Melissa Guadalupe Pineda

Melissa Guadalupe Pineda provides skilled physiotherapy care for a variety of conditions, including but not limited to:

Common Msk

• Hip Pain (e.g., Bursitis, Muscle Strains, Labral Issues - conservative): Pain affecting the hip joint and surrounding musculature, which can limit activities like walking, standing for long periods, rising from a chair, or lying on the affected side.
• Muscle Strains and Tears: Common injuries in active individuals, athletes, or resulting from accidents, leading to localized pain, swelling, bruising, and weakness in the affected muscle (e.g., hamstring, calf, quadriceps, groin, rotator cuff).
• 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.
• 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.

Sports Injury

• Patellofemoral Pain Syndrome (Runner's Knee / Anterior Knee Pain): Pain felt around, under, or behind the kneecap (patella), often described as a dull ache that is aggravated by activities like running, jumping, squatting, using stairs (especially going down), or prolonged sitting with the knee bent.
• Ligament Sprains (e.g., ACL, MCL, PCL, Ankle Ligaments): Injuries like a 'twisted ankle', 'knee ligament injury', or 'shoulder separation' (AC joint sprain) sustained during athletic activity or accidental falls.
• Stress Fractures (Activity-Related - Conservative Management/Rehab): A bone injury resulting from an imbalance between bone resorption and bone formation due to repetitive mechanical loading, often seen in runners or athletes who rapidly increase their training.
• Muscle Strains (e.g., Hamstring, Calf, Groin, Quadriceps, Rotator Cuff): Common athletic injuries affecting major muscle groups such as the hamstrings, calves, groin (adductors), quadriceps, or rotator cuff muscles of the shoulder.

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.
• Spinal Stenosis Symptoms: Back or neck pain accompanied by associated limb symptoms (pain, sensory changes, weakness) due to a constricted spinal canal, which physiotherapy can help manage conservatively.

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

• Therapeutic Ultrasound Application: A non-invasive physiotherapy modality that uses sound energy to stimulate cellular activity, enhance circulation, and support tissue recovery from injury or inflammation.
• Cryotherapy Application (Cold Therapy): Cold therapy techniques applied by your therapist to effectively alleviate acute pain, reduce inflammation, and manage muscle soreness or spasm.
• Interferential Current (IFC) / TENS Therapy: The use of specific electrical stimulation devices (IFC or TENS) by your Physiotherapist to provide pain relief, reduce muscle spasm, decrease swelling, or promote muscle activation and re-education.
• Other Electrotherapy Applications (e.g., NMES, FES): Application of various forms of electrical stimulation, such as Neuromuscular Electrical Stimulation (NMES) for muscle strengthening and re-education, or Functional Electrical Stimulation (FES) to assist with movement, as prescribed by your Physiotherapist.
• Therapeutic Heat Application: Superficial heat application carefully monitored by your therapist to promote relaxation, pain relief, and enhance the effectiveness of other treatments.
• Low-Level Laser Therapy (LLLT) / Photobiomodulation: LLLT or 'cold laser' therapy to stimulate your body's natural healing processes, provide pain relief, and improve function in conditions like tendinopathies, arthritis, or soft tissue injuries.

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

• Struggling with the frustration of widespread muscle pain and fatigue that my doctor thinks might be fibromyalgia? Melissa develops individualized physiotherapy programs specifically aimed at achieving achieving personal fitness goals that once seemed out of reach. This is key to helping you get back to doing enduring your daily commute, whether driving or on public transit, without stiffness with confidence and significantly reduced discomfort.
• With Melissa's help, managing that 'arthritic' pain in my hands, hips, or knees to achieve feeling more resilient and less vulnerable to minor strains or injuries becomes a clear journey, allowing patients to confidently re-engage with life and activities like taking long photography walks to capture nature or cityscapes.
• Many find that trouble with a constantly stiff and sore neck, making turning my head a pain significantly impacts their ability to joining in on pickup basketball games at the local court. Melissa helps patients target enhanced pelvic floor function and control (for relevant conditions) with physiotherapy, making a return to these activities possible.

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

Melissa practices at Clinique de physiothérapie de la Pointe, situated in a modern clinic located in the heart of Pointe-aux-Trembles. The clinic is conveniently positioned in the central neighborhood, making it easily accessible for residents and visitors alike. It is close to local community services and pharmacies, providing a seamless experience for patients seeking comprehensive care. The clinic is well-connected via local public transit routes, ensuring easy access whether you are coming from nearby areas or further afield. Our clinic is wheelchair accessible. Free patient parking is typically available on-site or nearby.

What are Clinique de physiothérapie de la Pointe's operating hours?

Our clinic is typically open Monday to Friday from 8:00 AM to 7:00 PM, and some practitioners offer Saturday appointments from 9:00 AM to 1:00 PM. However, hours can vary by practitioner and day, so please call our office at (514) 123-4567 or check our website/online booking portal for the most current hours and specific practitioner availability.

What is the difference between a Physiotherapist (Physiothérapeute) and a Physiotherapy Technologist (Technologue en physiothérapie) in Quebec?

In Quebec, a Physiothérapeute (Physiotherapist) holds a university master's degree in physiotherapy. They are autonomous healthcare professionals authorized to perform patient assessments, establish a physiotherapy diagnosis, create and modify treatment plans, and apply a wide range of therapeutic interventions. This includes certain restricted activities if they hold the specific attestations (e.g., spinal manipulations, specific needle-based therapies). A Technologue en physiothérapie (Physiotherapy Technologist or Phys. T.) holds a college-level (CEGEP) diploma in physiotherapy technology. They work under the supervision of, or based on a treatment plan established by, a physiotherapist or a physician. Technologists apply prescribed treatment modalities, guide patients through exercises, monitor progress, and adapt interventions within the established plan, but they do not diagnose or independently create treatment plans. Both professions are regulated by the Ordre professionnel de la physiothérapie du Québec (OPPQ).

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

Generally, RAMQ does not cover physiotherapy services performed in private clinics. Patients typically pay out-of-pocket or use private insurance. Care received directly within a public hospital or CLSC might be covered if meeting their criteria, but private clinic physiotherapy is usually not. Patients are advised to verify their eligibility directly with RAMQ and check their private insurance plans for coverage.

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

Patients in Quebec 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 with your insurance provider before your first appointment.

What should I expect during my first physiotherapy appointment?

Your initial appointment will involve a thorough assessment, including a discussion of your medical history, current symptoms, concerns, and goals. This is followed by a physical examination to evaluate movement, strength, posture, and other relevant factors. Based on your findings, Melissa will provide a diagnosis or clinical impression, discuss a personalized treatment plan, and often initiate some treatment or education to help you begin your recovery journey.

Clinique de physiothérapie de la Pointe
12945, Rue Sherbrooke E
Pointe-aux-Trembles, QC H1A 1B9

Phone: (514) 498-4918

Melissa Guadalupe Pineda 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.