Dr. Andrew Martin Round

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

Post Surgical Rehab

• Post-Operative Rehabilitation (e.g., after joint replacement, spine surgery): Developing rehabilitation plans to optimize outcomes following surgeries like total knee/hip replacement, rotator cuff repair, or spinal fusion.

Debilitating Conditions Functional Improvement

• Amputation Rehabilitation & Prosthetic Management: Helping amputees achieve optimal function, comfort, and independence with their prosthetic devices.
• Debility & Deconditioning (e.g., post-illness, hospitalization): Helping patients regain strength, endurance, and mobility to improve their ability to perform daily tasks.

Chronic Pain Syndromes

• Complex Regional Pain Syndrome (CRPS): Diagnosis and multidisciplinary management of CRPS (formerly RSD), a chronic pain condition typically affecting an arm or leg after an injury or trauma.
• Neuropathic Pain (Nerve Pain): Utilizing medications, interventional techniques, and therapies specifically targeted at nerve-related pain.

Neurological Conditions

• Traumatic Brain Injury (TBI) & Concussion Rehabilitation: Managing the physical, cognitive, and behavioral consequences of head injuries, from mild concussions to severe TBI.
• Parkinson's Disease - Functional Rehabilitation: Rehabilitation strategies to improve mobility, balance, gait, and performance of daily activities for individuals with Parkinson's disease.
• Stroke (Cerebrovascular Accident - CVA) Rehabilitation: Comprehensive rehabilitation for individuals who have experienced an ischemic or hemorrhagic stroke.

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

• Comprehensive Physiatric Assessment: Holistic evaluation focusing on restoring function and improving quality of life for patients with physical impairments.
• Spasticity Management (e.g., Botulinum Toxin Injections): Utilizing botulinum toxin (e.g., Botox®, Dysport®) injections to reduce muscle spasticity and improve range of motion in conditions like stroke, cerebral palsy, or spinal cord injury.
• Traumatic Brain Injury (TBI) Rehabilitation: Helping individuals with TBI improve cognitive function, physical abilities, and psychosocial adjustment.
• Individualized Rehabilitation Program Design: Goal-oriented rehabilitation planning to help patients regain independence and improve their ability to perform daily activities.
• 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.

Note: This list highlights some of the key services offered by Dr. Round. 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. Andrew Martin Round adhere to the scope of practice for Physiatrists in BC and the standards of The College of Physicians and Surgeons of British Columbia (CPSBC).

At Dr. Andrew Martin Round's practice, the focus is on partnering with you to maximize your functional abilities, manage your condition effectively, and improve your overall quality of life. Dr. Round frequently works with patients towards outcomes such as:

• At Dr. Round's clinic, addressing pain that keeps them awake at night means focusing on patient goals. Achieving improved ability to engage in leisure activities and hobbies they enjoy helps them get back to enjoying life, including being able to focusing on their studies or work without constant pain distraction.
• Through Dr. Round's skilled guidance and modern dental techniques, patients suffering from feeling generally weak and deconditioned after a long illness often find they can readily achieve successful return to work or meaningful activities and once again enthusiastically pursue enjoyable pastimes like playing with their children or grandchildren on the floor.
• Dr. Round expertly assists individuals in navigating the complexities of a 'pinched nerve' in their neck or back causing shooting pains. A successful and well-managed treatment outcome, exemplified by feeling stronger and more capable in their daily movements, means they can happily and comfortably get back to returning to their job or volunteer work.
• For patients where experiencing pain or weakness that doctors haven't been able to diagnose easily is a primary concern, Dr. Round focuses on creating personalized treatment plans that culminate in being able to manage their daily activities with greater ease. This directly supports and enhances their ability to fully engaging in light exercises like swimming or cycling.

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

Dr. Round's practice, a rehabilitation clinic in Victoria, is situated in a well-regarded medical clinic specializing in rehabilitation in the Victoria neighborhood of Victoria. The clinic is conveniently located near access to Saanich/Highway and is accessible via the Victoria Regional Transit System (BC Transit). Accessible patient parking is typically available near our facility.

What can I expect at my first appointment with Dr. Round at the clinic?

Your first visit with Dr. Round will typically involve a comprehensive assessment. This includes a detailed discussion of your medical history, the nature and timeline of your current symptoms, how these symptoms impact your daily activities and quality of life, and any previous treatments. Dr. Round will then perform a thorough physical examination, which may focus on the musculoskeletal system (joints, muscles, spine) and/or neurological system depending on the presenting problem. Any prior imaging (X-rays, MRI, CT) or test results will be reviewed. Based on this comprehensive evaluation, Dr. Round will discuss his diagnostic impressions, may recommend further investigations if needed, and will outline potential treatment and rehabilitation options, working with you to establish functional goals.

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

A Physiatrist like Dr. Round is a medical doctor (physician) who specializes in diagnosing, treating, and managing a wide range of conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. Their primary goal is to enhance and restore functional ability, reduce pain, and improve the quality of life for people with physical impairments or disabilities resulting from injury (e.g., sports injuries, traumatic brain injury, spinal cord injury), illness (e.g., stroke, multiple sclerosis, arthritis), or chronic pain. They use non-surgical treatments including medication, therapeutic exercise programs, targeted injections (if applicable), and coordinate comprehensive rehabilitation plans often involving a team of therapists.

Are services provided by a Physiatrist like Dr. Round covered by provincial health insurance (e.g., Medical Services Plan (MSP) of BC)?

Most physician consultations and medically necessary assessments by a registered specialist Physiatrist like Dr. Round are typically covered by provincial health plans such as Medical Services Plan (MSP) of BC in BC, provided the patient has a valid health card and appropriate referral if required by the plan or clinic. However, some specific treatments or procedures (e.g., certain types of injections, assistive devices, comprehensive multidisciplinary programs) may not be fully covered or may have associated fees for materials or facility use. It's always best for patients to inquire with the clinic about any potential out-of-pocket costs for recommended treatments and to check with their private insurance, if any, regarding coverage for adjunctive therapies or devices.

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

Dr. Round treats a variety of conditions, including 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. The focus is always on improving function, reducing pain, and enhancing quality of life related to these and other physical impairments.

How is a Physiatrist different from an Orthopedic Surgeon or a Neurologist?

While all three specialties may deal with the musculoskeletal and/or nervous systems, their primary approaches differ. Orthopedic Surgeons are surgical specialists focused on operative treatment of bone, joint, and related soft tissue conditions. Neurologists are medical specialists who diagnose and treat diseases of the brain, spinal cord, and nerves, often primarily with medication or diagnostic procedures. Physiatrists like Dr. Round focus on optimizing function and quality of life through primarily non-surgical means, comprehensive rehabilitation planning, and managing disabilities across a spectrum of conditions. They often take a holistic view of how a condition impacts a patient's daily life and activities, coordinating multidisciplinary care.

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

In BC, a referral from a family doctor (GP) or another specialist is generally required to see a Physiatrist like Dr. Round for consultations and treatments covered by provincial health plans like Medical Services Plan (MSP) of BC. This referral helps ensure the consultation is appropriate and that Dr. Round has the necessary background medical information. Speak with your primary care physician or referring doctor if you believe you need a physiatric assessment.

What are EMG and NCS tests, and why might Dr. Round recommend them?

Electromyography (EMG) evaluates the electrical activity produced by skeletal muscles, and Nerve Conduction Studies (NCS) measure how quickly and well electrical signals travel along nerves. Dr. Round might recommend these electrodiagnostic tests to help diagnose conditions such as pinched nerves (radiculopathy), carpal tunnel syndrome, peripheral neuropathy (nerve damage), muscular dystrophy, or other neuromuscular disorders. These tests help pinpoint the location and severity of nerve or muscle problems, guiding further treatment.

1 Hospital Way Rm 2937, Victoria General Hospital
Victoria, BC, V8Z 6R5

Phone: (250) 727-4221

Dr. Andrew Martin Round is a licensed Physiatrist in BC, regulated by The College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act (British Columbia).

License Number: 62021

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/343640/Round%2CAndrew

A referral from a family physician or another specialist may be required to see Dr. Round. Dr. Round 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.