Karine Messier – Physiotherapist | Montréal, QC

Karine Messier is a dedicated Physiothérapeute (Vestibular & Balance Rehabilitation Focus). Practicing at CIUSSS-CSIM (Institut de réadaptation Gingras-Lindsay-de-Montréal) in Montréal, QC, Karine is committed to high-quality, patient-centered care aligning with Ordre professionnel de la physiothérapie du Québec (OPPQ) standards. She specializes in offering personalized assessment and treatment for individuals experiencing dizziness, vertigo, and balance disorders caused by inner ear or central vestibular system issues. Her approach aims to reduce symptoms, improve stability, and minimize fall risk, helping her patients regain confidence in their daily movements.

Karine's role extends beyond vestibular rehabilitation; she actively assists adult patients in recovering function, enhancing mobility, managing neurological symptoms, and improving overall quality of life following conditions such as stroke, brain injury, spinal cord injury, Multiple Sclerosis, or Parkinson's Disease. Her compassionate and empathetic manner ensures that each individual feels supported throughout their journey to better health. With a focus on evidence-based practices, Karine tailors her interventions to meet each patient's unique needs, fostering a collaborative environment that encourages active participation and empowerment.

Holding a degree in Physiotherapy, Karine has accumulated significant clinical experience and remains committed to ongoing professional development. Her special interests include vestibular and balance rehabilitation and neurological physiotherapy, ensuring she stays current with the latest techniques and research. Fluent in both English and French, Karine effectively communicates with her diverse patient base, providing clear education and guidance to facilitate lasting improvements and self-management strategies.

Karine Messier provides skilled physiotherapy care for a variety of conditions, including but not limited to:

Common Msk

• Knee Pain (e.g., Patellofemoral Syndrome, Meniscal Issues - conservative, Ligament Sprains): Knee problems that limit your ability to stay active, perform daily tasks, or enjoy your hobbies, for which physiotherapy offers effective solutions.
• Low Back Pain (Acute or Chronic): Common back problems that can impact your posture, ability to perform daily activities, and overall mobility, addressed with targeted physiotherapy.
• Ankle Sprains and Instability: A 'rolled' or twisted ankle with subsequent swelling, tenderness, and difficulty putting your full weight on the foot.
• Muscle Strains and Tears: Common injuries in active individuals, athletes, or resulting from accidents, leading to localized pain, swelling, bruising, and weakness in the affected muscle (e.g., hamstring, calf, quadriceps, groin, rotator cuff).

Neurological

• Spinal Cord Injury (SCI) Rehabilitation (Incomplete/Specific Cases): Specialized neurorehabilitation programs designed by a Physiotherapist to improve physical function, optimize movement potential, and enhance quality of life for individuals living with an SCI.
• Parkinson's Disease Management & Movement Therapy: Movement therapy designed by a Neuro Physiotherapist to address common Parkinson's symptoms like bradykinesia (slowness of movement), rigidity (stiffness), postural instability (balance problems), freezing of gait, and tremors.
• Traumatic Brain Injury (TBI) / Acquired Brain Injury (ABI) Rehabilitation: Focusing on restoring movement, balance, and independence after a traumatic or acquired brain injury through evidence-based physiotherapy approaches.
• Stroke (CVA) Rehabilitation: Comprehensive neurological rehabilitation provided by a Neuro Physiotherapist to help individuals regain independence, maximize their recovery potential, and adapt to any residual impairments following a stroke.

Concussion

• Concussion / Mild Traumatic Brain Injury (mTBI) & Post-Concussion Syndrome: Physiotherapy for concussion recovery, focusing on symptom management, restoring normal function, and preventing long-term complications through evidence-based interventions.

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

• Neurological Rehabilitation (e.g., Stroke, MS, Parkinson's, Acquired Brain Injury, Spinal Cord Injury): Tailored exercises, hands-on techniques, and functional strategies to manage symptoms (e.g., spasticity, weakness, ataxia) and optimize function in various neurological conditions, promoting participation in daily life.
• Neural Mobilization Techniques (Nerve Gliding): Targeted therapy to alleviate symptoms such as shooting pain, pins and needles, or weakness arising from neural tension or entrapment.
• Soft Tissue Mobilization & Release Techniques: A variety of hands-on methods such as therapeutic massage, myofascial release, trigger point therapy, and active release style techniques to reduce muscle tension, break down scar tissue, improve circulation, and enhance tissue flexibility.
• Home-Based Physiotherapy Visits (Mobile Physio): Convenient and effective physiotherapy care delivered in your home by a qualified Physiotherapist, focusing on your specific goals and challenges.
• 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): Skilled hands-on techniques, including gentle joint mobilizations (smooth, rhythmic movements) and, where appropriate and authorized, joint manipulations (quick, precise thrusts) to restore optimal movement, reduce pain, and improve joint function.

Note: This list highlights some key services offered by Karine. 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-CSIM (Institut de réadaptation Gingras-Lindsay-de-Montréal), physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Karine frequently helps patients work towards goals such as:

• The path to recovery from widespread muscle pain and fatigue that my doctor thinks might be fibromyalgia and achieving a significantly reduced risk of falling, enhancing safety and independence for enduring your daily commute, whether driving or on public transit, without stiffness often starts with expert guidance. Karine, a skilled physiotherapist, provides just that.
• Through personalized physiotherapy at Karine's clinic, common concerns like persistent dizziness that isn't a spinning vertigo but makes me feel unsteady are thoroughly assessed and addressed with the objective of improved balance and coordination, leading to safer and more confident mobility in seniors. This often involves a combination of in-clinic treatment, education, and self-management strategies, helping people to once again enjoy activities like travelling more comfortably on planes, trains, or in cars for longer durations.
• Don't let needing help to get moving again after a long period of illness or inactivity dictate what you can and cannot do. Karine offers physiotherapy solutions aimed at enjoying cycling or swimming regularly without pain or limitation, helping you reclaim managing your personal care routines independently and enjoy a more functional life.

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

Karine practices at CIUSSS-CSIM (Institut de réadaptation Gingras-Lindsay-de-Montréal), a centrally located clinic in Montréal's vibrant downtown area. The facility is well-positioned within the heart of the city, making it easily accessible via multiple public transit routes, including metro stations and bus lines. Situated in a community-oriented environment, the clinic is close to various local services and pharmacies, ensuring convenient access for all patients. Our clinic is wheelchair accessible. Street parking and nearby paid lots offer convenient options for visitors.

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

A Physiothérapeute in Quebec has completed master's level university education, granting them the autonomy to assess patients, make a physiotherapy diagnosis, and develop comprehensive treatment plans. They can also perform certain advanced procedures if they have the required additional qualifications. A Technologue en physiothérapie, on the other hand, has a college diploma (DEC) focused on the technical application of physiotherapy treatments. They play a crucial role in delivering care by implementing treatment plans designed by a physiotherapist or physician, assisting patients with their exercises, applying modalities, and reporting progress back to the supervising professional.

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

In Quebec, patients can generally access physiotherapy services directly through a process known as 'direct access,' meaning no referral from a physician is required to see a Physiothérapeute. However, some private insurance plans or extended health benefits may require a medical referral for reimbursement purposes. It is recommended to verify with your insurance provider prior to your appointment to understand coverage specifics.

Approximately how many physiotherapy sessions will I need?

This varies based on individual needs and conditions. After a comprehensive initial assessment, Karine will provide an estimated number of sessions and the suggested frequency. She believes in transparent communication and will review your progress regularly to adjust your treatment plan accordingly.

Is physiotherapy treatment supposed to be painful?

The goal of physiotherapy is generally to reduce pain and improve function. Some treatments or assessments may cause mild, temporary discomfort, especially if tissues are inflamed or stiff. Karine always works within your tolerance, clearly explains what to expect, and encourages feedback. If you experience significant or persistent pain, notify her immediately so adjustments can be made to ensure your comfort.

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

In Quebec, most outpatient physiotherapy services in private clinics are not directly covered by RAMQ. Some exceptions include services provided in public hospitals or CLSCs under specific conditions. Patients typically pay out-of-pocket or through private insurance. It is advisable to check your coverage details directly with RAMQ and review your private insurance plans for potential reimbursement options.

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

If you experience a significant increase in pain, new neurological symptoms, or if soreness persists longer than expected, contact Karine or the clinic directly. It is important to follow up to ensure your safety, and adjustments to your treatment plan may be necessary to support your recovery.

CIUSSS-CSIM (Institut de réadaptation Gingras-Lindsay-de-Montréal)
6300, Avenue de Darlington
Montréal, QC H3S 2J4

Phone: (514) 340-2085

Karine Messier 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.