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)
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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:
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:
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
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