Vania Esme Gamache – Physiotherapist | Mississauga, ON

Vania Esme Gamache is a dedicated Physiotherapist (Neurological Rehabilitation Focus). Practicing at Trillium Health Partners in Mississauga, ON, Vania Gamache is committed to high-quality, patient-centered care aligning with College of Physiotherapists of Ontario standards. Vania Gamache's role focuses on 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. Vania Gamache serves adults.

Vania Esme Gamache completed their degree in Physiotherapy from University of Alberta (Graduating Class of 2012). With clinical experience, Vania Gamache is committed to ongoing professional development and evidence-based physiotherapy practices. Vania Gamache has a particular interest or further training in areas such as Neurological Physiotherapy.

Vania Gamache demonstrates a strong commitment to evidence-based practice and continuous professional learning to provide the best care; a collaborative approach, working with patients to achieve their movement and functional goals. Vania Gamache offers consultations in English.

Vania Esme Gamache provides skilled physiotherapist care for a variety of health concerns, including but not limited to:

Neurological

• Parkinson's Disease Management & Movement Therapy: Physiotherapy interventions focusing on large-amplitude movements, rhythmic activities, and strategies to overcome movement difficulties associated with Parkinson's.
• Multiple Sclerosis (MS) Symptom Management & Rehabilitation: Physiotherapy strategies to help manage common MS symptoms such as fatigue, muscle weakness, spasticity, balance problems, walking difficulties, pain, and bladder dysfunction, aiming to maintain function, improve quality of life, and promote self-management.
• Facial Palsy / Bell's Palsy Rehabilitation: Targeted exercises and techniques provided by a Physiotherapist to manage symptoms of facial palsy and support optimal recovery of facial muscle control.
• Traumatic Brain Injury (TBI) / Acquired Brain Injury (ABI) Rehabilitation: Tailored rehabilitation programs focusing on restoring physical abilities, managing secondary complications, and improving quality of life for individuals post-TBI or ABI.

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.

Common Musculoskeletal

• Low Back Pain (Acute or Chronic): Common back problems that can impact your posture, ability to perform daily activities, and overall mobility, addressed with targeted physiotherapy.
• Muscle Strains and Tears: A 'pulled' muscle, often occurring during activities like sprinting, jumping, lifting, or sudden changes in direction, causing immediate pain and difficulty using the muscle.

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. Vania Gamache can assess your needs.

• Functional Movement Screening (FMS™/SFMA™ if certified): Identifying inefficient or compensatory movement patterns that could be contributing to your pain or hindering your physical performance.
• Vestibular Rehabilitation Therapy (VRT) for Dizziness, Vertigo & Balance Disorders: Customized exercise-based programs (e.g., gaze stabilization, habituation, balance retraining exercises) prescribed by a trained Vestibular Physiotherapist to reduce vestibular symptoms, improve functional balance, decrease fall risk, and enhance confidence in movement.
• Comprehensive Musculoskeletal Assessment: An in-depth examination to fully understand your specific condition, allowing your Physiotherapist to create an effective and personalized rehabilitation plan.
• 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.
• Postural Assessment and Correction: Detailed analysis of your static and dynamic posture, with tailored exercises, stretches, and advice to help you improve alignment and reduce strain on your body.
• Balance Training & Falls Prevention Programs: Targeted exercises and strategies designed by your Physiotherapist to improve your stability, coordination, lower limb strength, and body awareness (proprioception), thereby reducing your risk of falls, particularly beneficial for older adults or individuals with balance impairments.

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

• The path to recovery from soreness and tightness in my Achilles tendon, especially after exercise and achieving getting back their independence with daily activities and personal care for being able to kneel or squat down to play with pets or children often starts with expert guidance. Vania Gamache, a skilled physiotherapist, provides just that.
• With Vania Gamache's help, managing trouble performing repetitive tasks at work without pain to achieve improved balance and coordination, leading to safer and more confident mobility in seniors becomes a clear journey, allowing patients to confidently re-engage with life and activities like returning to a specific physical hobby they had to give up due to pain.
• Through personalized physiotherapy at Vania Gamache's clinic, common concerns like recovering from a concussion and dealing with lingering symptoms like dizziness or headaches are thoroughly assessed and addressed with the objective of a deeper understanding of their condition and how to manage it proactively for long-term well-being. This often involves a combination of in-clinic treatment, education, and self-management strategies, helping people to once again enjoy activities like playing fetch with their dog in the park for an extended time.
• If swelling in my arm or leg, possibly lymphedema, after surgery or treatment is preventing you from fully enjoying running their usual 5k route without knee pain, Vania Gamache offers expert guidance and tailored treatment. Physiotherapy focuses on attaining greater ease in performing overhead activities or reaching, often utilizing targeted exercises, manual therapy, and education to help you regain your previous level of function.

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

Vania Gamache practices at Trillium Health Partners, situated in the Mississauga City Centre, Square One Area neighborhood of Mississauga. The clinic is conveniently located near Winston Churchill Transitway Station and is accessible via MiWay (Mississauga Transit). Our clinic is accessible. Free patient parking is typically available on-site or nearby.

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

To make your first appointment as smooth and productive as possible, please consider bringing: your health card, any doctor's referral letter (if applicable), results or reports of any imaging tests (X-rays, ultrasounds, MRIs) related to your current condition, a list of any medications you are currently taking, and your extended health benefits information (insurance card/policy number) for direct billing if available at our clinic. Wearing comfortable clothes is also a good idea.

What is physiotherapy and how can it help me?

Essentially, physiotherapy helps you get moving and stay moving effectively and comfortably. Whether you're dealing with an acute injury, chronic pain, post-surgical recovery, or a condition affecting your physical abilities, your Physiotherapist will work with you. They'll use their expertise in body mechanics, rehabilitation, and pain management to create a personalized treatment plan involving exercises, hands-on techniques, and practical advice to help you achieve your functional goals and live a more active, fulfilling life.

Does Trillium Health Partners offer direct billing to private insurance companies?

While we do not offer direct billing at this time, we provide detailed official receipts that you can easily submit to your insurer for reimbursement according to your plan. Please bring your insurance card and policy details to your appointment. Always confirm your specific coverage details, including any annual maximums, per-visit limits, or deductible requirements, directly with your insurance provider, as plans vary significantly. You are responsible for any portion not covered by your insurance.

Is physiotherapy treatment supposed to be painful?

While some physiotherapy techniques might feel uncomfortable or cause a temporary increase in soreness (similar to muscle soreness after a new workout), especially when working on stiff joints or tight muscles, it should not be excessively or intolerably painful. Your Physiotherapist will discuss what sensations you might expect with different treatments and will always aim to adjust the intensity and techniques to ensure you are as comfortable as possible while still achieving therapeutic benefits. Constant communication about your comfort level is very important.

Do I need a doctor's referral to see a Physiotherapist in ON?

Patients in Ontario can typically see a Physiotherapist directly without a physician's referral (this is known as direct access). However, some private/extended health insurance plans require a referral for reimbursement of physiotherapy services. Check your individual insurance policy before your first appointment.

What should I do if my condition seems to worsen after a physiotherapy session?

Some temporary post-treatment soreness can be normal, much like after a good workout. However, if your pain significantly worsens, if you develop new concerning symptoms, or if the discomfort doesn't settle down within a day or two, please call us. Your Physiotherapist would want to know so they can offer guidance and make any necessary adjustments to your care plan. Open communication is key to your successful recovery.

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. Check your private insurance for private clinic coverage.

Trillium Health Partners
100 The Queensway West, Mississauga Hospital
Mississauga, ON, L5B 1B8

Phone: (905) 848-7100

Vania Esme Gamache 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: XXX10

Verify registration with The College of Physiotherapists of Ontario: https://portal.collegept.org/en-US/public-register/display-member-contact/?id=b5d3c4f2-540b-ec11-b6e6-000d3af4f5c6

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