Be optimal

Most people keep moving from practitioner to practitioner because their pain or dysfunction is never resolved.

The Musculoskeletal Specialists (MSK) at Optimal Performance Clinic are experts in accurately diagnosing the true source of your pain and/or dysfunction and put together hands-on recovery protocols that lead to long-lasting, pain-free movement. We never chase symptoms and neither should you.

1. Diagnose the source.
2. Restore functionality.
3. Build strength:

No quick fixes.

We put you on the path to pain-free, full range of motion for optimal performance.

We diagnose the disassociation between your movements and your body to first restore optimal functionality and then strengthen your body for enhanced performance, making you fluid, functional and flexible.

Recover better.
Move younger.

Recovery is a two-step process: Correct diagnosis of the problem and restoration of natural movements.

Long-lasting recovery results from permanently improved load-bearing muscle cells.

Experience fluid, functional, flexible movements so you move younger and perform better.

Our goal is to help you be the best version of yourself!

Our experience has taught us that focusing treatments on resolving symptomatic pain and exercises to strengthen something that isn’t functioning correctly is a recipe for failure or at best—temporary pain relief.

We focus on restoring the body’s natural and intended mobility/movement, which in turn resolves your injury and unleashes your body’s potential.

Not a Professional Athlete? That’s Not a problem! We believe that everyone deserves to have the same level of expertise and care at their disposal. Aren’t we all that important in our own lives! We have treated thousands of patients who have suffered sports injuries, day-to-day aches and pains, motor vehicle accident injuries, or work-related injuries.

core values

Give a

You are not just a patient to me. I have dedicated my career to helping others, and to me that means first and foremost listening to each and every one of you.
Unfortunately it is all too common that the patient is not listened to, therefore their needs are never met. It is my promise to you that I will listen to you, empower you to know how to unleash your body’s potential by properly diagnosing the cause of your injury, so that a successful treatment plan can be created.

Be more

I simply won’t settle for anything more than the best – that’s what I give each and every one of my patients. It’s what everyone deserves – Their doctors’ undivided attention, and the most up to date information and diverse skill set, in order to provide the most effective care possible.


I treat every person that walks through my door as they are my extended family. I dedicate myself to helping them in any way possible. This includes connecting my patients with my network of specialists when needed, connecting with their doctors and or trainers in order to ensure the best recovery possible.

our team

Dr. Elna Johnson

MSK Specialist

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Dr. Katrina Hombrebueno

MSK Specialist

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Elliott Marsh


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Kieran Lumb

Canadian national track and field athlete

The level of expertise and care that Elna and her team provide is unparalleled. There is no other practitioner that I trust more to get to the root of an injury and solve the underlaying issue than Elna.

Optimal Performance’s attention to detail, calm approach continuity of care is truly one of a kind. I value the patient – practitioner relationship I have developed with Elna over the past five years, and attribute it to being able to stay healthy in order to perform at my best on the world stage. Elna’s selfless nature and commitment to continual improvement, sets Optimal Performance apart. Thank you Elna and Optimal Performance for everything!

DeVier Posey

2017 Grey Cup Champion
2017 Grey Cup MVP
Houston Texas NFL 2012-14
2016- Current CFL Football Player

“In my profession having great flexibility, pliability to maximize strength are all key factors in superior performance. While playing for the BC Lions in 2018 I immediately added Dr. Elna Johnson to my personal recovery team to stay flexible, pliable, and strong when my muscles lengthen and contract.

Dr.Johnson understands everything about the bodies intricacies to prepare any serious athlete for superior performance. Her professionalism and attention to detail are second to none. I am happy we crossed paths and we were able keep me healthy and on the field in 2018 for the BC Lions “

Kris Schjelderup

Professional Training Coach,
Oakley 100K Del Sahara Finisher

“I had tried everything to get over a long lasting IT band injury and nothing seemed to work. I honestly didn’t think I would run anything over 5km again. It wasn’t until I finally went in for an assessment, got fit for the right custom orthotics and started using the Trigger Point Therapy products, that I had the confidence to enter such a major event as the del Sahara 100km run across the Sahara Desert.
I finished pain free!”

Graham Breitenstein

President, The502Kid Inc.
Assistant Choreographer, Richy Squirrel Inc.
Creator, Drunk Astrology
10+ years dancer for Lady Gaga

As a professional dancer and choreographer I have learned over the years that physical and mental recovery is VITAL to peak performance. I’ve also learned that not all physical therapists and specialists provide the same level of care and physical relief. I have personally sought out Dr. Elna when various tours brought me to Vancouver because I have never felt the same level of relief from anyone else. Her hands are ELITE and her approach to physical therapy is 110% comprehensive. To put it in simpler terms, you can look all you want but you aren’t going to find a better practitioner than Dr Elna Johnson!

John Cusack

Actor / Producer

“I’m going to throw my back out just to come see you… YOU’RE THE BEST! Thanks for everything.”

Davis Sanchez

NFL / CFL Player

“In my 13 years of professional football both spent in the CFL and NFL I have come across many good therapists. Dr. Munoz (Elna) is one of the best and when I have an issue I always have full confidence that she can get it resolved and have me on the field as soon as possible.”

Willie Mitchell

NHL Player
Vancouver Canucks,
LA Kings, Florida Panthers

“Thanks for not only getting me healthy but keeping me healthy during a long season. See you this summer!”

Meghan Callaway

Coach / Athlete

I am the first to admit that I am very jaded when it comes to many medical professionals, and for good reason. In the past 30 years, I have had many bad experiences, and from a wide array of doctors I thought I could trust.

Elna is a tremendous doctor and human being. She puts the needs of her patients first. She speaks and acts in a way that is very empowering, and she builds her clients up, both mentally and physically. Words are tremendously powerful and can make or break someone. Many medical professionals speak in a way that makes people feel like they are completely broken, dysfunctional, and simply scared of moving or breathing the wrong way. I cringe when I think about how many doctors spoke to me. Back then, I was a shell of the person I am now. Words matter, and Elna empowers with her words and actions.

Unlike most, Elna is always looking to address the cause of the issue, and does not blindly treat symptoms (I call this symptom chasing) like many others do when they do not or cannot address the root of the issue. Very few are gifted enough to be able to identify the cause of the issues, and in a timely manner. As a result many people do not get better, or at least it causes them a significant amount of physical, mental, and financial hardship in the process.

Elna always looks to address the root issue, and wants to get you back to full health as quickly as possible. Furthermore, Elna strives to make all of her clients very independent, and not reliant or desperate for her services. This is the sign of a very competent and ethical practitioner. Whenever see Elna, I have full trust in her.

Something else I really respect about Elna is that she is the first to admit if she is not sure about something, and she will always seek a second opinion from another qualified expert. This quality is so rare.

Whenever I work with Elna she puts me at ease, and I always know she has my best interest at heart. It also feels like a total team effort. While I am very hesitant to recommend many doctors due to my past experiences (and I have a big advantage as due to what I do for my career I know a lot more than the average person), I would recommend Elna in a heartbeat. She is in a league of her own.

Thank you for everything Elna. I am turning 41 in less than a month and have never felt so healthy and physically capable in my entire life.


What conditions do you treat?

  • sports injuries
  • achilles tendinopathy
  • tendinitis / tendinopathies
  • sprain / strain
  • bursitis
  • headaches
  • neck pain
  • upper, middle and low back pain
  • shoulder, elbow, wrist, hand pain/ injury
  • pelvis, hip, knee, ankle, foot pain/ injury
  • nerve entrapments, numbness, tingling
  • thoracic outlet syndrome
  • TMJ dysfuntion ( jaw pain)
  • repetative strain injuries
  • sciatica
  • tennis elbow
  • golfers elbow
  • carpal tunnel syndrome
  • shin splits
  • plantar fasciitis / fasciosis
  • whiplash and motor vehicle accident injuries
  • pre /post surgical care / rehabilitation
  • rotator cuff injuries

Who should see a Musculoskeletal Specialist (MSK) specialist?

Anyone with a problem affecting the musculoskeletal system (or neuromusculoskeletal system), whatever the cause of the problem or their age. MSK specialists go beyond treating just sports related injuries. If it hurts to move the way you want, you’ve come to the right place. Restoring pain-free full-range of motion is at the heart of our practice.

What should you expect when you see one of our MSK specialists?

First and foremost we start with the correct diagnosis.

We do a comprehensive history and physical exam to determine the cause of your issue and create a specific treatment plan for you to restore and strenghten your body. We use a variety of techniques like ART, Graston, cold laser, fascial release, motor retraining, rehabilitation exercises, range of motion exercises, strengthening exercises, cupping, home care and functional range conditioning techniques for joint AROM and joint mobilization.

Ready to live pain-free
and be your optimal self?

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