Dr. Alfonse Marchie – Pain Management Specialist / Physical Therapist | Pickering, ON

Dr. Alfonse Marchie is a Physiatrist / Physical Medicine & Rehabilitation Specialist. Practicing at Hamilton General Hospital in Pickering, ON, Dr. Marchie is committed to delivering high-quality, patient-focused care in Physical Medicine & Rehabilitation. Dr. Marchie is licensed by The College of Physicians and Surgeons of Ontario (CPSO) and adheres to the highest professional and ethical standards of the medical profession in ON.

As a certified specialist in Physical Medicine & Rehabilitation (also known as a Physiatrist), Dr. Marchie focuses on the diagnosis, treatment, and rehabilitation of patients with a wide range of conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. The goal is to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Dr. Marchie serves patients of all ages, from children and adolescents through to adults and seniors, requiring functional restoration.

Dr. Alfonse Marchie earned a Medical Degree in 2010. Subsequently, Dr. Marchie completed advanced specialty training in Specialty Practice in Physical Medicine & Rehabilitation (Physiatry). Dr. Marchie brings valuable clinical experience to their practice. Dr. Marchie's expertise encompasses Specialty Practice in Physical Medicine & Rehabilitation (Physiatry). Dr. Marchie is dedicated to ongoing professional development and continuing medical education to provide up-to-date, evidence-based care. Key aspects of Dr. Marchie's medical practice philosophy include: empowering patients through education about their condition and active participation in their treatment plan; promoting optimal quality of life and helping patients adapt to and overcome physical challenges. Dr. Marchie provides consultations in English.

As a Physiatrist, Dr. Alfonse Marchie addresses a variety of conditions related to physical function, pain, and rehabilitation, including but not limited to:

Sports Injuries Rehab

• Sports-Related Musculoskeletal Injuries: Non-operative treatment and rehabilitation for common sports injuries like ligament sprains, muscle strains, tendon injuries, and stress fractures.
• Overuse Injuries in Athletes: Addressing the underlying biomechanical factors contributing to overuse injuries and implementing strategies for recovery and prevention.

Chronic Pain Syndromes

• Neuropathic Pain (Nerve Pain): Managing pain arising from damage or dysfunction of the nervous system, such as diabetic neuropathy, post-herpetic neuralgia, or radicular pain.
• Chronic Widespread Pain: Developing strategies to cope with and reduce the burden of chronic widespread pain.

Debilitating Conditions Functional Improvement

• Debility & Deconditioning (e.g., post-illness, hospitalization): Helping patients regain strength, endurance, and mobility to improve their ability to perform daily tasks.
• Amputation Rehabilitation & Prosthetic Management: Comprehensive care for individuals with limb loss, including pre-prosthetic management, prosthetic prescription, gait training, and adjustment to life with a prosthesis.

Musculoskeletal Conditions

• Tendonitis & Bursitis: Addressing soft tissue inflammation around joints to relieve pain and restore normal movement.
• Osteoarthritis & Other Arthritic Conditions: Treating joint pain and stiffness caused by osteoarthritis, rheumatoid arthritis, and other inflammatory or degenerative joint diseases.
• Low Back Pain & Neck Pain (Non-Surgical): Comprehensive non-operative care for spinal pain, focusing on pain relief, functional restoration, and preventative strategies.

This list provides examples of conditions commonly managed. A comprehensive diagnosis and treatment plan are always based on an individual assessment by Dr. Marchie, typically following referral. If your specific concern isn't listed, please discuss with your referring physician or contact the clinic for more information.

• Treatment of Joint Pain (Arthritis, Tendinopathies): Managing pain and dysfunction related to osteoarthritis, rheumatoid arthritis, tendinitis, bursitis, and other joint conditions.
• Medication Management for Pain & Spasticity: Careful selection and adjustment of medications to manage complex pain syndromes and muscle spasticity.
• Electrodiagnostic Medicine (EMG/NCS): Performing and interpreting Electromyography (EMG) and Nerve Conduction Studies (NCS) to assess nerve and muscle function and diagnose neuromuscular disorders.
• Management of Neuromuscular Disorders (e.g., MS, Parkinson's): Managing symptoms and functional limitations associated with conditions like Multiple Sclerosis, Parkinson's Disease, ALS, and muscular dystrophies.
• Stroke Rehabilitation: Maximizing functional recovery and independence after a cerebrovascular accident through a multidisciplinary team approach.

Note: This list highlights some of the key services offered by Dr. Marchie. Not all services may be listed, and the suitability of any treatment depends on individual assessment and referral where appropriate. For a comprehensive understanding or to discuss your specific medical needs, please schedule a consultation or speak with your referring physician.

All services by Dr. Alfonse Marchie adhere to the scope of practice for Physiatrists in ON and the standards of The College of Physicians and Surgeons of Ontario (CPSO).

At Hamilton General Hospital, the focus is on partnering with you to maximize your functional abilities, manage your condition effectively, and improve your overall quality of life. Dr. Marchie frequently works with patients towards outcomes such as:

• For individuals troubled by needing help to adapt their home to their new mobility challenges, Dr. Marchie's approach is focused on delivering their child making significant progress in their physical development. This often makes it possible for them to resume important activities like managing their personal errands and appointments independently with a healthier smile.
• When patients discuss the ongoing pain and fatigue from fibromyalgia impacting every part of their life, Dr. Marchie outlines a path to feeling more hopeful and positive about their future despite their physical challenges, aiming to restore not just oral health but also the ability to comfortably participating in physical therapy sessions with greater ease and less pain.
• Patients experiencing wanting to improve their walking pattern and reduce limping often express a desire to improve their oral health and function. At Dr. Marchie's practice, a key objective is successfully adapting to using an assistive device or prosthesis, which directly supports their ability to fully engage in cooking their own meals and managing household chores.
• The primary focus for patients seeking help for their work-related injury preventing them from performing their job duties at Dr. Marchie's practice is consistently achieving feeling more confident in their physical abilities. This facilitates a confident and meaningful return to valued daily activities such as carrying groceries or other everyday items.

Your personalized rehabilitation plan, developed in consultation with Dr. Marchie, will be carefully designed to help you reach your specific functional goals. Dr. Marchie is committed to empowering patients with the expertise and support needed to achieve their highest possible level of independence and well-being.

Dr. Marchie's practice is located at Hamilton General Hospital in the Bay Ridges, West Shore neighborhood of Pickering. The clinic is conveniently located near Frenchman's Bay Marina and is accessible via Durham Region Transit (DRT). Designated accessible parking spots are often located close to the entrance.

What are some common conditions a Physiatrist like Dr. Marchie treats?

Dr. Marchie treats a wide range of conditions affecting the musculoskeletal and nervous systems. Examples include the consequences of stroke, spinal cord injury, traumatic brain injury (including concussion), sports injuries, arthritis (osteoarthritis, rheumatoid), chronic low back and neck pain, peripheral neuropathy, fibromyalgia, and conditions requiring amputation rehabilitation. Dr. Marchie's focus is on improving function, reducing pain, and enhancing the quality of life related to these and other physical impairments.

What can I expect at my first appointment with Dr. Marchie at Hamilton General Hospital?

Your first visit with Dr. Marchie will involve a comprehensive assessment. This includes a detailed discussion of your medical history, your current symptoms, how these symptoms impact your daily life, and any previous treatments. Dr. Marchie will then perform a thorough physical examination, focusing on the relevant systems (musculoskeletal and/or neurological). Any prior imaging or test results will be reviewed. Based on this evaluation, Dr. Marchie will discuss their diagnostic impressions, may recommend further investigations, and outline treatment and rehabilitation options, working with you to establish functional goals.

Do I typically need a referral to see a Physiatrist (Physical Medicine & Rehabilitation Specialist) like Dr. Marchie?

In Ontario, a referral from a family doctor (GP) or another specialist is generally required to see a Physiatrist like Dr. Marchie for consultations and treatments covered by provincial health plans like the Ontario Health Insurance Plan (OHIP). This ensures the consultation is appropriate and that Dr. Marchie has the necessary background information. Speak with your primary care physician if you believe you need a physiatric assessment.

Are services provided by a Physiatrist like Dr. Marchie covered by provincial health insurance (e.g., Ontario Health Insurance Plan (OHIP))?

Most physician consultations and medically necessary assessments by a registered specialist Physiatrist like Dr. Marchie are covered by OHIP, provided you have a valid health card and an appropriate referral (if required). However, some specific treatments or procedures (e.g., certain injections, assistive devices, comprehensive programs) may not be fully covered or may have associated fees. Inquire with Hamilton General Hospital about potential out-of-pocket costs and check with your private insurance regarding coverage for adjunctive therapies or devices.

What does a Physiatrist / Physical Medicine & Rehabilitation Specialist like Dr. Marchie do?

A Physiatrist like Dr. Marchie is a medical doctor specializing in diagnosing, treating, and managing conditions affecting the brain, spinal cord, nerves, bones, joints, muscles, and tendons. Their primary goal is to enhance and restore functional ability, reduce pain, and improve quality of life for people with physical impairments or disabilities. They use non-surgical treatments including medication, therapeutic exercise programs, targeted injections (where applicable), and coordinate comprehensive rehabilitation plans often involving a team of therapists.

Hamilton General Hospital
1099 Kingston Rd
Pickering, ON, L1V 1B5

Phone: (905) 492-4299

Dr. Alfonse Marchie is a licensed Physiatrist in ON, regulated by The College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario).

License Number: 93623

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Marchie-Alfonse/0265986-93623

A referral from a family physician or another specialist may be required to see Dr. Marchie. Dr. Marchie and the team are committed to providing comprehensive care. If you have a medical emergency, please proceed to the nearest hospital emergency department or call 911.