Anna DiMarco Physio

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Canada
Winnipeg, MB
Anna DiMarco Physio

Anna focuses on physiotherapy and the Art and Science of Living Well.

She is particularly interested in the human response to nature, the arts and beauty, and how these topics all meet at the intersection of whole person wellness ... mind, body and soul.

02/05/2026

This quote popped up in my journal this morning and I thought it was appropriate to share at this time.

May you find many slender threads with which to weave yourself a lifeline that saves you from the sorrows of the world.

📸 are a series of things that bring me joy and “the first beautiful thing” I see in the morning, photographed with a full commitment to finding something beautiful each and every day. This little ritual is incredibly life giving and possibly the best use of these intrusive devices we call smart phones.

02/04/2026

Many Canadian organizations are matching donations toda y, thanks to the generosity of sponsors.

I am grateful for the research that helped to improve my survival rate transforming Hodgkin’s Lymphoma from an often fatal disease into one with a five year relative survival rate of approximately 89%.

I am grateful for the tremendous care I received through .mb all those years ago ( 29 years now!) including biweekly chemotherapy treatments for 7months, daily radiation treatments for 3 weeks, weekly bloodwork check ins, repeat medical follow ups monthly, CT SCANS on a regular basis and counselling for the diagnosis and treatment induced PTSD.

Please consider making a donation today to one of your favorite Canadian Cancer charities. Many of them have generous sponsors who are matching donations made today.

📸 is taken in 1997, 32 year old me on a good day (no chemo that week), rocking the shaved head do as best as I could while out for dinner at family friend’s home.

02/01/2026

The “and people” was my personal edit. The quote is attributed to photographer Kristin Martz.

As I celebrate the day I first became a mama, and my first born’s birthday, I am reminded of this absolute truth.

Nothing has brought me closer to who I am and how I show up in life than my role as a mama has.

Happy Birthday Nic! Thank you for choosing me as your mama. I love you to the moon and back.

01/18/2026

Journalling…..I am intermittently reminding you (and myself) of the power of the written word.

The act of journalling engages our brains in a unique fashion, engaging a complex network of brain regions, each contributing to its powerful impact on mental health and emotional wellbeing.

Studies suggest that putting feelings into words may help with cognitive reappraisal, potentially reframing a situation to reduce its emotional impact (Lieberman et al, 2011).

Journalling encourages introspection, allowing for improved self understanding, self awareness and hopefully self compassion.

Research does suggest that journalling can help us accept rather than judge our experiences , resulting in fewer negative emotions in response to stressors (Ford et al, 2018).

Do you journal ? If not, what’s preventing you from test driving this incredibly accessible tool for wellbeing ?

“Fill your paper with the breathings of your heart.”…..William Wordsworth.

01/05/2026

Love at first sight .

I met Mo as a patient when I was 25 years old . She was 46 years old .

I immediately fell in love with her British accent, her quirky storytelling and her great wit as we worked through her subjective history and objective assessment ....despite the fact that she was my 7pm "new patient" at the end of an exhausting patient care day.

Despite the age gap (she was essentially my mamma's age ) , we became fast friends and she soon found herself a new physio.

I am grateful that Mo stepped into that clinic 36 years ago and swept me into her larger than life little world .

Point of post : let yourself fall in love with people that immediately speak your language and touch your soul . Regardless of demographics and circumstances . Your life will be richer for it.

📸 series of our dinner tonight , between many good laughs and a few heart felt tears and lots of good quality chocolate

📸 a few things around her home that reveal a little bit about who she is , including her "ring for chocolate" bell and her wall of framed sheep art and Mo being spontaneous Mo ....leaping from the dinner table to drinki water upside down for her hiccups

01/01/2026

As you welcome in the New Year….

May you land softly and gently into the hope and promise of new beginnings.

Without big expectations for “self improvement” or transformation.

Without setting forth new goals for yourself, but perhaps a few simple little intentions instead ?

Maybe it’s enough to just remember to breathe deeply and intentionally every now and then, to let your inner dialogue be as kind as your outer dialogue, to drink enough water to keep things moving well and to find a few moments of silence and/ or solitude in each day.

12/28/2025

As the year comes to a close, I like to review some of the quotes that speak to me loudly in this particular moment of my life.

I am sharing a little assortment of those quotes here, plastered on some of my favorite captures of Mother Nature doing her magnificent thing.

My themes seem to be centred around the generosity of attention, the power of presence, the healing power of self awareness/ self knowledge and self compassion/ kindness, and the human need for some form of creative expression.

What will you focus on as we move out of 2025 and into 2026 ?

12/22/2025

Thanks for this one doctor Michael .

I decided it deserved a permanent spot here on the grid .

12/13/2025

It may be -32 with that windchill with a yellow flag warning for the cold , but it's a dry cold 🤣

And we get these gorgeous sun dogs !

12/04/2025

Bridging the Gap in Osteoporosis Care

While Manitoba and many other provinces do not yet have a FRACTURE LIASON SERVICE, we can still close the gap (or at least improve upon it significantly) with public awareness, professional education and improved communication between healthcare providers.

Physiotherapists are in a unique position to offer very valuable input through their ability to clinically screen patients they come into contact with, regardless of the initial entrance complaint. We can identify who is at risk by taking a thorough subjective history (see previous post re risk factors) and by working through a holistic lens as we assess posture and movement strategies (see previous post re screening without BMD) ….something we are doing at all times anyway.

By thinking more holistically, we can identify risk factors and physical signs that indicate further investigation is warranted. We can even screen via FRAX or CAROC without any BMD results and see where the client lands in terms of risk of a future fracture. (Link in bio for these two screens).

We can then direct them to their primary care physician for BMD testing and other clinically relevant screening.

And, even though insurance providers do not “fund” prevention, despite the endless ad campaigns suggesting they do, we can utilize our time with patients (while addressing their initial entrance complaint) to educate them about potential future risks of pathological bone loss and how to minimize that potential through appropriate lifestyle choices, nutrition and movement strategies.

If the client’s initial entrance complaint is for osteoporosis (with or without history of a fragility fracture), it is imperative that we meet the client where they are with their situation. Many will be very distressed about the diagnosis, the pharmacological intervention, the future, etc. Do find a way to empower them with up-to-date information, but ensure you understand their true risk of future fracture. Informed optimism.

Osteoporosis care…We can do better and we must do better.

12/02/2025

The Osteoporosis Care Gap
There is a worldwide and national gap between clinical practice guidelines and real world application of same.

Fewer than 20% of Canadians who sustain an osteoporosis-related fracture receive appropriate medical management within one year of the fracture.

Unfortunately, this gap in care can lead to further fractures impacting quality of life, and to an increased financial load on both the patient and the healthcare systems.

Poor screening occurs due to a complex interplay of patient-related issues and provider and systemic related issues. As well, relying solely on BMD scores to initiate care can lead to delayed treatment. Furthermore, according to the International Osteoporosis Foundation’s position paper (September 9, 2025) there remains some professional confusion surrounding diagnostic and intervention thresholds.

The Fracture Liaison System is a worldwide system created to address the gap between clinical practice guidelines and actual care being delivered. There are a limited number of provinces who have implemented the FLS model. Manitoba is not one of them.

It is proposed that utilizing the FLS can improve long term clinical outcomes AND reduce osteoporosis related healthcare costs (4.6 Billion dollars annually in Canada).

Unfortunately, we have come to accept osteoporosis as a normal process of aging, and it is not prioritized as a disease of concern in most provinces despite it’s heavy cost in quality of life and in healthcare spending.

There is some hope…researchers in Denmark have recently released a study demonstrating that the osteoporosis is as costly to society as cancer. Hopefully, we will come to embrace effective strategies to ensure prevention, early detection, appropriate screening and implementation of effective management strategies to offset these high costs.And more importantly, to improve patient outcomes.

We can do better. We MUST do better.

11/30/2025

Nutrition is a key component of Osteoporosis Prevention and Management

Nutrition plays an important role in bone health throughout our lifespan…assisting with the foundation of peak bone mass in early adulthood and modifying the rate of bone loss as you age.

Bones are dynamic living tissue that constantly renews and repairs itself. And like other parts of your body, bones require a wide array of nutrients for proper development, maintenance and function.

Furthermore, if you have been diagnosed with Osteoporosis and are using a pharmacological agent to improve bone density, it is critical that you are getting adequate nutritional support for your bones.

In some cases, you may require supplementation to meet the recommended dietary allowance (RDA).

Be sure to always discuss supplementation with your primary care physician or the specialist managing your osteoporosis.

Let’s test your knowledge and maybe have you learn something new as you swipe through the carousel of slides.

strongbones
foodismedicine
nutritionalresearch
boneislivingtissue

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Winnipeg, MB
R3P0N5

Website

http://www.tuxedophysiotherapy.com/

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Tuxedo Physiotherapy

Tuxedo Physiotherapy (formerly Anna DiMarco Physical Therapy) has been providing quality care since 2003. We are a physiotherapist-owned and managed rehabilitation clinic located in the heart of Tuxedo. We offer orthopaedic/musculoskeletal physiotherapy, acupuncture treatment for pain, occupational therapy and massage therapy.

We will conduct a thorough assessment of your particular situation and provide you with a customized treatment plan to address your personal needs. We are dedicated professionals with a firm commitment towards listening with empathy, acting with integrity and providing quality care. We will provide effective, evidence-based services in a comfortable environment and empower you with the knowledge to live well and stay strong.