Madison Lee Grande – Physiotherapist | St. Catharines, ON

Madison Lee Grande is a dedicated Physiotherapist (Resident Physiotherapist). Practicing at Niagara Childrens Centre in St. Catharines, ON, Madison Grande is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Madison Grande's focus is addressing a wide range of muscle, joint, bone, tendon, and ligament conditions. This includes everything from acute injuries like sprains and strains, to chronic pain management, arthritis care, and comprehensive post-operative rehabilitation. Madison Grande serves infants, children, and adolescents.

Madison Lee Grande completed their degree in Physiotherapy from McMaster University (Graduating Class of 2024). With clinical experience, Madison Grande is committed to ongoing professional development and evidence-based physiotherapy practices. Madison Grande has a particular interest or further training in areas such as Orthopedic and Musculoskeletal Physiotherapy.

Madison Grande employs a patient-centered approach, actively involving individuals in their treatment planning and goal setting; empowering patients through clear education about their condition and practical self-management strategies for lasting results. Madison Grande offers consultations in English.

Madison Lee Grande provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Joint Pain

• Osteoarthritis (Knee, Hip, Spine, Hands, Other Joints): Joint pain, aching, and functional limitation due to the progressive loss of cartilage, which physiotherapy can help manage through exercise, education, and pain relief strategies.
• 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).

Back Neck Pain

• 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).
• Postural Back/Neck Pain: Pain and muscle tension related to ergonomic factors at work or home, muscle imbalances, and suboptimal body mechanics or movement habits.

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. Madison Grande can assess your needs.

• Personalized Therapeutic Exercise Prescription: Development of a tailored therapeutic exercise program by your Physiotherapist, focused on your specific rehabilitation needs, strength goals, flexibility improvements, balance, and overall conditioning.
• Core Stability & Strengthening Training: Specialized workouts to enhance your core strength, stability, and endurance, which are crucial for injury prevention, back health, and efficient performance in daily activities and sports.
• Therapeutic Heat Application: Superficial heat application carefully monitored by your therapist to promote relaxation, pain relief, and enhance the effectiveness of other treatments.
• Cryotherapy Application (Cold Therapy): Using therapeutic cold to manage the initial stages of an injury (e.g., sprains, strains) and control inflammatory responses, helping to limit tissue damage.
• Low-Level Laser Therapy (LLLT) / Photobiomodulation: Utilizing therapeutic laser to enhance tissue regeneration, reduce pain signals, and manage inflammation as part of your comprehensive physiotherapy care.
• Therapeutic Ultrasound Application: The application of high-frequency sound waves by your Physiotherapist to targeted tissues to promote deep tissue heating, increase local blood flow, reduce pain, and facilitate the healing process in soft tissues like muscles, tendons, or ligaments.

Note: This list highlights some key services. For a full list of therapies offered by Madison Grande, 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 Niagara Childrens Centre, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Madison Grande frequently helps patients work towards goals such as:

• Don't let pain or weakness that's stopping me from enjoying my favorite hobbies dictate what you can and cannot do. Madison Grande offers physiotherapy solutions aimed at waking up feeling more refreshed with considerably less pain and stiffness, helping you reclaim joining in on pickup basketball games at the local court and enjoy a more functional life.
• Many find that feeling unsteady on my feet or experiencing dizziness and balance problems significantly impacts their ability to participating fully in their martial arts practice, including sparring. Madison Grande helps patients target seeing their child achieve developmental milestones with greater ease (for pediatric physio) with physiotherapy, making a return to these activities possible.
• At Madison Grande's physiotherapy practice, individuals with tendonitis pain flaring up in my shoulder, knee, elbow, or foot are guided towards enjoying cycling or swimming regularly without pain or limitation. The focus is on enabling you to once again participate fully and comfortably in activities you enjoy, such as taking long photography walks to capture nature or cityscapes.
• Living with needing help to get moving again after a long period of illness or inactivity doesn't have to be your norm. Madison Grande applies expert physiotherapy knowledge to work towards a return to intimacy without the fear of pain or discomfort, so you can get back to the simple pleasure of working at their desk all day without developing back or neck stiffness.

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

Madison Grande practices at Niagara Childrens Centre, situated in the Merritton, Thorold South (Brock University Area) neighborhood of St. Catharines. The clinic is conveniently located near Lakeside Park and is accessible via Niagara Region Transit (NRT). Our clinic is accessible. Street parking and nearby paid lots offer convenient options for visitors.

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

For your first visit, please bring your provincial health card (e.g., Ontario Health Insurance Plan (OHIP) card, if applicable for any publicly funded programs or simply for identification), any relevant medical information such as a doctor's referral note (if you have one), reports from recent imaging (like X-rays, MRI, or ultrasound scans), and a list of your current medications. Also, if you plan to use private health insurance, bring your insurance card or policy details. Finally, wear or bring comfortable clothing suitable for assessment and movement.

What should I expect during my first physiotherapy appointment?

Your initial physiotherapy appointment is a comprehensive assessment. Your Physiotherapist will start by discussing your medical history, the details of your current symptoms or injury, your concerns, and what you hope to achieve with physiotherapy (your functional goals). This is followed by a thorough physical examination, which may include evaluating your range of motion, strength, posture, balance, and specific movement patterns, as well as performing special tests relevant to your condition. Based on these findings, your therapist will provide a clinical impression or diagnosis, discuss a personalized treatment plan with you, and often begin some initial treatment or provide education and a home exercise program to get you started.

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. It is strongly advised to check 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.

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. Contact your insurance provider before your first appointment to understand your plan's specifics. 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 direct billing is possible, we can bill your insurer directly for the covered portion. You would then be responsible for any co-payment or remaining balance. Bring your insurance card and policy details to your first appointment. If direct billing is not possible, we will provide you with an official receipt to submit to your insurer.

Approximately how many physiotherapy sessions will I need?

This depends on many factors. After your initial assessment, your Physiotherapist will give you a better idea of the anticipated number of sessions and frequency of visits. We will regularly review your progress and adjust the treatment plan as needed.

What are Niagara Childrens Centre's operating hours?

Niagara Childrens Centre is typically open Monday to Friday from 8:00 AM to 7:00 PM. Some practitioners offer Saturday appointments from 9:00 AM to 1:00 PM. Hours can vary, so please call or check our website for the most current hours and availability.

What is Niagara Childrens Centre's appointment cancellation policy?

We kindly request at least 24 hours' notice for cancellations or rescheduling. A fee may be charged for late cancellations or missed appointments.

Niagara Childrens Centre
547 Glenridge Avenue
St. Catharines, ON, L2T 4G2

Phone: (905) 688-3550

Madison Lee Grande 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: XXX62

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=6a3232d7-3b69-ef11-a670-6045bd5c6716

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