Dr. Paul David Chapman – Pain Management Specialist / Physical Therapist | Victoria, BC

Dr. Paul David Chapman is a Physiatrist / Physical Medicine & Rehabilitation Specialist. Practicing at a rehabilitation clinic in Victoria, BC, Dr. Chapman is committed to delivering high-quality, patient-focused care in Physical Medicine & Rehabilitation. Dr. Chapman is licensed by The College of Physicians and Surgeons of British Columbia (CPSBC) and adheres to the highest professional and ethical standards of the medical profession in BC. As a certified specialist in Physical Medicine & Rehabilitation (also known as a Physiatrist), Dr. Chapman focuses on the diagnosis, treatment, and rehabilitation of patients with a wide range of conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons. The goal is to enhance and restore functional ability and quality of life to those with physical impairments or disabilities. Dr. Chapman serves patients of all ages, from children and adolescents through to adults and seniors, requiring functional restoration.

Dr. Paul David Chapman earned a Doctor of Medicine (MD) degree from University Of Manitoba, graduating in 2007. Subsequently, Dr. Chapman completed advanced specialty training in Specialty Practice in Physical Medicine & Rehabilitation (Physiatry). With over 18 years of practice since 2007, Dr. Chapman's expertise encompasses Specialty Practice in Physical Medicine & Rehabilitation (Physiatry). Additionally, the Physiatrist / Physical Medicine & Rehabilitation Specialist holds qualifications/certifications such as: Royal College of Physicians and Surgeons of Canada. Dr. Chapman is dedicated to ongoing professional development and continuing medical education to provide up-to-date, evidence-based care.

Key aspects of Dr. Chapman's medical practice philosophy include: a commitment to evidence-based medicine and utilizing the latest advancements in rehabilitation techniques; promoting optimal quality of life and helping patients adapt to and overcome physical challenges; a holistic perspective, considering the physical, emotional, and social aspects of disability and recovery. Dr. Chapman provides consultations in English.

As a Physiatrist, Dr. Paul David Chapman 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): Guiding recovery and functional restoration after orthopedic or neurosurgical procedures.

Debilitating Conditions Functional Improvement

• 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.
• Debility & Deconditioning (e.g., post-illness, hospitalization): Helping patients regain strength, endurance, and mobility to improve their ability to perform daily tasks.

Neurological Conditions

• Parkinson's Disease - Functional Rehabilitation: Therapeutic interventions to address motor symptoms like rigidity, bradykinesia, and postural instability.
• Stroke (Cerebrovascular Accident - CVA) Rehabilitation: Post-stroke care focusing on maximizing recovery of motor function, speech, cognition, and independence in daily activities.
• Multiple Sclerosis (MS) - Symptom Management & Functional Rehab: Rehabilitative support for patients with MS to optimize mobility, energy conservation, and overall well-being.

This list provides examples of conditions commonly managed. A comprehensive diagnosis and treatment plan are always based on an individual assessment by Dr. Chapman, 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: In-depth assessment to diagnose conditions causing pain, weakness, or functional limitations and to determine rehabilitation potential.
• Chronic Pain Management (Multimodal Approach): Comprehensive assessment and treatment of persistent pain conditions using a combination of therapies, including medication management, interventional procedures, physical therapy, and psychological support.
• Therapeutic Injections (Joints, Soft Tissues, Nerves): Performing image-guided (ultrasound or fluoroscopy) injections such as corticosteroid injections, viscosupplementation, trigger point injections, and peripheral nerve blocks.
• Medication Management for Pain & Spasticity: Expert prescription and monitoring of analgesic medications, anti-inflammatory drugs, muscle relaxants, and medications for neuropathic pain or spasticity.
• Spasticity Management (e.g., Botulinum Toxin Injections): Targeted injections to manage disabling muscle stiffness and spasms, enhancing comfort and functional abilities.

Note: This list highlights some of the key services offered by Dr. Chapman. 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. Paul David Chapman 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. Paul David Chapman'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. Chapman frequently works with patients towards outcomes such as:

• Dr. Chapman understands that dealing with losing function in their legs after a spinal cord injury can be challenging. That's why his treatment plans are geared towards achieving being able to participate more fully in family and social life, helping patients comfortably get back to maintaining their balance while standing or walking and feeling their best.
• The primary focus for patients seeking help for severe pain and strange sensations in their limb after an old injury (CRPS-like symptoms) at Dr. Chapman's practice is consistently achieving their functional goals being met through a tailored rehabilitation program. This facilitates a confident and meaningful return to valued daily activities such as enjoying intimate moments without being limited by pain or physical restriction.
• The path to improved oral wellness, especially when facing a significant decrease in their endurance and ability to perform physical tasks, involves working systematically towards achieving a better overall sense of well-being and physical comfort. Dr. Chapman expertly guides patients through this process so they can once again enjoy life's moments, including feeling less reliant on others for daily assistance.
• Numerous patients have successfully addressed trouble with their memory and concentration after a head injury with Dr. Chapman's dedicated support and clinical expertise. This often leads directly to restoration of more normal sensation in areas affected by neuropathy and the restored ability to fully participate in and enjoy writing or typing without hand pain or fatigue once more.

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

Dr. Chapman's practice, a rehabilitation clinic in Victoria, is situated in a well-regarded medical clinic specializing in rehabilitation in a Victoria neighborhood of Victoria. The clinic is conveniently located near Art Gallery of Greater Victoria and is accessible via Victoria Regional Transit System (BC Transit). Please inquire about specific parking arrangements if you have mobility concerns.

How often will I need to see Dr. Chapman for follow-up appointments?

The frequency of follow-up appointments with Dr. Chapman will depend on the nature of the condition being treated, the specific treatment plan, and how the patient is progressing. Initially, visits might be more frequent to monitor response to treatment or adjust medications/therapies. As the condition stabilizes or improves, follow-ups may become less frequent, focusing on long-term management, prevention, and ensuring functional goals are maintained. Dr. Chapman will recommend a follow-up schedule tailored to each patient's needs.

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

A Physiatrist like Dr. Chapman 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.

What should I bring to my appointment with Dr. Chapman?

Bring your provincial health card (e.g., Medical Services Plan (MSP) of BC card), the referral letter (if applicable), a list of all current medications (including dosage and frequency for prescriptions, over-the-counter drugs, and supplements), copies of relevant medical records, imaging reports (X-ray, MRI, CT scans – reports are often more useful than just the images themselves initially), and any pertinent test results. If applicable, also bring comfortable clothing that allows for easy examination of the affected body part(s), and any braces, splints, or assistive devices you currently use.

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

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

Yes, in BC, a referral from a family doctor (GP) or another specialist is generally required to see a Physiatrist like Dr. Chapman 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. Chapman 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 some common conditions a Physiatrist like Dr. Chapman treats?

Dr. Chapman treats diverse conditions such as: 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. Chapman focuses on improving function, reducing pain, and enhancing quality of life related to these and other physical impairments.

Are services provided by a Physiatrist like Dr. Chapman 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. Chapman 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. Inquire with the clinic about any potential out-of-pocket costs for recommended treatments and check with your private insurance, if any, regarding coverage for adjunctive therapies or devices.

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

Your first visit with Dr. Chapman 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. Chapman 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. Chapman will discuss their diagnostic impressions, may recommend further investigations if needed, and will outline potential treatment and rehabilitation options, working with you to establish functional goals.

104-3551 Blanshard St, ReBalance MD
Victoria, BC, V8Z 0B9

Phone: (250) 940-4444

Dr. Paul David Chapman 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: 65589

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/332032/Chapman%2CPaul

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