John J. Riva, BA, DC, MSc (epi)

Assistant Clinical Professor
Department of Family Medicine
McMaster University


St. Catharines: Tuesday and Friday

Port Health Clinic
101 Lakeport Road
St. Catharines, ON L2N 7L7
Phone: 905-684-6066 (Lina)

*** Our St. Catharines location has moved across the street to the new Port Health Clinic in Lakeport Plaza.

Hamilton: Monday, Wednesday and Thursday

Rosedale Medical Group
280 Queenston Road
Hamilton, ON L8K 1H1

Phone: 905-547-0508 x7 (Jacqui)
Reception e-mail:
Website: Rosedale Medical Group

About Our Practice:

For over 20 years we have offered non-pharmacological one-on-one care to manage common conditions such as sports injuries, low back pain, neck pain and headaches. We accept WSIB (worker's compensation) and motor vehicle accident claims. We offer care for conditions related to the extremities (ie arms and legs) and do not limit our practice to spinal conditions. We also provide orthosis in the form of custom-fitted orthotics for shoes or braces when prescribed by your family physician or medical specialist.

We take an evidence-based approach to the care we provide. We do not promote lifelong care; but rather encourage you to stay as active as possible and come see us when you feel you need to receive care. All of our patients are provided with a few daily exercises to help them manage their condition in a self-directed fashion.

Our office works with your other various providers and supports ongoing communication with them to offer you, the patient, the best possible care. With your permission we will provide ongoing communication to your family doctor, specialist, or complementary medicine provider.

Please note that we are a formal teaching location for upcoming health care providers. As a result, we will occasionally have students from medicine or pharmacy doing observations at the clinic.

Services to Expect:

You can expect to have an intial interview and evaluation regarding your problem. We use techniques that are only taught in accredited educational institutions. We realize that manipulation of the spine, especially of the neck, can be a concern for patients. Our office offers many other physical therapy, muscle, exercise and movement techniques that do not involve spinal manipulation. As a patient, it is always your choice what procedures you have performed on you during a visit.

Chiropractic care and custom-fitted orthotics are often covered by third-party insurances through you or your spouse's benefit plans. For approved WSIB (worker's compensation) and motor vehicle accident claims, services are fully covered.


FHT-Forward Quality Improvement Award, Hamilton Family Health Team, 2014
IN-CAM Research Symposium Travel Award, 2012
National Mutual Chiropractic Insurance Company (NCMIC) Training Award, 2011-2012
Certificate of Appreciation, Canadian Chiropractic Assocation, 2011
Hearts & Hands Award, Ontario Chiropractic Assocation, 2011

Academic & Professional Appointments:

Assistant Clinical Professor, Department of Family Medicine, McMaster University, 2008 - present
Editorial Board, Journal of the Canadian Chiropractic Association, 2012 - present
Policy-Board Director, Ontario Chiropractic Association, 2012 - present

International Clinical Practice Guidelines:

Allergic Rhinitis and its Impact on Asthma (ARIA) Guidelines-2016 Revision
World Health Organization: Syphilis Screening and Treatment for Pregnant Women
World Health Organization: Treatment of Treponema pallidum (syphilis)
World Allergy Organization-McMaster University Guidelines for Allergic Disease Prevention (GLAD-P): Vitamin D
World Allergy Organization-McMaster University Guidelines for Allergic Disease Prevention (GLAD-P): Prebiotics
World Allergy Organization-McMaster University Guidelines for Allergic Disease Prevention (GLAD-P): Probiotics
Clinical Practice Guideline on Management of Overweight and Obese Adults: Saudi Arabia
Clinical Practice Guideline on Migraine Headache Diagnosis & Management: Saudi Arabia

Studies & Protocols:

Comparisons of Interventions for Preventing Falls in Older Adults: A Systematic Review and Meta-analysis
Using Patient Values and Preferences to Inform the Importance of Health Outcomes in Practice Guideline Development Following the GRADE Approach
Patients' Attitudes Toward Non-Physician Screening of Low Back and Low Back-Related Leg Pain Complaints Referred for Surgical Assessment
Reporting of IMMPACT-recommended core outcome domains among trials assessing opioids for chronic non-cancer pain
Minding the gap: prioritization of care issues among nurse practitioners, family physicians and geriatricians when caring for the elderly
Outcomes for patients with the same disease treated inside and outside of randomized trials: a systematic review and meta-analysis
Lone workers attitudes towards their health: views of Ontario truck drivers and their managers
Spine surgeons' requirements for imaging at the time of referral: a survey of Canadian spine surgeons
An efficient strategy allowed English-speaking reviewers to identify foreign-language articles eligible for a systematic review
Opioids for chronic non-cancer pain: a protocol for a systematic review of randomized controlled trials
Consideration of chronic pain in trials to promote physical activity for diabetes: a systematic review of randomized controlled trials
Risks and benefits of screening asymptomatic women for ovarian cancer:a systematic review and meta-analysis
Primary health care needs for a priority population: a survey of professional truck drivers
Systematic review and network meta-analysis of interventions for fibromyalgia: a protocol
Physician and nurse perspectives of an interprofessional and integrated primary care-based program for seniors
Surgeon attitudes towards non-physician screening of low back or low back-related leg pain patients referred for surgical assessment: a survey of Canadian spine surgeons
Interprofessional and integrated care of the elderly in a family health team

Case Reports & Commentaries:

Nonfunctioning pituitary macroadenoma: a case report from the patient perspective
Community-based falls prevention: lessons from an Interprofessional Mobility Clinic
Autonomic dysreflexia in spinal cord injury patients: an overview
What is your research question? An introduction to the PICOT format for clinicians
Introducing the Global Research Interprofessional Network (GRIN)
Chiropractors at McMaster University: The formation and direction of a university-based multidisciplinary chiropractic working group
Chiropractors and collaborative care: An overview illustrated with a case report
Interprofessional education through shadowing experiences in multi-disciplinary clinical settings
Chiropractors and pharmacists in a family health team: Unlikely allies in the collaborative management of pregnancy-related low back pain
Interprofessional education for medical students in clinical settings: a practical guide for an elective half-day