Marylène St-Germain

Marylène St-Germain provides skilled physiotherapy care for a variety of conditions, including but not limited to:

Common Msk

• Musculoskeletal Injuries (General - Tendinitis, Bursitis, Capsulitis, Sprains, Strains): A broad term for common injuries affecting muscles, tendons (tendinitis/tendinopathy), ligaments (sprains), joint capsules (capsulitis), and bursae (bursitis), leading to pain, inflammation, and functional limitations.
• Muscle Strains and Tears: Injury to muscle tissue that limits your strength, range of motion, and ability to perform specific movements or activities, requiring careful rehabilitation.
• Wrist and Hand Pain (e.g., Carpal Tunnel Syndrome, De Quervain's Tenosynovitis, Strains): Aching, burning, sharp pain, or a 'pins and needles' sensation in the wrist, thumb, or hand region, sometimes waking you at night.
• 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.

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

• Stretching & Flexibility Programs: Guided stretching routines and flexibility exercises prescribed by your Physiotherapist, aimed at improving your range of motion, reducing muscle tightness or stiffness, and enhancing overall movement quality.
• Core Stability & Strengthening Training: Targeted exercises focused on strengthening the deep abdominal, back, pelvic floor, and diaphragm muscles to provide better support for your spine, improve posture, enhance balance, and increase movement efficiency.
• Therapeutic Ultrasound Application: Ultrasound therapy as part of a comprehensive treatment plan, often used to prepare tissues for manual therapy or exercise, or to manage acute and chronic soft tissue injuries.
• General Reconditioning & Fitness Programs: Comprehensive exercise plans developed by your Physiotherapist to combat deconditioning, enhance overall physical well-being, and promote an active lifestyle.
• Strength & Conditioning for Rehabilitation and Performance: Customized strength training to address specific weaknesses identified in your assessment, helping to correct imbalances, improve movement efficiency, and achieve your physical objectives.
• Personalized Therapeutic Exercise Prescription: A carefully selected set of exercises specific to your condition and abilities, aimed at restoring function, reducing pain, improving movement, and preventing future issues.

Note: This list highlights some key services offered by Marylène. 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 MCQ, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Marylène frequently helps patients work towards goals such as:

• Many patients have found lasting relief from awful foot pain first thing in the morning, like I’m walking on glass (plantar fasciitis) and achieved feeling more stable and confident on their feet, especially on uneven surfaces under the skilled care of Marylène. This renewed physical ability often allows them to re-engage with beloved activities such as sitting comfortably through a movie at the cinema or a play with a new lease on life.
• For those whose feeling generally stiff, achy, and less mobile than I used to be has made performing tasks requiring fine motor skills and dexterity with ease seem like a distant memory, Marylène's physiotherapy care offers a clear path toward improved joint health and a slowing of degenerative processes through better biomechanics. Effective, evidence-based treatments can be instrumental in helping you get back to performing tasks requiring fine motor skills and dexterity with ease with greater comfort and renewed confidence.
• Tired of that grinding or crunching feeling in my knee or shoulder interfering with working at your desk all day without developing back or neck stiffness? Marylène uses a blend of physiotherapy techniques to help you achieve improved overall mobility, making it easier to navigate their home and community and regain your freedom of movement.

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

Marylène practices at CIUSSS MCQ, situated in the Downtown Trois-Rivières neighborhood of Trois-Rivières. This public healthcare facility is conveniently located near the Université du Québec à Trois-Rivières (UQTR) and is easily accessible via the Société de transport de Trois-Rivières (STTR). Our clinic is wheelchair accessible. Ample parking is generally accessible close to the clinic entrance.

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 Physiotherapy Technologist 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.

Approximately how many physiotherapy sessions will I need?

It’s difficult to say exactly how many sessions you’ll need without a thorough assessment, as everyone’s situation and recovery path is unique. Some acute conditions might resolve in just a few sessions, while more chronic, complex, or significant issues may require a longer period of care to achieve lasting results. Your Physiotherapy Technologist will provide an estimated treatment timeline and plan after your first visit, and this will be revisited as your treatment progresses.

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.

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

In general, RAMQ does not cover physiotherapy services provided in private clinics. Patients typically pay out-of-pocket or use private insurance. Care received directly in a public hospital or CLSC may be covered if it meets specific criteria. For most outpatient physiotherapy in private clinics, coverage is limited, so checking with RAMQ and your private insurer beforehand is highly recommended.

What is manual therapy in physiotherapy?

Manual therapy involves skilled, hands-on treatments performed by your Physiotherapy Technologist as part of your overall physiotherapy plan. These techniques are designed to assess and treat your joints, muscles, and nerves to decrease pain and improve your mobility and function. Examples include specific joint mobilizations to improve movement, soft tissue release techniques to address muscle tightness or scar tissue, and sometimes manipulations (adjustments) if indicated and appropriate for your condition and your therapist's qualifications.

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 Physiotherapy Technologist in QC?

In Quebec, patients can typically access a Physiotherapy Technologist 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’s advisable to verify the specific requirements of your insurance plan prior to your appointment to ensure coverage.

CIUSSS MCQ
858, Terrasse Turcotte
Trois-Rivières, QC G9A 5C5

Phone: (819) 852-5441

Marylène St-Germain 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.