Make sure you bring your physical therapy referral (provided to you by your doctor) and your payment information. If you are covered by Workers’ Compensation, bring your claim number and your case manager’s contact information. If your insurance company requires the clinic and/or the therapist to fill out some information, bring along the insurance form.
With direct access to physiotherapy, a doctor’s referral is not necessary to receive treatments. 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 coverage. Both work related accidents and Motor Vehicle accidents do require a doctor’s referral.
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 pants, again so we can perform a thorough examination.
Treatment sessions typically last 30 to 60 minutes per visit.
This is highly variable. You may need one visit or you may need 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 monthly basis and when you see your doctor, we will provide you with a progress report with our recommendations.
You will be evaluated by Dr Elie El DAHDAH. Unlike some clinics, where you see someone different each visit, we feel it is very important to develop a one-on-one relationship with you to maintain continuity of care. Since only one physical therapist knows your problems best, he is the one that will be working closely with you to speed your recovery.
Dr. Elie El DAHDAH is licensed by his respective provincial or national association.
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.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.
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.
Within 24 hours, unless it is an injury that has just occurred, we will see you within a few hours.
The majority of our patients think Dr. Elie El DAHDAH is caring and very professional. Read the testimonials at the bottom of the clinics’ pages of this website to see for yourself.
During your first visit you can expect the following:
• We will ask you to fill out a questionnaire with the aim of better knowing your condition of health.
• You will provide us with your prescription for physical therapy.
• We will copy your insurance card.
• You will be seen for the initial evaluation by the therapist.
The 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 physical therapy.
• 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.
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.
Cervicogenic or neck headaches can mimic migraines or can trigger migraines in migraine sufferers, this can become a condition called chronic daily headache. Treating the neck, upper back and shoulders can relieve the neck headaches that may be mimicking or triggering the migraines thus reducing their frequency. Many headaches have a mechanical component to them that is often related to the neck. These type of headaches are called cervicogenic headaches. Often Cervicogenic headaches present with a mechanical dysfunction of the top 2 joints in the neck. Manual therapists, have the tools to assess and treat the various factors that can contribute to headaches. These treatments often help decrease the intensity and frequency of headaches.
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 physiotherapist will provide you with the appropriate exercises not only for pain relief but to recover range of motion, strength, and endurance.
In some cases, physiotherapy 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.
In most cases, private health insurance will cover your treatment of physiotherapy, osteopathy, massage therapy and other therapies. You must pay for your session following each session. A receipt will be issued. You will need to send the original receipts to your insurance company to be reimbursed along with the physician’s referral (some insurance companies do not request a physician referral).
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.