Do I need a Doctor’s referral to come into Physio?
You do not need a Doctor’s referral to come to physiotherapy. That being said, your health plan may request a Doctor’s referral to cover the treatment. Please check with your plan to determine if you need a referral.
What can I expect on the first day?
Your therapist will take a complete subjective history of your medical history and of your specific injury. They will complete a complete biomechanical evaluation to determine not only the tissue(s) at fault but the cause of the injury. Normally there is time to begin treatment which may include education of what your injury is and what you can do to begin treatment along with a treatment of the biomechanical injury itself. You can anticipate to be there for 45 to 60 minutes on your first visit and 30 to 45 minutes on treatment dates thereafter.
Sessions are generally done in an open environment although curtains are used when necessary and private treatment rooms are available if you desire. Please feel free to request this if it will make you feel more comfortable.
What do I need to bring?
It is helpful if you bring attire to change into to make your area of concern visible to the therapist. This may include a tank top and/or shorts. If you have anything else that may be related to the injury including shoes, orthotics, etc. that can be helpful to the therapist.
Can I direct bill my Health Plan?
Yes we can direct bill with most plans.
Does Physiotherapy hurt?
The role of a physiotherapist is to determine what tissue is causing you pain. In doing so we are required to do tests that often cause some pain. The pain will be momentary and is not our goal but is a necessary evil. Treatments themselves often also cause pain to the affected area but again we do our best to limit the pain and it is for a good reason. No Pain, No Gain right?!
Do you treat WCB or Motor Vehicle Injuries?
Yes, at NHSPT we are contracted with WCB and treat all injuries including Motor Vehicle Accident injuries.
Do you have the contract with CHR for post surgical and low income?
No. There was a contract offered to Physiotherapy clinics a few years ago that included limited treatments for post surgical patients, low income patients and post fracture patients. We declined the contract as we felt that several parts of the contract were not appropriate for us as a health clinic. This included determining the low income status of a patient by requiring clients to show us their T4. They also made the contract extremely low paying. This has resulted in many clinics that accepted the contract to jeopardize the profession (in my opinion) and treat patients in group sessions often with a Kinesiologist only. We hold the importance of quality very high in our clinic and as a result were not willing to sacrifice the quality of care for having the contract. For clinics with the CHR contract, feel free to follow this link:
For a List of Clinics
What is baseline testing?
The biggest concern surrounding concussions comes from the energy deficit that occurs in the brain following injury. When the brain is in this low energy state, it has been well established that the brain is extremely vulnerable to additional trauma, where even smaller impacts can lead to another concussion; and these second concussions can cause severe brain injuries with potentially permanent or fatal outcomes.
The problem is that symptoms (meaning how someone feels) do not coincide with brain recovery. The only way to know when the brain has fully recovered and out of this “vulnerable period” is to compare current brain function to when the individual was healthy; this is what is known as a “baseline test”.
A baseline test is a battery of tests that measures every area of brain function that could potentially become affected following a concussion (you need more than computer tests!!). The reason that the test is termed a “baseline” is because it is done BEFORE the athlete gets injured. In order to know when an athlete has fully recovered, we first have to know where they were when they were healthy. Without having this information, there is no way to truly know when an athlete has fully recovered and is safe to return to their sport.