1. Why choose CBI Concordia Physio Sport?
We have experienced health care professionals consisting of physiotherapists, occupational therapists, osteopaths, athletic therapists, massage therapists as well as orthopedic surgeons who have specific skills to help you GET BETTER, FASTER. By offering a range of diversified treatment options such as our hands on individual care, we ensure that our clients get better faster. Our highly skilled health care professionals use our unique approach of treating the pain/symptoms as well as the cause to relieve your pain and stop it from returning. We accomplish our goals of getting you better faster with an approach of hands on (manual therapy) treatment, individualized specific exercises of strengthening and stretching coupled with the latest in electro-modalities. Our staff prides themselves in developing and implementing validated/outcome based treatment protocols that will provide the best value for each and every visit. We work with you to decrease your pain and get you back to your active pain-free lifestyle as quickly as possible.
2. What happens during my first visit - evaluation?
During your first visit – evaluation you can expect the following:
- Arrive at your appointment 10 minutes early as you will need to complete an intake form.
- You will provide us with your prescription for physical therapy, if you have one,
- Your therapist will meet with you one on one and you will be seen for the initial evaluation by the therapist.
During your evaluation your therapist will discuss the following:
- Your medical history.
- Your current problems/complaints.
- Pain intensity, what aggravates and eases the problem.
- How this is impacting your daily activities or your functional limitations.
- Your goals with physiotherapy.
- Medications, tests, and procedures related to your health.
The therapist will then perform the objective evaluation which may include some of the following:
- Palpation - touching around the area of the pain/problem. This is done to check for the presence of tenderness, swelling, soft tissue integrity, tissue temperature, inflammation, etc.
- Range of Motion (ROM) - the therapist will move the joint(s) to check for the quality of movement and any restrictions.
- Muscle Testing - the therapist may check for strength and the quality of the muscle contraction. Pain and weakness may be noted. Often the muscle strength is graded. This is also part of a neurological screening.
- Neurological Screening - the therapist may check to see how the nerves are communicating with the muscles, sensing touch, pain, vibration, or temperature. Reflexes may be assessed as well.
- Special Tests - the therapist may perform special tests to confirm/rule out the presence of additional problems.
- Posture Assessment - the positions of joints relative to ideal and each other may be assessed.
The therapist will then formulate a list of problems you are having, and how to treat those problems. A plan is subsequently developed with the patient's input. This includes how many times you should see the therapist per week, how many weeks you will need therapy, home programs, patient education, short-term/long-term goals, and what is expected after discharge from therapy. This plan is created with input from you, your therapist, and your doctor.
3. What do I need to bring with me?
Make sure you bring your physiotherapy referral (provided to you by your doctor). If you are covered by Workers' Compensation, bring your claim number and your case manager's contact information. If you are covered by auto insurance or long term disability, make sure you bring this information.
4. Do I need a doctor's referral?
Physiotherapists have direct access, which means that a doctor's referral is not necessary to receive physical therapy treatment. However, the physiotherapist may suggest that you consult a doctor for their opinion or to get further tests done. Note that some extended health benefit plan insurance companies still require a doctor's referral for reimbursement of physiotherapy treatments. It is the responsibility of the patient to check their individual insurance coverage. CSST claims do require a doctor's referral. SAAQ (auto insurance) patients also require a doctor's referral.
5. How should I dress?
You should wear loose fitting clothing so you can expose the area that we will be evaluating and treating. For example, if you have a knee problem, it is best to wear shorts. For a shoulder problem, a tank top is a good choice, and for low back problems, wear a loose fitting shirt and shorts, again so we can perform a thorough examination.
6. How long will each treatment last?
Treatment sessions typically last 30 to 60 minutes per visit.
7. How many visits will I need?
This is highly variable. You may need one visit or you may need weeks to months of care. It depends on your diagnosis, the severity of your impairments, your past medical history, etc. You will be re-evaluated on a regular basis and when you see your doctor, we will provide you with a progress report with our recommendations.
8. Who will see me at the clinic?
You will be evaluated by one of our licensed and highly trained physiotherapists, occupational therapists, osteopaths or athletic therapists and he/she will also treat you during subsequent visits. Your therapist will develop a treatment plan to get you better faster in conjunction with you. As we have a multi-disciplinary approach to care, on occasion your therapist will coordinate you to have a consultation with another member of our health care team. Our approach is to always offer you the best possible care.
9. Is my Therapist certified?
All of our health care professionals are fully licensed and board certified by their respective national and provincial governing bodies complete with full accreditation and insurance.
10. Is physiotherapy for you?
Physiotherapy will help any individual with problems affecting the level of functionality of the musculo-skeletal system. This therapy specializes in the fields of sports and physical fitness.
Our physiotherapists apply various techniques to treat you such as manual therapy, sports therapy and progression through exercise, etc.
Our patients can expect to improve their balance, their endurance, their strength and their coordination, which will help them stay active every day. Physiotherapy is offered in all of our clinics.
11. What is the difference between regular Physiotherapy and Manual Therapy treatments?
Manual therapy is a specialization in orthopedic physiotherapy. It is mostly taught at the post-graduate level and consists of various level courses that are taken over a number of years. A Manual Therapist acquires advanced knowledge and skills in clinical biomechanics, pathology, assessment and feel of joint movement, soft tissue flexibility, nerve mobility and muscle recruitment. To become recognized in the field of Manual Therapy, the physiotherapist must successfully go through an examination process set up by the Orthopedic Division of the Canadian Physiotherapy Association. The successful completion of the examination process leads to a residency and then a fellowship diploma in the field.
12. What is the difference between receiving a Massage at your clinic from receiving a massage at the Spa?
A massage received at a spa mainly includes generalized relaxation. The emphasis is put on ambiance and relaxation methods used with soft techniques to create a more profound experience.
A massage received in a physiotherapy clinic is for customers who have often been referred or seek a therapist with a certain type of massage in mind. Based on the person's goals, ailments, medical history, and stress- or pain-related problem areas, a massage therapist will conclude whether a massage would be harmful, and if not, move forward with the session while concentrating on any areas of particular discomfort to the client.
Massage therapists can specialize in over 80 different types of massage, called modalities. A massage can be as long as two hours or as short as five or ten minutes.
Usually, the type of massage therapists give depends on the client's needs and the client's physical condition. For example, they use special techniques for elderly clients that they would not use for athletes, and they would use approaches for clients with injuries that would not be appropriate for clients seeking relaxation. There are also some forms of massage that are given solely to one type of client, for example prenatal massage and infant massage.
As an accepted part of many physical rehabilitation programs, massage therapy has also proven beneficial for many chronic conditions, including low back pain, arthritis, bursitis, fatigue, and many more. And, as many millions will attest, massage also helps relieve the stress and tension of everyday living.
13. I have a disc problem that has been diagnosed by MRI. Can I be helped by physiotherapy?
When a disc problem is diagnosed through imagery, one of the roles of the initial physiotherapy assessment is to decide if these findings correlate with the clinical picture. In an average pain free population, some people present with disc pathology on MRI. This is why it is so important to treat the clinical signs and symptoms of the patient and not the radiology finding. Disc problems present in many different ways. Some patients will have back pain only, others will have leg pain from nerve irritation and others will have both. No recipe exists for treatment and everyone's condition must be treated individually. Physiotherapy is often very helpful for patients presenting with disc problems. Only those with severe, unrelenting symptoms and with positive neurological findings that are not responding to conservative treatment may need to have surgery. There should always be a trial of conservative treatment prior to any surgical decision and physiotherapy is a very good and safe option.
14. Is physical therapy painful?
For many patients, one of the primary objectives is pain relief. This is frequently accomplished with hands-on techniques, modalities such as ultrasound, electrical stimulation, and/or heat or cold therapy. Movement often provides pain relief as well. Your physical therapist will provide you with the appropriate exercises not only for pain relief but to recover range of motion, strength, and endurance.
In some cases, physical therapy techniques can be painful. For example, recovering knee range of motion after total knee replacement or shoulder range of motion after shoulder surgery may be painful. Your physical therapist will utilize a variety of techniques to help maximize your treatment goals. It is important that you communicate the intensity, frequency, and duration of pain to your therapist. Without this information, it is difficult for the therapist to adjust your treatment plan.
15. Who pays for the treatment?
In most cases, health insurance will cover some or all of the cost of your treatment. We collect payment from you and provide you with a receipt for you to submit to your insurance coverage. Always verify your coverage with your insurance provider directly.
16. What will I have to do after physiotherapy?
Some patients will need to continue with home exercises. Some may choose to continue with a gym exercise program. Others will complete their rehabilitation and return to normal daily activities. It is important that you communicate your goals to your therapist, so he/she can develop a custom program for you.
17. What happens if my problem or pain returns?
Flare ups are not uncommon. If you have a flare up (exacerbation), give us a call. We may suggest you come back to see us, return to your doctor, or simply modify your daily activities or exercise routine.
18. Which health care professional should I consult with at CBI Concordia Physio Sport a physiotherapist, occupational therapist, osteopath or athletic therapist?
All of our health care professionals are highly skilled, training and focused to work with you to get better faster, the difference between most health care professionals is the approach they use. Physiotherapists use a multi-faceted approach of combining, manual therapy, electro-modalities and exercise, occupational therapists, focus on re-integration activities and task simulations, osteopaths focus on hands on global approach and athletic therapists focus on exercise a their main tool to get you better faster. When in doubt of which approach best suits your injury and body we recommend that you consult one of our physiotherapists and let them provide you with their knowledge, leadership and expertise.
19. What is Physiotherapy?
Physiotherapists manage and prevent many physical problems caused by illness, disease, sport and work related injury, aging, and long periods of inactivity.
Physiotherapists have advanced understanding of how the body moves, what keeps it from moving well and how to restore mobility. Physiotherapists are skilled in the assessment and management of a broad range of conditions that affect the musculoskeletal, circulatory, respiratory and nervous systems. Physiotherapists will explain your injury, develop a treatment plan with you, demonstrate appropriate home exercises and explain how to stay pain free.
TRP (Thérapeute en Réadaptation Physique), or Physical Rehabilitation Therapist is a recognized designation under the Ordre Professionnel de la Physiothérapie du Québec. They provide similar services to a Physiotherapist in assessing and treating musculoskeletal injuries and pain.
20. What is Osteopathy?
Osteopathy is a system of therapy based on the concept that the body can formulate its own remedies against diseases when it is in a normal structural relationship, has a normal environment and enjoys good nutrition.
Osteopathic medicine bases its treatment techniques on the principle that the body acts as a whole. Osteopathy is particularly concerned with maintaining correct relationships between bones, muscles, and connective tissues. The practice of osteopathy often includes chiropractic-like adjustments of skeletal structures. Based on straightforward, humane principles, Osteopathy allows both practitioner and patient to restore natural function and balance through work on the body and its tensions.
21. What is Massage Therapy?
Massage is the practice of soft tissue manipulation with physical, functional, and psychological purposes and goals. Massage involves acting on and manipulating the body with pressure – structured, unstructured, stationary, or moving – tension, motion, or vibration, done manually or with mechanical aids. Target tissues may include muscles, tendons, ligaments, skin, joints, or other connective tissue, as well as lymphatic vessels, or organs of the gastrointestinal system. In professional settings massage involves the client being treated while lying on a massage table, sitting in a massage chair, or lying on a mat on the floor.
Swedish massage uses five styles of long, flowing strokes to massage. The five basic strokes are effleurage (sliding or gliding), petrissage (kneading), tapotement (rhythmic tapping), friction (cross fiber) and vibration/shaking. Swedish massage has shown to be helpful in reducing pain, joint stiffness, improving function and circulation. Deep Tissue massage is designed to relieve severe tension in the muscle and the connective tissue or fascia. This type of massage focuses on the muscles located below the surface of the top muscles. Deep tissue massage is often recommended for individuals who experience consistent pain, are involved in heavy physical activity, such as athletes, and patients who have sustained physical injury.
22. What is Acupuncture?
Acupuncture is the procedure of inserting and manipulating filiform needles into various points on the body to relieve pain or for therapeutic purposes. According to traditional Chinese medicine, acupuncture points are situated on meridians along which qi (a "life energy"), flows. Modern acupuncture texts present them as ideas that are useful in clinical practice and continue to inform the practice of acupuncture, but there is no evidence to support their existence and they have not been reconciled with contemporary knowledge about biology, physics or chemistry. Many different variations of acupuncture are practiced and taught throughout the world. Acupuncture is very safe when administered by a well-trained practitioners using sterile needles.
23. What is Occupational Therapy?
Occupational therapists are highly trained health-care professionals enabling engagement in everyday living, through occupation; of enabling people to perform the occupations that foster health and well-being; and of enabling a just and inclusive society so that all people may participate to their potential in the daily occupations of life (Townsend& Polatajko, 2007, p. 372).
Occupational therapists define an occupation as much more than a chosen career. Occupation refers to everything that people do during the course of everyday life. Occupational therapists believe that occupations describe who you are and how you feel about yourself.
Occupational therapists use a systematic approach based on evidence and professional reasoning to enable individuals, families, groups, communities, organizations, or populations to develop the means and opportunities to identify and engage in the occupations of life. This collaborative process involves assessing, planning, implementing, monitoring, modifying and evaluating the client in relation to occupational engagement in self-care, work, study, volunteerism and leisure. Occupational therapists may assume different roles such as advising on; health risks in the workplace, safe driving for older adults, or programs to promote mental health for youth.
24. What is Athletic Therapy?
The Scope of Practice of an Athletic Therapist includes the prevention, immediate care, and reconditioning of musculoskeletal injuries. Prevention includes musculoskeletal and postural evaluation, hands-on musculoskeletal treatment, equipment selection, fitting and repair, warm-up, conditioning programs, prophylactic or supportive taping, and adapting to the activity environment and facilities.
An Athletic Therapist assesses injuries and conditions, uses contemporary rehabilitative techniques, therapeutic modalities, soft tissue mobilization, physical reconditioning, and supportive strapping procedures to promote an environment conducive to optimal healing in preparing the individual for safe reintegration into an active lifestyle.
25. How to choose the right service at the right time?
At CBI Concordia Physio Sport, our ultimate goal is getting you better, faster. In order to accomplish this, we have a vast array of skilled health care professionals at your disposal. Our friendly and knowledgeable clinic administrators will assist you in choosing the correct professional to consult, in the case that you are unsure. Once assessed, a treatment plan and timeline will be established. Should additional services be necessary to facilitate healing or to maintain a pain-free transition, they will be recommended to you. Our clinics have extensive networking in the communities we serve and will guide you to the appropriate professional, if not available in our clinics. Working together with our helpful team, you will achieve the goals set in a safe and efficient manner. We look forward to assisting you to reach your rehabilitation and prevention objectives in the near future.
26. Is there a cancellation policy?
At CBI Concordia Physio Sport, we require at least 24 hours notice for any cancelled appointments. Should you be unable to provide us with at least 24 hours notice before your scheduled appointment you will be subject to a cancellation fee. These fees are not refundable by insurance companies.
CSST and SAAQ
Our clinics offer services to victims of workplace and motor vehicle accidents covered by the CSST and SAAQ. Our team will assist you in assessment, recovery and return to work in an efficient, effective manner. Our multidisciplinary approach will help control pain and limitation through exercise, task simulation and work hardening, work demands assessment, hands-on therapy and education. You will benefit from calm reassurance, a greater understanding of your pain and dysfunction, an effective management plan and a referral network for any additional services required, including psychology, when indicated.