General

• How Do Patients Access Treatment?
• Do I need to be referred?
• What Services Are Provided?

Physiotherapy

• What Is Physiotherapy?
• What Conditions can be Treated With Physiotherapy?
• Is Physiotherapy an Insured Healthcare Service?
• What if I need Physiotherapy, but have no Insurance?
• What Does a Typical Visit Entail?

Occupational Therapy

• What is an Occupational Therapist?

Massage Therapy

• What is Massage Therapy?
• What is The Massage Therapy Association of Manitoba (MTAM)?
• Does The Clinic Direct Bill to Insurance Providers?
• Are Massage Therapy Services Covered By Manitoba Health?
• What Conditions Can Be Treated With Massage Therapy?
• What Are The Benefits Of Massage Therapy?
• What Does A Typical Visit Entail?

Pelvic Health and Urinary Incontinence

• What should I expect in my initial assessment for female pelvic health problems?
• Is it mandatory to have an internal examination?
• How many sessions will I need?
• Will I be cured after Physiotherapy?

Personal Training / Kinesiology

• What is a Kinesiologist?
• What are a Kinesiologist's credentials?
• Why hire a personal trainer?
• How will I benefit from working with a personal trainer?
• When to choose a kinesiologist?
• How do I get started with personal training?
• How much does personal training cost?
• Will my insurance provider cover the cost of the program?

General

How Do Patients Access Treatment?

The majority of patients accessing physiotherapy, massage therapy or occupational therapy are referred directly from a physician, dentist or surgeon. Once a written or verbal referral has been received, the next step is simple. The patient will arrange an appointment convenient to them.

Patients can also access services directly without a referral by scheduling an appointment. Once assessed, the clinician may contact or consult the physician for further medical information.

Do I Need to be Referred?

A referral for service is not required in order to access all services. The Physiotherapy Act permits access to service without the need of a physician referral. However, referral from your physician often is important and helpful in the flow of medical information pertinent to your problem requiring physiotherapy. It is recommended that MPI and WCB patients contact their physicians for a referral for service to expedite the processing of their claims.

Massage Therapy also does not require a referral from a physician, however some insurance plans require a physician referral in order to cover the cost of treatments.

What Services Are Provided?

The services available are extensive and second to none. Each service may be utilized separately or in combination with others to provide an individualized treatment program.

Services include:

• Physiotherapy
• Massage Therapy
• Occupational Therapy*
• Home Therapy
• Acupuncture
• Custom Foot Orthotics
• Public Education
• Sporting Event Medical Coverage
• Worksite Ergonomics
• Electrotherapeutic Modalities
• Low-Intensity Laser Therapy
• Pelvic Health*
• Pre / Post Natal Programs
• Urinary Incontinence Treatment
• Pelvic Floor Pain
• Fall Prevention and Vestibular Rehab Program
• Joint Replacement Program
• Exercise Programs (individualized and class format)
• Personal Training / Kinesiology
• Cardiac Health Program

Physiotherapy

What Is Physiotherapy?

Physiotherapy is a professional healthcare discipline devoted to the prevention and alleviation of movement dysfunction and physical injuries. Education and preventative measures help patients gain the highest possible level of independent function.

A physiotherapist is a graduate of a recognized university program consisting of a minimum of a four year baccalaureate. The Physiotherapy Act permits access to service without the need of a physician referral. Physiotherapists are qualified to practice as primary health care providers and are regulated by a provincial licensing board, The College of Physiotherapists of Manitoba (CPM).

Practicing physiotherapists adhere to a strict code of ethics and rules of conduct outlined by the Canadian Physiotherapy Association (CPA). Clinical practice requires professional behaviour in accordance with specific standards and principles of care.

What Conditions Can Be Treated With Physiotherapy?

Many conditions can also be treated by physiotherapy intervention. These may include:

• Ligament sprains, muscle strains and contusions (bruises) immediately following injury or at any stage of healing.
• Tendonitis (tennis elbow, etc.).
• Orthopaedic surgeries (joint replacement, fracture repair, ligament repair)
• Back and neck injuries of any origin.
• Rehabilitation of joints and muscles following surgery or fracture.
• Postural strain from desk or computer work.
• Headaches.
• Repetitive Motion Injuries (Carpal Tunnel Syndrome).
• TMJ (Jaw) injuries, pain, and dysfunction.
• Strokes, Head Injuries, and other Neurological Disorders

Is Physiotherapy an Insured Healthcare Service?

Physiotherapy provided in a private community based clinic setting is currently not covered by Manitoba Health. This unfortunately is a historical issue ultimately leading to the development of a two tiered system for accessing physiotherapy. Many provinces have healthcare coverage for privately based clinics, Manitoba is one of the exclusions.

Many private insurances and government institutions will cover the cost of physiotherapy services. It is always recommended to contact your private insurance company to receive specific details on your individual coverage inclusions. The following are examples of third party payers covering the cost of physiotherapy treatments:

• Blue Cross
• Manitoba Public Insurance (MPI)
• Workers Compensation Board (WCB)
• Department of Veteran Affairs (DVA)
• Department of National Defence (DND)
• Other Private Insurance Policies (including Great West Life, London Life etc.)
• Social Assistance (based on individual circumstances)

What if I need Physiotherapy, but have no Insurance?

Physiotherapy is not a provincially insured service, but is accessed through many private insurance plans. Always double check your insurance options. If you have no insurance the following suggestions may apply:

• Accessing inMotion Network a few times may be of great benefit to you and more affordable. A detailed assessment and explanation of findings will be of help in understanding your problem and what measures to take to improve it. A home program is provided to help you "help yourself." Follow-ups can be arranged at your comfort level.
• Access a government insured service provider at a Winnipeg hospital. We can assist you in arranging this.
• Voice your concern to your local government representative to encourage change.

What Does a Typical Visit Entail?

Your visits to the clinic include a detailed assessment and possible follow-up appointments.

Initial Assessment: Your first visit involves assessing the problem, educating you about the problem and often providing a treatment at the same time. Schedule yourself 45-60 minutes depending on the problem.

The appointment will consist of a detailed history and physical assessment, often providing you with a home program to get you started. All your questions will be answered as clearly as possible. You should leave your assessment with a good understanding of the "problem" and what you can do at home or work to get yourself better.

Subsequent Visits: These visits are considered the "hands on" visits which treat the problem initially identified. Appointment times vary and may consist of many treatment techniques and/or use of exercise equipment available to the physiotherapists. Hot packs, hot tub and massage may be part of your therapeutic regime as well as the use of range of motion, exercises and strengthening techniques. Manual therapy (hands on) techniques are frequently utilized in stretching tight muscles and facia or improving joint motion. Remember all treatment techniques are explained to you and performed with your consent.

Occupational Therapy

What is an Occupational Therapist?

Occupational Therapy is a professional healthcare discipline devoted to the prevention and alleviation of movement dysfunction especially related to function. An occupational therapist can help to prevent, solve, or minimize the problems or barriers that interfere with independence. Occupational therapists are skilled in evaluating the functional level of individuals through close examination of their physical abilities within their specific environments; home, work or recreationally.

An occupational therapist is a graduate of a recognized university program consisting of a minimum of a four year baccalaureate. Occupational therapists are qualified to practice as health care providers and are regulated by a provincial licensing board.

Massage Therapy

What Is Massage Therapy?

The practice of massage therapy is the assessment of the soft tissue and joints of the body and the treatment and prevention of physical dysfunction and pain of the soft tissues and joints by soft tissue manipulation to develop, maintain, rehabilitate or augment physical function, or relieve pain.

What is the Massage Therapy Association of Manitoba?

The MTAM is an incorporated not for profit association of professional massage therapists established as an association in 1973 within the requirements of the Corporations Act of the Province of Manitoba. It conducts its business from professionally staffed offices in Winnipeg. Its geographic area of responsibility is within the boundaries of the province. The MTAM currently represents over 80% of the professional Massage Therapists who work in the province of Manitoba. It is governed by an eight member Board of Directors elected by the members of the association at annual meetings. Directors serve two-year terms. Its affairs are also guided by standing committees who review programs, projects and issues within the profession periodically making recommendations to the Board of Directors. Its members are bound to each other by a Code of Ethics and Standards of Practice and are subject to Discipline if any breach shall occur which threatens public harm.

Does The Clinic Direct Bill to Insurance Providers?

Yes, direct billing is available from certain insurance providers. Blue Cross, Great West Life and Greenshield are accepted for direct billing. If you do not qualify for direct billing, ask for a copy of your receipt to submit to your insurance provider for reimbursement. Prior to treatment, check with your insurance provider on the amount covered by your plan.

Are Massage Therapy Services Covered By Manitoba Health?

Massage Therapy is not covered under Manitoba Health, however many insurance providers such as Blue Cross, Great West Life and Greenshield do cover massage. Please contact your insurance provider prior to treatments to see if you are covered.

What Conditions Can Be Treated With Massage Therapy?

Massage therapy is effective in treating the following conditions:

• Anxiety and depression
• Postural strain
• Pain associated with certain cancers
• Chronic Fatigue syndrome
• Fibromyalgia
• Edema
• Gastrointestinal disorders
• Headaches
• Insomnia
• Stiffness associated with certain neurological conditions
• Muscle tension, spasm and fatigue
• Pregnancy and labour support
• Sports injuries
• Stress and stress related conditions
• Whiplash

What Are The Benefits Of Massage Therapy?

Licensed massage therapists are extensively trained in the safe application of manual mobilization of soft tissue and trigger points. Massage therapy can be classified as either relaxation or therapeutic and is designed to:

What Does A Typical Visit Entail?

The typical visit to a remedial massage therapist (RMT) will vary from person to person and condition to condition. The first time a patient comes in they will fill out a history form, which contains contact information, as well as medical history including allergies, medications, past injuries / current injuries, and medical conditions.

Once the history form is completed and it is determined that you are safe for massage, a brief assessment will be done to narrow down the specific muscle, pain, spasm, or area that is causing dysfunction in the body. This usually takes approximately 10 minutes and is necessary to determine the problem the patient is presenting with, and the proper course of action for the therapist. Then once the course of action has been determined the massage will commence.

Professional draping practices will be used to only expose the part of the body that is being treated. This will be the case throughout the entire treatment. Average treatment is 1 hour. Please communicate with your RMT during the treatment – ask questions and identify areas of sensitivity – guide the RMT to areas where you are experiencing specific physical discomfort. If there is any discomfort that is not tolerable – let your RMT know immediately and they will adjust pressure or utilize another treatment procedure. Communication between client / patient and the RMT is most important throughout the session.

The professional RMT may use several different massage strokes during the treatment and will compliment the stroking by using massage oil that assists the process. If you have allergies to certain oils, do let your Massage Therapist know in advance and they will also adjust their treatments or select oils that do not cause you irritation.

Upon completion of the treatment, the RMT will return you to a fully covered position under a drape and allow you some time to recover from the massage. Some clients / patients feel a little light headed following a treatment and this is normal – just wait for your body to recover before you get off the table – relax and let the benefits of the massage bring you back to normal equilibrium. When you feel that you have recovered, you can then redress and return to the reception area to meet again with your RMT. If you do feel any discomfort, wait for your RMT to return and assist you in the recovery process. Your RMT will discuss future treatment requirements and some complimentary exercises such as stretching that may assist your condition.

Most muscular conditions are not completely cleared with one treatment and require additional visits. This will be determined through a “treatment plan” that is designed specifically by you and your therapist.

Pelvic Health and Urinary Incontinence

What should I expect in my initial assessment for female pelvic health problems?

Your initial assessment will take approximately 1 hour and will begin with a thorough discussion of your individual situation. Your physiotherapist will then perform an orthopedic assessment of your back and pelvis and complete an internal physical examination of your pelvic floor muscles. After completing the assessment, your physiotherapist will discuss the findings with you and together we will formulate a treatment plant to best meet your goals.

Is it mandatory to have an internal examination?

No. An internal examination is the most effective way to assess the pelvic floor muscles and thus formulate the best treatment plan for you. Your physiotherapist can complete an external assessment and create a treatment program that works for your comfort level. The internal examination is only performed with your consent which can be removed at any time during the treatment. You can bring a chaperone with you if you prefer. We can also perform the internal exam at a later appointment.

How many sessions will I need?

The typical course of treatment for treating female pelvic related health issues is 6 – 10 sessions. This will vary depending on your individual situation. Treatment typically is scheduled once a week for the first few weeks and then often will be less frequent as the condition improves. This may involve follow up visits once a month depending on progress and the condition treated.

Will I be cured after Physiotherapy?

This will depend on your individual underlying condition. Your active involvement and compliance in care will significantly enhance your chance of a sucessful treatment outcome. Research tells us that patients with urinary incontinence, pelvic pain and other pelvic dysfunction benefit greatly from physiotherapy treatment.

Cardiac Health

Who should attend?

If you are living with heart disease or known risk factors (such as; high blood pressure, stress, high cholesterol, smoking, diabetes, inactive lifestyle, overweight, family history) and are looking to make some healthy lifestyle changes, you will benefit from the cardiac health program. It is a safe, innovative, supervised and individualized exercise program to manage or reduce the risks of heart disease and/or other chronic conditions.

How do I get started?

No referral is necessary; however, a referral from your family physician or cardiologist would be beneficial. If referred, your physician can fax or email the referral form to the clinic. If you attend without a referral, our exercise specialist will contact your physician to ensure medical clearance and safe program participation. We will then schedule you in for an assessment to get you started on your way to a heart healthy lifestyle!

How will I benefit from attending the cardiac health program?

You will learn how to exercise safely, monitor your own intensity, and gradually progress your workouts. The cardiac health program is a stepping stone for you to get comfortable and gather the tools you need to carry on exercising on your own. We will set you up with a home-based exercise program or a program to carry on with at the facility of your choice. If you need a little bit more support, you will also have the option of staying on at the clinic with private monitored exercise sessions or joining one of our small group classes. The cardiac health program can be individualized to meet your needs.

What sets the cardiac health program apart?

• Minimal wait times
• Convenient location
• Smaller centre (private or semi-private sessions)
• Full assessment can be done in only 1 visit
• Flexible schedule
• Closely monitored exercise sessions
• Specialized staff
• Follow Canadian Association of Cardiac Rehabilitation and American College of Sports Medicine Guidelines

How much does the cardiac health program cost?

There are a couple of different program options:

Assessment - $75*

• Health history review
• Cardiac risk factor consultation
• Fitness assessment
• Individualized exercise prescription and goal setting
• Physician report

Assessment Plus - $199*

Assessment with the addition of:

• 2 monitored exercise sessions and follow-up
• Web-based support tools; access to electronic exercise prescription and exercise journal

*pricing subject to change

Will my insurance provider cover the cost of the program?

Unfortunately, kinesiology is not typically covered by extended benefits. Some insurance providers do offer a “personal spending account”, which can be used towards fitness or health-related services.

Personal Training / Kinesiology

What is a Kinesiologist?

The practice of Kinesiology is the assessment of movement, performance and function and the rehabilitation, prevention and management of disorders. The focus of kinesiology is to maintain, rehabilitate or enhance movement, performance and function, in the areas of sport, recreation, work, exercise, and activities of daily living. A Kinesiologist has a minimum of a 4-year degree in Exercise Science, Kinesiology or Human Kinetics and often multiple related health and fitness certifications. A Kinesiologists’ extended education and experience benefits you, the client, because they will be able to provide you with safe, effective and evidence-based exercises/physical activity guidelines that account for your current fitness level and health conditions. The biggest difference between a Kinesiologist and a Personal Trainer is the base level of education.

What are a Kinesiologist's credentials?

In North America, the two principal professional associations offering health and fitness certifications to work with healthy and clinical populations are; the Canadian Society for Exercise Physiology (CSEP) and the American College of Sports Medicine (ACSM). Each of these associations has a research branch and an affiliated fitness practitioner branch. The certifications provided by these professional associations meet stringent requirements in each of the following areas:

• Completion of academic pre-requisites in the area of physical activity, fitness and exercise sciences in accredited post-secondary institutions
• Established training opportunities
• Clearly defined performance competencies to be met
• Certification specific scope of practice for apparently healthy and clinical populations across the lifespan
• Certification specific theory plus practical examinations
• Ongoing professional development requirements

Why hire a personal trainer?

If you are new to exercise, bored with your current exercise routine, need a little extra support to keep up with your workouts or some motivation to push through plateaus - a personal trainer is for you!

How will I benefit from working with a personal trainer?

There are many ways you will benefit from working with a personal trainer:

• Individualized exercise prescription based on your needs and goals.
• Exercise instruction by a qualified exercise professional (we will watch your form, monitor your vitals and help push you or slow you down as necessary).
• Motivation.
• Accountability (if you have paid money and made a commitment to meet a trainer, chances are you won’t skip your workout!).
• Efficiency (we will plan the workout for you to get maximum results in minimum time).
• Goal Setting (help you set and attain goals that are realistic for you, in an attainable time frame).
• Baseline measurements and re-assessment (to monitor and remind you of the progress you are making!).
• Convenient appointments to fit a busy work or personal schedule.

When to choose a kinesiologist?

If you have an injury, disability, medical condition(s) or are undergoing concurrent medical treatment (physiotherapy, chiropractic, etc.) and want to improve your health and fitness in a safe, progressive manner. A kinesiologist will help you manage your condition(s) with physical activity and lifestyle changes.

How do I get started with personal training?

We accept referrals directly from your family physician or you can simply contact the clinic to set up your initial assessment. We have multiple options for personal training (ie. monthly rates, partner training, small group personal training, on-line personal training, or choose to get a program designed to follow on your own) and will happily customize a package that will work for you.

How much does personal training cost?

Initial Assessment - $65*
Starter Pack (1 assessment + 2 sessions) - $180*
Packages can be purchased with rates varying from $40-$60/session*
*pricing subject to change

Will my insurance provider cover the cost of the program?

Unfortunately, kinesiology is not typically covered by extended benefits. Some insurance providers do offer a “personal spending account”, which can be used towards fitness or health-related services.