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Can you help me?

Physiotherapists are university-trained experts in movement dysfunction and musculoskeletal impairments.  Come see us if you are in pain or cannot move properly due to injury, illness or a medical impairment.  Feeling great?  Awesome.  Physiotherapists can perform movement screens to ensure you keep performing your best and limit your chance of future injury. If we can’t help you, we’ll let you know.

Do I need a Doctor’s referral?

No. You do not need a doctor’s referral to see a physiotherapist or massage therapist.  However, some health plans may only cover physiotherapy or massage therapy if a doctor provides you a prescription for it.  Check with your extended health care plan about this.

What can I expect on my first appointment?

The initial assessment typically takes 60 minutes.  During that time you will be asked questions about the nature of the injury as well as a few questions about your health and social history so we can get to know you better.  Please don’t be shy.  We won’t judge you if you tell us you hate exercise, or got injured trying to dead-lift 500lbs.  Your physiotherapist will then perform a bio-mechanical assessment of the injured body part, educate you on the nature of your injury, suggest treatment interventions, and provide home management and therapeutic exercise strategies that meet your goals.

What should I bring to my first appointment?
  • Identification
  • Extended health care plan cards
  • Doctor referrals if any
  • Results of diagnostic tests related to the injury
  • Your schedule in case you need to book future appointments
  • Comfortable clothes (shorts/ tank top)
  • Questions you may have about your injury
Is my treatment covered by my extended health care plan?

Physiotherapy is covered by many extended health care plans.  We also direct bill many health care plans.  Please contact your extended health care plan to determine eligibility for physiotherapy coverage etc..

I was injured at work, now what?
  • Step 1:  Report the injury to your employer.  For urgent injuries, seek medical care immediately.  Employers are required to report your injury to WCB as well
  • Step 2:   Report the injury to WCB
  • Step 3:  Come for a physical therapy assessment as soon as possible.  Your physiotherapist will assess the nature and extent of your injury and provide a report to WCB within 48 hours.  You do not need a claim # to attend the assessment
  • Step 4:  Provided the worker, employer, and physio have submitted the injury report forms to WCB, a decision on your claim is typically made within a few business days.  You can continue to attend physiotherapy for your work related injury, however if your claim is not approved by WCB, you will be responsible for covering the costs of care.
I was in a motor vehicle accident, now what?

In Alberta, if you are involved in a motor vehicle accident (MVA), regardless of who was at fault, you are entitled to benefits.  The benefits you receive are based on the extent of your injuries.

Step 1:  Complete an Ab-1 form that details the nature of the accident and provide it to your car insurance company as soon as you can.

Step 2:  See a physiotherapist within 10 business days of the accident.  Your physiotherapist will diagnose your injuries in accordance with the Diagnostic Treatment “Protocols”.  The majority of MVA injuries qualify for between 10-21 “protocol” treatments within 90 days of the date of accident that are billed directly to your car insurance company.

In some circumstances, you may not qualify for protocol treatments that are billed directly to your car insurance company.  These circumstances include:

  • Collision injuries that cause injury to the neurological system, resulting in numbness/tingling and/or decreased reflexes as well as other neurological signs (WAD III)
  • Collision injuries that result in fracture or dislocation (WAD IV)
  • Treatment for injuries beyond the initial protocol period or treatments

In this case, costs for care are billed to your extended health care plan first.  Any portion of treatment that is not covered by your extended health care plan can then be submitted to your car insurance company for reimbursement. 

The staff at Resolve Physio and Wellness will be happy to guide you through the billing process so you can spend more time focusing on resolving your injuries.

What’s the difference between Acupuncture, Gunn IMS and Dry Needling?

All three techniques use a standard acupuncture needle; however, the theory and technique behind each method is considerably different. First, Gunn IMS and Dry Needling are anatomically based.  Treatment points with these methods are based on anatomy and dysfunction, as opposed to the meridian/channel basis of acupuncture. Second, Gunn IMS is designed to treat pain of a neuropathic origin, and involves an assessment technique that looks for neurological indications of dysfunction.  Comparatively, Dry Needling incorporates a more traditional bio-mechanical exam and looks for muscular dysfunction that is not neuropathic in origin. 

Acupuncture sets itself apart from Dry Needling and IMS as practitioners can use acupuncture to treat non-musculoskeletal dysfunction, such as balancing hormones, treating indigestion, helping with conception etc. Thirdly, with Acupuncture, multiple needles are typically left in the body for 15-30 minutes.  In comparison, IMS and Dry Needling use one needle that is inserted, removed, then re-inserted into target areas multiple times to generate an appropriate response. 

Lastly, whereas Gunn IMS as taught per the Gunn technique is only practiced by physiotherapists and physicians, dry needling is practiced by many health disciplines.   The use of needles in practice is a restricted activity.  Only physiotherapists who have received additional training are authorized to use needles in practice.

Do you do manual therapy or manipulation?

Yes. We are authorized to manipulate joints in the body.  Physiotherapists do more than just treat muscular injuries.  We’re also really good at using our hands to treat bone and joint dysfunctions, and sometimes this requires a manipulation. Spinal manipulation is a restricted activity.  Only physiotherapists who have received additional training are authorized to manipulate the spine.

Can you send me for diagnostic imaging (X-ray, MRI, ultrasound)?

Yes.  If deemed clinically appropriate, we can directly refer you to get diagnostic imaging completed for your injury.   Fortunately, a large majority of soft tissue injuries do not require imaging studies.  Your therapist will be happy to discuss imaging options with you if required.

What is Acupuncture?

Acupuncture promotes natural self-healing by balancing and improving body functions. It is an element of Traditional Chinese Medicine. Being practiced in China for approximately 2000 years, it is one of the world’s oldest medical systems. Acupuncture works by activating the energy of the body (known as qi) by inserting tiny, sterile needles in specific locations called acupoints. These points are found on the meridians, which are energy pathways that run vertically and diagonally across the body. Traditional Chinese Medicine believes that many factors in life can throw off the balance of qi.  Yin and yang, two forms of qi, are complementary elements in the body. Yin represents the cold and inactive side and yang represents the hot and active side.  When they are both balanced with acupuncture the body can bring itself back into a healthy alignment.

What can Acupuncture Treat?

Acupuncture can treat a variety of problems, including:

  • Allergies
  • Anxiety
  • Asthma
  • Depression
  • Fibromyalgia
  • Gastrointestinal health
  • Insomnia
  • Pain
  • Reproductive health
  • Sports injuries
  • Stress relief
What to expect on your first Acupuncture visit?

The Acupuncturist will start by taking a detailed medial history. They will also ask to take your pulse and see your tongue. Finally, a diagnosis and treatment plan will be put into place. Usually, Acupuncture is the chosen method but sometimes electro-acupuncture, cupping, acupressure or gua sha (a skin scrubbing technique) will be used.

The needles are typically left in for 20 – 45 minutes.  Sometimes acupuncture is effective immediately but it often takes at least 3 appointments to see results. The more acupuncture treatments are done the more the body is able to balance effectively. Acupuncture is rarely painful.  All needles are sterile, one time use only, and complications are extremely rare.  Many extended health care plans also cover Acupuncture.  Please contact your extended health care provider to determine your coverage.

What is Shockwave Therapy?

Shockwave therapy is a new non-invasive solution for chronic musculoskeletal pain.  The most common indications for shockwave therapy include: painful shoulder/rotator cuff syndrome,  epicondylitis (tennis/golfer’s elbow), low back pain, Achilles tendon pain (tendinopathy, enthesopathy, calcific tendinopathy), plantar fasciitis, tendonitis and trigger points. During the therapy, a high-intensity acoustic wave interacts with the tissues of the body. This leads to a cascade of beneficial effects including neovascularization, reversal of chronic inflammation, stimulation of collagen production and dissolution of calcium build-up. Stimulation of these biological mechanisms creates an optimal healing environment. As the injured area is returned to normal, functionality is restored and pain is relieved.  A course of 3-5 sessions is typically recommended, however, this varies on a case by case basis.

Do you treat TMJ disorders?

Yes, we have undergone advanced training for temporomandibular joint (TMJ) disorders.  We work closely with dentists/orthodontists to help manage TMJ disorders, restoring function and minimizing pain.

I suspect a concussion, what should I do?

Firstly, make sure no other serious medical complications also occurred at the time of suspected concussion. Other head injuries (skull fractures, brain bleeds, neck fractures etc.) should be ruled out.  Typically, concussion symptoms tend to get better, not worse.  Worsening symptoms (increasing headache severity, paraesthesias, facial numbness etc.) should be seen to immediately.  Secondly, remove the individual from any sporting activity (when in doubt, sit them out) until cleared to return by your health professional.  Injured athletes are at greatest risk for serious injury (second impact syndrome) if they sustain a second concussion shortly after the first.  It is generally suggested to not take any medications immediately post-concussion to avoid masking any symptoms of serious injury (worsening headaches etc.) A generalized period of rest for 24 hours (no longer) post-injury has been shown to be beneficial for recovery.  Thirdly, since many concussion assessment tools (SCAT 5 etc.) are only valid within the first 3 days post-injury, get assessed (if not done on-field) as soon as possible.  

I suspect a concussion, what can you do for me?

We have taken advanced training in the management of concussions and post-concussion syndrome.  We can work with you to help design a return to play/school/work program while you recover from your injury.  For post-concussion syndrome, we can determine any musculoskeletal impairments that may be contributing to your presentation and provide evidence-based exercises to help restore function. For more information on what we offer, please click here.

Do you do concussion baseline testing?

No. Baseline testing is not supported in the research literature.  For more information on baseline testing and why we do not offer it, see our services page here.  For the Canadian statement on baseline testing, click here.

What can I expect on my first women’s health appointment?

The initial assessment with a pelvic health physiotherapist is not that
different from a regular physiotherapy assessment. 

You will still be asked questions about your symptoms, personal goals and
social history so that your physiotherapist can get to know you better. The
rest of your assessment will be dependent on your symptoms and goals.
The only main difference is that sometimes an internal exam is conducted.
The physiotherapist will usually start with an external assessment of your
pelvic floor and deep core muscles. For some clients, all they need is an
external check. For patients complaining of urinary/fecal incontinence,
pelvic organ prolapse or pelvic pain, an internal exam is usually indicated.
You should know that the internal exam with a physiotherapist will be a lot
different and less invasive than your typical annual check-up with your
family physician.

Your physiotherapist will then educate you on pelvic floor/deep core
anatomy/physiology, the nature of your symptoms, suggest treatment
interventions, and provide home management and therapeutic exercise
strategies that meet your goals.

 

780-395-9170
info@resolvephysio.ca

#104, 1103 95th St SW, Edmonton, AB

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