FAQ’s at Kenaston Common Physiotherapy

 

140-1580 Kenaston Blvd• Winnipeg, MB • R3P 0Y4 • P(204) 489-4737• Fax(204) 488-3417

Do I need a referral from a doctor?


    No, you do not require a doctors referral to see a Physiotherapist.  Physiotherapists are primary health care providers (like doctors and dentists).  However, some private insurance providers may require a doctors referral before they will reimburse the cost of treatment.  Check with your insurance provider to see if this is the case for you. 




I haven’t been to Physiotherapy before what can I expect?


A Physiotherapist will assess you by getting a history of your illness/ injury.  Then they will look at your range of motion, strength, muscle length, joint mobility, and do a neurological scan.  Once they have done this they will educate you on what the problem is and advise you on what you should avoid.  They will provided appropriate strengthening and stretching exercises for you at that time and will progress them throughout your rehabilitation.  Depending on the injury, they may use modalities (Ultrasound, Interferential Current, T.E.N.S., or a Muscle stimulator), manual treatment (massage, mobilizations, muscle release, and/or taping).  At Kenaston Common Physiotherapy there is gym equipment available for comprehensive rehabilitation.




How long should I expect each Physiotherapy appointment to last?


The initial Physiotherapy visit usually lasts approximately 45 minutes to 1 hour.  This again depends on the injury.  Each follow up appointment is approximately 45 minutes.




What if I was injured at work or in a motor vehicle collision, do I need to pay for treatment?


No, Kenaston Common Physiotherapy directly bills to the Workers Compensation Board and to Manitoba Public Insurance on your behalf.  We complete all the necessary paper work so you can focus on getting better.




How many appointments will I require?


This varies depending on your injury, your age, previous injuries, general health and what you have to get back to for work and sport.  After an assessment, your physiotherapist or massage therapist can let you know of an approximate timeline.




What can I expect on my first massage therapy appointment?


You will be asked to fill out a short health questionnaire so that your therapist can understand your overall health and determine what treatment will be effective for you.  Your treatment will be in a private room where you and the therapist will discuss which areas of the body require treatment and what type of massage you were wanting (deep tissue or relaxation).  Your therapist will advise you to remove clothing on the area that you want to be treated.  If you feel uncomfortable at any time please inform the therapist and you can wear shorts or a gown depending on the treatment.  Please note that you are never expected to remove your lower undergarments as it is not necessary .  They will give you a few minutes to change and lie underneath the sheet and blanket and they will knock on the door to ensure you are ready for treatment.  During treatment, the area being treated is the only body part exposed.  Full professionalism and privacy is assured.  If the pressure applied during treatment is too deep or not what you expected, it is best to voice this to the therapist at that time so they can adjust the treatment.



Do you direct bill to insurance companies?


Yes we bill to several insurance companies on your behalf.  That way you only have to pay us the portion of treatment fee that the insurance company doesn’t cover.  The following are insurance companies that we direct bill to: Blue Cross, Blue Cross National, Great West Life, Greenshield, Sirius, BHL, Chamber of Commerce, Wawanesa , ContinYou, Canadian Sport Centre, Manitoba Public Insurance, Workers Compensation Board, DVA and CFB.


Below is a list of companies that we CANNOT direct bill to:

Equitable life, Manulife, Sun Life, Standard Life, Maritime life, Empire life, Desjardins, Cooperators, Claim secure, and Quebec Blue cross.



When should I Use Ice vs. Heat?


ICE

Ice is used when you have a recent injury.  It controls the swelling by decreasing the amount of blood to the area.  If you have done an activity that has aggravated things, it is better to use ice to decrease the inflammation. 

If the area is red, feels warm and is swollen ice should be used for the first 48 hours.  It should be applied for 10-15 minutes.

HEAT

Heat is more commonly used with chronic injuries, sore muscles & stiffness.  Heat increases the blood flow to the area and allows the blood vessels to open and remove inflammation.  Heat can be used before exercise.

It should be applied for 10-15 minutes.  Do not apply heat when you are going to sleep as it may result in a burn.


What is ImPACT Concussion Testing?


ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) is a computerized concussion evaluation system that is widely used across high schools, college and professional levels of sport. ImPACT assists doctors in making return-to-play decisions and should never be used as a stand-alone tool.

Test Features

  1. Measures player symptoms

  2. Measures verbal and visual memory, processing speed and reaction time

  3. Assists Doctors in making difficult return-to-play decisions

  4. Provides reliable baseline test information

  5. Produces comprehensive report of test results

ImPACT takes approximately 30 minutes to complete. The program measures multiple aspects of cognitive functioning in athletes, including:

  1. Attention span

  2. Working memory

  3. Sustained and selective attention time

  4. Response variability

  5. Non-verbal problem solving

  6. Reaction time


What should I look for in a shoe?


There are many things to look for in an athletic shoe.  The first things is to look for a shoe that only bends where your foot bends (at the joint of the big toe). The shoe should be resistant to torsion.  Therefore the shoe should not be able to be “wrung out”.  The heel counter at the back of the shoe should be firm and you should have room in for your toes in the front of the shoe (toe box).    The shape of the sole of the shoe and the firmness of the sole is different for different types of feet.  You should speak to a Physiotherapist to see what footwear would be best for your feet.



What is PIlates?


Pilates is a method of exercise that is designed to restore the natural curves of the spine, optimize core strength, enhance body awareness and posture, all while rebalancing muscle groups and improving flexibility.  A Pilates workout program has an extensive repertoire of exercises, each with modifications that allow people of all ages, abilities and body types to participate safely.

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