Dr. Carla Grottoli

Dr. Carla Grottoli provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Joint Muscle Pain

• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Working collaboratively with individuals experiencing chronic widespread pain to develop personalized self-management strategies, set realistic functional goals, and coordinate care effectively with other healthcare providers such as physiotherapists, occupational therapists, psychologists, and rheumatologists (for diagnostic confirmation or complex cases).
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.

Adult Common Health Issues

• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Helping patients manage the uncomfortable sensations and sleep disruption associated with RLS.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Management includes advising on leg elevation, regular exercise (calf muscle pump activation), weight management, avoidance of prolonged standing/sitting, and recommending/prescribing appropriately fitted graduated compression stockings. Patient education on skin care to prevent venous ulcers.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Primary care approach to accurately diagnosing and effectively treating common forms of anemia to improve energy levels, cognitive function, exercise tolerance, and overall health. Referral to hematology for complex or unexplained anemia.

Common Acute Conditions

• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): Providing advice on RICE/POLICE principles (Rest/Protection, Optimal Loading, Ice, Compression, Elevation), pain relief options (analgesics, NSAIDs, heat/cold therapy), and gentle exercises for acute soft tissue injuries to promote healing.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Prompt diagnosis (e.g., urinalysis, urine culture if needed) and treatment for uncomplicated urinary tract infections such as cystitis (bladder infection) and initial assessment/management of suspected uncomplicated pyelonephritis (kidney infection) to alleviate discomfort (dysuria, frequency, urgency, flank pain) and prevent complications.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Addressing symptoms such as cough, sore throat (including rapid strep testing where available), nasal congestion, facial pain/pressure, and fever associated with common URTIs.

Common Chronic Conditions

• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Early detection, monitoring of kidney function (e.g., eGFR, urine ACR), management of risk factors that can worsen CKD (especially diabetes and hypertension), medication review to avoid nephrotoxic drugs, lifestyle counseling (dietary advice on protein, sodium, potassium), and timely referrals to nephrology for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Comprehensive primary care for patients with various thyroid conditions.
• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Helping individuals with chronic bronchitis or emphysema manage their symptoms effectively, improve exercise tolerance, and maintain the best possible lung function through a multidisciplinary approach.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Grottoli. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Fungal, Viral & Bacterial Skin Infections: Effective remedies for bothersome infections of the skin, hair, and nails.
• Eating Disorder Screening & Referral Coordination: Primary care role in early recognition of eating disorders and ensuring patients access comprehensive treatment pathways.
• Cancer Screening Coordination (Cervical, Breast, Colorectal, Prostate, Lung - as per guidelines): Coordinating appropriate cancer screening tests tailored to your age, gender, family history, and individual risk factors, facilitating early detection.
• Attention-Deficit/Hyperactivity Disorder (ADHD) Care (All Ages - Initial & Ongoing): Providing primary care support for individuals and families navigating ADHD, helping to optimize function, manage symptoms, and coordinate multidisciplinary care.
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Performing initial screening and assessment for parental or school concerns regarding developmental delays (speech, motor, cognitive), behavioral issues (e.g., tantrums, sleep problems, anxiety), ADHD symptoms, or learning difficulties. Includes providing initial guidance and coordinating timely referrals to pediatric specialists if further evaluation or intervention is needed.

Note: This list highlights some of the key services offered by Dr. Grottoli. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At London Health Sciences Centre, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Grottoli frequently works with patients towards goals such as:

• Patients with experiencing heartburn or acid reflux multiple times a week can find relief and achieve obtaining all necessary medical documentation, forms, and reports for work, school, travel, or insurance purposes efficiently, accurately, and without undue hassle through Dr. Grottoli's supportive office team, often allowing them to resume regularly attending and actively participating in religious services, meaningful cultural events, important community group meetings, or engaging hobby clubs, feeling socially connected, included, and valued without former limitations.
• It's rewarding for Dr. Grottoli to see patients with a sudden, unexplained weakness or numbness on one side of their body – they know this could be urgent achieve their children being notably less fearful and more cooperative during doctor visits and even immunizations, specifically because of Dr. Grottoli's consistently gentle, patient, and child-friendly communication approach and return to important activities like effectively managing their personal or household finances, diligently paying bills on time, and competently handling other essential administrative or organizational tasks with sustained mental clarity and focus.
• When needing a medical form filled out for insurance claims, disability benefits, or a new job application affects a patient's ability to confidently and effectively advocating for their own complex health needs, specific treatment preferences, and the essential healthcare requirements of their family members when interacting within the broader, sometimes impersonal, healthcare system, Dr. Grottoli works with them to develop a plan. Success means reaching navigating the unique physical and emotional journey of pregnancy, childbirth, and the demanding postpartum period with excellent, comprehensive, and reassuring medical guidance, continuity of care, and unwavering supportive care from Dr. Grottoli and getting back to their valued pursuits.
• The focus for patients with feeling dizzy, lightheaded, or experiencing vertigo (spinning sensations) more often than usual at Dr. Grottoli's practice is achieving noticeably reducing their reliance on, and need for, urgent care clinics or hospital emergency room visits for conditions that are now being effectively managed or prevented through proactive, continuous, and comprehensive primary care with Dr. Grottoli, facilitating a return to meaningful activities like easily and safely being able to kneel down to play on the floor with pets or young children, bend over to tie shoelaces or pick things up, or squat as needed for various daily tasks, gardening, or exercise routines without pain or instability.

Your personalized healthcare plan, developed in discussion with Dr. Grottoli, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Grottoli practices at London Health Sciences Centre, situated in the Downtown, Central neighborhood of Sault Ste. Marie. The clinic is conveniently located near Canadian Bushplane Heritage Centre and is accessible via Sault Ste. Marie Transit. Free patient parking is often available on-site or on nearby streets.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral to see a family doctor in Ontario if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario, your local health authority website, or the College of Physicians and Surgeons of Ontario's patient-doctor matching service (if available) may be helpful. A referral from a family doctor is usually required to see most medical specialists.

What happens if Dr. Grottoli determines I need to see a medical specialist?

As your family doctor, Dr. Grottoli acts as your primary care coordinator. If she believes your condition requires specialized assessment or treatment, she will explain why a specialist consultation is necessary and will arrange the referral. Dr. Grottoli will send your pertinent medical details to the specialist. The specialist's office will then typically contact you to book the appointment. It's important to keep London Health Sciences Centre informed of any specialist appointments you attend and any new diagnoses or treatments recommended by the specialist so Dr. Grottoli can continue to coordinate your overall care effectively.

Does Dr. Grottoli at London Health Sciences Centre offer virtual (video) or phone appointments?

Yes, Dr. Grottoli at London Health Sciences Centre offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Grottoli if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with London Health Sciences Centre regarding any potential fees for uninsured virtual services.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Finding a family doctor in Ontario who is accepting new patients can take time and effort. The College of Physicians and Surgeons of Ontario often has a 'Find a Doctor' tool or list on their website. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (Ontario) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

How often should I see Dr. Grottoli for a check-up or physical exam?

The recommended frequency for check-ups or periodic health exams with Dr. Grottoli can vary based on your age, overall health, any existing medical conditions, and specific risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). For specific screening tests like Pap smears or mammograms, there are established provincial guidelines based on age and gender which Dr. Grottoli follows. It's best to discuss your individual needs with Dr. Grottoli to determine an appropriate schedule for your preventative care. Even if you feel healthy, regular check-ins can be important for early detection and health maintenance.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with London Health Sciences Centre if you have questions about specific non-insured services or potential fees.

London Health Sciences Centre
Unit Rm E6-316 C/o Melissa Stephen, 955 Queen Street East, Victoria Hospital
Sault Ste. Marie, ON, P6A 2C3

Phone: (705) 574-0362

Dr. Carla Grottoli is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 112497

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Grottoli-Carla/0318086-112497

Family doctors like Dr. Grottoli are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.