication or order scans. Manual osteopathy is also not on the Ontario government’s list of regulated health professions, which is why we describe her credential exactly as it is.
Who to see instead, or first: if you need a medical diagnosis, imaging, a prescription, or a check for warning signs, start with your family doctor or a walk-in clinic. If you want exercise-based rehab after an injury, our physiotherapists are a good fit, and our chiropractor focuses on the spine and joints. You can also read how the three compare in osteopathy vs physiotherapy vs chiropractic.
Not sure which one you need? Book the free 15-minute consult in person and we will point you the right way. Sandy treats on Fridays, and Friday times can fill, so book early.
What is manual osteopathy?
Manual osteopathy is a gentle, hands-on approach to care that looks at how your joints, muscles and posture work together, then uses manual techniques to improve mobility and ease discomfort. It treats the body as one connected system, so a stiff upper back, a tight hip and a sore neck are assessed together rather than as separate problems.
The core idea is simple. When one area stops moving well, the areas around it pick up the slack, and over weeks or months that extra load shows up as stiffness, aching or tension somewhere else. A manual osteopathic practitioner looks for those links, then uses hands-on techniques to restore easier movement where it has been lost. The treatment is calm and unhurried, and most people describe it as gentle.
Manual osteopathy is drug-free and needle-free, and every technique is explained before it is used. It suits people who want careful, hands-on care, people who prefer a softer style of treatment, and people whose stiffness seems to move around the body. The same stiffness can have several different causes, so every plan starts with an assessment rather than a routine.
Your osteopathy visit at Wellmax, step by step
A manual osteopathy visit at Wellmax follows four clear stages: an optional free 15-minute consult, a full 60-minute thorough assessment, follow-up treatments of 30 or 45 minutes, and regular reviews of your progress. You always know what is happening and why, and you can ask questions at every stage.
| Stage | Length | What happens | Fee |
|---|---|---|---|
| Free consult (optional) | 15 minutes, in person | Meet Sandy, describe what is bothering you, and find out whether manual osteopathy is the right fit before you commit to an assessment. | Free |
| Initial assessment | 60 minutes | A full health history and a close look at your posture, joints and mobility to find what is underneath the problem, then your first treatment. | $130 |
| Follow-up treatments | 30 or 45 minutes | Gentle, hands-on osteopathic techniques matched to what the assessment found, plus simple movement advice for home. | $90 (30 min) or $110 (45 min) |
| Progress reviews | Built into follow-ups | Your treatment is reviewed and adjusted as you improve, and spaced out as you need it less. | Included |
Wear comfortable clothing you can move in, such as leggings or shorts and a T-shirt. Bring a list of any medications, previous imaging reports if you have them, and your extended health card if you plan to claim. If you are not sure whether osteopathy or another service suits you best, the free consult is the easiest place to start.
Who can manual osteopathy help?
Manual osteopathy can help adults of most ages who live with stiffness, muscle tension or aches that limit how they move, especially when the problem has built up slowly. People often book it when they want a gentle, whole-body approach, or when their discomfort seems to travel between the neck, back and hips.

Common reasons people book manual osteopathy at Wellmax include:
- A stiff back or neck that feels worse in the morning or after sitting, including stiffness that sits alongside back pain or neck pain.
- Tight muscles from desk work, long drives or hours on a phone.
- Posture strain across the shoulders and upper back.
- Tension-type headaches that build with neck and shoulder tightness.
- Stiff hips and a tight lower back that make getting out of a car or bending feel harder than it should, including stiffness that comes with hip pain or arthritis.
- Pregnancy and postpartum aches in the back, hips and pelvis, alongside our pregnancy and postpartum physiotherapy. For pelvic floor concerns such as leaking or heaviness, pelvic floor physiotherapy is the right place to start.
- Children and teens with stiffness or posture strain from sport, school bags or screen time, with a parent or guardian at the visit.
- Shoulder stiffness that comes with a rounded upper back. For a specific shoulder injury, our shoulder pain physiotherapy page explains how we assess it.
- Recovery between activities for runners, golfers and gym-goers who want their joints moving freely.
- Aches that have lingered after other care, where a different, gentler approach is worth trying.
- People who prefer gentle care, including people who are nervous about firmer techniques.
Manual osteopathy works well on its own, and it also fits alongside the rest of your care. Many people combine it with strengthening exercises, massage or physiotherapy, and we coordinate between providers when that helps.
What techniques does a manual osteopathic practitioner use?
A manual osteopathic practitioner uses gentle, hands-on techniques to ease muscle tension, improve joint movement and help the body move as one connected system. The exact mix depends on your assessment, your comfort and how your body responds, and every technique is explained before it is used.
Depending on what the assessment finds, a session at Wellmax can include:
- Myofascial release: slow, sustained pressure and stretch on tight, restricted areas to help muscle tension ease and the area move more easily. This is often the core of a session.
- Soft tissue techniques: slow, steady pressure and stretching to ease tight muscles and trigger points around the neck, back, hips and shoulders.
- Articulation: gentle, rhythmic movement of a joint through its comfortable range to help it move more freely.
- Muscle energy techniques: you gently push against light resistance, then relax, which helps a tight muscle let go and a stiff joint move further.
- Positional release: holding an area in a comfortable, supported position so tense muscles can settle.
- Cranial techniques: very light, gentle hands-on holds around the head, neck and base of the skull, often chosen by people who prefer a very gentle approach.
- Visceral techniques: gentle hands-on work around the abdomen and lower ribs, used alongside work on the back, ribs and posture.
- Movement and posture advice: a few simple things to do at home or at your desk so the change from treatment lasts longer.
Treatment should never feel forceful. If anything is uncomfortable, say so and the technique is adjusted straight away. Some people feel loose and relaxed after a session, and some feel mild soreness for a day, similar to after a new workout.
Meet Sandy Botros, DOMP, our Manual Osteopathic Practitioner
Sandy Botros is the Manual Osteopathic Practitioner at Wellmax Physiotherapy in Oakville. She holds the DOMP designation, a Diploma in Osteopathic Manual Practice, and brings an academic background in physiotherapy and a strong foundation in anatomy and movement to her work. Sandy currently treats at Wellmax on Fridays.
Sandy provides personalized, hands-on care focused on improving mobility, reducing discomfort and supporting overall well-being. Her first visit with every patient is a full 60-minute thorough assessment: she reviews your health history and current symptoms, then looks closely at your posture, joints and mobility to find what is underneath the problem.
Follow-up treatments of 30 or 45 minutes use gentle, hands-on osteopathic techniques and are adjusted as you progress. Sandy explains what she finds in plain language, so you leave each visit knowing what is tight, what is moving well, and what to do between sessions.
Sandy works alongside our wider team, which includes physiotherapists, a chiropractor, three registered massage therapists and a naturopathic doctor. If your assessment shows that another service would help more, or would work well alongside osteopathy, we will tell you honestly and make the referral in the same building.
You can book directly with Sandy on our online booking page, or call the front desk at (905) 829-1100 and we will find a Friday time that suits you.
Manual osteopathy, physiotherapy, chiropractic or massage: which should you book?
Manual osteopathy, physiotherapy, chiropractic care and massage therapy all use hands-on treatment, but each has a different focus. Osteopathy takes a gentle, whole-body approach to mobility; physiotherapy combines hands-on care with exercise-based rehab; chiropractic focuses on the spine and joints; massage therapy focuses on muscles and soft tissue.
| Service at Wellmax | Main focus | Often a good fit when |
|---|---|---|
| Manual osteopathy | Gentle hands-on care for posture, joint mobility and muscle tension across the whole body | Stiffness and aches have built up slowly and you want a gentle, whole-body approach |
| Physiotherapy | Assessment, hands-on treatment and a progressive exercise plan | You have an injury, a sports problem, surgery to recover from, or you need strength to come back |
| Chiropractic care | Assessment and treatment of the spine and joints, including adjustments | Back or neck pain where joint movement is the main issue |
| Massage therapy | Muscles and soft tissue, from relaxation to deep tissue work | Muscle tension, stress and recovery are the main goals |
There is no wrong door. Many people use more than one service, for example osteopathy to ease stiffness and physiotherapy to build strength, and every provider here can see the full picture of your care. If you are unsure, book the free consult and we will point you to the right starting place. Our full list of services shows everything we offer under one roof.
How many osteopathy sessions will you need?
Many people notice a change within the first few manual osteopathy sessions, and a typical plan is a short series of visits spaced further apart as you improve. The right number depends on how long the problem has been there, how your body responds, and what you want to get back to.
Stiffness that has built up over years often needs a little more time than a recent flare. Sandy will give you an honest estimate after your assessment and review it as you go, so you are never guessing. As things improve, visits move from weekly to every few weeks, and then you stop, or come back for an occasional tune-up if that is useful to you.
What you do between sessions matters too. The movement and posture advice you take home helps the change from each treatment last longer, which is how plans stay short. Our goal is the same across every service at Wellmax: expert care from assessment to discharge, and you independent as soon as possible.
How much does manual osteopathy cost in Oakville?
Manual osteopathy at Wellmax in Oakville costs $130 for the 60-minute first visit, which includes your full assessment and your first treatment. Follow-up treatments are $90 for 30 minutes or $110 for 45 minutes, and the 15-minute consult is free. These fees are taken from our live booking system. Many extended health plans cover manual osteopathy. To find out whether your plan can be direct billed for osteopathy, call the clinic and we will check it for you.
Is manual osteopathy covered by insurance?
Many extended health plans cover manual osteopathy, but coverage varies from plan to plan. To find out whether your plan can be direct billed for osteopathy, call the clinic and we will check it for you. OHIP does not cover manual osteopathy. Some plans only pay when the practitioner belongs to an association they recognize, which is another thing we can check with you.
If you would rather check yourself, here is a quick checklist for the call to your insurer:
- Is manual osteopathy, or osteopathic treatment, included in my plan?
- What is my yearly maximum, and is it shared with other paramedical services such as massage or physiotherapy?
- Is there a per-visit limit or a percentage I pay?
- Do I need a doctor’s referral for my claim to be accepted?
- Can a health spending account cover any amount my plan does not?
You get a detailed receipt after every visit. For physiotherapy and massage therapy, Wellmax offers direct billing to most major insurers; you can read how that works on our insurance and direct billing page, and for osteopathy, call the clinic and we will check whether your plan can be direct billed.
When is manual osteopathy not the right first step?
Manual osteopathy is not the right first step when pain comes with warning signs that need a medical check, such as chest pain, unexplained weight loss, fever, or new weakness or numbness. In those cases, see your doctor or go to emergency first; we can start or resume hands-on care once serious causes are ruled out.
Call 911 if pain in your back, neck, jaw or arm comes with chest pain, chest pressure or trouble breathing.
Go to emergency after a significant fall or accident with severe pain, or if you have sudden weakness, numbness in the groin, or new problems controlling your bladder or bowels.
See your doctor soon for pain that wakes you every night regardless of position, pain with fever or unexplained weight loss, or pain in someone with a history of cancer.
At your assessment, Sandy screens for these signs before any treatment starts. If something does not fit a muscle and joint pattern, she will say so and refer you to your doctor. Honest guidance is part of the care.
What we see at Wellmax
The pattern we see most often at Wellmax is stiffness that has slowly spread. People arrive with a neck that will not quite turn, a back that is stiff every morning, or shoulders that live up near their ears, and they usually tell us it started in one spot and gradually moved.
Most have tried stretching videos, a new pillow or a standing desk, and found the relief faded within a day or two. The common thread is that the area that hurts is often not the only area that stopped moving well. A careful, whole-body assessment, followed by gentle hands-on treatment and a couple of simple habits, is what tends to change the picture. That is exactly how manual osteopathy at Wellmax is set up: assessment first, gentle care, and a plan that ends.
We also see many people who simply want a softer style of treatment. Some have had firmer techniques in the past and felt sore for days. Others are older adults with stiff joints who want careful, unhurried care. Manual osteopathy gives them a hands-on option that matches how they like to be treated.
Manual osteopathy near you in Oakville, Mississauga and Burlington
Wellmax Physiotherapy is at 1148 Winston Churchill Blvd, Unit B3, Oakville, ON L6J 0A3, near Winston Churchill Blvd and Royal Windsor Dr, with free parking at the door. People come to us for manual osteopathy from across Oakville, including Clearview, Sheridan, Bronte, Glen Abbey, River Oaks, Joshua Creek and Old Oakville, and from Erin Mills, Lorne Park and Clarkson in Mississauga and east Burlington.
The clinic is open Monday to Friday from 9 a.m. to 7 p.m. and Saturday and Sunday from 9 a.m. to 2 p.m., with Sunday by appointment. Sandy’s osteopathy appointments run on Fridays. You can find directions and parking details on our contact page.
If you want to compare hands-on options first, read osteopathy vs physiotherapy vs chiropractic: which do you need?
Book manual osteopathy in Oakville
Ready to move more easily? Book a full 60-minute thorough assessment with Sandy Botros, DOMP, or start with a free 15-minute consult in person at our Oakville clinic. You will leave your first visit knowing what is going on, what the plan is, and how long it should take.
Prefer to talk to someone? Call (905) 829-1100 or email info@wellmaxphysiotherapy.ca.
Frequently Asked Questions
What is the difference between manual osteopathy and physiotherapy?+–
Both use hands-on treatment, but the focus differs. Manual osteopathy takes a gentle, whole-body approach to posture, joint mobility and muscle tension. Physiotherapy combines hands-on care with a progressive exercise and rehab plan, and is often the first choice after an injury, surgery or a sports problem. Many people use both. At Wellmax both are under one roof, so your providers can share the plan and point you to the right starting place.
Is manual osteopathy covered by insurance in Ontario?+–
Many extended health plans in Ontario cover manual osteopathy, but coverage varies, so check your plan before you book. Ask your insurer whether osteopathy is included, what your yearly maximum is, whether it is shared with other paramedical services, and whether a doctor’s referral is required. Wellmax provides a detailed receipt after every visit for your claim, and the front desk can confirm how billing works when you book.
Does OHIP cover osteopathy?+–
No. OHIP does not cover manual osteopathy treatment. Most people who use manual osteopathy pay through an extended health plan from work, a private plan, or a health spending account. If you are not sure what your plan includes, call your insurer before your first visit, or ask our front desk what details to check.
Do I need a referral to see a manual osteopathic practitioner?+–
You do not need a referral to book manual osteopathy at Wellmax. You can book directly online or by phone. A small number of insurance plans ask for a doctor’s note before they reimburse osteopathy, so check your plan if you intend to claim. If you have recent imaging or reports from your doctor, bring them along to your assessment.
What should I wear to a manual osteopathy appointment?+–
Wear comfortable clothing you can move in, such as leggings or athletic shorts and a T-shirt or tank top. Sandy needs to see how you stand and move, and to reach the area being treated, so soft, stretchy clothes work best. Treatment takes place in a private treatment room, and you will always be asked before any change in position or clothing.
Does manual osteopathy hurt?+–
Manual osteopathy should not hurt. Most people find it gentle and relaxing. You may feel pressure, a stretch or mild tenderness when a tight muscle is treated, but nothing should feel forceful. If anything is uncomfortable, say so and Sandy will adjust the technique straight away. Some people feel mild soreness for a day afterwards, similar to after a new workout.
How long is a manual osteopathy session?+–
Your first visit is a full 60-minute thorough assessment, which includes your health history, an assessment of your posture, joints and mobility, and usually your first treatment. Follow-up treatments are 30 or 45 minutes. If you are unsure whether osteopathy suits you, you can start with a free 15-minute consult in person at our Oakville clinic.
How many osteopathy sessions will I need?+–
It depends on how long the problem has been there and how your body responds. Many people notice a change within the first few sessions, and a typical plan is a short series of visits that are spaced further apart as you improve. Sandy will give you an honest estimate after your assessment and review it as you go, with the goal of getting you moving well and independent.
Is a manual osteopathic practitioner a medical doctor?+–
No. Sandy Botros is a Manual Osteopathic Practitioner with the DOMP designation, not a medical doctor, so she does not use the title Dr. In Ontario, osteopathic physicians are licensed medical doctors. Manual osteopathic practitioners like Sandy focus entirely on hands-on manual care, so they do not prescribe medication or order imaging. Your family doctor remains the right person for those.
What does DOMP stand for?+–
DOMP stands for Diploma in Osteopathic Manual Practice. It is the designation used by manual osteopathic practitioners who have completed training in hands-on osteopathic assessment and treatment. Sandy Botros holds the DOMP designation and also brings an academic background in physiotherapy to her work at Wellmax.
What can manual osteopathy help with?+–
Manual osteopathy can help with a stiff back or neck, tight muscles from desk work, posture strain across the shoulders and upper back, tension that builds into headaches, stiff hips, and aches that limit how you move. It suits people who want a gentle, whole-body approach. Your assessment confirms whether osteopathy is the right fit, or whether another service at Wellmax would help more.
Can I combine osteopathy with physiotherapy or massage at Wellmax?+–
Yes. Many people combine manual osteopathy with physiotherapy, massage therapy or chiropractic care, for example osteopathy to ease stiffness and physiotherapy to build strength. Because every provider works in the same clinic, we can coordinate your visits and share the plan. If your assessment shows that another service would help, we will tell you honestly.
When can I book manual osteopathy at Wellmax?+–
Sandy Botros currently treats at Wellmax on Fridays. You can see her available times and book online through our booking page, or call the front desk at (905) 829-1100 and we will find a Friday time that works for you. The clinic is at 1148 Winston Churchill Blvd, Unit B3, Oakville, with free parking at the door.
Should I see an osteopath?+–
Many people look for an osteopath when they have stiffness, muscle tension or aches that have built up slowly and they want gentle, hands-on care. At Wellmax, that care is provided by Sandy Botros, DOMP, a Manual Osteopathic Practitioner. If you are not sure whether it suits you, or whether physiotherapy or chiropractic would fit better, book the free 15-minute consult and we will point you the right way.
When should I see an osteopath?+–
Consider manual osteopathy when stiffness or tension has hung around for weeks, keeps coming back, or limits how you move, and you would like a gentle approach. See your family doctor first if pain comes with chest pain, fever, unexplained weight loss, new weakness or numbness, or new bladder or bowel changes. Sandy treats on Fridays at Wellmax, and Friday times can fill, so book early.
Is a manual osteopathic practitioner a real doctor?+–
No. Sandy Botros, DOMP, is a Manual Osteopathic Practitioner. She is not a medical doctor, does not use the title Dr, and does not prescribe medication or order scans. In Ontario, osteopathic physicians are licensed medical doctors, which is a different path, and manual osteopathy itself is not on the province’s list of regulated health professions. Your family doctor remains the right person for diagnosis and imaging.
How much does an osteopath appointment cost in Oakville?+–
At Wellmax in Oakville, the free 15-minute consult costs nothing. The 60-minute first visit, which includes your assessment and first treatment, is $130. Follow-up visits are $90 for 30 minutes or $110 for 45 minutes. OHIP does not cover manual osteopathy, and extended health coverage varies by plan. Call the clinic at (905) 829-1100 and we will check whether your plan can be direct billed for osteopathy.









