About
Laurence Lemoine St-André is a dedicated Physiothérapeute (Neurological Rehabilitation Focus). Practicing at CISSS de la Montérégie-Centre (CH du Haut-Richelieu) in Saint-Jean-sur-Richelieu, QC, Laurence is committed to high-quality, patient-centered care aligning with Ordre professionnel de la physiothérapie du Québec (OPPQ) standards. Her approach emphasizes personalized treatment plans tailored to each individual's unique needs, fostering a supportive and empowering environment for recovery.
Laurence's physiotherapy focus involves assisting individuals in recovering function, improving mobility, managing symptoms, and enhancing quality of life after neurological events or conditions such as stroke, brain injury, spinal cord injury, Multiple Sclerosis, or Parkinson's Disease. She also offers specialized assessment and treatment for dizziness, vertigo, and balance disorders caused by inner ear or central vestibular system issues. Her goal is to reduce symptoms, improve stability, and lower fall risk, helping her patients regain confidence in their movement and independence.
With a solid educational foundation and ongoing professional development, Laurence has developed skills and a particular interest in Neurological Physiotherapy and Vestibular and Balance Rehabilitation. She is fluent in French and English, and her practice philosophy revolves around a collaborative, patient-centered approach—working closely with patients to achieve their movement and functional goals and actively involving them in their treatment planning. Laurence’s compassionate and community-focused care aims to support her patients every step of the way toward better health and well-being.
Laurence Lemoine St-André provides skilled physiotherapy care for a variety of conditions, including but not limited to:
Joint Pain
- Osteoarthritis (Knee, Hip, Spine, Hands, Other Joints): A chronic condition causing joint discomfort, stiffness (especially in the morning or after inactivity), and impacting your ability to perform daily activities, walk, or engage in hobbies.
- 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).
Concussion
- Concussion / Mild Traumatic Brain Injury (mTBI) & Post-Concussion Syndrome: Physiotherapy management of acute and persistent symptoms of a concussion, including addressing associated neck pain/dysfunction (cervicogenic component), vestibular (balance/dizziness) issues, oculomotor (eye movement) problems, and exertional intolerance.
Vestibular Balance
- Vestibular Hypofunction (Unilateral or Bilateral): Helping your brain adapt to a weakened inner ear balance sense, reducing chronic dizziness, improving visual focus during movement, and enhancing your overall balance and stability.
- Benign Paroxysmal Positional Vertigo (BPPV): Brief, often intense, episodes of dizziness or a spinning sensation (vertigo) triggered by specific changes in head position (e.g., rolling over in bed, looking up, bending down), caused by displaced inner ear crystals (otoconia).
This list offers examples of conditions commonly addressed. If your specific concern isn't listed, please contact the clinic. Laurence can assess your needs.
- Neural Mobilization Techniques (Nerve Gliding): Specialized manual techniques aimed at restoring normal movement and function to peripheral nerves that may be compressed, adhered, or under tension.
- Geriatric Physiotherapy & Seniors' Health: Tailored exercise prescription, education on safe movement, manual therapy (gentle techniques), and functional training to help seniors maintain their independence, enhance safety in their home and community, and promote active and healthy aging.
- Neurological Rehabilitation (e.g., Stroke, MS, Parkinson's, Acquired Brain Injury, Spinal Cord Injury): Specialized therapeutic interventions provided by a Neuro Physiotherapist to assist individuals in recovering function, improving mobility, balance, coordination, strength, and independence following a neurological event or diagnosis.
- Muscle Energy Techniques (MET): A form of manual therapy that actively involves you in your treatment, utilizing your body's muscular effort to achieve specific therapeutic effects on restricted joints and shortened soft tissues.
- Soft Tissue Mobilization & Release Techniques: Application of skilled soft tissue techniques to manage pain, stiffness, and improve function in muscles, tendons, ligaments, and fascia.
- 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.
Note: This list highlights some key services offered by Laurence. 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 CISSS de la Montérégie-Centre (CH du Haut-Richelieu), physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Laurence frequently helps patients work towards goals such as:
- Dealing with the ongoing challenges of dealing with ongoing pain and stiffness after a car accident, like whiplash? Laurence works collaboratively with patients to reach the goal of a better understanding of ergonomics for their work and home environment. This might involve specific rehabilitation techniques, hands-on care, and a home program, all aimed at helping you confidently resume important activities, such as enduring your daily commute, whether driving or on public transit, without stiffness.
- When recovering my strength and energy after being very sick (like with pneumonia or Long COVID) is limiting your lifestyle and preventing you from doing participating in light recreational activities like bowling or mini-golf, physiotherapy with Laurence can help you work towards more comfortable and efficient movement when transitioning between positions (e.g., sit to stand). The aim is to restore optimal function so you can comfortably and safely return to the things you love.
- Don't let that nagging tennis elbow (or golfer's elbow) that flares up with activity dictate what you can and cannot do. Laurence offers physiotherapy solutions aimed at understanding how to prevent future flare-ups and manage their condition long-term, helping you reclaim participating fully in your martial arts practice, including sparring and enjoy a more functional life.
Your personalized physiotherapy plan, developed with Laurence, will be designed to help you reach your specific functional and wellness objectives.
Laurence practices at the CISSS de la Montérégie-Centre (CH du Haut-Richelieu), situated in the Saint-Jean Sector South/Central neighborhood of Saint-Jean-sur-Richelieu. This public healthcare facility is conveniently located near Théâtre des Deux Rives and is easily accessible via Transport Urbain / Taxibus du Haut-Richelieu. Our clinic is wheelchair accessible. Free patient parking is typically available on-site or nearby.
- Can physiotherapy help prevent injuries or recurring pain?
- Definitely. A key aspect of physiotherapy is not just treating current problems but also preventing future ones. A Physiothérapeute can assess your movement, identify potential weaknesses or imbalances that could lead to injury, and provide you with a personalized program of exercises and strategies. This proactive approach is beneficial for athletes, individuals with physically demanding jobs, or anyone looking to maintain long-term musculoskeletal health and avoid recurring pain.
- Is physiotherapy covered by the Régie de l'assurance maladie du Québec (RAMQ) in QC?
- In Quebec, physiotherapy services in private clinics are generally not covered by RAMQ. Patients typically pay out-of-pocket or rely on private insurance. Care received directly within a public hospital or CLSC may be covered if meeting specific criteria. It is advisable to verify your coverage with RAMQ and consult your private insurance plan for possible reimbursement.
- What is CISSS de la Montérégie-Centre (CH du Haut-Richelieu)'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 may be charged for late cancellations or no-shows without sufficient notice. Please contact our clinic as soon as possible if you need to make any changes to your appointment.
- Do I need a doctor's referral to see a Physiothérapeute in QC?
- In Quebec, patients can typically see a Physiothérapeute directly without a physician's referral, known as direct access. However, some private or extended health insurance plans may require a referral for reimbursement purposes. It is recommended to check your individual insurance policy before your first appointment.
- What is the difference between a Physiotherapist (Physiothérapeute) and a Physiotherapy Technologist (Technologue en physiothérapie) in Quebec?
- A Physiothérapeute in Quebec has completed a master's level university education, granting them the autonomy to assess patients, make diagnoses, and develop comprehensive treatment plans. A Technologue en physiothérapie has a college diploma (DEC) focused on the technical application of physiotherapy treatments, assisting physiotherapists by implementing treatment plans, helping with exercises, and reporting progress.
- Is physiotherapy treatment supposed to be painful?
- While some techniques may cause temporary discomfort or soreness, physiotherapy should not be excessively painful or intolerable. Laurence will discuss what sensations to expect and will adjust treatments to ensure your comfort while achieving therapeutic goals. Open communication about your comfort level is encouraged at all times.
CISSS de la Montérégie-Centre (CH du Haut-Richelieu)
383, Boulevard du Séminaire N, # 229
Saint-Jean-sur-Richelieu, QC J3B 8C5
Phone: (450) 359-5000
Laurence Lemoine St-André 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.