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Optimal Performance Clinic

Book an Appointment at Optimal Performance Clinic - Burnaby

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

📅 March Update Dr. Katrina is away for 3 weeks this month. Please book with Dr. Jake Hanna or Dr. Natalie Blake

Welcome to Optimal Performance Clinic

Treatments
Treatment

Musculoskeletal Clinician / Chiropractor

At Optimal Performance Clinic, our musculoskeletal clinicians focus on identifying the true cause of injury and helping patients return to the activities that matter most to them. All clinicians follow the same diagnostic and treatment framework developed by Dr. Elna Johnson, founder and lead clinician of the clinic. This approach is informed by decades of experience working in high-performa... Read More

At Optimal Performance Clinic, our musculoskeletal clinicians focus on identifying the true cause of injury and helping patients return to the activities that matter most to them.

All clinicians follow the same diagnostic and treatment framework developed by Dr. Elna Johnson, founder and lead clinician of the clinic. This approach is informed by decades of experience working in high-performance sport environments where accurate diagnosis, effective treatment, and successful rehabilitation are essential.

This means that regardless of which clinician you see, you can expect the same standard of thorough assessment, targeted treatment, and performance-focused rehabilitation used to support athletes in high-performance environments.

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

Dr. Jake Hanna DC

Musculoskeletal Clinician / Chiropractor

Dr. Jake Hanna focuses on helping patients move better, reduce pain, and return to the activities that matter most to them.

His clinical approach emphasizes detailed biomechanical assessment and identifying the underlying cause of dysfunction rather than simply treating symptoms.

With a background in kinesiology and strength and conditioning, Jake integrates hands-on treatment, soft tissue therapy, joint mobilization, and individualized rehabilitation to restore efficient movement and build long-term resilience.

He works with active individuals and athletes of all levels, from those returning to everyday activity to those training and competing at a high level.

As a Certified Strength and Conditioning Specialist and former competitive athlete, Jake brings a performance-oriented perspective to care and understands the physical demands of training and sport.

Jake practices within the clinical framework used by all musculoskeletal clinicians at Optimal Performance Clinic, ensuring patients receive a consistent, evidence-based approach to assessment, treatment, and rehabilitation.

Musculoskeletal Clinician / Chiropractor Dr. Jake Hanna focuses on helping patients move better,... Read More

Dr. Katrina Hombrebueno DC

Musculoskeletal Clinician / Chiropractor

Dr. Katrina Hombrebueno provides musculoskeletal injury care and performance-focused treatment for active individuals and athletes.

Her clinical approach combines detailed assessment, hands-on treatment, and movement-based rehabilitation to help patients move better, train more consistently, and reduce the risk of recurring injury.

Katrina has a strong interest in running-related injuries and endurance athletes. As a competitive endurance runner and the founder of Evolve Run Club in Vancouver and Burnaby, she has firsthand experience with the training demands runners face.

Her care focuses on helping patients understand the factors contributing to their symptoms so they can return to activity and training with confidence.

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

Musculoskeletal Clinician / Chiropractor Dr. Katrina Hombrebueno provides musculoskeletal injury... Read More

Dr. Elna Johnson DC, BKIN, Dip Med Acup.

Founder & Lead Musculoskeletal Clinician / Chiropractor

Dr. Elna Johnson is the founder of Optimal Performance Clinic and has over two decades of experience working in high-performance sport environments where accurate diagnosis and effective treatment are essential.

Throughout her career, she has worked alongside integrated medical and performance teams supporting professional and national-level athletes across leagues including the NBA, NFL, CFL, NHL, MLS, and WPHL, as well as athletes competing on the Olympic stage and at events such as the Super Bowl.

Dr. Johnson currently serves on the Integrated Support Team for Athletics Canada’s National Track and Field Team, collaborating with coaches, physiologists, strength staff, and medical professionals to support athletes competing at the highest levels of international sport.

Her clinical work focuses on musculoskeletal diagnosis, running biomechanics, and identifying the underlying drivers of injury rather than simply managing symptoms. Treatment may include manual therapy, soft tissue therapy, joint mobilization, and exercise-based rehabilitation depending on the needs of the individual.

Dr. Johnson previously served as an instructor for Active Release Techniques for more than 17 years, teaching clinicians internationally in the assessment and treatment of soft tissue injuries.

In addition to her work in sport, she also works within the film and television industry, supporting stunt performers and actors in physically demanding roles where efficient assessment and rapid return to performance are essential.

At Optimal Performance Clinic, Dr. Johnson leads the clinical framework used by all musculoskeletal clinicians, ensuring every patient receives the same standard of accurate diagnosis, effective treatment, and performance-focused rehabilitation used in high-performance environments.

Founder & Lead Musculoskeletal Clinician / Chiropractor Dr. Elna Johnson is the founder of O... Read More

Elliott (William) Marsh MSc PT, M.Kin, B.Kin, FDN

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
Directions & Map | All Locations

Need Help? 604-558-1250 info@optimalclinic.ca