Sports medicine

A racer runs down the street with massive crowds lining the sides and background.

Activity, movement, and sport are critical dimensions of what it is to be human. And the branch of medical expertise related to activity, sport and performance is sports medicine. Dr. Melina Thibodeau has joined our team to extend our capacity to provide you with the expertise you need to recover, perform better, and reach your goals.

The Canadian Academy of Sport and Exercise Medicine (CASEM) is an organization of physicians committed to excellence in the practice of medicine as it applies to all aspects of physical activity.


Canadian Academy of Sport and Exercise Medicine (CASEM) The Canadian Academy of Sport and Exercise Medicine is the national medical specialty society for sport medicine physicians in Canada. The Academy is open for membership to medical doctors (MD). It was founded in 1970 and the Academy serves as a means to ensure its members are kept up to date with current medical practices in sport medicine.

The Diploma of Sport and Exercise Medicine (DipSportMed) developed by CASEM, is a recognized credential for sport medicine physicians in Canada. The Clinical Journal of Sport Medicine, founded by CASEM, is a peer reviewed sport medicine journal, now published by Lippincott Williams & Wilkins.1

Dr. Melina Thibodeau, Sports Medicine.

Dr. Melina Thibodeau

BSc, MD, CCFP, dip Sports Medicine

Dr. Melina Thibodeau is a sports medicine doctor and family doctor. She has been practicing sports medicine in Victoria, BC since 2004. She has worked with Athletics Canada as the team physician for several international track and field and cross-country competitions.

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Learn more about Dr. Thibodeau

Repair my body past what I thought was possible

I have been going to see Sandy for a few years now for various sporting injuries. She is great at what she does, and I highly recommend her and I send all my friends to see her. She is very strong and has worked out knots/scars in my muscles to repair my body past what I thought was possible. I have tried other practitioners in the past and have always felt like they ignore what I say and just do what they feel is best without telling me why they are doing it- Sandy takes the time to listen and

Graeme Galloway review
Graeme Galloway

My rehabilitation program was easy to follow

Sandy Wilson is the consummate professional. My running injury was diagnosed efficiently, the treatment was highly effective and my rehabilitation program was easy to follow. What more could one ask for?

Tony Zarsadias
Tony Zarsadias

The first person I contact to assess and deliver treatment

Whenever I have an injury in need of diagnosis, Sandy Wilson is the first person I contact to assess and deliver treatment. Her advice on returning to training and racing comes from the fact that she is an athlete herself. Her treatment plans always get me back out there running and being active faster than I would have ever thought possible in the initial stages.

mike niell review
Mike Neill
Head Coach at Human Powered Racing

One of the most medically rewarding journeys I’ve been through

  I’ve been to plenty of physiotherapists across Victoria, and none of them have lived up to the standard that Connor Willis delivers! I was referred from Babylon Telus to Dr. Thibodeau (who is also incredibly amazing), who suggested I go to physio. From Dr. Thibodeau’s suggestion, I decided to try their in house physiotherapists, since the location was near enough to be convenient. And I’m incredibly glad I did. If you’re looking for a physiotherapist who is knowledgeable, patient, and good at what they do – Connor’s got your back! (Literally, if you have a back injury, which I

kaitlyn ann review
Kaitlyn Ann

What is Viscosupplement? 

Viscosupplement is also known as hyaluronic acid. It is a naturally occurring substance found in the synovial (joint) fluid. It acts as a lubricant to enable bones to move smoothly over each other and as a shock absorber for joint loads. In people with osteoarthritis (OA), this fluid becomes diseased and no longer protects the joint effectively. The covering on the ends of the bones (cartilage) can also break down, becoming worn and frayed. These changes may result in inflammation, swelling, tenderness and pain in the joint, which leads to a reduction in mobility. 

Although OA is most commonly found in the knee joint, it can also affect other joints such as the hip, ankle, shoulder or hand. 

With viscosupplementation, your doctor injects a gel that is similar to healthy synovial fluid into your joint. The goals of the treatment is to: 

  • Restore the properties of shock absorption and lubrication to diseased synovial fluid. 
  • Reduce or stop the pain from osteoarthritis of the joint. 
  • Improve mobility 

Hyaluronic acid does not have an immediate pain-relieving effect. You may notice a local reaction, such as pain, warmth, and slight swelling immediately after the injection. These symptoms generally do not last long. You may want to apply an ice pack to help ease them. For the first 48 hours after the injection, you should avoid excessive weight bearing on the leg, such as standing for long periods, jogging or heavy lifting. 

Depending on the product used, treatment may involve 1 to 3 injections. Over the course of the injections, you should notice that you have less pain in your knee (or other joint). The effect should last for 6-12 months. You can have another injection of hyaluronic acid into the joint in 6 12 months if the effect was positive, but has worn off. The goal is to reduce pain and keep you more active and hopefully avoid a joint replacement. 

There are several brand names of hyaluronic acid for injection: Synvisc, Durolane, Monovisc and Neovisc.

Injections offered

  • Prolotherapy
  • Synvisc
  • Corticosteroid

Post Prolotherapy Instructions

  • Stay hydrated 
  • Do not take NSAIDs (Naprosen, Ibuprofen, Celebrex) for 7 days after prolotherapy 
  • Do take Tylenol, Tylenol#3 or Tramacet for pain if needed for a few days 
  • Use ice sparingly (remember you do want the inflammation response) 
  • Exercise in moderation - we encourage walking but no strenuous activity during the first week. Keep moving but not to the point of pain. Do not over stretch - we are trying to repair tendons and ligaments. 
  • Begin specific isometric exercises the second week – movement helps the healing process. These are gentle movements against resistance without using weights. You can use therabands if you wish. You need to exercise the relevant muscle groups - ie. where you have been treated. A physiotherapist can reinforce the correct exercises if required. 
  • Do not poke around the injected area. You can increase the risk of infection by touching the injected sites, and you can worsen the healing process. This means no massage, chiropractic, myofascial release, active yoga, manipulation at all of the affected area of your body. Patients who forget this often have increased pain and less chance of healing. 
  • Remember: your pain might be better or worse during the first 2 weeks after prolotherapy. Expect this and you won't be disappointed. But at 1 month you should notice you are improving. Some people only improve after the 2nd or even 3rd injection. These people are glad they persisted with treatment - it paid off in the end. Prolotherapy takes time to work as it is using the body's own repair mechanisms. 
  • If there is redness and swelling around the injection site that is worsening call Dr.Thibodeau.
A class of athletes holding medicine balls mid workout.
  1. Read more about CASEM.