Bruno Begin – Physiotherapist | Lévis, QC

Bruno Begin is a dedicated Physiothérapeute practicing at the CISSS de Chaudière-Appalaches - Hôpital Hôtel-Dieu de Lévis in Lévis, QC. Committed to delivering high-quality, patient-centered care, Bruno aligns his practice with the standards set by the Ordre professionnel de la physiothérapie du Québec (OPPQ). His approach emphasizes addressing a wide range of musculoskeletal and neurological conditions, with a focus on optimizing performance and promoting athletic recovery. Bruno's expertise extends to helping active individuals, athletes, and seniors regain function, improve mobility, and manage pain effectively, enabling them to achieve their personal and athletic goals.

Bruno's role as a Physiothérapeute involves comprehensive assessment and tailored treatment strategies that support both injury recovery and long-term wellness. He specializes in managing acute injuries such as sprains and strains, as well as chronic issues like arthritis and persistent pain. His approach also encompasses neurological rehabilitation for conditions such as stroke, multiple sclerosis, Parkinson's disease, and spinal cord injuries. Bruno is dedicated to empowering his patients through clear education, self-management techniques, and proactive interventions designed to enhance their physical performance and overall quality of life.

Educationally, Bruno completed his degree in Physiotherapy and continuously pursues professional development to stay current with evidence-based practices. He has cultivated a particular interest in orthopedic, musculoskeletal, and neurological physiotherapy, applying the latest techniques and research to his treatment plans. Bruno's practice philosophy centers on promoting preventive care and fostering long-term wellness within the Lévis community. Fluent in both English and French, Bruno actively involves his patients in their care journey, ensuring they understand their condition and are equipped with practical tools for sustained health and performance.

Bruno Begin provides skilled physiotherapy care for a variety of conditions, including but not limited to:

Peripheral Nerve

• Peripheral Neuropathy (e.g., Diabetic, Chemotherapy-Induced, Idiopathic): Improving safety, function, and quality of life for those with impaired sensation or strength due to various types of peripheral neuropathy.
• Nerve Entrapments / Compressions (e.g., Carpal Tunnel Syndrome, Thoracic Outlet Syndrome, Sciatica, Meralgia Paresthetica): Physiotherapy for common nerve compression syndromes, including Carpal Tunnel Syndrome (wrist), Thoracic Outlet Syndrome (neck/shoulder), Sciatica (low back/buttock), or Meralgia Paresthetica (outer thigh). Treatment often includes manual therapy, nerve gliding exercises (neural mobilization), postural correction, ergonomic advice, and activity modification.

Vestibular Balance

• Vestibular Hypofunction (Unilateral or Bilateral): Individualized exercise programs including gaze stabilization exercises (e.g., VORx1, VORx2), habituation exercises (for motion sensitivity), and balance retraining to improve function when the vestibular system is impaired.
• Persistent Postural-Perceptual Dizziness (PPPD / 3PD): A chronic functional dizziness disorder characterized by persistent sensations of dizziness, unsteadiness, or non-spinning vertigo (often lasting for 3 months or more), typically exacerbated by upright posture, active or passive motion, or exposure to complex or moving visual environments (e.g., busy supermarkets, scrolling on a screen). Often follows an acute vestibular event, medical illness, or period of psychological distress.
• General Balance Deficits and Increased Fall Risk: Difficulty maintaining stability during standing, walking, or changing positions, which may be due to various factors including age-related changes, neurological conditions, musculoskeletal weakness, sensory impairments, or medication side effects, often leading to an increased risk of falls.

Arthritis

• Gout (Management of Musculoskeletal Impairments): Physiotherapy to address residual joint stiffness, pain, swelling, and functional loss after an acute gout attack has subsided, or to help manage musculoskeletal impairments and tophi-related issues associated with chronic gout, always in conjunction with appropriate medical management for urate control.
• Rheumatoid Arthritis (RA) & Other Inflammatory Arthropathies: An autoimmune condition causing chronic inflammation, pain, stiffness, swelling, and potential deformity in multiple joints, often symmetrically. Physiotherapy aims to manage pain, maintain joint function and mobility, improve strength and endurance, provide joint protection strategies, and support self-management.

This list offers examples of conditions commonly addressed. If your specific concern isn't listed, please contact the clinic. Bruno can assess your needs.

• Postural Assessment and Correction: Helping you understand how your posture impacts your musculoskeletal health and providing you with tools for lasting postural improvement and pain relief.
• Manual Therapy (Joint Mobilization & Manipulation): Manual treatments specifically designed to improve joint mechanics, alleviate discomfort, reduce stiffness, and enhance your range of motion in the spine or limbs.
• Patient Education & Self-Management Strategies: Empowering you with a clear understanding of your condition, its causes, and practical tools for effective self-management and lasting relief.
• Concussion / Mild Traumatic Brain Injury (mTBI) Management & Rehabilitation: Specialized physiotherapy to address persistent concussion symptoms such as headaches, dizziness, balance problems, visual disturbances, and difficulty concentrating or tolerating activity.
• Functional Movement Screening (FMS™/SFMA™ if certified): Identifying inefficient or compensatory movement patterns that could be contributing to your pain or hindering your physical performance.
• Comprehensive Musculoskeletal Assessment: A complete assessment of your musculoskeletal system to pinpoint issues, set clear rehabilitation goals, and get you started on the path to recovery.

Note: This list highlights some key services offered by Bruno. For a full list or to discuss your specific needs, please contact the clinic.

All services are provided in accordance with standards set by the Ordre professionnel de la physiothérapie du Québec (OPPQ).

At CISSS de Chaudière-Appalaches - Hôpital Hôtel-Dieu de Lévis, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Bruno frequently helps patients work towards goals such as:

• Physiotherapy with Bruno can be a transformative turning point for those affected by breathing difficulties and shortness of breath with COPD or asthma, especially during activity. The shared goal is achieving a noticeable improvement in their gait and walking efficiency, paving the way for you to enjoy safely meeting the lifting requirements at your workplace and a more active, vibrant life.
• Through personalized physiotherapy at Bruno's clinic, common concerns like frequent headaches that seem to start from tension in my neck or shoulders are thoroughly assessed and addressed with the objective of the ability to sit for longer periods (e.g., at a desk, in a car) without significant discomfort. This often involves a combination of in-clinic treatment, education, and self-management strategies, helping people to once again enjoy activities like spending hours gardening comfortably, without subsequent back or knee strain.
• Discover how physiotherapy with Bruno can help you move beyond trying to get back to my best after a frustrating sports injury. The focus is on a greater sense of body confidence and trust in their physical abilities, enabling a joyful return to the activities you love, such as sitting comfortably through a movie at the cinema or a play.

Your personalized physiotherapy plan, developed with Bruno, will be designed to help you reach your specific functional and wellness objectives.

Bruno practices at the CISSS de Chaudière-Appalaches - Hôpital Hôtel-Dieu de Lévis, situated in the Lévis Centre, in the Lauzon neighborhood of Lévis, QC. This public healthcare facility is conveniently located near Cégep de Lévis-Lauzon and is easily accessible via the Société de transport de Lévis (STLévis). The clinic is wheelchair accessible, and street parking as well as nearby paid lots provide convenient options for visitors.

What should I do if my condition seems to worsen after a physiotherapy session?

It's not uncommon to experience some temporary soreness or a mild increase in symptoms after certain physiotherapy treatments, especially in the initial stages or if you're starting new exercises. This usually subsides within 24-48 hours. However, if you experience a significant or sharp increase in pain, new or worsening neurological symptoms (like numbness, tingling, or weakness), or if your soreness lasts longer than expected, it's important to contact Bruno or your Quebec healthcare provider directly. They can provide advice, adjust your treatment plan if necessary, or determine if you need to be reassessed.

Do I need a doctor's referral to see a Physiothérapeute in QC?

In Quebec, patients can typically see a Physiothérapeute directly without a physician's referral, a process known as direct access. However, while a referral isn't legally required to start physiotherapy, some private or extended health insurance plans may require one for reimbursement. It is advisable to check with your insurance provider before your first appointment to confirm coverage requirements.

What is manual therapy in physiotherapy?

In physiotherapy, manual therapy includes hands-on techniques such as joint mobilizations, soft tissue massage, and joint manipulations. These interventions aim to reduce pain, improve joint and soft tissue mobility, relax tight muscles, and facilitate nerve mobility, helping your body move better and recover more efficiently.

Is physiotherapy covered by the Régie de l'assurance maladie du Québec (RAMQ) in QC?

Generally, RAMQ does not cover physiotherapy services provided in private clinics. Patients often pay out-of-pocket or through private insurance. Coverage may exist for physiotherapy received within hospitals or CLSCs if specific criteria are met. It is recommended to verify your eligibility directly with RAMQ and your insurance provider for details on coverage options.

What kind of clothing should I wear to my physiotherapy appointment?

Wear comfortable, loose-fitting clothing that allows easy access to the area being treated and permits movement during exercises. Shorts are recommended for knee, hip, or ankle issues, while a tank top or loose T-shirt is suitable for shoulder or neck conditions. Athletic wear or gym attire is generally appropriate. You may also be provided with a gown if necessary.

What is the difference between a Physiotherapist (Physiothérapeute) and a Physiotherapy Technologist (Technologue en physiothérapie) in Quebec?

A Physiothérapeute holds a university master’s degree in physiotherapy and is authorized to perform assessments, diagnose, and create treatment plans independently. A Technologue en physiothérapie holds a college-level diploma and works under the supervision of a physiotherapist or physician, implementing prescribed treatments and guiding exercises without diagnosing or independently planning care.

Is physiotherapy treatment supposed to be painful?

While some techniques might cause temporary discomfort or soreness, physiotherapy should not be excessively painful. Your physiotherapist will adjust treatment intensity to ensure your comfort while achieving therapeutic effects. Always communicate your comfort level during sessions to optimize your recovery experience.

CISSS de Chaudière-Appalaches - Hôpital Hôtel-Dieu de Lévis
143, Rue Wolfe
Lévis, QC G6V 3Z1

Phone: (418) 835-7121

Bruno Begin is regulated by the Code des professions and Professional Integration Arrangement for physiotherapists in QC and is a member of the Ordre professionnel de la physiothérapie du Québec (OPPQ).

Registration can be verified with the Ordre professionnel de la physiothérapie du Québec (OPPQ).

Always consult with your primary healthcare provider before starting any new treatment program.