Dirouhi Kesbian – Physiotherapist | Montréal, QC

Dirouhi Kesbian is a dedicated Physiothérapeute practicing at PosturoPlus in Montréal, QC. She is committed to high-quality, patient-centered care that aligns with the standards set by the Ordre professionnel de la physiothérapie du Québec (OPPQ). With a focus on comprehensive assessment, treatment, and prevention, Dirouhi addresses a wide range of musculoskeletal conditions, ensuring each patient receives personalized and effective physiotherapy interventions. Her approach emphasizes restoring function, reducing pain, and promoting long-term wellness tailored to each individual's needs.

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

Joint Pain

• Osteoarthritis (Knee, Hip, Spine, Hands, Other Joints): A degenerative joint disease characterized by the breakdown of cartilage and underlying bone, leading to pain, stiffness, swelling, and reduced mobility in affected joints like the knees, hips, spine, or hands.
• Tendinopathy/Tendonitis (e.g., Achilles, Patellar, Rotator Cuff, Tennis/Golfer's Elbow): Inflammation (tendinitis) or, more commonly, degeneration (tendinosis/tendinopathy) of tendons, leading to localized pain that typically worsens with activity or loading of the tendon.

Arthritis

• Ankylosing Spondylitis (AS): A physiotherapy approach to address the unique challenges of AS, aiming to keep you as mobile and active as possible and support your spinal health and overall well-being.
• Gout (Management of Musculoskeletal Impairments): Exercises and advice to manage the impact of gout on your joints, improve mobility, and reduce the likelihood of long-term joint damage.

Hand Wrist

• Trigger Finger/Thumb (Stenosing Tenosynovitis): A condition where a finger or thumb gets stuck or 'catches' in a bent position, then may snap straight (like pulling a trigger). Caused by inflammation and narrowing of the tendon sheath around the flexor tendon.
• Hand and Wrist Injuries & Conditions (e.g., Fractures, Tendon Injuries, Sprains, Arthritis - Conservative/Post-Op): Focused physiotherapy care for complex hand and wrist problems, often involving custom splinting or orthosis fabrication, manual therapy (joint and soft tissue mobilization), specific exercises to restore dexterity, strength, and range of motion, scar management, and sensory re-education.

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

• 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.
• Soft Tissue Mobilization & Release Techniques: A variety of hands-on methods such as therapeutic massage, myofascial release, trigger point therapy, and active release style techniques to reduce muscle tension, break down scar tissue, improve circulation, and enhance tissue flexibility.
• 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.
• Neural Mobilization Techniques (Nerve Gliding): Targeted therapy to alleviate symptoms such as shooting pain, pins and needles, or weakness arising from neural tension or entrapment.
• Manual Therapy (Joint Mobilization & Manipulation): Application of precise, passive movements to joints to decrease stiffness, relieve pain, and facilitate easier, more comfortable movement.
• Muscle Energy Techniques (MET): Gentle, active manual therapy techniques where you use your own specific muscle contractions against your therapist's controlled resistance to improve joint mobility, lengthen tight tissues, and reduce pain.

Note: This list highlights some key services offered by Dirouhi. 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 PosturoPlus, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Dirouhi frequently helps patients work towards goals such as:

• Many individuals seek help from Dirouhi, their physiotherapist, when a noticeable curve in my child's spine or uneven shoulders (scoliosis concerns) starts impacting daily life. Through a personalized physiotherapy plan, they often achieve decreased frequency and intensity of headaches related to neck or postural issues, empowering them to joyfully return to activities like getting back to golfing 18 holes without your back acting up.
• Patients often come to Dirouhi feeling defeated by swelling in my arm or leg, possibly lymphedema, after surgery or treatment. With a supportive and targeted physiotherapy approach, achieving a greater sense of body confidence and trust in their physical abilities and resuming walking up and down several flights of stairs without issue or breathlessness becomes a realistic and attainable goal.
• Rediscover your ability to participating in community events and social gatherings more actively without the constant burden of numbness, tingling, or weakness in my hands, arms, feet, or legs. Dirouhi focuses on evidence-based treatment plans that lead to regaining full function in an injured area, enabling a return to cherished activities, integrating various therapeutic techniques for optimal and lasting results.

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

PosturoPlus, where Dirouhi practices, is situated in the heart of Montréal's central neighborhood. The clinic is conveniently located in a modern facility within a vibrant community setting, close to local services such as pharmacies and community centers. Easily accessible via multiple public transit routes, including bus and metro, the clinic offers a welcoming environment designed for patient comfort and ease of access. Our clinic is wheelchair accessible. Free patient parking is typically available on-site or nearby.

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 PosturoPlus 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.

How long do physiotherapy appointments typically last?

You can expect your initial physiotherapy visit to be around an hour long. This extended time allows for a comprehensive assessment of your condition and a collaborative discussion about your treatment goals. Subsequent follow-up sessions are generally between 30 and 45 minutes, though this can be adjusted based on your individual requirements. Your Physiothérapeute will advise on the appropriate appointment length for your specific care.

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

In Québec, patients can typically access physiotherapy directly without a physician's referral, a process known as direct access. However, while a referral is not legally required to see a Physiothérapeute, some private or extended health insurance plans may require one for reimbursement purposes. It is advisable to check your specific insurance policy before your appointment to ensure coverage.

Is there parking available at or near PosturoPlus?

Yes, there is ample free patient parking available directly in front of and beside our building. Look for the designated patient spots. Additionally, metered street parking is generally available on nearby streets, and a paid public parkade is located within a short walking distance. Always check signage for time restrictions.

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 typically pay out-of-pocket or through private insurance. Care received directly within a public hospital or CLSC may be covered if meeting specific criteria, but private outpatient physiotherapy is usually not included. It is recommended to verify your eligibility with RAMQ and consult your private insurance provider for coverage details.

What is the difference between a Physiothérapeute and a Technologue en physiothérapie in Quebec?

A Physiothérapeute in Quebec has completed a master's level university education, granting them the autonomy to assess patients, make diagnoses, and develop treatment plans. They can perform advanced procedures if qualified. A Technologue en physiothérapie holds a college diploma (DEC) focused on the technical application of physiotherapy treatments. They assist Physiothérapeutes by implementing treatment plans, helping patients with exercises, applying modalities, and reporting progress.

PosturoPlus
5945, Boulevard Gouin W
Montréal, QC H4J 1E5

Phone: (514) 677-8887

Dirouhi Kesbian 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.