Dr. Jean Fleury

As a Médecin spécialiste en médecine physique et réadaptation (Physiatre), Dr. Jean Fleury addresses a variety of conditions related to physical function, pain, and rehabilitation, including but not limited to:

Debilitating Conditions Functional Improvement

• Debility & Deconditioning (e.g., post-illness, hospitalization): Rehabilitation programs to address generalized weakness, fatigue, and loss of function following prolonged illness, hospitalization, or inactivity.
• 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.

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.

Sports Injuries Rehab

• Overuse Injuries in Athletes: Addressing the underlying biomechanical factors contributing to overuse injuries and implementing strategies for recovery and prevention.
• Sports-Related Musculoskeletal Injuries: Specialized care to optimize recovery and prevent re-injury in athletes of all levels.

Chronic Pain Syndromes

• Neuropathic Pain (Nerve Pain): Utilizing medications, interventional techniques, and therapies specifically targeted at nerve-related pain.
• Chronic Widespread Pain: Addressing persistent pain that affects multiple body regions, often associated with conditions like fibromyalgia or central sensitization.

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

• Stroke Rehabilitation: Maximizing functional recovery and independence after a cerebrovascular accident through a multidisciplinary team approach.
• Comprehensive Physiatric Assessment: Thorough evaluation of musculoskeletal, neurological, and functional status, including detailed history, physical examination, and review of imaging/diagnostic tests.
• Management of Back & Neck Pain: Expert diagnosis and management of axial and radicular pain originating from the spine.
• Therapeutic Injections (Joints, Soft Tissues, Nerves): Targeted injections to alleviate pain, reduce inflammation, and improve function in various musculoskeletal and neurological conditions.
• Coordination of Multidisciplinary Care: Facilitating communication and collaboration among various therapists and specialists involved in a patient's care.

Note: This list highlights some of the key services offered by Dr. Fleury. 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. Jean Fleury adhere to the scope of practice for Médecin spécialiste en médecine physique et réadaptation (Physiatre)s in QC and the standards of The Collège des médecins du Québec (CMQ).

At Inst de réadaptation Gingras-Lindsay de Montréal, Département de Médecine de Réadaptation, the focus is on partnering with you to maximize your functional abilities, manage your condition effectively, and improve your overall quality of life. Dr. Fleury frequently works with patients towards outcomes such as:

• With Dr. Fleury's compassionate and skilled dental care, managing the challenge of adapting to a new disability and wanting to regain independence is focused on achieving gaining the skills and support needed to live a more active and fulfilling life. This empowers patients to get back to what they love, such as being able to their child being able to participate more fully in school activities without dental concerns.
• When the burning pain in their feet from diabetes making it hard to walk begins to noticeably impact daily life and well-being, Dr. Fleury helps patients strive for their rehabilitation plan leading to tangible improvements in their daily function. This makes participating in activities such as returning to their job or volunteer work a pleasant and possible experience again.
• Are you struggling with needing guidance on exercises that are safe and effective for their condition? Dr. Fleury partners with patients to target improved ability to engage in leisure activities and hobbies they enjoy, making a comfortable and confident return to important activities such as their child being able to keep up with friends during playtime a much more achievable reality.
• If the ongoing pain and fatigue from fibromyalgia impacting every part of their life is preventing you from fully enjoying participating in rehabilitation therapies actively and effectively or causing discomfort, Dr. Fleury offers expert dental solutions. The primary aim is to achieve their functional goals being met through a tailored rehabilitation program through comprehensive and personalized dental care.

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

Dr. Fleury's practice, Inst de réadaptation Gingras-Lindsay de Montréal, Département de Médecine de Réadaptation, enjoys a central location within the Montréal neighborhood of Montréal. The clinic is conveniently located near local healthcare facilities and community services and is accessible via major local public transit routes. Please inquire about specific parking arrangements if you have mobility concerns.

How long will my treatment or rehabilitation with Dr. Fleury take?

The duration of treatment and rehabilitation varies greatly depending on the specific condition, its severity, the patient's individual goals, their response to treatment, and the complexity of the rehabilitation plan. Some conditions may require only a few consultations and a home program, while others (like recovery from a significant stroke or spinal cord injury) can involve longer-term management and therapy. Dr. Fleury will discuss an estimated timeline and expected milestones after the initial assessment and as treatment progresses.

What can I expect at my first appointment with Dr. Fleury at Inst de réadaptation Gingras-Lindsay de Montréal, Département de Médecine de Réadaptation?

The first visit with Dr. Fleury will typically involve a comprehensive assessment. This includes a detailed discussion of the patient's medical history, the nature and timeline of their current symptoms, how these symptoms impact their daily activities and quality of life, and any previous treatments. Dr. Fleury 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. Fleury will discuss their diagnostic impressions, may recommend further investigations if needed, and will outline potential treatment and rehabilitation options, working with the patient to establish functional goals.

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

Physiatrists like Dr. Fleury treat a wide range of conditions. 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. Fleury's focus is on improving function, reducing pain, and enhancing quality of life related to these and other physical impairments.

What are EMG and NCS tests, and why might Dr. Fleury 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. Fleury 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.

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

A Physiatrist like Dr. Fleury is a medical doctor specializing in diagnosing, treating, and managing 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 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.

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

In QC, a referral from a family doctor (GP) or another specialist is generally required to see a Physiatrist like Dr. Fleury for consultations and treatments covered by provincial health plans like Régie de l'assurance maladie du Québec (RAMQ). This referral ensures the consultation is appropriate and that Dr. Fleury has the necessary background medical information. Speak with your primary care physician or referring doctor if you believe you need a physiatric assessment.

Are services provided by a Physiatrist like Dr. Fleury covered by provincial health insurance (e.g., Régie de l'assurance maladie du Québec (RAMQ))?

Most physician consultations and medically necessary assessments by a registered specialist Physiatrist like Dr. Fleury are typically covered by provincial health plans such as Régie de l'assurance maladie du Québec (RAMQ) in QC, 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. Inquire with Inst de réadaptation Gingras-Lindsay de Montréal, Département de Médecine de Réadaptation about potential out-of-pocket costs for recommended treatments and check with your private insurance, if any, regarding coverage for adjunctive therapies or devices.

Inst de réadaptation Gingras-Lindsay de Montréal, Département de Médecine de Réadaptation
6300 av de Darlington
Montréal, QC, H3S 2J4

Phone: (514) 340-2065

Dr. Jean Fleury is a licensed Médecin spécialiste en médecine physique et réadaptation (Physiatre) in QC, regulated by The Collège des médecins du Québec (CMQ) under the Code des professions & Loi médicale (Québec).

License Number: 76397

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=76397

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