Dr. Philippe Croisetière

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

Head, Neck & Jaw Conditions

• Dizziness & Vertigo (Cervicogenic & BPPV Management): Helping you find relief from certain types of dizziness and vertigo by addressing underlying musculoskeletal or vestibular (inner ear) causes.
• Tinnitus (Cervicogenic/Somatosensory): Ringing or other noises in the ear that may be related to issues in the neck (cervical spine) or jaw (TMJ), which chiropractic care can sometimes influence.
• Cervical Radiculopathy (Pinched Nerve in Neck): Addressing the source of nerve irritation in your neck to alleviate radiating arm pain, pins and needles, or muscle weakness.
• Whiplash Associated Disorders (WAD): Specialized care for whiplash injuries, focusing on restoring neck mobility, reducing pain and inflammation, and addressing associated neurological symptoms.

Back & Spine Conditions

• 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.
• Rib Pain / Intercostal Neuralgia / Costochondritis: Addressing pain around the rib cage, often sharp or related to breathing/movement, potentially due to rib joint dysfunction, intercostal muscle/nerve irritation, or cartilage inflammation (costochondritis).
• Sciatica & Lumbar Radiculopathy (Radiating Leg Pain): Management of sciatic nerve pain and other forms of radiating leg symptoms through chiropractic care aimed at relieving pressure on the affected nerve.
• Herniated, Protruded, or Bulging Discs (Symptomatic): Non-surgical approaches to manage symptoms associated with spinal disc injuries, focusing on reducing nerve irritation and promoting a healing environment.

Shoulder, Arm & Hand Conditions

• Frozen Shoulder (Adhesive Capsulitis): A rehabilitative approach to gradually restore shoulder mobility and alleviate the discomfort of adhesive capsulitis.
• Nerve Entrapments (e.g., Thoracic Outlet, Cubital Tunnel): Chiropractic care to address mechanical nerve compression syndromes such as Thoracic Outlet Syndrome or Cubital Tunnel Syndrome, aiming to relieve pressure and restore nerve function.
• Tennis Elbow / Golfer's Elbow (Epicondylitis): Addressing the underlying causes of elbow tendon pain through manual therapy, exercise, and activity modification advice.

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

• Sports Injury Management & Performance Optimization: Comprehensive care for athletes including diagnosis, treatment, and rehabilitation of sports injuries, with strategies to enhance performance and prevent future injuries.
• Functional Movement Screening (e.g., FMS™, SFMA™): Movement pattern analysis to understand how your body functions during common activities and sports.
• Postural Assessment & Correction Planning: Comprehensive postural evaluation with personalized strategies to improve alignment, reduce strain, and enhance overall spinal health.
• Radiographic (X-ray) Imaging & Analysis: On-site or referral for X-rays when clinically indicated to assess spinal structure, identify underlying conditions, or rule out pathology, adhering to diagnostic imaging guidelines.
• Surface Electromyography (sEMG) Scan: Non-invasive scanning technology used to measure electrical activity in muscles, helping to identify areas of abnormal muscle tone or imbalance along the spine (if offered).
• Comprehensive Chiropractic Examination: Complete neuromusculoskeletal evaluation to identify biomechanical issues, nerve interferences, and areas of dysfunction.

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

• Dr. Philippe frequently helps people find solutions for the limitations imposed by my back going out frequently. The common goal is a more positive outlook on their physical capabilities and future health, enabling a confident return to valued life activities, for instance, household chores like vacuuming and laundry, with greater comfort and ease.
• Getting back to rock climbing indoors and outdoors after struggling with limited mobility in my [back/neck/shoulder/hip/knee] is a frequent aspiration for patients at Dr. Philippe's clinic. A dedicated care plan often leads to moving more freely and easily throughout their entire body and a return to a more active life.
• Imagine being able to long hikes in the mountains on weekends without vertigo making the room spin when i lie down or get up holding you back. Dr. Philippe works closely with patients to achieve outcomes such as enhanced athletic performance due to improved biomechanics and reduced restrictions, often utilizing targeted spinal adjustments and supportive therapies to restore proper function.
• Many individuals visit Dr. Philippe because they are tired of dealing with that runner's knee grinding feeling. Through a personalized chiropractic care plan, they often find they can achieve improved ability to perform everyday tasks with greater ease and comfort and get back to enjoying important activities like enjoying long drives and road trips.

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

Dr. Croisetière's practice at Optimum clinique chiropratique is situated in a modern clinic located in the central neighborhood of Québec. The clinic is easily accessible and conveniently positioned near local community services and pharmacies. Patients can reach the clinic via multiple public transit routes, making it simple to visit for scheduled appointments or walk-in consultations. Our clinic is wheelchair accessible. Free patient parking is typically available on-site or nearby.

Is chiropractic treatment, especially an adjustment, painful?

An adjustment itself is typically not painful. You might hear a 'pop' or 'crack', which is just gas being released from the joint, not bones cracking. Some people feel a bit sore the next day, like after a workout, but this is usually mild and temporary. Your Chiropraticien will ensure you are as comfortable as possible.

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

In Quebec, the Régie de l'assurance maladie du Québec (RAMQ) does not typically cover chiropractic services performed in private clinics. Patients usually pay out-of-pocket or through private insurance plans. Coverage may be available if care is provided within a hospital setting, but this is rare. It is advisable to verify coverage with your insurance provider and consult your individual plan for details.

Does Optimum clinique chiropratique offer direct billing to private insurance companies?

Yes, Optimum clinique chiropratique offers direct billing to most major private insurance companies such as Canada Life, Sun Life, Manulife, Green Shield, and others. Patients are advised to bring their insurance card and confirm their specific coverage with their insurer, as plans and reimbursement levels vary. Patients are responsible for co-payments or any amounts not covered by their insurance plan.

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

Chiropractors are primary contact healthcare professionals in Quebec, meaning patients can book an appointment directly without a referral from a medical doctor. However, some private or extended health insurance plans may require a referral for reimbursement purposes. It is recommended to check with your insurance provider regarding their specific requirements.

What does a chiropractor mean by a 'subluxation' or 'joint restriction'?

When a Chiropraticien refers to a subluxation or joint restriction, they are typically describing a joint that isn’t moving properly or is misaligned in a way that can affect nerve function and lead to discomfort or other health issues. Chiropractic adjustments aim to address these specific joint problems.

Optimum clinique chiropratique
3175, chemin Quatre-Bourgeois, bureau 295
Québec, QC G1W 2K7

Phone: (418) 658-1441 | Website: http://www.optimumchiropratique.com

Dr. Kenneth Zachkewich 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.