Our Clinicians & Rehabilitation Associates


Our multi-disciplinary team of licensed and skilled clinicians including Physiotherapists, Chiropractors,  Massage Therapists, Podiatrist, Psychologist, Psychotherapist, Registered Nurse and others offer quality care for the relief of pain conditions and musculoskeletal injuries. Our facility is equipped with the latest equipment as well as diagnosis and assessment tools based on best practices.   Our standards of care are consistently delivered, so patients receive the best care possible.

SPINEgroup has a very competitive process when selecting our registered clinical rehabilitation team.  Upon selection, our rehab clinicians receive ongoing training and mentoring in our evidence based protocols.  Staff are audited and their performance evaluated to ensure use of best practices and compliance.  You will be case managed by both our clinical director and registered nurse. These measures ensures only the most qualified, experienced and skilled doctors and therapists are selected to provide your care.

Our approach is always individualized and highly patient focused. Our clinical management team has in-depth knowledge of  rehabilitative medicine with clinical skills to assess, diagnose and treat MSK injury or disability, with the goal of helping patients regain strength, function, movement and overall better quality of life.

SPINEgroup is  committed to excellence in clinical care and quality improvement to ensure we continue to provide quality services to clients and our community.

Clinical Management Team:

Clinical Director

Dr. Connie D’Astolfo, DC, PhD (candidate)


Client Services Manager and Registered Nurse:

James D’Astolfo, BSc.N


Rehabilitation Associates:


Derek Cheung, MScPT, MSc, BScKin

Derek is a registered physiotherapist and a graduate from Queen’s University. His treatment philosophy is based on evidence based practice, patient education, and patient independence. He also has a research Master’s in Rehabilitation Science to determine best practices in physiotherapy. Derek’s primary treatment interests are in hands, backs, and concussions. He has taken courses from the Mckenzie Institute, the Canadian Orthopedic Division, Vestibular Training and acupuncture. He speaks both English and Cantonese. On his spare time, he likes to learn new languages, spend time with family, work out at the gym, and serve at church. Derek looks forward to helping you with your treatment goals!

Bikramjit Singh, PT, MSc PT

Buckram completed his  Bachelor of Physiotherapy from Guru Nanak Dev University Amritsar, India, and Master’s in Musculoskeletal Disorders from HNB Gharwal University Uttrakhand, India. He has attended certified  advanced manual therapy courses on Maitland’s and Mulligan’s techniques of joint mobilization during his Master’s degree program. Buckram conducted research  on “An EMG analysis of abdominal muscle weakness in chronic low back pain patients and normal individuals” which was published in Indian journal of occupation and physiotherapy.  He has an excellent understanding of biomechanics of spine and how it gets affected in different musculoskeletal conditions. Bikram speaks English, Punjabi and Hindi. He likes to spend his free time with family and friends and is always eager to advance his skills.


Registered Massage Therapists

Michael Carriero, DC, RMT

Dr. Carriero has an extensive education which started with him completing a Bachelor of Science (B.Sc) with Specialized Honours at York University. He then expanded on his knowledge at Canadian Memorial Chiropractic College where he graduated with a Doctor of Chiropractic. Fuelling his continuous willingness to learn, Dr. Carriero furthered his education at the Royal Canadian College of Massage Therapy, receiving a massage therapy diploma. He is also an Acupuncture provider, trained through McMaster University. Dr. Carriero’s passion, along with his array of education and skills, is exuded when treating a wide range of conditions. He utilizes a unique and customized treatment plan for every patient in order to maximize recovery. He treats a wide array of conditions ranging from strains and sprains to joint problems.

At SPINEgroup, Dr.Carriero provides massage therapy and utilizes a combination of oft tissue techniques, joint mobilizations, stretching and fascial techniques to enhance your recovery.


Registered Dietitian

Reza Nazem Boushehri, RD

Reza is a registered dietitian with over eight years experience in diverse health care settings, specializing in the prevention and management of chronic diseases. He is a member of the College of Dietitians of Ontario, Dietitians of Canada and Consulting Dietitians.

After completing a Bachelor of Science degree in Food and Nutrition, Reza worked at 600 bed hospital and assisted a lot of patients in the management of nutrition-related diseases. Then, as a corporate nutritionist, one of his role was providing nutritional intervention and counsellig to employees. As a result, he empowered 400 employees with hyperlipidemia to achieve an average reduction in blood Low-density Lipoprotein [LDL] levels by 10 % within a year.  Meanwhile, Reza worked with athletes, ranging from the recreational level to professional (National Gymnastics team of Iran) and empowered many of them to achieve their fitness and performance goals.

On his journey to update himself, he was graduated from Ryerson university, an International Dietetic Pre-Registration program. Then he worked at a private clinic in Newmarket and provided clients with an evidence-based information in nutrition for disease prevention and weight management. Now, it has been the second year that he enjoys serving older populations at Long-term care facilities in Toronto.

Reza provides nutrition counselling to adults and older adults with weight challenges, high cholesterol, high blood sugar level, high blood pressure, heart disease, gastrointestinal issues and etc. He believes in the prevention of coronary heart disease and most of cancers through life style modifications. Outside of his work, he is an advocate for Canadian Diabetes Association. He is also an avid swimmer and sports enthusiast.



Dr. Alan Silverstein, DPM

Dr. Silverstein was educated at State University of New York at Buffalo and New York College of Podiatric Medicine. He is licensed in Ontario, New York and California and has been in private practice in Toronto since 1973. He served as staff Podiatrist at Mount Sinai Hospital and Baycrest Hospital since 1973 and continues to be a member of The Ontario Podiatric Medical Association and the American Podiatric Medical Association.

Dr. Silverstein is available for orthotic fitting and casting for foot disorders including plantar fasciitis, pronation (flat feet), supination (high arches), ankle ligament instabilities and heel spurs.


Please note that the use of words “expert” and “specialty” on all SPINEgroup ® advertising does not specifically apply to physiotherapists or registered massage therapists or others providing care at our clinic; however, use of such terms, under some circumstances, is not inconsistent with Section 2 of the College of Chiropractors of Ontario (“CCO”) Standard of Practice “S-016- Advertising” when it comes to the design, implementation and evaluation of evidence-based programs of care or specialty programs of individualized care of Dr. Connie D’Astolfo which may or may not involve physiotherapists, registered massage therapists or others providing care.