LONGER APPOINTMENTS. FEWER VISITS. BETTER OUTCOMES.

Our visits are intentionally longer than average so assessment, treatment, and progression can happen in a single appointment—reducing the total number of visits required.


📌 NEED TO GET IN SOONER?

Our schedule fills up fast — but we want to make sure you get the care you need:

➡️ Book the next available spot with your preferred provider

➡️ Join the waitlist — we’ll try to get you in sooner

➡️ Check availability with another trusted team member

➡️ Urgent? Email us at info@optimalclinic.ca


🏋🏽‍♂️ Looking for a High Performance appointment? High Performance care is now booked under - Injury or Performance Assessment or - Follow-Up Appointment

Musculoskeletal Specialist / Chiropractor

We focus on understanding what’s actually causing your injury or pain. As MSK specialists, we lead the assessment and diagnosis of musculoskeletal problems, assess how your body moves and manages load, and provide hands-on treatment and rehabilitation planning to help you recover, move better, and return to the activities that matter to you.


Physiotherapy

We focus on restoring movement, strength, and physical capacity after injury or surgery. We assess how you move, manage load, and tolerate activity, and guide progressive rehabilitation and strength-based care to help you return safely and confidently to sport, work, or daily life.


Vestibular/ Concussion Rehabilitation

What is Vestibular Rehabilitation? Vestibular rehabilitation therapy (VRT) is a specialized form of physiotherapy prescribed to treat and improve the symptoms caused by vestibular disorders. It often involves manual head manoeuvres and/or a progressive program of exercises designed to reduce vertigo and dizziness, visual issues, and/or imbalance and falls. After an injury to the vestibula... Read More

What is Vestibular Rehabilitation?

Vestibular rehabilitation therapy (VRT) is a specialized form of physiotherapy prescribed to treat and improve the symptoms caused by vestibular disorders. It often involves manual head manoeuvres and/or a progressive program of exercises designed to reduce vertigo and dizziness, visual issues, and/or imbalance and falls.

After an injury to the vestibular system occurs, the central nervous system can compensate for reduced function of the inner ears. Essentially, the brain copes with the imbalanced signals coming from the vestibular system by learning to rely more heavily on alternative signals coming from other systems in the body to maintain vestibular balance. This can be achieved through various exercise strategies outlined below. When this central (or brain) compensation occurs, the patient’s symptoms can be alleviated and allows them to return to normal function.

**What Types of Problems Benefit From VRT?**
Patients typically referred for Vestibular Rehabilitation have been diagnosed with a vestibular condition including:

Benign Paroxysmal Positional Vertigo (BPPV)
Vestibular Neuritis/Labyrinthitis
Unilateral Vestibular Hypofunction (UVH)
Vestibular Migraine
Persistent Postural Perceptual Dizziness (PPPD)
Mal de Debarquement (MdDS)
Cervicogenic Dizziness
Post Concussion Syndrome (PCS)
Meniere’s Disease
Neurological conditions (i.e. stroke, traumatic brain injury)
Vestibular deconditioning from aging or inactivity
and many other vestibular conditions….


Running Gait Analysis

Want to run more efficiently or find out the reason why you're always injured while running - we can help. Dr Johnson takes her 25+ years of personal and professional experience as a running specialist, to help guide you to be a more efficient runner.


On-site Treatment / Specialist Consultation

Dr Elna Johnson has over 18 years experience providing specialist consultations to numerous elite athletes, sports teams, actors and performers on site. To inquire about her availability, please email her directly at dr.johnson@optimalclinic.ca

Katrina Hombrebueno provides musculoskeletal injury and performance-focused care for athletes and active individuals, helping them move better, train more consistently, and reduce injury risk. She also works with common musculoskeletal concerns that affect day-to-day activity and training.

Katrina practices within the same performance-driven clinical framework used by all MSK specialists at Optimal Performance Clinic, ensuring a consistent, evidence-informed approach to assessment, treatment, and progression of care.

In addition to her clinical work, Katrina is a competitive endurance runner and the founder and organizer of Evolve Run Club in both Vancouver and Burnaby. Her firsthand experience with endurance training gives her a strong understanding of how biomechanics, training load, and recovery strategies influence both performance and injury.

Her care combines detailed assessment, hands-on treatment, and movement-based performance therapy. Katrina places a strong emphasis on education, helping patients understand what’s contributing to their symptoms so they can return to activity and training with confidence.

Best for: - Sport- and training-related injuries - Running-related injuries and performance limitations - Musculoskeletal pain affecting muscles, joints, tendons, ligaments, and nerves - Recurring pain that limits activity or training

(Registered as a chiropractor in British Columbia.)

Katrina Hombrebueno provides musculoskeletal injury and performance-focused care for athletes and... Read More

Elna Johnson has over 20 years of experience specializing in musculoskeletal injury management and performance optimization in sport. Her clinical expertise centres on understanding how the body responds to training and load, identifying factors that limit performance or contribute to injury, and guiding athletes and active individuals toward higher levels of physical capacity and resilience.

Throughout her career, Elna has worked within integrated medical and performance teams supporting professional and national-level sport, including athletes and organizations across the NBA, NFL, CFL, NHL, MLS, and WPHL.

Elna has worked with Athletics Canada on and off since 2005 and is currently part of their Integrated Support Team (IST), supporting athletes in high-performance training and competition environments.

In addition to sport, Elna works on film and television productions, supporting actors, actresses, and stunt performers in physically demanding roles. These environments require precise assessment, efficient clinical decision-making, and performance-focused care under tight timelines — further shaping the clinical framework used throughout Optimal Performance Clinic.

Elna leads the clinic’s performance-driven approach to care and mentorship. All MSK specialists at Optimal Performance Clinic work within the same clinical framework she has developed and refined through decades of experience in high-performance environments.

Best for: - Sport- and training-related injuries - Recurring pain that limits performance - Athletes aiming to elevate performance - Running-related injuries and gait analysis

(Registered as a chiropractor in British Columbia.)

Elna Johnson has over 20 years of experience specializing in musculoskeletal injury management an... Read More

Elliott Marsh MSc PT, M.Kin, B.Kin, FDN

  • Top of Class Masters of Science in Physiotherapy with honors from the University of East Anglia (UK). Masters of Kinesiology and Coaching Science from the University of British Columbia.

  • Bachelors of Kinesiology and Health Science from the University of British Columbia.

  • Member of the Canadian Physiotherapy Association and Physiotherapy Association of British Columbia.

  • Continuing professional development courses in: Myofascial soft tissue release, Kinesio-Tape, Reconciling Biomechanics and Pain Science, Concussion and Vestibular Rehabilitation and Functional Dry Needling.

  • Currently coaches and provides athletic therapy services for high-performance field hockey players at Rob Short Coaching Academy.

  • Former Head Physiotherapist for the Canadian Women’s National Field Hockey Team

  • Athletic therapist for the UBC Varsity Women’s Field Hockey Team 2010-2012.

  • Played field hockey internationally for the Canadian Senior Men’s and Junior Men’s National Field Hockey Teams from 2007-2013.

Elliott believes that physiotherapy should be holistic in nature, considering the impacts of physical injury on a patient’s work- and social-life. Physiotherapists should seek to provide patients with the clinical expertise to aid in the rehabilitation of current injuries, while also empowering patients through education. In doing so, physiotherapists are able to help in the prevention of re-injury enabling patients to continue pursuing the activities that are meaningful to them.

Despite having retired from competitive international competition, Elliott still enjoys pushing his mental and physical limits. Elliott is currently competing in off-road triathlon and looking to qualify for the World Championships in Italy. Outside of competition-related training, Elliott can often be found enjoying all that the pacific northwest has to offer. From backcountry skiing and surfing in the winter, to mountain biking, trail running and rock climbing in the summer, Elliott finds he feels most like himself when he is out in the elements. If you happen to be out in the North Shore trails keep your eyes peeled for Elliott and his two dogs Quinn and Kaia

Elliott Marsh MSc PT, M.Kin, B.Kin, FDN Top of Class Masters of Science in Physiotherapy... Read More

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Optimal Performance Clinic - Burnaby
Located at: 1920 Willingdon Ave, #3105 , Burnaby
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