By: Jenny Song
If you have ever felt the pain of a sprained ankle, the chronic discomfort of premature arthritis, the dull, throbbing ache of the back and neck due to stress, or the “breathing through a straw sensation” of asthma, you’d probably agree that physical mobility isn’t always a piece of cake. While you deplore the incompetence of the endorphins in your body and their losing battle against substance P (the neurotransmitter responsible for causing pain), it would be wise to get some professional help. Physiotherapists are the first line of help for individuals seeking physical rehabilitation and pain relief from dysfunction of nerves, muscles, and joints, as well as restoring functional movement.
Physiotherapists address a broad scope of issues- orthopedic (musculoskeletal), neurological, cardiac, and cardiopulmonary problems. Orthopedic physiotherapy usually takes place in a clinical setting, where physiotherapists address sports injuries, fractures, joint disorders, amputation, back and neck pain, arthritis and post-operative conditions. Neurological disorders covered include strokes, multiple sclerosis, Parkinson’s disease, cerebral palsy and spinal cord injury. Cardiopulmonary problems such as asthma and shortness of breathe due to lack of endurance also adds to a physiotherapist’s caseload.
If you are squeamish about needles and display phobia toward anyone clad in a white cloak, do not fear! Physiotherapy is generally non-penetrating and does not involve needles (unless you agree to receive acupuncture treatment by a registered acupuncturist). When you see a physiotherapist, he or she will first give a consult to examine your problem and ask you questions before giving you a diagnosis and suggesting a treatment plan. Sometimes, your problem may require a closer look, in which case x-rays and bone scans are probable. Physiotherapists will ensure that your recovery is expedited and the process as painless as possible, as well as educate you on how to prevent the re-occurrence of your problem in the future. Typical treatments employed by physiotherapists include exercise programs to enhance muscle strength and mobility (such as hydrotherapy, or exercise in water), massage and manipulation of mobilization so to relieve pain and stiffness, and electrotherapy such as ultrasound to accelerate the healing process.
Many physiotherapists specialize in specific practices including senior’s health, women’s health, and oncology, rheumatology, orthopedics, children’s health, or sports injuries. It is therefore important to identify the physiotherapist whose expertise is best suited to your specific needs. In order to work as a physiotherapist in Canada, one must complete a bachelor’s physiology program at an accredited university and achieve a Master’s level. In Quebec, high standards are achieved because the Ordre des Physiotherapeutes du Quebec, the professional body representing physiotherapists, propose strict research guidelines on all its members to ensure that physiotherapy techniques are effective. Moreover, all physiotherapists must pass a French examination, so they are bilingual. Therefore, you can be sure that as a patient, you will be in good hands.
When selecting a physiotherapist for the first time, remember to ask for credentials and area of specialization (if applicable). Make sure to always ask for clarification until you have fully understood your problem and the treatment protocol. Referrals from a friend or family member, if possible, are the best idea (conditional syllogism- if your best friend loved a physiotherapist, then you would most likely love him too). You may want to try the McGill Sport Medicine Clinic, as it is located right in the Currie Gymnasium/McGill Athletics Complex. Plus, they offer a discount for students, and treatment is covered by your McGill insurance.
- Physio RVH: (514-843-1565) ext: 31565, A3.17 Royal Victoria Hospital
- Phys Med And Rehab LACH (514-843-1565) ext: 77170, 1D1 Lachine Hospital
- Physio MGH (514-843-1565) ext: 42900, C2 144 Montreal General Hospital
- Physio MCI (514-843-1565) ext: 32323, K2.04 Montreal Chest Institute
If you have decided to hunt for a private clinic, here are some nearby suggestions:
- McGill Sport Medicine Clinic
475 Pine Avenue West
Montreal, QC H2W 1S4
Tel: (514) 398-7007
Practices: Physiotherapy, Sports Medicine, dietary consultation, aqua therapy
- Les Cours Medical Center
Les Cours Mont Royal, 1455 Peel Street Suite# 111 (metro Level)
Montreal, QC H3A 1T5
Tel: 514-905-1234
Practices: Physiotherapy, Sports Medicine, dietary consultation, aqua therapy
- MAA Sports Medicine Clinic
2070 Peel St., 3rd floor
Montreal, QC H1P-1L8
Tel: 514-845-6023 #234
Practices: Physiotherapy, Sports medicine, acupuncture, aqua therapy, pain relief, fertility problems, osteopathy, orthopaedics
- Bois-Franc Medical Clinic
2555 rue des Nations, Bur 200
Saint-Laurent, QC H4R 3C8
Tel: 514-504-9010
Practices: More than just physiotherapy! This clinic is also great for preventive medical examinations as well as well as family medicine.
- Medi-Club Physiotherapy & Medical Wellness Centre (West-Island of Montreal)
205 Alton Drive
Beaconsfield, Quebec
Canada H9W 2Z5
Tel: 514-695-9152
Practices: Physiotherapy, Sports Medicine, Natural Medicine, Health and Wellness
Referral by a doctor is not necessary in order to see a physiotherapist. In some cases, doctors may collaborate with physiotherapists in the patient’s treatment regime. However, if you plan on claiming your injury through an insurance company, it may be conducive to see your general practitioner to get referral to see a physiotherapist. This facilitates the management of your claim and may avoid claim disputes.
That being said, please be aware that governmental coverage for physiotherapy treatment costs differ by province, and has specific restrictions and conditions set by individual provinces. It is important to contact your provincial healthcare agency to explore to what extent your healthcare is covered. Quebec Healthcare does not cover personal acquisition of physiotherapy for things like managing stress, enhancing athletic endurance, and relieving anxiety. However, it does cover physiotherapy if required after overnight hospitalization as recommended by a doctor, as required by people with disabilities, or as rehabilitation after surgery.
Resources/Info:
1. http://www.ramq.gouv.qc.ca/en/citoyens/assurancemaladie/serv_couv_queb/serv_med_sc.shtml for a complete list of what is covered by the health insurance of Quebec for Quebec residents.
2. ihaveaplan.ca
3. Look into whether you are eligible for private insurance coverage of physiotherapy treatments as set forth by your employer, or the employers of family members.
4. International students at McGiill are required to purchase a McGill Blue Cross Health Insurance coverage, which normally covers basic physiotherapy treatments.