What happens during my first visit?
We ask that you complete a health questionnaire, if you have not done so online (this provides us with any known medical history, contraindications and a general idea of the severity of your injury)
Your consent is an essential component of assessment and treatment. You may revoke your consent at any time. We aim to make you feel comfortable discussing this with your practitioner.
Provide your prescription for therapy IF you have one (not needed to access Physiotherapy, Chiropractic or Massage Therapy services; MAY be required for your Extended Health Benefits)
An initial evaluation by the therapist will discuss the following:
- Medical history
- Current problems/complaints
- Pain intensity, aggravating and easing positions/factors
- Sleep positions, duration; stress levels, work routine, and other daily stressors on your body
- Diet and exercise
- Impact on daily activities
- Your goals and expectations
- 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 alignment, and to each other.
What do I need to bring with me?
- Referral from Doctor, if you have one•Insurance information for Motor Vehicle Accidents (MVAs) and Direct Billing
- Copies of Xray or other relevant reports if you have them
- Names of medications
- SHORTS (for any pain below the waist)
- SLEEVELESS shirt/camisole (for neck, shoulder pain)
- Current orthotics
- Any brace or splint currently in use (or one you tried that you do not like)
Other information for WSIB or MVA injuries as discussed with our receptionists.
If attending for ORTHOTICS, a Doctor’s referral is required for your benefits
Do I need a doctor's referral?
Referrals are not required for accessing Physiotherapy, Chiropractic care or Massage Therapy.
A referral is required for some extended health benefits, and for orthotics or compression socks
What should I wear?
- Loose clothing to enable you to move comfortably
- Shorts for anything below the waist
- Sleeveless top for shoulder/neck
For massage you will need to remove clothing in the treatment area, and you will be draped with a sheet or blanket for your comfort and modesty.
IF you are very uncomfortable with removing your clothing please discuss this with your treating therapist and accommodations will be made.
We aim to ensure you feel safe and comfortable during your sessions.
How long will each treatment last?
Treatment sessions typically last 30 to 60 minutes per visit.
We do not base our physiotherapy sessions on time, but on pain/need.
Chiropractic and massage visits are booked by time and can vary from 20-90 minutes, depending on your need.
How many visits will I need?
This is highly variable. It can vary from 1 visit to months, depending on the severity of the injury and compliance to the exercise program.
You should be seeing some improvement within 1-4 sessions! Your rate of healing is dependent on other factors such as age, type of injury, length of time since the injury, initial care, diet and overall health.
Our treatment will help to stimulate your body's own healing response to heal itself.
Who will see me at the clinic?
A Registered Physiotherapist, Chiropractor or Registered Massage Therapist
All of our therapists are in good standing with their respective Colleges in Ontario.
A Physiotherapy Assistant (PTA) may be involved with some of your care, but will never do an assessment or change treatment parameters. They work closely with the physio within specific treatment parameters.
Is my therapist certified?
Our therapists are licensed by their respective provincial or national association and Colleges.
I have a disc problem that has been diagnosed by MRI. Can I be helped by physiotherapy or chiropractic care?
Anytime imaging is done the findings need to correlate with the clinical picture. Frequently, we see reports of arthritis in areas that are not painful, and painful areas with normal X-rays or MRI.
Imaging is a tool to assist in ruling in and ruling out pathologies. For example, it can rule out a fracture and permit treatment to be accelerated.
Pain is a complex issue and can be present because of a movement or biomechanical disorder which will not show up on imaging.
Be reassured that we believe you have pain even if imaging doesn’t show anything
Keep in mind that in an average population, some people present with disc pathology on MRI, but do not have pain. This is called a false positive finding, and is why it is so important to treat the clinical signs and symptoms of the patient and not the radiology finding.
Physiotherapy and Chiropractic care are 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 and chiropractic care are your best options.
I suffer from headaches. Can professionals at your clinic help me?
Cervicogenic, or neck, headaches can mimic migraines or can trigger migraines.
Treating the neck, upper back and shoulders can relieve the neck headaches that may be mimicking or triggering the migraines.
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.
Are treatments painful?
There is no short answer to this question. A deep therapeutic massage can be painful, but should be on the “good pain” spectrum. Post-op knee replacement physiotherapy can be painful when working on regaining range of motion.
Generally, the goal is pain-relief.
We rely on your feedback to ensure we are not treating too aggressively. Occasionally, there will be no pain during your session, but you will feel sore the next day. This could be from delayed muscles soreness (DOMS) or an inflammatory response. Please bring this to your practitioner’s attention and they will modify your treatment accordingly.
Who pays for the treatment?
We are not an OHIP clinic. Your Extended Health Benefits from your employer will usually cover your physiotherapy, chiropractic care and massage therapy. Many patients need more therapy than their benefits cover. Please inform your treating therapist if this will be a financial hardship for you.
We ask that you pay after each session. A receipt will be issued for you to submit to your insurance company to be reimbursed along with the physician's referral (some insurance companies do not request a physician referral).
Visa, Master Card, Interact debit and Cash are accepted.
What do I need to do after my discharge?
First the fun news! Most patients will need to continue with home exercises. Some may choose to continue with a gym exercise program, or be more active with their sports and hobbies
It is important that you communicate your goals to your therapist, so they can develop a custom program for you.
What happens if my problem or the pain returns?
Flare-ups are not uncommon. If you have a flare-up (exacerbation), give us a call and your therapist will guide you.
We may suggest you come back to see us, return to your doctor, or simply modify your daily activities or exercise routine.
How soon can I get an appointment?
Usually, we accommodate you within 24 hours, but please call if your injury just happened and you need urgent care.
We always welcome your feedback to ensure that we are providing the best care and experience possible.
What are some good questions to ask my practitioner?
What assessment will you do?
What information do you need to make a treatment plan for me?
How will you know if I am getting better?
How long will it take?
What is the difference between a Chiropractor and a Physiotherapist?
Both are university-trained, registered with a regulatory body and self-regulated professionals.
There are many similarities between the two professions, and both treat a variety of similar conditions.
Chiropractors are known for a greater focus on treating spinal conditions and PTs will treat spinal conditions as well as other conditions.
Physiotherapists are also trained to treat neurological conditions such as Parkinson’s or strokes, and cardiorespiratory illness such as COPD/asthma, pneumonia.
Physiotherapists have traditionally been more exercise-focused in their care as per the history of the profession from treating soldiers after WWI and WWII.
Our Chiropractors at CSP have many treatment techniques, such as soft-tissue work, acupuncture and Graston. They do not rely solely on spinal adjustments.