Karthikeyan Murugesan

Karthikeyan Murugesan provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Neurological

• Muscular Dystrophy / Myopathy - Supportive Physiotherapy Care: Helping individuals with muscular dystrophies and myopathies adapt to changes in their physical abilities and maintain their participation in meaningful activities through tailored physiotherapy.
• Traumatic Brain Injury (TBI) / Acquired Brain Injury (ABI) Rehabilitation: Comprehensive neurorehabilitation provided by a Physiotherapist to support functional recovery, improve independence in daily activities, and facilitate community reintegration after a head injury.
• Parkinson's Disease Management & Movement Therapy: Physiotherapy interventions focusing on large-amplitude movements, rhythmic activities, and strategies to overcome movement difficulties associated with Parkinson's.

Common Musculoskeletal

• Ankle Sprains and Instability: A 'rolled' or twisted ankle with subsequent swelling, tenderness, and difficulty putting your full weight on the foot.
• Low Back Pain (Acute or Chronic): Pain, discomfort, or stiffness in the lumbar spine region, whether it's a sudden onset or a long-lasting issue affecting your daily life.
• Knee Pain (e.g., Patellofemoral Syndrome, Meniscal Issues - conservative, Ligament Sprains): Pain, swelling, clicking, locking, or instability in or around the knee joint from various causes like ligament sprains (e.g., ACL, MCL), meniscal tears (managed conservatively), or patellofemoral (kneecap) pain.
• Shoulder Pain (e.g., Rotator Cuff Tendinopathy, Impingement, Frozen Shoulder/Adhesive Capsulitis): Difficulty with activities like reaching for objects, dressing, personal care, or carrying items due to underlying shoulder issues, which physiotherapy can help diagnose and treat.

Back Neck Pain

• Whiplash Associated Disorders (WAD): Post-traumatic neck pain, restricted movement, and associated issues common after car accidents, which benefit from early and appropriate physiotherapy intervention.
• Herniated Disc / Sciatica / Radiculopathy: Sharp, shooting, electric-like, or burning pain that travels along the path of a nerve due to issues with intervertebral discs or other spinal structures.
• Postural Back/Neck Pain: Muscular pain, trigger points, and tension headaches resulting from habitual poor posture, which can be addressed with postural re-education, exercises, and ergonomic advice.
• Spinal Stenosis Symptoms: Often age-related changes leading to pressure on the spinal cord or nerve roots, causing pain, numbness, tingling, or weakness in the legs with walking (neurogenic claudication in lumbar stenosis) or in the arms/hands (cervical stenosis).

This list offers examples of conditions commonly addressed. Diagnosis for physiotherapist is based on individual assessment, so if your specific concern isn't listed, please contact the clinic. Karthik can assess your needs.

• Rehabilitation for Age-Related Deconditioning & Loss of Autonomy: Targeted physiotherapy programs to help seniors regain strength, endurance, balance, and functional abilities after an illness, surgery, hospitalization, or a period of inactivity or decline.
• Functional Movement Screening (FMS™/SFMA™ if certified): Identifying inefficient or compensatory movement patterns that could be contributing to your pain or hindering your physical performance.
• Patient Education & Self-Management Strategies: Educating you about your diagnosis, expected recovery timeline (prognosis), and the reasons behind your treatment plan to encourage active participation in your healing.
• Comprehensive Musculoskeletal Assessment: An in-depth examination to fully understand your specific condition, allowing your Physiotherapist to create an effective and personalized rehabilitation plan.
• Geriatric Physiotherapy & Seniors' Health: Addressing common concerns in seniors such as difficulty walking, fear of falling, joint pain and stiffness, and deconditioning, to improve their overall quality of life and ability to participate in meaningful activities.
• Postural Assessment and Correction: Detailed analysis of your static and dynamic posture, with tailored exercises, stretches, and advice to help you improve alignment and reduce strain on your body.

Note: This list highlights some key services. For a full list of therapies offered by Karthik, or to discuss your specific needs, please contact the clinic.

All services are provided in accordance with the scope of practice for Physiotherapists in ON and the standards set by The College of Physiotherapists of Ontario.

At The John M. Parrott Centre, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Karthik frequently helps patients work towards goals such as:

• Tired of feeling generally stiff, achy, and less mobile than I used to be interfering with dressing myself independently and without difficulty, including shoes and socks? Karthik uses a blend of physiotherapy techniques to help you achieve improved ability to lift and carry objects correctly and safely and regain your freedom of movement.
• Karthik frequently assists patients in overcoming the effects of soreness and tightness in my Achilles tendon, especially after exercise. A carefully designed physiotherapy program, potentially including specialized manual techniques and progressive exercises, targets understanding how to prevent future flare-ups and manage their condition long-term and supports your enthusiastic engagement in desired activities like playing in their competitive volleyball league again.
• Struggling with the frustration of pain or weakness that's stopping me from enjoying my favorite hobbies? Karthik develops individualized physiotherapy programs specifically aimed at achieving regaining full function in an injured area, enabling a return to cherished activities. This is key to helping you get back to doing working at their desk all day without developing back or neck stiffness with confidence and significantly reduced discomfort.
• Many patients have found lasting relief from post-operative stiffness and weakness that's slowing down my recovery and achieved being able to climb stairs with ease and confidence once again under the skilled care of Karthik. This renewed physical ability often allows them to re-engage with beloved activities such as enduring their daily commute, whether driving or on public transit, without stiffness with a new lease on life.

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

Karthik's practice is located at The John M. Parrott Centre, a physiotherapy clinic in the central Napanee neighborhood of Napanee, ON. The clinic is conveniently located near nearby parks and community recreation facilities and is accessible via local public transit routes. Our clinic is accessible. Street parking and nearby paid lots offer convenient options for visitors.

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 The John M. Parrott Centre 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?

It's not uncommon to experience some temporary soreness or a mild increase in symptoms after certain physiotherapy treatments, especially in the initial stages or if you're starting new exercises. This usually subsides within 24-48 hours. However, if you experience a significant or sharp increase in pain, new or worsening neurological symptoms (like numbness, tingling, or weakness), or if your soreness lasts longer than expected, it's important to contact The John M. Parrott Centre or your physician directly. They can provide advice, adjust your treatment plan if necessary, or determine if you need to be reassessed.

What is The John M. Parrott Centre's appointment cancellation policy?

We understand that schedules can change unexpectedly. To ensure we can accommodate all our patients efficiently, we kindly request at least 24 hours' notice (or one business day) for any appointment cancellations or rescheduling. This allows us to offer the time slot to other patients who may be waiting for care. A fee equivalent to 50% of the service cost may be charged for late cancellations (less than 24 hours' notice) or missed appointments (no-shows) without sufficient notice. Please contact our clinic as soon as possible if you need to make any changes to your appointment.

Is physiotherapy covered by the Ontario Health Insurance Plan (OHIP) in ON?

OHIP generally does NOT cover physiotherapy services in private outpatient clinics for most of the population. Publicly funded physiotherapy is available in specific situations (e.g., post-hospitalization for certain conditions, for children/youth, seniors, or through Community Physiotherapy Clinics/Family Health Teams), but eligibility criteria are strict and there may be waitlists. We strongly advise checking your private insurance for private clinic coverage.

Do I need a doctor's referral to see a Physiotherapist in ON?

Patients in ON can typically see a Physiotherapist directly without a physician's referral (direct access). However, some private/extended health insurance plans require a referral for reimbursement. Check your insurance policy before your first appointment.

The John M. Parrott Centre
309 Bridge Street West
Napanee, ON, K7R 2G4

Phone: (613) 354-3306

Karthikeyan Murugesan is regulated by the Regulated Health Professions Act, 1991 and Physiotherapy Act, 1991 in ON and is a registered member of The College of Physiotherapists of Ontario.

Registration Number: XXX56

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=11b270d7-8f02-e811-813f-480fcff40721

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