Physiotherapy FAQs
What is physiotherapy and what is it used for?
Physiotherapy is a healthcare discipline that evaluates, diagnoses and treats musculoskeletal injuries, chronic pain and mobility problems. A physiotherapist uses manual therapy, targeted exercises and patient education to reduce pain, improve movement and prevent relapses. It is a service accessible without a doctor's referral and covered by most private insurance plans. Whether you are recovering from a sports injury, a surgery, or managing persistent pain, physio can help you regain your full function and range of movement.
Do I need a referral from my doctor to see a physiotherapist in Quebec?
No. In Quebec, you can see a physiotherapist directly, without a medical prescription. There is no need to go through your family doctor to book an appointment at a private clinic. Important exception: if your file is open with the SAAQ, CNESST or IVAC, please call the clinic before booking online, as these cases require additional information when opening your file.
What types of injuries or pain can a physiotherapist treat?
Physiotherapists treat a wide variety of conditions: sprains, tendinitis, bursitis, back pain, neck pain, herniated discs, sciatica, sports injuries, post-surgical sequelae and chronic joint pain. Physio also helps with more specialised issues such as vertigo, jaw dysfunction (TMJ), post-concussion rehabilitation and balance disorders.
How long does a physiotherapy session last?
The first session generally lasts between 45 and 60 minutes, as it includes a full assessment of your condition, medical history and goals. Follow-up sessions typically last between 30 and 60 minutes depending on the established treatment plan.
How many physio sessions will I need?
The number of sessions varies depending on the nature of the injury, its severity and your goals. Some conditions such as BPPV (benign paroxysmal positional vertigo) can be resolved in 1 to 3 visits. Others, such as post-surgical rehabilitation or chronic pain, may require several weeks of treatment. Your physiotherapist will give you a realistic estimate at your first assessment.
Is physiotherapy covered by insurance?
The vast majority of group and private insurance plans in Quebec cover physiotherapy. Amounts and limits vary depending on your contract. At Endura Physio, we provide detailed receipts after each session to facilitate your claims. Check with your insurer to find out your exact coverage.
Does the RAMQ cover physiotherapy at a private clinic?
No. The RAMQ does not cover physiotherapy at a private clinic. Public physiotherapy is available in some hospitals and CLSCs, but wait times can be lengthy. A private clinic remains the fastest solution for obtaining personalised follow-up care. Most private insurance plans cover part or all of the costs.
Vestibular Physiotherapy FAQs
What is vestibular physiotherapy?
Vestibular physiotherapy is a specialised field that treats disorders of the inner ear and balance system. It is intended for people who suffer from vertigo, dizziness, instability while walking, or blurred vision during head movements. The physiotherapist assesses the source of the symptoms and prescribes targeted exercises to retrain the vestibular system to stabilise gaze and balance.
Can vestibular physio resolve a vertigo problem?
Yes, often very effectively. The type of vertigo and its cause determine the duration of treatment. BPPV (benign paroxysmal positional vertigo), for example, generally responds well within 1 to 3 sessions through repositioning manoeuvres. Other conditions such as vestibular neuritis or post-concussion dizziness require more gradual follow-up over several weeks.
I feel dizzy when I roll over in bed. Could it be BPPV?
It is possible. BPPV (benign paroxysmal positional vertigo) causes exactly this type of symptom: brief episodes of rotational vertigo triggered by changes in position, such as rolling over in bed, looking up, or bending forward. A physiotherapist specialised in vestibular rehabilitation can confirm the diagnosis with positional tests and treat the problem in just a few sessions.
What symptoms indicate that I should see a vestibular physiotherapist?
Seek a consultation if you experience recurring vertigo or dizziness, instability while walking, blurred vision during head movements, nausea related to movement, mental fog, or increased sensitivity in busy environments. These symptoms may indicate a treatable vestibular disorder, whether related to the inner ear, the neck, or a concussion.
Does vestibular physio work after a concussion?
Yes. Post-concussion dizziness, sensitivity to movement and balance disorders are common after a mild traumatic brain injury. Post-concussion vestibular rehabilitation includes gaze stabilisation exercises, progressive exposure to visual stimuli and balance training. The treatment is tailored to each patient based on their symptoms and tolerance.
How long does it take to recover from a vestibular problem?
It depends on the diagnosis. BPPV often resolves in 1 to 3 visits. Vestibular hypofunction or post-concussion dizziness may require several weeks of follow-up with home exercises between sessions. A clear treatment plan with measurable goals is established at the first assessment.
Will vestibular exercises make my dizziness worse?
At first, some exercises may feel demanding, but they should not cause a prolonged worsening of symptoms. The physiotherapist adjusts the dosage and progression according to your tolerance. If an exercise is too difficult, it is adapted immediately. The goal is gradual and steady improvement, not lasting discomfort.
What can I do to relieve my dizziness?
While waiting for your appointment, avoid sudden head movements and rest in a comfortable position. If you suspect BPPV, do not attempt a repositioning manoeuvre on your own without a confirmed diagnosis. The best course of action is to promptly see a physiotherapist specialised in vestibular rehabilitation to identify the cause and avoid unnecessarily prolonging your symptoms.
Dry Needling Therapy FAQs
What is the difference between dry needling and acupuncture?
Both techniques use fine needles, but they are very different. Acupuncture is a traditional Chinese medicine practice based on meridians and energy. Dry needling (also called physiotherapy dry needling) is a physiotherapy technique grounded in anatomy and neurophysiology, targeting specific muscular trigger points to release tension and reduce pain. They involve different training and are governed by different regulatory frameworks.
Does dry needling hurt?
Most people feel a slight pressure or a brief involuntary muscle twitch when the needle reaches the trigger point. This is known as a local twitch response. It is a normal and expected reaction. The sensation disappears quickly, and the vast majority of patients find that the relief that follows is well worth the momentary discomfort.
What types of pain can dry needling help with?
Dry needling is particularly effective for chronic muscle tension that does not respond to massage alone: neck, shoulder, lower back and calf pain. It is also useful for sports injuries with active trigger points, including tendinopathies and myofascial pain. It works best when integrated into a full rehabilitation plan rather than as a standalone treatment.
Can any physiotherapist perform dry needling in Quebec?
No. In Quebec, dry needling, known as PPAS (ponctions physiothérapiques à l'aiguille sèche), requires a specific certification issued by the Ordre professionnel de la physiothérapie du Québec (OPPQ), separate from the standard physiotherapist licence. Not all physios hold this certification. At Endura Physio, the therapists who perform dry needling are fully certified.
Does dry needling cost more than regular physio?
No. At Endura Physio, dry needling is included in the physiotherapy session at no additional charge when it is part of your treatment plan. You do not pay a surcharge to benefit from this technique.
Running Assessment FAQs
What is a running assessment and is it right for me?
A running assessment is a comprehensive assessment of your running mechanics performed by a specialised physiotherapist. We evaluate your posture in motion, your strength, your mobility and your training habits. It is useful if you are frequently injured, want to run more efficiently, or are increasing your mileage and want to avoid overuse injuries.
What does a running assessment at Endura Physio involve?
The assessment begins with an interview about your history, injuries and running goals. We analyse your gait in motion, evaluate your strength and mobility, then provide you with a concrete plan including specific recommendations and targeted exercises. You leave with a clear understanding of what is working well and what can be improved.
Can a running assessment help prevent injuries?
This is precisely one of its main objectives. By identifying problematic mechanical patterns before they cause an injury such as overpronation, hip instability, or overstriding, the physiotherapist can help you correct your technique and strengthen vulnerable areas before symptoms appear.
I have knee or Achilles tendon pain when I run. Where do I start?
Start with a physiotherapy consultation. Stopping running entirely does not always address the underlying problem, and returning without identifying the cause increases the risk of recurrence. The physiotherapist assesses the injury, establishes a treatment plan and can integrate a gait analysis to target what contributed to the pain (Achilles tendinitis, patellofemoral syndrome, plantar fasciitis, etc.).
What is the difference between a running assessment and a regular physio consultation?
A regular physiotherapy consultation focuses on the assessment and treatment of a specific condition or injury. A running assessment is a preventive and performance-focused assessment centred on movement mechanics during running. The two can be combined if you have an active injury and also wish to optimise your gait.
Bike Fit FAQs
What is a bike fitting performed by a physiotherapist?
A bike fitting carried out by a physiotherapist goes beyond a simple saddle adjustment. We analyse your posture on the bike, your movement angles, your areas of discomfort and your goals in order to customize your position in a way that protects your joints and improves your pedalling efficiency. It is a clinical approach grounded in biomechanics.
Who should get a bike fitting?
Any cyclist who experiences pain (knees, lower back, neck, hands) during or after riding should have one. It is also recommended for cyclists who are increasing their training volume, who have just purchased a new bike, or who want to optimize their performance and comfort over long distances.
Can poor bike positioning cause injuries?
Yes, very frequently. A saddle that is too high or too low, a poorly positioned handlebar, or incorrect cleat alignment can cause knee pain, tendinitis, lower back pain or numbness. Many cycling injuries stem from an accumulation of mechanical strain caused by inadequate positioning.
What is the difference between a bike fitting at a physio clinic and one at a regular bike shop?
A bike shop adjusts your position based on standard measurements and the salesperson's experience. A physiotherapist analyses your biomechanics, your mobility limitations, your injury history and your goals to personalise the position specifically for your body. If you have pain or injuries, the clinical approach is far more appropriate.
Do I need to bring my bike to the clinic for the fitting?
Yes. The fitting is done on your own bike, because it is your position on your equipment that we want to optimise. Please also bring your usual gear (cycling shoes, shorts, cleats if applicable) so that the assessment is as representative as possible of your actual riding conditions.
Shockwave Therapy FAQs
How does shockwave therapy work in physiotherapy?
Shockwave therapy (also known as ESWT) uses high-energy acoustic pulses directed into deep tissue. These waves stimulate blood flow, accelerate the regeneration of tendons and soft tissue, and help break down calcifications or adhesions. It is a non-invasive treatment that is effective for chronic tendinopathies that have not responded to other approaches.
What conditions is shockwave therapy recommended for?
Shockwave therapy is particularly effective for resistant chronic tendinitis: plantar fasciitis, Achilles tendinitis, lateral epicondylitis (tennis elbow), rotator cuff syndrome and tendon calcifications. It is most indicated when other conservative treatments have not been sufficient after several weeks.
Does shockwave therapy hurt?
During the session, some patients feel an intense pressure sensation or mild localised pain over the treated area. This is temporary and normal. After the treatment, slight sensitivity may persist for a few hours. Most patients tolerate the sessions well, and relief sets in gradually over the course of treatments.
How many shockwave therapy sessions are usually needed?
Generally, a protocol of 3 to 7 sessions spaced one week apart is recommended. The exact number depends on the condition being treated, how long it has been present and the patient's response to treatment. Results are often noticed from the 2nd or 3rd session and continue to improve in the weeks that follow.
Can shockwave therapy help with plantar fasciitis or Achilles tendinitis?
Yes, and these are among the most well-documented indications for shockwave therapy. Chronic plantar fasciitis and Achilles tendinopathy respond well to shockwave treatment, especially when symptoms have persisted for more than 3 months despite stretching, orthotics and conventional physiotherapy. Shockwave therapy restarts the healing process in tissues that have stagnated.
Temporomandibular Joint (TMJ) FAQs
What is a TMJ problem?
The temporomandibular joint (TMJ) is the joint that connects the jaw to the skull. A TMJ dysfunction can cause jaw pain, clicking sounds, limited mouth opening, morning headaches or tension in the neck and temples. These disorders can be caused by bruxism, stress, poor posture or trauma.
I have jaw clicking and morning headaches. Could it be a TMJ problem?
Quite possibly. Jaw clicking, headaches upon waking (often related to nighttime clenching or bruxism) and morning stiffness are classic symptoms of TMJ dysfunction. A physiotherapist can assess your jaw, posture and cervical mobility to confirm the source of the symptoms and establish a treatment plan.
Can physiotherapy help with jaw pain?
Yes. Physiotherapy for the TMJ can include manual therapy, jaw mobility and strengthening exercises, postural retraining and muscle release techniques. It often complements the work of a dentist or orthodontist and can significantly reduce pain and improve mouth opening.
I already have an occlusal splint. Can I still do physio for my TMJ?
Yes, absolutely. An occlusal splint and physiotherapy are complementary. If you have a splint, bring it to your first visit so the physiotherapist can assess how it fits into your overall care plan. Physio addresses the muscular and articular components that a splint alone cannot resolve.
How long does it take to treat a TMJ dysfunction with physiotherapy?
It varies depending on the severity of the condition and its causes. Some people notice significant improvement within 4 to 6 sessions. More complex cases, involving chronic bruxism or referred pain, require longer follow-up. The physiotherapist establishes a realistic plan at the first assessment.
SAAQ Physio FAQs
Does Endura Physio accept SAAQ files?
Yes. Endura Physio accepts patients whose file is open with the SAAQ (Société de l'assurance automobile du Québec) following a road accident. For a SAAQ file, please call the clinic directly before booking online, as we need certain information to open your file correctly.
What does the SAAQ cover for physiotherapy after a car accident?
The SAAQ covers physiotherapy treatments necessary for your rehabilitation following a road accident. This may include clinic sessions, certain rehabilitation equipment and travel costs depending on your situation. Coverage details depend on your specific file and the SAAQ's decisions. Contact us so we can guide you through the process.
How do I book an appointment for physio with a SAAQ file?
Call the clinic directly at (438) 439-3949. Do not book online for a SAAQ file. We will need your SAAQ file number and some information about the accident to open your file and bill the SAAQ directly.
Do I need SAAQ approval before starting my treatments?
Yes. In general, the SAAQ authorises physiotherapy treatments if Physiotherapy is requested by your treating physician. Timelines and conditions may vary. Call us and we will help you understand the steps based on your specific situation so you can begin your rehabilitation as quickly as possible.
Do I have to pay out of pocket if my SAAQ file is open?
Yes. If your SAAQ file is open and your treatments are approved, the SAAQ will refund you a certain part of the fees. If you have questions about what is included in your coverage, contact the SAAQ directly or speak with us at your first visit.
CNESST Physio FAQs
Does Endura Physio accept CNESST files?
Yes. Endura Physio accepts patients whose file is open with the CNESST (Commission des normes, de l'équité, de la santé et de la sécurité du travail) following a workplace injury or occupational accident. As with the SAAQ, please call the clinic directly before booking online.
What exactly does the CNESST cover for physiotherapy?
The CNESST covers physiotherapy treatments deemed necessary for your rehabilitation following a workplace injury. This includes clinic sessions and possibly other services depending on your rehabilitation plan. Coverage is determined on a case-by-case basis according to the nature of the injury and the CNESST's decisions.
How do I start physio treatments with a CNESST file?
Call us directly at (438) 439-3949 with your CNESST file number. We handle billing with the CNESST and guide you through the process so you can begin your rehabilitation quickly without getting lost in the paperwork.
Can I continue working during my CNESST treatments?
It depends on the nature of your injury and your treating physician's recommendations. Some patients are on full work leave, while others are on temporary assignment (modified work). Your physiotherapist works in line with medical recommendations and can help document your functional abilities as part of your file.
Can the CNESST refuse to cover my physiotherapy sessions?
Yes, this is possible. The CNESST may refuse or limit coverage if it determines that the treatments are not medically necessary or are not related to the recognised occupational injury. This is why it is important that follow-up care is well documented and consistent with your rehabilitation plan. If you have questions about your rights, a CNESST advisor can direct you.
Scoliosis Physiotherapy FAQs
Can physiotherapy correct scoliosis?
Physiotherapy does not correct the structural curvature of scoliosis. However, it can help improve posture, strengthen the stabilising muscles of the spine and slow the progression of the curve in some cases, particularly in growing adolescents. It is also effective in reducing pain and the muscular compensations associated with scoliosis.
What physio exercises are useful for scoliosis?
Recommended exercises vary depending on the type and degree of scoliosis. Approaches such as the Schroth method (scoliosis-specific postural exercises) are often used. In general, the programme includes trunk stabilisation exercises, asymmetric muscle strengthening, postural awareness training and breath exercises. Your physiotherapist adapts the programme to your specific curve.
When should someone seek physio for scoliosis?
As early as possible, especially in growing adolescents, where physio can have the greatest impact on progression. However, physiotherapy is beneficial at any age, whether to manage pain, improve posture or maintain quality of life. If you have been diagnosed with scoliosis and have never seen a physiotherapist, it is worth booking an assessment.
Can physiotherapy and brace wearing go hand in hand?
Yes, and it is often recommended. Physio and bracing are complementary: the brace limits the progression of the curve while physiotherapy strengthens the muscles, improves posture and helps the child better tolerate wearing the brace. Both approaches work better together than separately.
Can scoliosis cause chronic pain, and can physio help?
Yes. Scoliosis can cause pain in the back, hips and shoulders due to the muscular imbalances and postural compensations it creates. Physiotherapy can significantly reduce this pain by targeting overloaded muscles and rebalancing movement. Results vary depending on the degree of the curve and the patient's overall condition.
Massage Therapy FAQs
What is the difference between massage therapy and physiotherapy?
Physiotherapy evaluates, diagnoses and treats injuries and movement dysfunctions with a structured rehabilitation plan. Massage therapy focuses on soft tissue work to relieve tension, reduce stress and support recovery. The two can complement each other: at Endura Physio, massage therapy sessions can be combined with physiotherapy for better results.
What types of massage are offered at Endura Physio?
At Endura Physio, we offer therapeutic massage (for muscle pain and recovery), lymphatic drainage (to reduce swelling and support circulation) and prenatal massage (adapted for pregnant women at every trimester). Each session is personalised according to your needs and goals.
Can therapeutic massage help with chronic pain?
Yes. Therapeutic massage can relieve chronic muscle tension, improve blood circulation and reduce pain related to stress, repetitive microtraumas or postural problems. For complex chronic pain, it is often more effective when combined with physiotherapy rather than used as a standalone treatment.
Is prenatal massage safe during pregnancy?
Yes, when performed by a qualified massage therapist. Prenatal massage uses safe positions and gentle techniques adapted to each trimester to reduce back pain, cramps and joint pressure. At Endura Physio, our massage therapists are trained to work safely with pregnant women.
Are massage therapy receipts accepted by insurance?
Yes, in the vast majority of cases. Most group insurance plans in Quebec cover massage therapy performed by a certified therapist. At Endura Physio, we provide official receipts after each session to facilitate your claims. Check with your insurer to find out your specific coverage limits.