Caroline Gregoire

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

Post Surgical

• Post-Hip Replacement Rehabilitation (Total or Partial Hip Arthroplasty - THA/PHA): A structured physiotherapy plan to help you recover full function, independence, and confidence in your new hip after replacement surgery.
• Post-Fracture Fixation Surgery Rehabilitation (e.g., ORIF): A progressive rehabilitation program after surgery to fix a broken bone, helping you regain full use of your arm or leg and return to your normal activities.
• Post-Spinal Surgery Rehabilitation (e.g., Discectomy, Laminectomy, Fusion - with surgeon clearance): Supportive physiotherapy to aid your recovery and help you manage symptoms after back or neck surgery, focusing on education, safe movement strategies, and specific exercises.

Peripheral Nerve

• Peripheral Neuropathy (e.g., Diabetic, Chemotherapy-Induced, Idiopathic): Addressing the physical consequences of nerve damage in the limbs through targeted exercises (e.g., for balance, strength, desensitization), sensory re-education, and advice on appropriate footwear or assistive devices.
• Nerve Entrapments / Compressions (e.g., Carpal Tunnel Syndrome, Thoracic Outlet Syndrome, Sciatica, Meralgia Paresthetica): Symptoms such as localized or radiating pain, numbness, tingling, or weakness caused by mechanical compression or irritation of peripheral nerves at specific anatomical sites (entrapment points).

Back Neck Pain

• Whiplash Associated Disorders (WAD): Symptoms resulting from a whiplash injury, which can vary in severity (WAD Grades I-III) and duration, requiring a comprehensive physiotherapy approach for recovery.
• Spinal Stenosis Symptoms: Symptoms like 'neurogenic claudication' – leg pain, cramping, or heaviness with walking or prolonged standing that typically eases with rest or bending forward (flexion).
• Postural Back/Neck Pain: A common cause of persistent back and neck pain due to the cumulative strain of prolonged sitting, standing, or performing tasks in non-ideal positions.
• Herniated Disc / Sciatica / Radiculopathy: Pain, pins and needles, numbness, or weakness in an arm or leg resulting from irritation or compression of a spinal nerve, often managed effectively with physiotherapy techniques like McKenzie method or neural mobilization.

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

• Neurological Rehabilitation (e.g., Stroke, MS, Parkinson's, Acquired Brain Injury, Spinal Cord Injury): Comprehensive physiotherapy programs designed to maximize quality of life and functional abilities for individuals with conditions like stroke (CVA), Multiple Sclerosis (MS), Parkinson's disease, traumatic or acquired brain injury (TBI/ABI), or incomplete spinal cord injury (SCI).
• Therapeutic Heat Application: Superficial heat application carefully monitored by your therapist to promote relaxation, pain relief, and enhance the effectiveness of other treatments.
• Therapeutic Ultrasound Application: A non-invasive physiotherapy modality that uses sound energy to stimulate cellular activity, enhance circulation, and support tissue recovery from injury or inflammation.
• Cryotherapy Application (Cold Therapy): A common physiotherapy treatment for acute injuries, designed to help numb pain, decrease bleeding into the tissues, and minimize secondary hypoxic injury.
• Interferential Current (IFC) / TENS Therapy: The use of specific electrical stimulation devices (IFC or TENS) by your Physiotherapist to provide pain relief, reduce muscle spasm, decrease swelling, or promote muscle activation and re-education.
• Other Electrotherapy Applications (e.g., NMES, FES): Utilizing electrophysical agents as an adjunct to your physiotherapy treatments to aid recovery, improve muscle function, manage pain, or reduce swelling, tailored to your specific condition.

Note: This list highlights some key services offered by Caroline. 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 CHUM (Centre hospitalier de l'Université de Montréal), physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Caroline frequently helps patients work towards goals such as:

• Caroline believes that everyone deserves to move well and feel their best. If awful foot pain first thing in the morning, like I'm walking on glass (plantar fasciitis) is hindering your ability to sleeping soundly through the night without being woken by pain or discomfort, a personalized plan focusing on a better understanding of ergonomics for their work and home environment can make all the difference.
• With Caroline's help, managing trouble performing repetitive tasks at work without pain to achieve a return to intimacy without the fear of pain or discomfort becomes a clear journey, allowing patients to confidently re-engage with life and activities like getting back to your regular, consistent gym workouts.
• Living with pain in my shins when I try to run or be active (shin splints) doesn't have to be your norm. Caroline applies expert physiotherapy knowledge to work towards improved circulation and tissue healing, so you can get back to the simple pleasure of comfortably cooking and meal prepping for your family.

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

Caroline practices at CHUM (Centre hospitalier de l'Université de Montréal), situated in a modern clinic located in the central Montréal neighborhood. This public healthcare facility is conveniently situated near local community services and pharmacies, making it easy for patients to access comprehensive healthcare in one location. The clinic is well-connected by numerous public transit routes, ensuring ease of travel for patients coming from various parts of the city. Our clinic is wheelchair accessible. Ample parking is generally accessible close to the clinic entrance.

I have private health insurance. How does that work with physiotherapy payments?

Many private health insurance plans offer full or partial coverage for registered physiotherapy services. We recommend you contact your insurance provider directly before your first appointment to understand the specifics of your plan. Key things to check are: your annual maximum for physiotherapy, any per-visit limits or co-payments, whether a doctor's referral is required for reimbursement, and if your plan allows for direct billing by the clinic. If Caroline's clinic offers direct billing and your plan allows it, we can often bill your insurer directly for the covered portion. You would then be responsible for any co-payment or remaining balance not covered by your plan at the time of service. Please bring your insurance card and all necessary policy details to your first appointment. If direct billing is not possible, we will provide you with an official receipt that you can submit to your insurer.

Is there anything specific I should bring to my first physiotherapy appointment?

It's helpful to bring your health card, any referral letters from other healthcare providers if you were referred, and any reports or images from relevant medical tests (X-rays, MRIs, etc.) related to your condition. If you have private insurance coverage for physiotherapy, please bring your insurance card or policy details for billing purposes. Comfortable attire that allows for easy movement during the assessment is also recommended.

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

In Quebec, RAMQ generally does not cover physiotherapy services performed in private clinics. Patients typically pay out-of-pocket or use private insurance. Care received directly within a public hospital or CLSC might be covered if meeting specific criteria, but private clinic physiotherapy is usually not covered. For certain cases, such as post-hospitalization or specific programs for seniors or low-income individuals, some coverage might exist. It is strongly advised to verify your eligibility directly with RAMQ and check your private insurance plans, as many offer substantial physiotherapy coverage in private settings.

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, known as direct access. However, some private or extended health insurance plans might require a referral for reimbursement purposes. It is recommended to check the requirements of your insurance policy before your first appointment to ensure coverage.

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

In Quebec, a Physiothérapeute (Physiotherapist) holds a university master's degree and is authorized to perform assessments, establish diagnoses, and create treatment plans independently. They can perform certain restricted activities if certified. A Technologue en physiothérapie (Physiotherapy Technologist) holds a college diploma and works under the supervision of a physiotherapist or physician. They apply prescribed treatments, guide exercises, and monitor progress but do not diagnose or independently create treatment plans. Both professions are regulated by the Ordre professionnel de la physiothérapie du Québec (OPPQ).

CHUM (Centre hospitalier de l'Université de Montréal)
1000, Rue Saint-Denis
Montréal, QC H2X 0C1

Phone: (514) 890-8301

Caroline Gregoire 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.