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Questions

1. What is physiotherapy? When is it recommended, and when is it premature or not recommended?

2. How much do treatments cost? How do I pay for them? What forms of medical insurance apply to my treatment? Is physiotherapy covered by Medicare?

3. Where do I begin? How do I make an appointment?

4. What does my initial evaluation consist of?

5. What should I do if I injure myself? Do I need to be referred by a MD, or can I skip that step and make an appointment to see a physiotherapist immediately?

6. What sorts of methods will my physiotherapist employ to rehabilitate me? How do machines like Ultrasound, Laser, TENS help me recover?

7. How many appointments will it take before I am rehabilitated?

8. What's the difference between the L'ESPRIT REHABILITATION CENTRES and other physiotherapy clinics?

9. Cancer rehabilitation:
a) "I always assumed that exercising would aggravate the fatigue, nausea and muscle weakness associated with my illness…" Is this true?
b) Which cancer-related problems can L'Esprit's physiotherapists address, and how will they address them?
c) How can your exercise program help me physically in my daily activities?

 

Answers to FAQs

 

1. What is physiotherapy? When is it recommended, and when is it premature or not recommended?

Physiotherapy is the science of physical rehabilitation. Its primary goal is to help individuals overcome muscular, skeletal and neurological problems, and in doing so to help them recover their independence. For example, a physiotherapist is trained to address the following physical impairments:

  • Post-surgical impairments
  • Arthritis
  • Tendonitis
  • Bursitis
  • Back & Neck problems
  • Fractures
  • Strained / Torn ligaments
  • Strained / Torn muscles
  • Certain neurological problems

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2. How much do treatments cost? How do I pay for them? What forms of medical insurance apply to my treatment? Is physiotherapy covered by Medicare?

L'Esprit is a private clinic in which a vast majority of the services are paid for by private insurance, group insurance, workman's compensation (CSST), the Quebec Automobile Insurance plan (SAAQ), War Veterans insurance, or simply via cash/credit. Only consultations with our medical doctors are covered by Medicare. For a complete overview of our prices and possible payment methods, consult our Services At A Glance grid.

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3. Where do I begin? How do I make an appointment?

To make an appointment, you must first decide which L'Esprit Rehabilitation Centre is most convenient for you. For residents of Montreal centre / West / South, call our clinic at 5252 Boul. de Maisonneuve West at (514) 483-1213. For residents of Montreal centre / North / East, call our clinic at 1140 Beaumont Ave. at (514) 738-2227. For directions on how to find our clinics, click here, or ask one of our receptionists.

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4. What does my initial evaluation consist of?

The initial evaluation is mainly an information-gathering and diagnostic session. Using the physician's report as a point of reference (when possible), the therapist will ask you several questions and will perform a physical examination. With this information the therapist will design a plan through which to accelerate your recovery without risking further injury.

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5. What should I do if I injure myself? Do I need to be referred by a MD, or can I skip that step and make an appointment to see a physiotherapist immediately?

If the nature or extent of your orthopaedic injury is unclear, you must make an appointment for a consultation with your personal specialist or with one of L'ESPRIT's medical specialists. The specialist may in turn recommend x-rays, medication or any other course of action which is deemed appropriate, including perhaps physiotherapy. If, however, you are very familiar with your injury, and you know that it can be addressed by a physiotherapist, you may choose to skip the medical consultation and make an appointment directly with our physiotherapy services. But remember, when in doubt about the nature of your injury, consult a physician. These consultations are fully covered by Medicare, so there's no need to gamble.

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6. What sorts of methods will my physiotherapist employ to rehabilitate me? How do machines like Ultrasound, Laser, TENS help me recover?

Physiotherapists traditionally use a wide variety of tools to help you rediscover your ability to function normally. These tools will vary considerably over the length of your treatments and depending on the nature of your impairment. Here is a short list of some of the most frequently used "tools of the trade": (click for detailed description)

ANTI-INFLAMMATORY MODALITIES ANTALGIC MODALITIES
Ice
Ultrasound
LASER
Electromagnetic Waves
Iontophoresis
Direct Currents
TENS
Interferential
LASER
MISCELLANEOUS THERMAL MODALITIES
Electrostimulation
Traction
Cryotherapy
Wax
Moist heat
Whirlpool

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7. How many appointments will it take before I am rehabilitated?

The time needed to execute your rehabilitation program varies considerably from case to case. Some patients need only a couple of weeks of treatment before they are ready to follow a self-administered program. Other require longer term care to maintain their maximal functionality. As a general rule, the following issues will determine the speed of your recovery:

  • How good is your overall physical condition?
  • How old is your injury (chronic or temporary)?
  • How did the symptoms emerge (suddenly or gradually)?
  • Do your daily activities aggravate your condition?

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8. What's the difference between the L'ESPRIT REHABILITATION CENTRES and other physiotherapy clinics?

In the past 10 years many physiotherapy clinics have opened on the island of Montreal. The difference between these clinics and L'ESPRIT is straightforward.
Patients of L'ESPRIT REHABILITATION CENTRES benefit from…

  • 15 years of experience offering private medical services
  • An exceptionally wide range of specialized rehabilitation services
  • Having two University professors as our executive directors (Mary-Ann Dalzell & Monica Kosiuk). Under their direction, our staff is guaranteed to maintain the highest possible standard of professional training in their field.
  • Close interaction between our physiotherapists and on-site orthopaedic specialists
  • Our ongoing research into the clinical duration and effectiveness of different physiotherapeutic interventions
  • A full range of affiliated services such as exercise therapy, occupational therapy, osteopathy, massage therapy, and many others
  • A full gymnasium supervised by experts in exercise therapy
  • A relaxed atmosphere with friendly, conscientious staff who are maximally attentive to your needs

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9. a) "I always assumed that exercising would aggravate the fatigue, nausea and muscle weakness associated with my illness…" Is this true?

Actually, most of these symptoms are not the direct result of the tumour but rather the side effects of the anti-cancer treatments that you receive to fight the tumour. Recent research shows that when appropriately administered, exercise can improve a patient's ability to cope with these symptoms, resulting in a reported INCREASE in energy, strength, and overall vitality, and a REDUCTION in fatigue and nausea.

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9. b) Which cancer-related problems can L'Esprit's physiotherapists address, and how will they address them?

L'Esprit's staff consists of an energetic team of physiotherapists dedicated to the rehabilitation of patients diagnosed with cancer. We have studied the side effects and the disabilities / limitations associated with cancer and its aggressive anti-cancer treatments, and have been sensitized to the fact that:

  • Chemotherapy can temporarily weaken the patient, interfering with their function and endurance
  • Radiation therapy can cause skin and muscle scarring, which results in pain and reduces flexibility of the joints
  • Surgical treatment may widely excise muscle groups, involve bone resections or amputation
  • Immunotherapy can isolate patients from activity, resulting in muscle wasting
  • Bone and joint changes may result in aseptic necrosis, osteoporosis, and reduced flexibility in the joints
  • Loss of muscle associated with the presence of a tumour and chemotherapy results in decreased power and strength
  • Nerve irritation and loss of neural conductivity may lead to weakness or paralysis of certain muscle groups
  • Reduced blood circulation may result in swelling in the hands and legs impairing muscle activity (lymphedema)

For many patients the above physical changes are associated with pain, fatigue and an inability to carry out daily routines. This is where a rehabilitation program designed in close consultation with your primary medical caregiver would come into play. Depending on a multitude of factors, this program may include one or many of the following:

  • Pain management
  • Muscle strengthening and stretching
  • Movement retraining
  • Balance training
  • Training of fine motor skills in the upper limb and hand
  • Aerobic work-out

9. c) How can your exercise program help me physically in my daily activities?

The prescribed exercises will help diminish your physical problems and improve your well-being in the following ways:

By strengthening your muscles, you will:

  • Improve your posture, breath better, look better and feel better
  • Improve your bone tensile strength, reducing your risk for osteoporosis
  • Increase your muscle strength, allowing you to carry out daily activities with more ease

By stretching your muscles and joints, you:

  • Improve flexibility, reduce scar adhesion after surgery
  • Reduce joint pain/stiffness, allowing you to move more freely
In cases of nerve or brain damage, practicing a series of movement patterns will:
  • Improve your coordination (arm or leg)
  • Improve your balance (standing/walking/running)

Through a structured aerobic exercise program (walking/biking), you will:

  • Improve breathing and oxygenation of tissues.
  • Improve endurance
  • Reduce fatigue status
  • Reduce pain levels and increase pain tolerance
  • Improve tolerance to chemotherapy
  • Improve digestion (along with nutrition changes)
  • Improve stamina, mood and vigor