Movability - Wellness & Sport Sciences

Movability - Wellness & Sport Sciences Chiropractic, pelvic floor physiotherapy, acupuncture, massage, orthotics, naturopathic care, and rehab all under one roof.

We treat complex conditions through full-body assessment, root-cause care, and a collaborative, patient-first approach.

01/11/2026

If your MRI is “normal” but your body isn’t, FND might be the missing explanation.

Functional Neurological Disorder (FND) is a real brain based condition where movement, sensation, speech, gait, or seizure like episodes malfunction without structural damage on routine scans. It’s not “faking,” and it’s not “just anxiety.” In neurology clinics it’s a top reason for referral (often 5 to 10% of new visits).

What research supports:
• Network disruption linking emotion (amygdala), salience/interoception (insula, cingulate), and sensorimotor control.
• Predictive processing gets stuck, expectations override real time signals, symptoms become involuntary and “learned.”
• Impaired sense of agency, the brain mislabels actions as not self generated.
• Autonomic imbalance is common (high arousal, lower vagal tone/HRV), which can fuel dizziness, tremor, shutdown, and faintness.
• Brainstem involvement, altered limbic to brainstem pathways tied to threat and autonomic regulation.

Now the piece most people skip: the upper neck.
Upper cervical proprioceptors feed the brainstem. After whiplash, hypermobility, chronic neck tension, or vestibular issues, that input can become noisy. In some people it perpetuates FND patterns, and in others it mimics them, so it must be assessed.

Misdiagnosis and overlap matter. FND can be mistaken for, or coexist with, epilepsy, stroke/TIA, MS, vestibular migraine/BPPV, and POTS or other dysautonomia. A solid FND diagnosis is based on positive clinical signs (like Hoover’s sign, tremor entrainment), not just “tests are normal.”

Who gets it more? In adult clinics, women are diagnosed more often (often around 60 to 80%), likely due to a mix of biology, stress load, trauma exposure, and bias. Men and kids can get it too.

I’m a chiropractor and global complex case consultant. I support complex cases by addressing brainstem inputs, neck proprioception, vestibular and visual coordination, breathing, autonomic regulation, and movement retraining, alongside neurology, PT/OT, and therapy when needed.

Want the deep dive? My Movability Masterclass on Substack breaks it down. Link at the top of my page.

— Dr. Sina

You snap out of a post-concussion fog to find your hands trembling, only to realize you haven’t eaten all day. If a brai...
01/09/2026

You snap out of a post-concussion fog to find your hands trembling, only to realize you haven’t eaten all day. If a brain injury has left you missing your hunger cues until you’re shaky with low blood sugar symptoms, you’re not lazy or forgetful. This is a common concussion after-effect. It’s not a character flaw, and it’s not just in your head. Head trauma can throw appetite signals out of sync.

In one post-concussion athlete survey, 54% rated loss of or poor appetite as one of their most severe symptoms.

Here’s why: concussions can disrupt your hormone system, the invisible web that controls stress, blood sugar, metabolism, and hunger. Even mild TBIs can affect the hypothalamus and pituitary, the brain’s hormone control center. Cortisol (your stress response hormone) can be dysregulated, too high, too low, or mistimed, and that can blunt appetite and destabilize energy. Insulin sensitivity can also shift after TBI, and insulin resistance has been documented in moderate-to-severe cases. Thyroid hormones can dip after head injury and illness stress, potentially slowing digestion and dulling hunger. Even appetite signaling can change: hormones like ghrelin (hunger) and leptin (satiety) may get out of sync too. Across moderate-to-severe TBI, meta-analyses suggest pituitary hormone deficits in about 1 in 4. Even after mild TBI, a 2024 study of female athletes found pituitary dysfunction in 12.2%.

If this is happening to you, you’re far from alone. Yet appetite and hormone changes are often overlooked in concussion recovery. You might have been told your lingering symptoms were just anxiety, or that appetite loss isn’t related to your injury. That dismissal is brutal when your physiology is clearly dysregulated.

At Movability, we take this into account. When the pattern fits, we run targeted labs through our naturopath and coordinate with your physician so care stays aligned.

Deep dive this topic with me on MOVABILITY MASTERCLASS on Substack, link at the top of my page.

— Dr. Sina

01/07/2026

Lost your sense of smell after being sick? This is called post-viral olfactory dysfunction (anosmia). It’s common after colds, flu, and especially COVID. I pulled this from peer-reviewed studies, ENT guidelines, and long-COVID clinic protocols. Educational only, not medical advice.

What’s happening: the smell system lives in a small patch high in the nasal cavity (olfactory epithelium). Viruses can inflame this area and disrupt the support cells that keep smell neurons working. When support cells are damaged, smell neurons lose their normal environment, odor-receptor genes get turned down, and signaling to the brain drops. That’s why you can lose smell even without congestion, and why recovery can be slow. It’s tissue repair plus nerve regeneration plus brain rewiring.

Typical timeline (non-linear):
• 1–4 weeks: many get partial return.
• 4–12 weeks: progress can be stop-and-start. Parosmia often appears during regrowth.
• 3+ months: still recoverable, but consider an ENT evaluation, especially if it’s one-sided, worsening, or paired with severe headaches, vision changes, or new neurologic symptoms.

How to get your sense of smell back at home (the basics that show up across high-quality research):
1. Olfactory training (smell training) 2x/day for 12 weeks: rose, lemon, clove, eucalyptus. 20 seconds each. Gentle sniffs. Focus on the memory of the scent.
2. Nasal care: saline spray or rinse to keep the lining healthy (distilled or boiled-then-cooled water).
3. Reduce inflammation: manage allergies, sleep, protein, hydration. Omega-3s are a reasonable low-risk support.
4. Track progress weekly with a simple sniff test (coffee, citrus peel, vanilla, soap). Look for trends over weeks, not day-to-day.
5. Avoid zinc nasal sprays and harsh “burning” remedies. These can permanently damage smell.
6. If “taste” feels gone, it’s often smell. Lean on texture, temperature, acid, and spice while you recover. Add smoke and gas detectors for safety.

Want the full deep dive, plus the exact protocol, troubleshooting for parosmia, and a printable routine? Movability Masterclass on Substack, link at the top of my page.

— Dr. Sina

01/04/2026

If your dizziness hits after eating, at night, or the moment you lie down, “inner ear” is not the only lane. Acid reflux can be the missing driver, even with zero heartburn.

I’m Dr. Sina Yeganeh, D.C., co-founder of Movability, and I work with complex chronic cases alongside healthcare professionals. One of the most overlooked patterns I see is the gastro-vestibular, autonomic link: GERD or silent reflux (LPR, laryngopharyngeal reflux) showing up as vertigo, lightheadedness, rocking, or brain fog.

Here’s the physiology map most people miss:
1. Vagus nerve reflexes. Acid and inflammation in the esophagus can fire vagal afferents into the brainstem and shift autonomic output and baroreflex tone. Translation: palpitations, air hunger, blood pressure drops, and that “I might faint” dizziness.
2. The ear route (Eustachian tube dysfunction). LPR can inflame the nasopharynx and Eustachian tubes, altering middle ear pressure and irritating the balance system. That can look like true vertigo, ear fullness, tinnitus, popping, and “boat” imbalance.
3. Mechanics and pressure. Hiatal hernia, constipation, bloating, bracing, bending forward, and sleeping flat can increase reflux events. Sleep position matters for many people, right side and flat often worsen it, left side and head elevation often help.
4. The constellation. hEDS, POTS (dysautonomia), MCAS, histamine intolerance, food triggers, and vestibular migraine can stack, one trigger can drive reflux and dizziness at the same time.
5. Plot twist: treatment. PPIs, H2 blockers (famotidine), and prokinetics (metoclopramide) can cause dizziness in some people. Timing matters.

Not medical advice. If you have fainting, chest pain, new neurologic symptoms, or severe worsening, get evaluated. Otherwise, track patterns: meals, posture, sleep side, neck position, meds, triggers.

Full Root Cause Breakdown, including how we approach this collaboratively inside Movability and a real-world case vignette, is on my Substack: Movability Masterclass.

01/03/2026

If stretching, rolling, and “posture fixes” keep failing, here’s a hard truth, sometimes the problem is not a short muscle. It’s a nervous system stuck in protection.

Pain is an output of your nervous system, not a perfect tissue damage meter. It’s built from sensory input plus context, stress, sleep, past injury, and perceived threat. When your brain decides “danger,” it turns up the volume on pain, increases muscle tone, and narrows attention onto the sore spot. That attention lock is not weakness, it’s a survival circuit (salience network, insula, ACC).

This exercise is basically somatic tracking with a safety anchor (pain reprocessing principles). You train attention to move between “threat” and “safety.” When you anchor in a safe body sensation, you can support parasympathetic regulation and tap into descending pain inhibition, your built-in braking system.

RED + BLUE CIRCLE RESET (2 to 4 minutes)
1) Lie down supported. Eyes closed. Slow your exhale.
2) RED circle: choose ONE painful or tight spot. Mentally draw a red circle around it. Observe for 10 to 15 seconds. Label sensations (pressure, pulling, heat, buzzing). No fixing.
3) BLUE circle: choose ONE area that feels neutral or good (hand warmth, belly breath, feet, jaw). Draw a blue circle. Stay 20 to 30 seconds. Longer exhale. Soften your face.
4) Alternate 3 to 6 rounds. Spend more time in BLUE than RED. Always finish in BLUE.

Who this helps most:
• chronic tightness and guarding
• pain that spikes with stress or anxiety
• persistent pain, central sensitization patterns
• post-injury fear of movement, flare-ups that feel “bigger” than the tissue story

Real talk, this is not the only answer. Chronic pain usually needs a toolkit, education, graded exposure, strength, sleep, stress support, and systems based care. But for many people, learning “I can notice pain AND access safety” is a turning point.

Pro tip, if you can’t find a “good” spot, use neutral. Feel calves on the table, air at your nostrils, or tongue resting. This is interoception training. Do it 1 to 3 times a day, before stretching or sleep.

— Dr. Sina

12/30/2025

Movability 2025 Wrapped.

In 2025, our team delivered over 21,000 treatments. Not as a vanity metric, but as proof that people are done cycling through temporary fixes and are ready for care that explains the “why”, then changes the outcome.

Movability is a multidisciplinary clinic built for root-cause, systems-based care for complex pain and high expectations. Chiropractic, physiotherapy, massage therapy, personal training, acupuncture, naturopathic support, pelvic physiotherapy, and more, all under one roof. Complex cases rarely live in one system, so we do not treat them with one lens. We assess thoroughly, connect the dots, form a clear clinical hypothesis, intervene, and retest. Your plan is individualized, progressive, and built to hold up in real life.

Our focus is longevity and optimization, not just survival. Less fragility. More capacity. Stronger, more efficient movement. A higher quality of life that shows up at work, in sport, in the gym, in parenting, and in the quiet moments when your body used to distract you.

We do not practice in a silo. We collaborate with physicians, surgeons, and specialists when needed, aligning plans and advocating for you so care is coordinated, not fragmented. We also advocate hard for women’s health, because being told “it’s normal” is not a plan. We consider cycles, pregnancy, postpartum, pelvic and core function, and hormonal transitions, while still building real strength and confidence.

We appreciate our long-term community and our new followers across all platforms. Thank you for trusting our education, sharing our work, and helping raise the standard for what integrated care can look like. Integrated here means real collaboration, shared clinical language, and warm handoffs between providers, so your care feels connected from day one.

None of this happens without our exceptional team. Curious, rigorous, collaborative, and relentless about outcomes. We review cases, keep learning, and keep refining because you deserve more than a protocol, you deserve precision. Thank you to every patient who trusted us in 2025.

Root cause. Integrated care. Built for longevity.
For those who refuse to normalize pain.

12/28/2025

Tinnitus that changes is not random, it is data.

A “normal scan” and “normal hearing test” can be reassuring, but they can also create the wrong conclusion: nothing is driving it. In complex cases, the drivers are often dynamic, stacked, or simply outside the usual ear-only model.

Here are 5 high-yield places I map when the obvious causes are ruled out:

Sleep and airway
Snoring, mouth breathing, morning jaw tightness, unrefreshed sleep. These push sympathetic tone up and recovery down, tinnitus often follows.

Blood pressure and vascular load
Spikes with stress, caffeine, alcohol, dehydration, workouts, or head position can point to circulation mechanics, not mindset.

Jaw and neck input
If clenching, chewing, mouth opening, neck rotation, posture, or trigger points change the sound, that is a somatosensory gain clue.

Medication stack
What changed in the 4 to 6 weeks before onset? Stimulants, sleep meds, antidepressants, NSAIDs, decongestants, combos. Interactions matter.

Nervous system “state”
Chronic pain, threat, poor recovery. Even when the generator is mechanical, the state can amplify it.

Try this for 7 days: track sleep quality, jaw tension, neck load, caffeine, and when tinnitus spikes. If you have a BP cuff, track that too. Patterns reveal leverage.

Red flags: new pulse-synchronous tinnitus, sudden hearing loss, neurologic symptoms, severe headache, or visual changes deserve proper medical evaluation.

I wrote the full Tinnitus Masterclass on Substack (Movability Masterclass): phenotypes, red flags, exam clusters, imaging pathways for pulsatile tinnitus, and how to sequence a plan without guessing. Link in bio.

Comment with your pattern: pulse-synchronous, jaw or neck-modulated, clicking or fluttering, or steady high-pitched.

— Dr. Sina

12/26/2025

Low ferritin is not fun. If you are told “that’s normal for women,” pause. Bleeding explains how iron is lost, it does not explain why your reserves were allowed to reach single digits. I see patients with fatigue, hair shedding, anxiety, restless legs, and heart racing who were reassured because their hemoglobin was “normal,” then we find ferritin of 4, 6, or 9. Common is not the same as harmless.

Ferritin is your iron storage protein, your reserve tank. Most ferritin lives inside cells, and a small amount in blood reflects your stored iron. Iron from that tank supports hemoglobin and oxygen delivery, mitochondrial energy production, thyroid hormone production and conversion, neurotransmitter synthesis (dopamine, serotonin), and immune cell function. You can be iron deficient before anemia shows up on a CBC.

Lab reference ranges are statistical, not optimal. Because depletion is widespread, “normal” on paper can still mean depleted in the body. Ferritin can also rise with inflammation, so context and a full iron panel matter.

Low ferritin can look like fatigue that sleep will not fix, brain fog, low mood or anxiety, restless legs, headaches, shortness of breath, palpitations, poor exercise tolerance, hair loss, brittle nails, feeling cold, and getting sick often. Symptoms matter.

In clinic we use systems thinking and go upstream: blood loss (heavy periods, fibroids, GI bleeding), low intake, malabsorption (celiac, H. pylori, low stomach acid, post bariatric surgery), inflammation and elevated hepcidin that traps iron, or increased demand (pregnancy, endurance training). Then we replete appropriately, sometimes oral iron, sometimes IV iron when absorption, severity, or timing requires it, and we treat the root cause so ferritin stays up. When stores are restored and sustained, patients often describe a night-and-day shift.

If you are dismissed, advocate. Ask for ferritin plus a full iron panel, ask what is causing the loss or malabsorption, and ask for a plan to replete and maintain.

Want the full Root Cause Breakdown with my reasoning and a case vignette? I posted it on my Substack, Movability Masterclass (link in bio).
How’s my first anime?
— Dr. Sina

12/23/2025

Life is only hard for the first hundred years.

Nobody gets out of this alive. Nobody gets out without pain. Everyone has their own version of hard, it just wears different clothes.

Some carry grief. Some carry bills. Some carry a body that hurts, a mind that won’t rest, or a past they didn’t choose.

And if you’re lucky, you win the geographic lottery, by birth or immigration. That one factor can quietly decide your safety, options, education, income, healthcare, and how far one good decision can take you.

So no, life doesn’t become easy.
But it can become easier.

10 ways to lower the difficulty setting:

1) Choose a partner who brings peace, not confusion. Pick someone you can suffer with, and sit in silence with, and still feel safe. It should feel like teamwork.

2) Only keep friends you can tell good news to. If your wins make them weird, pay attention. Celebration is love.

3) Build “boring” connection on purpose. Text back. Check in. Show up. Then be picky, a few steady people beat a hundred good time connections.

4) Learn to repair, not just react. Apologize cleanly. Ask better questions. Relationships don’t break from conflict, they break from no repair.

5) Set boundaries that protect the life you’re building. Not everyone deserves full access. Boundaries are maintenance.

6) Return to your overlap: what you love, what you’re good at, what helps others, what supports you. Even a small overlap makes hard days meaningful.

7) Pick environments that make good habits easier. Remove friction. Add reminders. Willpower runs out, systems don’t.

8) Stop auditioning for love. If you have to shrink or chase basic respect, it’s not love, it’s labor.

9) Get boring about money. Autopay what you can, build a buffer, avoid lifestyle creep. A little cushion turns crises into inconveniences.

10) Name your pain, and still choose meaning. Service helps. Creativity helps. Therapy helps. Purpose makes pain less lonely.

Hard is inevitable. Doing it alone is optional.
You don’t need a perfect life. You need a supported one, and a direction. Daily.

If this hit, save it. If you know someone carrying it quietly, send it to them. Which one are you working?

— Dr. Sina

12/21/2025

If your “toothache” has no dental explanation, your throat feels tight but ENT says you’re fine, and you’re also dealing with jaw clicks, ear pressure, neck tension, or head pressure that changes with position, you might not have five separate problems.

One small muscle under the jaw can blur the lines between dentistry, ENT, neurology, and musculoskeletal care: the digastric.

This is a pattern I screen for constantly in complex chronic pain. In the clip, I’m palpating under the mandible while my patient swallows and gently opens her jaw. That visible contraction matters, especially when it reproduces a familiar symptom.

Why it matters clinically:
The digastric has two parts and two different cranial nerve control systems. The front portion is driven by trigeminal pathways (CN V3), the back portion by facial nerve pathways (CN VII). It influences jaw opening, hyoid positioning, swallow mechanics, and tongue base coordination. When it’s irritated, traumatized, or stuck in a protective bracing program, it can refer symptoms into the lower front teeth, the throat, and the ear region, while also feeding clenching, TMJ overload, and forward head posture.

And in certain anatomies, this area sits in a crowded neighborhood next to major vessels and cranial nerves. If trauma, guarding, or scar tissue increases mechanical crowding, it may contribute to a pressure type symptom picture, pulsatile whooshing tinnitus, dizziness, or brain fog that behaves mechanically.

I’m Dr. Sina Yeganeh, DC, co-founder of Movability, and a global complex case consultant. Clinicians, add a 30 second swallow and suprahyoid screen. Patients, advocate for a full system map.

Key clues I listen for: symptoms fluctuate with chewing gum, long conversations, singing, swallowing saliva, or neck rotation and extension. Many people get reassured by normal scans, but function problems can still be present. This is why I teach pattern recognition, not protocols.

I broke down the full reasoning and a real case analysis in Movability Masterclass on Substack. Link in bio.

Thank you for helping me demo

— Dr. Sina

12/19/2025

NPC mindset is autopilot. You react, scroll, judge, and repeat patterns without noticing the mental rule driving you. NPC isn’t a person, it’s a mode you slip into. Main character mindset is agency. You catch the rule, you choose the response, you update your beliefs based on evidence, even when it bruises your ego.

Metacognition is the skill that makes that possible. It’s thinking about your thinking in real time. It’s the “wait” that shows up between the trigger and the reaction. Without it, you are easy to steer: outrage bait, groupthink, comparison, and stories from childhood get to run your day. With it, you start making cleaner decisions in relationships, money, training, and health, because you stop confusing feelings with facts. In an attention economy built to distract you, thinking becomes a luxury.

If this post annoys you, that’s useful data. Ask: “What rule just fired?”

TL;DR: Pause, name the rule, test the claim on evidence.

NPC to main character drills (metacognition training)
1. PAUSE RULE (3 seconds): if you feel instant dismissal, irritation, or defensiveness, pause 3 seconds. No conclusions during the spike.
2. NAME THE HEURISTIC: “I’m doing source-filtering.” “I’m doing discomfort-rejection.” “I’m doing identity-protection.” Naming it reduces its grip.
3. SIGNAL VS SOURCE TEST: “If someone I respect said this, would I evaluate it differently?” If yes, separate the content from the person.
4. FACT VS IDENTITY CHECK: “Is this about evidence, or about how this makes me feel about myself or my group?”
5. CONFIDENCE CALIBRATION: rate your certainty 0 to 100, then ask “What would change my mind?” If nothing would change it, that’s belief armor, not thinking.
6. DAILY 2-MINUTE REVIEW: one moment you reacted fast today. What was the trigger, what heuristic fired, what would the main character version do next time?
7. FOUNDATIONS (keep your prefrontal cortex online): sleep, training, and a short mindfulness practice, even 5 minutes, make this easier under stress.

Save this. Run the drills for 7 days. The goal is not to be perfect, it’s to notice sooner.

— Dr. Sina

S*x hurts AND you keep getting “UTls after s*x” (or burning and urgency with negative cultures)? The missing link is oft...
12/17/2025

S*x hurts AND you keep getting “UTls after s*x” (or burning and urgency with negative cultures)? The missing link is often pelvic floor + bladder emptying + hormones + nerves + microbiome.

The loop we see constantly: pain, dryness, inflammation (postpartum tears or scars, breastfeeding or peri/menopause low estrogen, endometriosis, pelvic surgery or catheter history, stress or trauma) → nervous system threat response → pelvic floor guarding (tight, tender, sometimes tight + weak) → painful pe*******on, reduced lubrication, micro-irritation at the vestibule and urethra, PLUS dysfunctional voiding (start/stop stream, straining, “can’t fully empty”). Add prolapse or urethral compression and you get residual urine, bacteria’s favorite environment. Inflammation can also mimic infection, sometimes it’s both.

Clues the pelvic floor is involved: pain with tampons or exams, deep ache after s*x, urgency or frequency, constipation, tailbone or hip pain, symptoms that keep returning despite antibiotics.

Who this affects: all genders and ages. Men can have pelvic floor overactivity or CPPS that looks like infection. Teens and kids can develop dysfunctional voiding from holding and constipation. Systemic factors matter too: diabetes (neuropathy and retention), MS (neurogenic bladder), hypermobility or EDS (support and tissue issues). Repeated antibiotics can disrupt protective bacteria like Lactobacillus. Low estrogen shifts tissue quality and the microbiome, raising UTI risk.

What actually helps is rarely one thing. Pelvic floor physio to down-train overactivity, restore coordination, treat trigger points and scars, retrain bladder emptying, and guide a safe return to pe*******on (not just more Kegels). Whole-body mechanics matter too. Hips, spine, ribcage, breathing patterns all change load through the pelvis. Tissue and internal support matter: dryness, inflammation, sleep, bowel regularity, hydration, microbiome resilience.

At Movability, this is why we treat pelvic health as a system. When these layers work together, people don’t just manage symptoms, they get their lives back.

Full deep dive and case study in the Movability Masterclass. Link in bio.

— Dr. Sina

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2 Hunters Point Drive
Richmond Hill, ON
L4C9Y4

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What Makes Us Unique

Movability was created to fill a void in the healthcare world. We noticed a lack of truly custom and comprehensive care, we knew we had to be different to provide the best possible treatment. We set out to create a unique therapeutic experience built on empathy, trust, and unparalleled attention to detail. We spend the time to get to know the real you, your goals, dreams and expectations because you are much more than just a diagnosis. We work with you to create custom treatments that meet those expectations. At Movability there’s no such thing as one size fits all. Experience the difference for yourself.