Karine Tcholkayan

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

Tmj Headache

• Tension-Type Headaches: Physiotherapy for headaches caused by muscle tightness and trigger points in the neck, shoulders, scalp, and jaw muscles.
• Tinnitus (Musculoskeletal/TMJ-Related): Investigating and treating potential musculoskeletal contributions to certain types of tinnitus, particularly if your tinnitus changes with neck or jaw movements, or if you have concurrent neck/jaw pain.

Joint Pain

• Osteoarthritis (Knee, Hip, Spine, Hands, Other Joints): Commonly known as 'wear-and-tear' arthritis, this condition affects various joints, often worsening with age, overuse, or previous injury, and can significantly impact daily function.
• Tendinopathy/Tendonitis (e.g., Achilles, Patellar, Rotator Cuff, Tennis/Golfer's Elbow): Pain, tenderness, swelling, and dysfunction in a tendon (the strong cords that attach muscles to bones) due to overuse, repetitive strain, injury, or degeneration. Common sites include the Achilles, patellar tendon (knee), rotator cuff (shoulder), or elbow (tennis/golfer's elbow).

Post Surgical

• Post-Shoulder Surgery Rehabilitation (e.g., Rotator Cuff Repair, Labral Repair, Stabilization, Replacement): A progressive exercise program, often combined with manual therapy, designed to gradually restore your shoulder's range of motion, strength, and coordination following your operation.
• Post-Spinal Surgery Rehabilitation (e.g., Discectomy, Laminectomy, Fusion - with surgeon clearance): Supportive physiotherapy to aid your recovery and help you manage symptoms after back or neck surgery, focusing on education, safe movement strategies, and specific exercises.
• Post-Fracture Fixation Surgery Rehabilitation (e.g., ORIF): Physiotherapy aimed at restoring movement, strength, and function after surgical repair of broken bones (e.g., Open Reduction Internal Fixation - ORIF, intramedullary nailing), once the fracture site is sufficiently healed and cleared for rehabilitation by your surgeon.

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

• Patient Education & Self-Management Strategies: Empowering you with a clear understanding of your condition, its causes, and practical tools for effective self-management and lasting relief.
• Acupuncture (Medical or Traditional): Traditional acupuncture techniques or anatomical (medical) acupuncture integrated into physiotherapy practice for pain management (e.g., chronic low back pain, osteoarthritis, headaches), swelling reduction, and functional improvement.
• Functional Movement Screening (FMS™/SFMA™ if certified): A systematic screening process, such as FMS™ or SFMA™ (if your Physiotherapist is certified), to understand how you move and guide preventative or corrective exercise programs.
• Dry Needling / Intramuscular Stimulation (IMS): Targeting dysfunctional muscle tissue and trigger points with fine needles to promote pain relief, muscle relaxation, and facilitate healing and functional recovery.
• Postural Assessment and Correction: Identifying and addressing habitual postures (e.g., from desk work, phone use) or ergonomic factors that may be contributing to your pain or dysfunction.
• Comprehensive Musculoskeletal Assessment: A thorough evaluation by your Physiotherapist to accurately diagnose movement dysfunctions, injuries, and the underlying sources of your pain.

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 Sport Physio Plus Inc, 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:

• Dealing with the ongoing challenges of recurrent dislocations or a feeling of instability in my shoulder or knee? Karine works collaboratively with patients to reach the goal of a feeling of being 'unstuck' and more supple. This might involve specific rehabilitation techniques, hands-on care, and a home program, all aimed at helping you confidently resume important activities, such as tackling home renovation and DIY projects with confidence.
• Patients often come to Karine feeling defeated by needing to improve my breathing patterns or lung capacity. With a supportive and targeted physiotherapy approach, achieving better joint stability during movement and weight-bearing activities and resuming maintaining an upright posture while working on your computer for hours becomes a realistic and attainable goal.
• For those whose pain in my shins when I try to run or be active (shin splints) has made taking long photography walks to capture nature or cityscapes seem like a distant memory, Karine's physiotherapy care offers a clear path toward a significant improvement in their overall quality of life and daily well-being. Effective, evidence-based treatments can be instrumental in helping you get back to taking long photography walks to capture nature or cityscapes with greater comfort and renewed confidence.

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

Karine practices at Sport Physio Plus Inc, situated in a modern clinic located in the heart of the central Knowlton neighborhood of Knowlton, QC. The clinic is conveniently positioned near local community services and pharmacies, making it easily accessible for residents and visitors alike. It is well-connected via local public transit routes, ensuring a straightforward journey for those using transit. Our clinic is wheelchair accessible, with street parking and nearby paid lots providing 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.

Is physiotherapy treatment supposed to be painful?

The primary goal of physiotherapy is generally to reduce pain and improve function, not to cause significant or lasting pain. Some assessment techniques or specific treatments (like deep soft tissue work, joint mobilization, or certain exercises) might cause mild, temporary discomfort or soreness, especially if the tissues being treated are sensitive, inflamed, or very stiff. However, your Physiothérapeute will always work within your tolerance levels, communicate clearly about what to expect, and encourage open feedback. If you experience notable or unacceptable pain during treatment, please inform your therapist immediately so adjustments can be made to ensure your comfort.

I have private health insurance. How does that work with physiotherapy payments?

Many private health insurance plans offer full or partial coverage for registered physiotherapy services. We recommend you contact your insurance provider directly before your first appointment to understand the specifics of your plan. Key things to check are: your annual maximum for physiotherapy, any per-visit limits or co-payments, whether a doctor's referral is required for reimbursement, and if your plan allows for direct billing by the clinic. If our clinic offers direct billing and your plan allows it, we can often bill your insurer directly for the covered portion. You would then be responsible for any co-payment or remaining balance not covered by your plan at the time of service. Please bring your insurance card and all necessary policy details to your first appointment. If direct billing is not possible, we will provide you with an official receipt that you can submit to your insurer.

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

Some temporary post-treatment soreness can be normal, much like after a good workout. However, if your pain significantly worsens, if you develop new concerning symptoms, or if the discomfort doesn't settle down within a day or two, please call us. Your Physiothérapeute would want to know so they can offer guidance and make any necessary adjustments to your care plan. Open communication is key to your successful recovery.

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

In Quebec, physiotherapy services provided in private clinics are generally not covered by RAMQ. Patients typically pay out-of-pocket or utilize private insurance plans. Some coverage may be available for physiotherapy received through public healthcare facilities or specific programs, but for outpatient private clinic care, patients should plan for private payment. It is advisable to verify your specific coverage with RAMQ and consult your private insurance provider for eligible services and reimbursement options.

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

In Quebec, patients can typically access a Physiothérapeute directly without a physician's referral, a process known as direct access. However, some private or extended health insurance plans may require a referral for reimbursement purposes. It is recommended to check with your insurance provider before your appointment to confirm if a referral is needed for your coverage. Regardless, direct access allows you to seek physiotherapy care promptly and efficiently.

Sport Physio Plus Inc
550, Chemin de Knowlton, # 2
Knowlton, QC J0E 1V0

Phone: (579) 438-8484 | Website: https://www.facebook.com/SportPhysioPlus/

Karine Tcholkayan 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.