Services

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What'll to expect from our first Virtual Visit :

Assessment : 

We typically spend 40min on the verbal intake. It's extensive and long. The Pelvic Floor Muscles supports the entire bladder system, reproductive system and digestive system, and is closely linked to the nervous system. I will likely asks questions related to sexual, obstetric, urinary, gynecological and digestive history. The psychological health can greatly influence and impact the recovery of physical injury, and you may be asks questions related to perception of pain, emotional burden of pain and your mental load. 

I like to allow 20min to the movement examination/assessment. It will be performed by asking to do different movements on video. This evaluation can assess muscle tone, length, strength, endurance, and function of the different region of the body. 

Treatment may include :

-Education on anatomy/physiology of pelvic floor muscles

-Education on presenting symptoms of prolapse, fecal and urinary incontinence, constipation, painful sex, and pelvic pain

-Education on prevention and treatment constipation and complete bowel evacuation

-Education on urge delay techniques and bladder training

-Education on evidence-based relaxed posture/alignment, connection between diaphragm and core/pelvic floor muscles, and neurodynamics of lifting and carrying. 

-Pain education focusing on major component of persistent pain documented in the literature

-Education on Perineal massage, C-section scar management and massage, Perineal scar massage 

-Sensori-motor rich exercises such as Feldenkrais exercises, Eric Franklin exercises, and Tai chi/Qi gong

-Breathing exercises to connect the diaphragm with the deep core muscles and pelvic floor muscles

-Yoga exercises for down training muscle tension 

-Intra-abdominal pressure management techniques for prolapse, diastasis recti, and stress incontinence sign and symptoms. 

-Specific pelvic floor muscle stretching, strengthening (keggles), timing and coordination exercises

-Specific sports and/or generalized weight and strength training exercises

-Coaching on using dilators for gradual exposure for return to sexual intercourse

I understand I can give or revoke consent at any point in time to a specific aspect(s) of the assessment or treatment - within a session, and/or once the care plan has started. 

Potential Risks of Virtual Visits :

a) If our session becomes disrupted by technological challenges :

- I agree to be contacted via the phone number that I have provided on intake in order to continue the session or reschedule as appropriate.

- I understand that I will be responsible for the full cost of the session whether it is continued via telephone or rescheduled for another day.

b) Telehealth & Privacy

Therapeutic Services will be provided using a secure, PHIPA (Personal Health Information Protection Act) compliant platform.

I value your privacy and will make every effort possible to secure your personal health information. Our sessions will not be recorded or stored without your expressed consent.

There are also some things that you can do to help ensure the privacy of your online sessions:

-I agree to find a quiet, comfortable environment away from other people so that I will not be interrupted, distracted or overheard.

-I agree to not record any online session.

-I understand that I am responsible for the security of the information on my computer, tablet and smart phone

-I understand that I am responsible for safeguarding any electronic communications that I download, print or access.

-Despite efforts to ensure high encryption and secure technology, there is always a risk that the transmission could be breached and accessed by an unauthorized person.

Please contact Marie-Eve Nackers to discuss any questions or concerns that you have about receiving Physiotherapy services via Telehealth..

After a tissue is injured by some kind of physical trauma (i.e. sport injury, labour and delivery, surgery or repetitive movements from work) it should be fully healed between 4-12 weeks. Physiotherapists are exceptionally well trained to promote and support patient through this phase. But here's the truth, if your pain appeared one morning, or is persisting past this healing phase, doing specific strengthening and stretching exercises will not be enough. Physiotherapist that are trained in persistent pain understand that your pain isn't a tissue problem, it's so much more complex. We need stop giving you advice and start listening to your story. Understanding how this pain is impacting your life is the first step. Only then, can I start brainstorming with you an individual treatment plan that you can adhere to and succeed at achieving your goals.