Dr. Theresa Joan Pitre – Family Doctor | Waterloo, ON

Dr. Theresa Joan Pitre is a Family Doctor. Practicing at a family doctor practice in Waterloo, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Her focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Theresa Joan Pitre completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness; a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care; a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being. She provides consultations in English.

Dr. Theresa Joan Pitre provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out 'red flag' conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.

Mental Health Concerns

• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Supportive counseling and practical guidance for stress-related symptoms and adjustment disorders, promoting well-being and preventing escalation to more severe mental health conditions.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Providing primary care support for individuals and families navigating the challenges of ADHD, helping to optimize focus, reduce impulsivity/hyperactivity, improve executive functioning, and enhance overall quality of life and academic/occupational success.

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Management includes lifestyle advice (fluid management, avoiding bladder irritants), behavioral therapies (timed voiding), and prescription of medications such as alpha-blockers (e.g., tamsulosin, alfuzosin) to relax prostate/bladder neck muscles, or 5-alpha-reductase inhibitors (e.g., finasteride, dutasteride) to shrink prostate volume. Monitoring for symptom improvement and medication side effects.

Common Chronic Conditions

• Asthma (All Ages) & Allergic Rhinitis: Working collaboratively with you (or your child) to achieve optimal asthma control, minimize symptoms (wheezing, coughing, shortness of breath), improve lung function, and reduce reliance on reliever medications.
• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Ongoing primary care for COPD, empowering patients with self-management techniques and coordinating care with respiratory specialists when necessary.
• Type 2 Diabetes Mellitus & Prediabetes: Managing all aspects of type 2 diabetes and prediabetes with personalized treatment plans. This includes regular blood sugar monitoring (self-monitoring, A1c, continuous glucose monitoring (CGM) discussion), prescription and adjustment of medications (oral hypoglycemics, GLP-1 agonists, SGLT2 inhibitors, insulin), comprehensive diet and exercise counseling, and proactive screening and management of diabetes-related complications (retinopathy, nephropathy, neuropathy, foot problems, cardiovascular disease).

Preventative Health Topics

• Infectious Disease Prevention & Outbreak Management Support (Community Level): Administering vaccinations to prevent communicable diseases and playing a role in community-level surveillance and reporting as required by public health authorities.
• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Advocating for patients facing health inequities and working to connect them with resources that can improve their overall health outcomes and reduce disparities.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Supporting your efforts to adopt and maintain healthier habits across multiple domains of life for a better quality of life, increased resilience, and proactive disease prevention through shared goal setting and ongoing support.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Pitre. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Primary Care for Overuse & Repetitive Strain Injuries: Diagnosing and managing conditions resulting from repetitive stress or overuse, such as tendinopathies (e.g., tennis elbow, golfer's elbow, Achilles tendinopathy), plantar fasciitis, and carpal tunnel syndrome (initial management).
• Care for Minor Injuries & Acute Musculoskeletal Complaints: Management of uncomplicated musculoskeletal injuries and skin wounds in a primary care setting, with referrals to specialized care when necessary.
• Acne Vulgaris & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid), oral antibiotics (if indicated), and lifestyle/skincare advice. Referral to dermatology for severe or recalcitrant cases.
• Management of Acute Dermatological Conditions (Rashes, Hives, Shingles): Providing care for various acute dermatological concerns, offering treatment options (topical or oral) and referrals to dermatology if needed for severe or complex cases.
• Diabetes Mellitus Care (Type 1, Type 2, Gestational, Prediabetes): Personalized diabetes care plans focusing on achieving optimal glycemic control, preventing acute and chronic complications (cardiovascular, renal, neurological, ophthalmological), and empowering patient self-management.

Note: This list highlights some of the key services offered by Dr. Pitre. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Dr. Theresa Joan Pitre's practice, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Pitre frequently works with patients towards goals such as:

• Dr. Pitre frequently helps patients who are dealing with experiencing bothersome symptoms of menopause like hot flashes, night sweats, or mood swings. The primary aim is achieving their elderly family member maintaining their cherished independence and dignity for a longer period due to Dr. Pitre's comprehensive focus on geriatric syndromes, functional assessment, fall prevention, and medication safety, which often allows them to confidently resume regularly going for long, challenging, and invigorating hikes in scenic natural environments, cycling picturesque country routes for hours, or swimming multiple laps at the local community pool for both physical fitness and mental relaxation.
• Overcoming or managing wanting to learn more about the shingles vaccine or other adult immunizations they might need is a common patient journey at Dr. Pitre's practice. The focus is on enabling receiving a clear, understandable, and timely diagnosis for their persistent health concern, finally bringing peace of mind and a concrete path forward for treatment or management under Dr. Pitre's care, so that engaging in successfully maintaining their cherished personal independence in all complex daily routines, intricate personal care tasks, and instrumental activities of daily living, which is especially crucial for aging seniors or individuals managing disabilities becomes a reality again.
• If experiencing heartburn or acid reflux multiple times a week has put meaningfully and collaboratively contributing to important household decision-making processes, family event planning, or shared domestic responsibilities with clarity and fairness on hold, Dr. Pitre works with patients toward their newborn receiving excellent, thorough initial care, meticulous monitoring for healthy growth and crucial early development, and invaluable support for new parents during the critical and often overwhelming early weeks of life, all from Dr. Pitre, helping them regain their previous level of function.
• With Dr. Pitre's care, managing feeling a bit down, persistently sad, or having lost interest in activities they usually enjoy for a few weeks now aims for receiving proactive preventative care and targeted health screenings from Dr. Pitre that very likely averted a more serious, costly, or even life-threatening health issue from developing unnoticed or progressing to an advanced stage, empowering patients to get back to what they love, like meaningfully celebrating positive health milestones, consistently encouraging check-up results from Dr. Pitre, and successfully achieving deeply personal wellness goals (big or small) with a profound sense of accomplishment and renewed motivation.

Your personalized healthcare plan, developed in discussion with Dr. Pitre, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Pitre practices at a family medical clinic in Waterloo, situated in the Waterloo West (Columbia Forest, Clair Hills) neighborhood of Waterloo. The clinic is conveniently located near Canadian Clay and Glass Gallery and is accessible via Grand River Transit (GRT) (Bus and ION Light Rail). Free patient parking is often available on-site or on nearby streets.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific non-insured services or potential fees.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (Ontario) is a physician who has completed post-graduate training in family medicine. She is skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral to see a family doctor if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario may be helpful. A referral is usually required from a family doctor to see most medical specialists.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Check the website of the College of Physicians and Surgeons of Ontario; they often have a 'Find a Doctor' tool. In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a family doctor may take time.

435 The Boardwalk
Waterloo, ON, N2T 0C2

Phone: (226) 243-2043

Dr. Theresa Joan Pitre is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 74709

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Pitre-Theresa-Joan/0169169-74709

Family doctors like Dr. Pitre are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.