Dr. Marilee Lapolice

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

Back & Spine Conditions

• Rib Pain / Intercostal Neuralgia / Costochondritis: Management of sharp, stabbing, or aching pain associated with rib joints or the muscles and nerves between the ribs.
• Mid-Back Pain (Thoracic Spine Pain / Interscapular Pain): Discomfort, aching, or stiffness in the area between the shoulder blades and below the neck, often related to posture, rib joint issues, or muscle strain in the thoracic spine.
• Degenerative Disc Disease (DDD) / Spondylosis: Managing the symptoms of degenerative disc disease and spondylosis to help maintain mobility, reduce pain, and improve quality of life.
• Spinal Stenosis (Cervical or Lumbar - Symptomatic): Helping to alleviate symptoms like leg or arm pain associated with a narrowed spinal canal through chiropractic care and exercise.

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).
• Postural Imbalances & Related Pain: Helping you achieve better posture to alleviate pain, improve breathing, and enhance overall physical well-being.
• Fibromyalgia (Pain & Stiffness Management): Gentle techniques and supportive therapies aimed at reducing pain sensitivity and improving overall comfort for individuals with fibromyalgia.

Shoulder, Arm & Hand Conditions

• Repetitive Strain Injuries (RSI) of the Upper Limb: Management of RSIs affecting the upper extremities by addressing tissue irritation, improving biomechanics, and providing ergonomic recommendations.
• Shoulder Pain (Rotator Cuff Issues, Impingement, Bursitis): Discomfort, weakness, or limited movement in the shoulder, commonly from injury or inflammation of the rotator cuff tendons, impingement of structures within the shoulder joint, or bursitis.
• Carpal Tunnel Syndrome (Conservative Management): Helping to relieve pressure on the median nerve to reduce hand and wrist discomfort associated with carpal tunnel syndrome.

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

• Webster Technique (for Pregnancy): A specific chiropractic analysis and diversified adjustment for pregnant individuals, aimed at reducing sacral subluxation and optimizing pelvic biomechanics to support a more comfortable pregnancy and birth (practitioner certification dependent).
• Personalized Therapeutic Exercise Prescription: Customized exercise programs including stretching, strengthening, and stabilization exercises designed to support your recovery, prevent re-injury, and improve overall function.
• Dynamic Neuromuscular Stabilization (DNS) Exercises: Exercises based on the principles of DNS to improve movement quality and core stability.
• PNF Stretching (Proprioceptive Neuromuscular Facilitation): Partner-assisted or self-administered PNF techniques to enhance muscle length and joint mobility.
• Stretching & Flexibility Programs: Improving your body's flexibility through targeted stretches for tight muscle groups.
• Core Stability & Strengthening Programs: Exercises focused on strengthening the deep muscles of your abdomen, back, and pelvis to provide better spinal support, improve posture, and reduce injury risk.

Note: This list highlights some key services offered by Dr. Vana. 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 Saint-Boniface, chiropractic care is focused on helping individuals like you achieve significant improvements in health and daily activities. Dr. Vana frequently helps patients work towards goals such as:

• Experience the significant benefit of experiencing significant relief from nagging lower back pain if you're dealing with pulled muscles from lifting something heavy. Dr. Vana helps patients regain their ability to fully participate in activities like achieving a full night's deep, restful, and uninterrupted sleep through focused and gentle chiropractic treatments.
• If really bad low back pain is impacting your daily life and preventing you from enjoying deepening your yoga and Pilates practice with improved flexibility and strength, know that effective chiropractic care can help. Dr. Vana focuses on achieving feeling more balanced and secure on their feet, reducing the risk of falls so you can engage in the things you love again.
• Getting back to skiing/snowboarding all day on the slopes after struggling with hip pain when walking long distances or climbing stairs is a frequent aspiration for patients at Dr. Vana's clinic. A dedicated care plan often leads to being able to sit for longer periods comfortably, whether for work or leisure and a return to a more active life.
• Dr. Vana understands how frustrating strained back muscles after yard work can be. By aiming for a quicker and more complete recovery from sports-related injuries, chiropractic care can empower you to return to activities like basic daily movements without thinking about pain with renewed confidence.

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

Clinique chiropratique Saint-Boniface is situated in the heart of the central Saint-Boniface neighborhood of Saint-Boniface, QC. The clinic is conveniently located near local community services and pharmacies, making it easy for patients to access comprehensive healthcare in one convenient location. Easily reachable via local public transit routes, the clinic offers accessible and flexible options for all patients. Our clinic is wheelchair accessible. Ample parking is generally accessible close to the clinic entrance.

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

In Quebec, RAMQ does not typically cover chiropractic services provided in private clinics. Patients usually pay out-of-pocket or through private insurance plans. It's important to verify your individual coverage with your insurer or the Régie directly. For other provinces, coverage varies: AB (AHCIP) provides limited coverage for seniors and dependents, BC (MSP) offers partial coverage for a limited number of visits, and ON (OHIP) generally does not cover chiropractic care in private clinics. Always check your specific insurance plan details and coverage limits.

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

X-rays are not routinely required for every patient. Dr. Vana will conduct a thorough history and physical examination to determine if imaging is necessary. Typically, imaging is recommended to rule out more serious conditions such as fractures, significant degeneration, or instability, especially if your condition doesn't improve as expected with conservative treatment. Your safety and minimizing radiation exposure are always priorities.

Does Clinique chiropratique Saint-Boniface offer direct billing to private insurance companies?

Yes, Clinique chiropratique Saint-Boniface offers direct billing to most major private insurance providers such as Canada Life, Sun Life, Manulife, and Green Shield. Patients are advised to bring their insurance card and verify their specific coverage with their insurer, as plans and benefits can vary. Patients are responsible for any co-payments or amounts not covered by their insurance plan.

Can children and babies receive chiropractic care?

Absolutely. Chiropractic care is safe and beneficial for children of all ages, from infants to teenagers. Techniques are always adapted to be gentle and appropriate for a child's age, size, and developmental stage. Many parents seek chiropractic care for concerns such as posture, after minor falls or sports-related tumbles, to support spinal health during growth, or for issues like colic and feeding difficulties in infants where gentle musculoskeletal approaches may be helpful.

What is chiropractic care and how can it help me?

Chiropractic is a healthcare profession focused on diagnosing, treating, and preventing disorders of the neuromusculoskeletal system, primarily the spine. Chiropractors use hands-on spinal manipulation (adjustments), manual therapies, exercise, and lifestyle advice to relieve pain, restore function, and support the body's natural healing ability. It can help with back pain, neck pain, headaches, and joint issues in the arms or legs.

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

In Quebec, chiropractors are primary contact healthcare professionals, allowing patients to book appointments directly without a referral. However, some private insurance plans may require a doctor's referral for reimbursement purposes. It is advisable to check your individual insurance policy for specific requirements.

Clinique chiropratique Saint-Boniface
110 rue Principale
Saint-Boniface, QC G0X 2L0

Phone: (819) 989-2232 | Website: https://www.chiropratiquestboniface.com

Dr. Ian Vana 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.