Grégory Généreux-Gamache – Physiotherapist | Montréal, QC

Grégory Généreux-Gamache is a dedicated Physiothérapeute practicing at CIUSSS du Centre-Sud-de-l'Ile-de-Montréal - CLSC Saint-Louis-du-Parc in Montréal, QC. He is committed to delivering high-quality, patient-centered care that aligns with the standards set by the Ordre professionnel de la physiothérapie du Québec (OPPQ). Grégory’s approach focuses on addressing a wide range of musculoskeletal conditions, including injuries to muscles, joints, bones, tendons, and ligaments. His expertise encompasses everything from acute injuries like sprains and strains to chronic pain management, arthritis care, and comprehensive post-operative rehabilitation for adult patients.

With a solid foundation in physiotherapy, Grégory completed his degree in Physiotherapy and has gained extensive clinical experience. He is dedicated to ongoing professional development and applying evidence-based practices to optimize patient outcomes. Grégory has developed particular skills and a keen interest in Orthopedic and Musculoskeletal Physiotherapy, allowing him to tailor treatment plans that promote recovery, improve function, and prevent future injuries.

Grégory’s practice philosophy is rooted in a patient-centered and collaborative approach, actively involving individuals in their treatment planning and goal setting. He emphasizes prevention and long-term wellness through proactive physiotherapy interventions. Fluent in French, English, Italian, Spanish, and German, Grégory is well-equipped to serve Montréal’s diverse community, fostering effective communication and personalized care for all his patients.

Grégory Généreux-Gamache provides skilled physiotherapy care for a variety of conditions, including but not limited to:

Post Surgical

• Post-ACL or Other Knee Ligament Reconstruction Rehabilitation: Specialized physiotherapy following knee ligament reconstruction surgery to ensure a successful recovery, minimize complications (like stiffness or muscle atrophy), and facilitate a safe and confident return to activity and sport, preventing re-injury.
• Post-Hip Replacement Rehabilitation (Total or Partial Hip Arthroplasty - THA/PHA): Physiotherapy rehabilitation after total or partial hip replacement surgery, aimed at restoring mobility, strength, balance, and improving your gait pattern, allowing you to perform daily activities safely and effectively.
• Post-Knee Replacement Rehabilitation (Total or Partial Knee Arthroplasty - TKA/PKA): Comprehensive post-operative recovery guidance following knee replacement, including exercises, manual therapy, and education to ensure you achieve your best possible function.

Hand & Wrist

• Hand and Wrist Injuries & Conditions (e.g., Fractures, Tendon Injuries, Sprains, Arthritis - Conservative/Post-Op): Focused physiotherapy care for complex hand and wrist problems, often involving custom splinting or orthosis fabrication, manual therapy (joint and soft tissue mobilization), specific exercises to restore dexterity, strength, and range of motion, scar management, and sensory re-education.
• Trigger Finger/Thumb (Stenosing Tenosynovitis): A condition where a finger or thumb gets stuck or 'catches' in a bent position, then may snap straight (like pulling a trigger). Caused by inflammation and narrowing of the tendon sheath around the flexor tendon.

Arthritis

• Psoriatic Arthritis (PsA): Individualized exercise programs and pain management strategies tailored for psoriatic arthritis to help reduce symptoms and improve your quality of life.
• Ankylosing Spondylitis (AS): A type of chronic inflammatory arthritis primarily affecting the spine (especially the sacroiliac joints and vertebrae), leading to pain, stiffness, and potential fusion of vertebrae, which can result in a stooped posture if not managed.
• Gout (Management of Musculoskeletal Impairments): Physiotherapy to address residual joint stiffness, pain, swelling, and functional loss after an acute gout attack has subsided, or to help manage musculoskeletal impairments and tophi-related issues associated with chronic gout, always in conjunction with appropriate medical management for urate control.

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

• Muscle Energy Techniques (MET): Active patient participation through guided, gentle muscle contractions to restore normal joint play, reduce muscle guarding, and improve tissue length.
• Manual Therapy (Joint Mobilization & Manipulation): Manual treatments specifically designed to improve joint mechanics, alleviate discomfort, reduce stiffness, and enhance your range of motion in the spine or limbs.
• Soft Tissue Mobilization & Release Techniques: Application of skilled soft tissue techniques to manage pain, stiffness, and improve function in muscles, tendons, ligaments, and fascia.
• Core Stability & Strengthening Training: Developing control, strength, and endurance in your core musculature for improved functional performance, pain reduction, and prevention of re-injury.
• Personalized Therapeutic Exercise Prescription: Development of a tailored therapeutic exercise program by your Physiothérapeute, focused on your specific rehabilitation needs, strength goals, flexibility improvements, balance, and overall conditioning.
• Neural Mobilization Techniques (Nerve Gliding): Improving the mobility and health of your nervous system to reduce pain, restore sensation, and enhance overall function.

Note: This list highlights some key services offered by Grégory. 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 professionnel de la physiothérapie du Québec (OPPQ).

At CIUSSS du Centre-Sud-de-l'Ile-de-Montréal - CLSC Saint-Louis-du-Parc, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Grégory frequently helps patients work towards goals such as:

• Are you finding that pain in my shins when I try to run or be active (shin splints) stops you from enjoying going on birdwatching outings in various terrains? Grégory is dedicated to helping patients like you achieve a return to intimacy without the fear of pain or discomfort through a hands-on, active approach to physiotherapy.
• Many patients have found lasting relief from one leg feeling shorter than the other, causing hip or back pain and achieved much better balance overall, reducing the risk of stumbles or falls under the skilled care of Grégory. This renewed physical ability often allows them to re-engage with beloved activities such as managing the physical demands of your job without constant pain with a new lease on life.
• Grégory frequently assists patients in overcoming the effects of feeling 'off-balance' and worried about falling, especially as I get older. A carefully designed physiotherapy program, potentially including specialized manual techniques and progressive exercises, targets getting back their independence with daily activities and personal care and supports your enthusiastic engagement in desired activities like tackling home renovation and DIY projects with confidence.

Your personalized physiotherapy plan, developed with Grégory, will be designed to help you reach your specific functional and wellness objectives.

Grégory practices at CIUSSS du Centre-Sud-de-l'Ile-de-Montréal - CLSC Saint-Louis-du-Parc, a centrally located clinic in Montréal’s vibrant neighborhood. This facility is situated within a family medicine group (FMG) in a public institution, making it easily accessible for community members. The clinic is conveniently near local community services and pharmacies, and well-served by multiple public transit routes. Our clinic is wheelchair accessible. Free patient parking is typically available on-site or nearby.

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

In Quebec, patients can typically access a Physiothérapeute directly through a process known as direct access, without needing a physician’s referral. While a referral is not legally required to see a Physiothérapeute, some private or extended health insurance plans might require one for reimbursement purposes. It’s advisable to check the specific requirements of your insurance policy before your first appointment to ensure coverage.

What is the difference between a Physiotherapist (Physiothérapeute) and a Physiotherapy Technologist (Technologue en physiothérapie) in Quebec?

In Quebec, a Physiothérapeute (Physiotherapist) holds a university master’s degree in physiotherapy and is authorized to perform assessments, establish diagnoses, develop treatment plans, and perform a wide range of interventions independently, including some restricted activities if certified. A Technologue en physiothérapie (Physiotherapy Technologist) holds a college diploma (CEGEP) and works under the supervision of or based on a physiotherapist’s or physician’s treatment plan. They assist with prescribed treatments, exercises, and monitoring but do not diagnose or independently create treatment plans. Both professions are regulated by the Ordre professionnel de la physiothérapie du Québec (OPPQ).

What should I do if my condition seems to worsen after a physiotherapy session?

It’s common to experience some temporary soreness or mild symptoms after physiotherapy, especially when starting new exercises or treatments. This usually subsides within 24-48 hours. However, if you experience a significant increase in pain, new neurological symptoms, or symptoms persist longer than expected, contact Grégory or the clinic directly. They can advise on whether to adjust your treatment plan or schedule a reassessment.

Is there anything specific I should bring to my first physiotherapy appointment?

For your first visit, please bring your provincial health card (e.g., RAMQ card), any relevant medical reports, recent imaging results, a list of current medications, and insurance information if applicable. Wear comfortable clothing that allows for assessment and movement.

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

Generally, physiotherapy services in private clinics are not covered by RAMQ. Patients usually pay out-of-pocket or through private insurance. Certain services provided within public hospitals or CLSCs may be covered depending on eligibility. It’s recommended to verify your specific coverage with RAMQ and your insurance provider before your appointment.

CIUSSS du Centre-Sud-de-l'Ile-de-Montréal - CLSC Saint-Louis-du-Parc
15, Avenue du Mont-royal O
Montréal, QC H2T 2R9

Phone: (514) 286-9657

Grégory Généreux-Gamache is regulated by the Code des professions and Professional Integration Arrangement for physiotherapists in QC and is a member of the Ordre professionnel de la physiothérapie du Québec (OPPQ).

Registration can be verified with the Ordre professionnel de la physiothérapie du Québec (OPPQ).

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