Dr. Marie-Noëlle Côté

Dr. Richard Yoshimura provides skilled chiropractic care for a variety of conditions, including but not limited to:

Specific Populations & Injury Types

• Pregnancy-Related Musculoskeletal Pain: Chiropractic care adapted for the unique needs of expectant mothers, focusing on maintaining comfort, optimizing pelvic alignment, and preparing for childbirth.
• Postpartum Musculoskeletal Issues: Addressing physical challenges after childbirth, such as persistent back or pelvic pain, core weakness (including diastasis recti co-management), postural strain from childcare, and discomfort from C-section scar tissue.
• Pediatric Musculoskeletal Conditions (e.g., Growing Pains, Postural Concerns): Gentle chiropractic care for infants, children, and adolescents, focusing on issues like non-specific growing pains, postural imbalances, recovery from minor sports injuries, or concerns related to spinal development, using age-appropriate techniques.
• Sports Injuries (Acute & Overuse): Comprehensive care for athletes of all levels, including accurate diagnosis, effective treatment, and targeted rehabilitation to ensure a safe and timely return to sport and prevent re-injury.

General Musculoskeletal & Systemic Conditions

• Myofascial Pain Syndrome / Trigger Points: A chronic pain disorder characterized by the development of sensitive points in muscles (trigger points) that can cause deep, aching pain locally or in seemingly unrelated parts of the body (referred pain).
• Chronic Pain Syndromes (with Biomechanical Factors): Addressing persistent pain where underlying joint dysfunction, muscle imbalance, nerve irritation, or altered movement patterns are identified as significant contributing factors.
• Fibromyalgia (Pain & Stiffness Management): Helping fibromyalgia patients improve their quality of life by addressing musculoskeletal components of their condition.
• Tendinitis / Tendinopathy (Various Regions): Inflammation, irritation, or degeneration of a tendon (the tough fibrous cords that attach muscles to bones), leading to pain and tenderness near a joint, often from overuse or repetitive stress.

Back & Spine Conditions

• Facet Joint Syndrome / Facet Pain: Treatment for facet joint irritation or 'locking,' aiming to restore normal joint mechanics and reduce associated pain and stiffness.
• Degenerative Disc Disease (DDD) / Spondylosis: Age-related 'wear and tear' changes in the spinal discs and joints that can lead to pain, stiffness, and reduced flexibility. Spondylosis refers to general spinal degeneration.

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

• Functional Movement Screening (e.g., FMS™, SFMA™): Utilizing screens like FMS™ or SFMA™ to analyze your movement quality and pinpoint areas contributing to pain or predisposing you to injury (practitioner certification dependent).
• Personalized Therapeutic Exercise Prescription: Tailored rehabilitative exercises to address specific weaknesses, imbalances, or mobility restrictions.
• Postural Assessment & Correction Planning: Detailed analysis of your standing and sitting posture to identify imbalances and provide targeted advice and exercises for correction and pain prevention.
• Radiographic (X-ray) Imaging & Analysis: Utilizing X-ray imaging, if necessary, to get a clear picture of your spinal health and guide precise treatment.
• Comprehensive Chiropractic Examination: Complete neuromusculoskeletal evaluation to identify biomechanical issues, nerve interferences, and areas of dysfunction.
• Surface Electromyography (sEMG) Scan: Utilizing sEMG to objectively assess muscle function and patterns of tension around your spine.

Note: This list highlights some key services offered by Dr. Côté. 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 des chiropraticiens du Québec (OCQ).

At Clinique Chiropratique Lavaltrie, chiropractic care is focused on helping individuals like you achieve significant improvements in health and daily activities. Dr. Côté frequently helps patients work towards goals such as:

• For those whose an old injury flaring up again has made your martial arts training a challenge, Dr. Marie-Noëlle offers a path towards feeling empowered with the knowledge and tools to maintain their spinal health. Chiropractic care can be instrumental in helping you rediscover the joy of movement and an active lifestyle.
• Overcoming carpal tunnel symptoms flaring up to achieve a noticeable boost in overall energy levels and vitality and resume lifting and carrying heavy items at work is a common success story at Dr. Marie-Noëlle's practice. Personalized care makes a real difference.
• Patients often share how that pinched nerve feeling shooting down my arm/leg affected their ability to tackling challenging long hikes in the mountains on weekends with friends. With Dr. Marie-Noëlle's help and a focus on feeling more aligned and balanced in their posture, many are now enjoying life with improved function and less discomfort.
• Experience the significant benefit of relying less on pain medication and more on their body's natural healing if you're dealing with tailbone pain making sitting excruciating. Dr. Marie-Noëlle helps patients regain their ability to fully participate in activities like running your usual 5k/10k route through focused and gentle chiropractic treatments.

Your personalized chiropractic care plan, developed with Dr. Côté, will be designed to help you reach your specific functional and wellness objectives.

Situated in the heart of Lavaltrie, Clinique Chiropratique Lavaltrie is conveniently located in a central area of the Lavaltrie neighborhood. The clinic is easily accessible, situated near local community services and pharmacies, making it simple for patients to integrate their chiropractic appointments into their daily routines. The clinic is accessible via various public transit routes, ensuring that patients can reach their appointments with ease. Our clinic is wheelchair accessible. Ample parking is generally accessible close to the clinic entrance.

Is it safe to see a chiropractor if I'm pregnant?

Chiropractic care during pregnancy is generally considered safe and can be very effective for managing common musculoskeletal complaints such as back pain, pelvic girdle pain, and sciatica that often arise due to hormonal changes and shifting biomechanics. Chiropraticiens are trained to work with pregnant women and use modified adjustment techniques and specialized tables or pillows to ensure the comfort and safety of both mother and baby. Some chiropractors, like Dr. Côté, are also certified in the Webster Technique, a specific chiropractic analysis and adjustment for pregnant women.

Will I need to get X-rays before starting chiropractic care?

X-rays are not routinely required for every patient. Dr. Richard Yoshimura will conduct a thorough history and physical examination to determine if X-rays or other imaging studies are clinically necessary. Imaging is typically recommended to rule out more serious conditions such as fractures or pathology, assess for significant spinal degeneration or instability, or if the patient's condition is not improving as expected with conservative care. All imaging procedures are performed following established guidelines to minimize radiation exposure.

What is that 'cracking' or 'popping' sound during an adjustment?

The 'cracking' or 'popping' sound, technically called cavitation, is caused by the release of gas (mainly nitrogen, oxygen, and carbon dioxide) from the synovial fluid within a joint when it is stretched or moved quickly during an adjustment. It is similar to the sound made when cracking knuckles. This sound is not the primary goal of the adjustment and does not indicate its effectiveness; the main purpose is to restore proper joint motion and relieve nerve pressure.

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

Chiropractors are primary contact healthcare professionals in Quebec, meaning you can book an appointment directly without a referral. However, some private or extended health insurance plans may require a doctor's referral for reimbursement purposes. It is advisable to check the specifics of your insurance plan.

Is chiropractic care covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

In Quebec, RAMQ does not cover chiropractic services provided in private clinics. Patients typically pay out-of-pocket or through private insurance. Coverage may vary if care is received in a hospital setting, but this is uncommon. It is recommended to verify your private insurance coverage and check with RAMQ for any updates or changes.

Clinique Chiropratique Lavaltrie
930, rue Notre-Dame, bureau 102
Lavaltrie, QC J5T 1L6

Phone: (450) 586-0778 | Website: http://www.chirolavaltrie.com

Dr. Richard Yoshimura is regulated by the Code des professions in QC and is a member of the Ordre des chiropraticiens du Québec (OCQ).

Registration can be verified with the Ordre des chiropraticiens du Québec (OCQ).

Always consult with your primary healthcare provider before starting any new treatment program.