Tamara Fram

Tamara Fram provides skilled physiotherapy care for a variety of conditions, including but not limited to:

Arthritis

• Ankylosing Spondylitis (AS): Specific exercises (e.g., McKenzie exercises, stretching, postural exercises) and strategies to help individuals with ankylosing spondylitis maintain function, reduce stiffness, and prevent long-term spinal changes.
• Rheumatoid Arthritis (RA) & Other Inflammatory Arthropathies: Tailored exercise programs (including range of motion, strengthening, and low-impact aerobic exercises), pain relief modalities, and education on joint protection techniques and energy conservation for individuals with RA or similar conditions.
• Psoriatic Arthritis (PsA): Supportive physiotherapy for individuals with psoriatic arthritis, focusing on managing joint pain and swelling, maintaining range of motion and strength, improving function, and providing advice on activity modification and joint protection.

Neurological

• Parkinson's Disease Management & Movement Therapy: Helping individuals with Parkinson's Disease maintain mobility, functional independence, and safety, and improve their quality of movement and life.
• Facial Palsy / Bell's Palsy Rehabilitation: Rehabilitation for facial nerve disorders to help restore facial expression, improve function (e.g., eating, speaking, eye closure), and enhance overall facial appearance and confidence.

Back Neck Pain

• Whiplash Associated Disorders (WAD): Symptoms resulting from a whiplash injury, which can vary in severity (WAD Grades I-III) and duration, requiring a comprehensive physiotherapy approach for recovery.
• Herniated Disc / Sciatica / Radiculopathy: Back or neck pain that often radiates into an arm or leg, potentially with numbness, tingling, weakness, or burning sensations, due to a spinal disc problem (herniation, protrusion, or bulge) compressing or irritating a nearby nerve root (radiculopathy). Sciatica specifically refers to radicular pain down the leg.

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

• Home-Based Physiotherapy Visits (Mobile Physio): Providing professional physiotherapy assessment, treatment, education, and exercise prescription directly in the comfort and convenience of your home environment, especially for those who have difficulty attending an outpatient clinic due to mobility issues, severe pain, or other constraints.
• Concussion / Mild Traumatic Brain Injury (mTBI) Management & Rehabilitation: A structured and individualized rehabilitation approach to help you navigate your recovery after a concussion, promoting symptom resolution and safe resumption of activities.
• Tele-Rehabilitation / Virtual Physiotherapy Consultations: Receiving personalized physiotherapy care online through secure and interactive video sessions with your qualified Physiotherapist, including real-time exercise correction and tailored advice.
• Comprehensive Musculoskeletal Assessment: A complete assessment of your musculoskeletal system to pinpoint issues, set clear rehabilitation goals, and get you started on the path to recovery.
• Balance Training & Falls Prevention Programs: Specific training programs to enhance your sense of body position, improve your reaction times to unexpected balance disturbances, and build confidence in your ability to move safely in various environments.
• Patient Education & Self-Management Strategies: Educating you about your diagnosis, expected recovery timeline (prognosis), and the reasons behind your treatment plan to encourage active participation in your healing.

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

• If recurrent dislocations or a feeling of instability in my shoulder or knee is preventing you from fully enjoying sitting comfortably through a movie at the cinema or a play, Tamara offers expert guidance and tailored treatment. Physiotherapy focuses on attaining the ability to sit for longer periods (e.g., at a desk, in a car) without significant discomfort, often utilizing targeted exercises, manual therapy, and education to help you regain your previous level of function.
• Struggling with the frustration of swelling in my arm or leg, possibly lymphedema, after surgery or treatment? Tamara develops individualized physiotherapy programs specifically aimed at achieving getting back to hiking, running, or cycling pain-free and with renewed vigor. This is key to helping you get back to doing engaging in volunteer work that might have physical demands with confidence and significantly reduced discomfort.
• Many patients have found lasting relief from wrist pain and tingling, possibly from carpal tunnel syndrome, especially at night and achieved experiencing significant pain relief, allowing for a more comfortable daily life under the skilled care of Tamara. This renewed physical ability often allows them to re-engage with beloved activities such as performing tasks requiring fine motor skills and dexterity with ease with a new lease on life.

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

Tamara practices at Centre Médical et de Réadaptation AMS, situated in the heart of the Dorval community. This private clinic facility is conveniently located in the central Dorval neighborhood, making it easily accessible for residents in the area. The clinic is situated near local community services and pharmacies, providing a seamless experience for patients. It is accessible via various public transit routes, ensuring convenient transportation options. Our clinic is wheelchair accessible. Free patient parking is typically available on-site or nearby.

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, which is known as direct access. However, while a doctor's referral may not be legally required to *see* a Physiothérapeute, some private or extended health insurance plans do require one for reimbursement purposes. It is advisable to check the requirements of your specific insurance plan before your first appointment to ensure coverage.

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

In Quebec, RAMQ generally does not cover physiotherapy services provided in private clinics. Patients typically pay out-of-pocket or use private insurance for these services. Some coverage may be available if you receive care directly within a public hospital or CLSC and meet specific criteria. Most outpatient physiotherapy in private clinics is not covered by RAMQ for the general public. Always verify your private insurance coverage and eligibility with RAMQ.

Approximately how many physiotherapy sessions will I need?

The number of sessions varies depending on your condition, severity, and recovery progress. Some acute issues resolve quickly within a few visits, while more complex or chronic conditions may require ongoing care over several weeks. Tamara will assess your situation during your first visit and provide an estimated treatment plan, which will be adjusted as needed throughout your recovery.

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, which grants them the autonomy to assess patients, diagnose, and develop comprehensive treatment plans. They are qualified to perform advanced procedures if certified. A Technologue en physiothérapie holds a college diploma (DEC) focused on the technical application of physiotherapy treatments. They assist physiotherapists by implementing treatment plans, helping patients with exercises, applying modalities, and reporting progress.

What should I expect during my first physiotherapy appointment?

Your first appointment is a comprehensive assessment. Tamara will review your medical history, discuss your current symptoms and goals, and perform a physical examination including evaluating your range of motion, strength, posture, and balance. Based on the findings, she will provide a diagnosis or clinical impression, discuss a personalized treatment plan, and may initiate some initial treatment or provide education and exercises to start your recovery.

Centre Médical et de Réadaptation AMS
620, Chemin du Bord-du-Lac Lakeshore
Dorval, QC H9S 2B6

Phone: (514) 600-4421

Tamara Fram 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.