Myriam Tassitano Dit Spain – Physiotherapist | Québec, QC

Myriam Tassitano Dit Spain is a dedicated Physiothérapeute (Neurological Rehabilitation Focus). Practicing at Institut de réadaptation en déficience physique de Québec - IRDPQ in Québec, QC, Myriam is committed to high-quality, patient-centered care aligning with Ordre professionnel de la physiothérapie du Québec (OPPQ) standards. Her approach emphasizes understanding each patient's unique needs and fostering a warm, supportive environment to promote healing and well-being.

Myriam's focus is 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 addresses a wide range of musculoskeletal issues, including acute injuries like sprains and strains, as well as chronic pain management, arthritis care, and comprehensive post-operative rehabilitation. Her compassionate approach extends to serving infants and young children (0-5 years), supporting early development and recovery.

With a solid educational background and clinical experience, Myriam completed her degree in Physiotherapy and is dedicated to ongoing professional development. She has developed particular expertise in Neurological Physiotherapy and Orthopedic and Musculoskeletal Physiotherapy, ensuring her practice incorporates the latest evidence-based methods. Her practice philosophy centers on empowering patients through clear education and practical self-management strategies, always striving for the best outcomes. Myriam is fluent in English and French, enabling her to connect effectively with a diverse community of patients.

Myriam Tassitano Dit Spain provides skilled physiotherapy care for a variety of conditions, including but not limited to:

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.

Post Surgical

• Post-Fracture Fixation Surgery Rehabilitation (e.g., ORIF): Targeted physiotherapy to help you recover from operatively treated fractures, addressing common issues like joint stiffness, muscle weakness, swelling, pain, and functional limitations in the affected limb.
• Post-Spinal Surgery Rehabilitation (e.g., Discectomy, Laminectomy, Fusion - with surgeon clearance): Gentle and progressive physiotherapy rehabilitation following spinal surgery (e.g., for disc herniation, spinal stenosis, or spinal fusion), initiated once cleared by your surgeon, to improve mobility, core strength, posture, reduce pain, and safely return to daily activities.
• Post-ACL or Other Knee Ligament Reconstruction Rehabilitation: Guiding your rehabilitation journey after ACL or other ligament surgery, from early post-operative care to advanced sport-specific training and return-to-play testing.

Hand Wrist

• Trigger Finger/Thumb (Stenosing Tenosynovitis): Conservative physiotherapy management for trigger digit, which may include splinting to rest the tendon, specific tendon gliding exercises, activity modification advice, modalities to reduce inflammation, and education to prevent recurrence.
• Hand and Wrist Injuries & Conditions (e.g., Fractures, Tendon Injuries, Sprains, Arthritis - Conservative/Post-Op): Focused physiotherapy care for complex hand and wrist problems, often involving custom splinting or orthosis fabrication, manual therapy (joint and soft tissue mobilization), specific exercises to restore dexterity, strength, and range of motion, scar management, and sensory re-education.

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

• Balance Training & Falls Prevention Programs: Comprehensive assessment of your fall risk factors with individualized interventions, including balance exercises, strength training, gait re-training, and home safety advice to help you prevent falls.
• Neural Mobilization Techniques (Nerve Gliding): Targeted therapy to alleviate symptoms such as shooting pain, pins and needles, or weakness arising from neural tension or entrapment.
• Vestibular Rehabilitation Therapy (VRT) for Dizziness, Vertigo & Balance Disorders: Effective therapy for various inner ear and balance disorders, including BPPV, vestibular neuritis/labyrinthitis, unilateral or bilateral vestibular hypofunction, Meniere's disease (symptom management), and persistent postural-perceptual dizziness (PPPD).
• 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.
• Muscle Energy Techniques (MET): Using controlled isometric and isotonic muscle contractions, as directed by your Physiotherapist, to address joint restrictions and muscle imbalances effectively.
• Soft Tissue Mobilization & Release Techniques: Hands-on treatment focusing on your body's soft tissues to restore pliability, reduce discomfort, and optimize movement quality.

Note: This list highlights some key services offered by Myriam. 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 Institut de réadaptation en déficience physique de Québec - IRDPQ, physiotherapy is focused on helping individuals like you achieve significant improvements in health and daily activities. Myriam frequently helps patients work towards goals such as:

• Through personalized physiotherapy at Myriam's clinic, common concerns like my child walking on their toes most of the time are thoroughly assessed and addressed with the objective of getting their strength back after surgery or a period of inactivity. This often involves a combination of in-clinic treatment, education, and self-management strategies, helping people to once again enjoy activities like giving presentations or speaking publicly with confidence and good posture.
• Don't let breathing difficulties and shortness of breath with COPD or asthma, especially during activity dictate what you can and cannot do. Myriam offers physiotherapy solutions aimed at increased endurance for walking, allowing for longer and more enjoyable outings, helping you reclaim sleeping soundly through the night without being woken by pain or discomfort and enjoy a more functional life.
• For those whose my infant having a tilted head or a flat spot on their head (torticollis/plagiocephaly) has made dressing myself independently and without difficulty, including shoes and socks seem like a distant memory, Myriam's physiotherapy care offers a clear path toward being active again without the constant worry of pain or re-injury. Effective, evidence-based treatments can be instrumental in helping you get back to dressing myself independently and without difficulty, including shoes and socks with greater comfort and renewed confidence.

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

Myriam practices at the Institut de réadaptation en déficience physique de Québec - IRDPQ, situated in a central Québec neighborhood that is easily accessible for patients from across the region. This public healthcare facility is conveniently located near local community services and pharmacies, making it easy for patients to integrate their physiotherapy sessions into their daily routines. The clinic is accessible via various local public transit routes, ensuring that patients can reach their appointments without hassle. Our clinic is wheelchair accessible. Free patient parking is typically available on-site or nearby.

Approximately how many physiotherapy sessions will I need?

This is very individual and depends on many factors. After your comprehensive initial assessment, your Physiothérapeute will be able to give you a better idea of the anticipated number of sessions and the frequency of visits needed to achieve your specific goals. We believe in open communication and will regularly review your progress with you, adjusting the treatment plan as you improve and as needed.

What is Institut de réadaptation en déficience physique de Québec - IRDPQ'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.

What kind of clothing should I wear to my physiotherapy appointment?

Please wear comfortable, loose-fitting clothing that allows the Physiothérapeute to easily access and assess the area being treated, and permits you to move freely for any exercises or movements. For example, shorts are ideal for knee, hip, or ankle issues, while a tank top or loose t-shirt works well for shoulder, neck, or upper back problems. Athletic wear or gym attire is generally a good choice. You may also be provided with a gown if needed.

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.

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

In Quebec, physiotherapy services performed in private clinics are generally not covered by RAMQ. Patients usually pay out-of-pocket or rely on private insurance plans. However, care received directly within a public hospital or CLSC might be covered if meeting specific criteria. It is important to verify your eligibility with RAMQ and review your private insurance plans, as many offer coverage for physiotherapy services in private clinics.

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

Patients in Quebec can typically access physiotherapy services 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 is advisable to check with your insurance provider before your first appointment to confirm their requirements.

Institut de réadaptation en déficience physique de Québec - IRDPQ
525, Boulevard Wilfrid-Hamel
Québec, QC G1M 2S8

Phone: (418) 529-9141

Myriam Tassitano Dit Spain 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.