The following lists the most common questions we receive with regards to our services. If your question is not listed below, please do not hesitate to contact us with any inquiries you may have.

Q:  Do I need a doctor’s referral?

A:  You do not require a doctor’s referral to see one of our physiotherapists, however many insurance companies require one in order to receive reimbursement for treatment. Check with your extended health care provider to see if a referral is required.

Q:  Do you communicate with my family doctor?

A:  The physiotherapist will communicate with your family doctor and work together to establish an appropriate plan for treatment of your injury.

Q:  How do I prepare for the first physiotherapy session?

A:  Arrive a few minutes before your session, to allow time to fill out the necessary paper work. If you have one (not necessary) bring your doctor’s referral with you, if you are post surgery, ensure you bring any specific doctor’s orders/notes or protocols. Wear loose clothing, if it is a shoulder injury wear a tank top, of a lower extremity injury bring shorts.

Q:  How long are the sessions?

A:  The initial assessment is 1 hour in length, the physiotherapist will provide a detailed assessment to decipher the cause of the problem and also provide you with a comprehensive treatment. Subsequent treatment sessions can vary between 30-45 minutes, all take place in private rooms where the physiotherapist is with you the entire time.

Q:  What is Manual/Manipulative Physiotherapy?

A:  Orthopaedic Manual Physiotherapy is a specialized area of physiotherapy for the management of neuro-musculo-skeletal conditions, based on clinical reasoning, using highly specific treatment approaches including gentle, hands-on techniques and therapeutic exercise.

Q:  What are FCAMPTS?

A:  Physiotherapists who are Fellows of the Canadian Academy of Manipulative Physiotherapy (FCAMPT) have completed extensive post-graduate education in the area of orthopaedics and have achieved internationally-recognized qualifications in hands-on manual and manipulative therapy.

FCAMPT physiotherapists’ knowledge and skills enable them to treat complex pathology and movement disorders of both the spine and extremities, which can cause both acute and chronic pain and disability. Physiotherapists with the FCAMPT designation are committed to providing the highest level of quality, patient-centred care combining clinical experience with evidence-based practice.

Q:  What is a trigger point?

A:  A trigger point is a taut band of skeletal muscle located within a larger muscle group. Trigger points can be tender to the touch, and touching a trigger point may cause pain to other parts of the body.

Q:  What kind of needles are used?

A:  Dry needling involves a thin filiform needle that penetrates the skin and stimulates underlying myofascial trigger points and muscular and connective tissues. The needle allows a physical therapist to target tissues that are not manually palpable. Physical therapists wear gloves and appropriate personal protective equipment (PPE) when dry needling, consistent with Standard Precautions, Guide to Infection Prevention for Outpatient Settings, and OSHA standards. The sterile needles are disposed of in a medical sharps collector.

Q:  Why dry needling?

A:  In cases when dry needling is used by physical therapists, it is typically 1 technique that’s part of a larger treatment plan. Physical therapists use dry needling with the goal of releasing or inactivating trigger points to relieve pain or improve range of motion. Preliminary research 2 supports that dry needling improves pain control, reduces muscle tension, and normalizes dysfunctions of the motor end plates, the sites at which nerve impulses are transmitted to muscles. This can help speed up the patient’s return to active rehabilitation.