ask about physio

Why choose Bayview Physiotherapy?

Dag Ronhovde is an Registered physiotherapists with 26 years experience, trained in Aberdeen Scotland and a member of the Chartered Society of Physiotherapy. He has a variety of specific skills to help maximize your recovery. By offering a range of diversified treatment options and hands on individual care, he ensure that his clients get moving faster. 

Dag uses a blend of Manual Therapy in conjunction with a strengthening exercise regimen, and balance training that delivers better results than typical conventional physiotherapy programs. 
We prides ourselves in developing validated/proven treatment protocols that will provide the best value for each and every visit. We put the puzzle together for solving your chronic lower back pain. We can manage your lower back pain by addressing all the modifiable risk factors and restoring your function, so you can enjoy your active lifestyle pain-free.

What happens during my first visit?
On your first visit the therapist will discuss the following:
  1. Your medical history.
  2. Your current problems/complaints.
  3. Pain intensity, what aggravates and eases the problem.
  4. How this is impacting your daily activities or your functional limitations.
  5. Your goals with physiotherapy.
  6. Medications, tests, and procedures related to your health.
  7. The therapist will then perform the objective evaluation which may include some of the following:

Palpation - touching around the area of the pain/problem. This is done to check for the presence of tenderness, swelling, soft tissue integrity, tissue temperature, inflammation, etc.
Range of Motion (ROM) - the therapist will move the joint(s) to check for the quality of movement and any restrictions.
Muscle Testing - the therapist may check for strength and the quality of the muscle contraction. Pain and weakness may be noted. Often the muscle strength is graded. This is also part of a neurological screening.
Neurological Screening - the therapist may check to see how the nerves are communicating with the muscles, sensing touch, pain, vibration, or temperature. Reflexes may be assessed as well.
Special Tests - the therapist may perform special tests to confirm/rule out the presence of additional problems.
Posture Assessment - the positions of joints relative to ideal and each other may be assessed.
The therapist will then formulate a list of problems you are having, and how to treat those problems. A plan is subsequently developed with the patient's input. This includes how many times you should see the therapist per week, how many weeks you will need therapy, home programs, patient education, short-term/long-term goals, and what is expected after discharge from therapy. This plan is created with input from you, your therapist, and your doctor.

Do I need a doctor's referral?
With direct access to physiotherapy in British Columbia, a doctor's referral is not necessary to receive treatments at Bayview Physiotherapy. However, the physiotherapist may suggest that you consult a doctor for their opinion or to get further tests done. Note that some extended health benefit plan insurance companies still require a doctor's referral for reimbursement of physiotherapy treatments. It is the responsibility of the patient to check their coverage. Both work related accidents and Motor Vehicle accidents do require a doctor's referral. 

How should I dress?
You should wear loose fitting clothing so you can expose the area that we will be evaluating and treating. For example, if you have a knee problem, it is best to wear shorts. For a shoulder problem, a tank top is a good choice, and for low back problems, wear a loose fitting shirt and pants, again so we can perform a thorough examination.

How long will each treatment last?
Treatment sessions typically last 30 minutes per visit.

How many visits will I need?
This is highly variable. You may need one visit or you may need months of care. It depends on your diagnosis, the severity of your impairments, your past medical history, etc. You will be re-evaluated on a monthly basis and when you see your doctor, we will provide you with a progress report with our recommendations.

Is my therapist certified?
All our therapists are licensed by their respective provincial or national association.

Is physiotherapy for me?
Physiotherapy will help any individual with problems affecting the level of functionality of the musculo-skeletal system. This therapy specializes in the fields of sports and physical fitness.
Our physiotherapists apply various techniques to treat you such as manual therapy, sports therapy and progression through exercise, etc.
Our patients can expect to improve their balance, their endurance, their strength and their coordination, which will help them stay active every day. 

What is the difference between regular physiotherapy and manual therapy treatments?
Manual therapy is a specialization in orthopedic physiotherapy. It is mostly taught at the post-graduate level and consists of various level courses that are taken over a number of years. A manual therapist acquires advanced knowledge and skills in clinical biomechanics, pathology, assessment and feel of joint movement, soft tissue flexibility, nerve mobility and muscle recruitment. 

I have a disc problem that has been diagnosed by MRI. Can I be helped by physiotherapy?

When a disc problem is diagnosed with MRI or CT scan , the initial physiotherapy assessment is done to decide if these findings correlate with the clinical picture.
 In an average pain free population, some people present with disc pathology on MRI. This is why it is so important to treat the clinical signs and symptoms of the patient and not the radiology finding. 
Disc problems present in many different ways. Some patients will have back pain only, others will have leg pain from nerve irritation and others will have both. No recipe exists for treatment and everyone's condition must be treated individually. Physiotherapy is often very helpful for patients presenting with disc problems. Only those with severe, unrelenting symptoms and with positive neurological findings that are not responding to conservative treatment may need to have surgery. There should always be a trial of conservative treatment prior to any surgical decision and physiotherapy is a very good and safe option.

I suffer from headaches. Can professionals at your clinic help me?
Cervicogenic or neck headaches can mimic migraines or can trigger migraines in migraine sufferers, this can become a condition called chronic daily headache. Treating the neck, upper back and shoulders can relieve the neck headaches that may be mimicking or triggering the migraines thus reducing their frequency. Many headaches have a mechanical component to them that is often related to the neck. These type of headaches are called cervicogenic headaches. Often Cervicogenic headaches present with a mechanical dysfunction of the top 2 joints in the neck. Manual therapists, have the tools to assess and treat the various factors that can contribute to headaches. These treatments often help decrease the intensity and frequency of headaches.

Are treatments painful?
For many patients, one of the primary objectives is pain relief. This is frequently accomplished with hands-on techniques, modalities such as ultrasound, electrical stimulation, and/or heat or cold therapy. Movement often provides pain relief as well. Your physiotherapist will provide you with the appropriate exercises not only for pain relief but to recover range of motion, strength, and endurance.

In some cases, physiotherapy techniques can be painful. For example, recovering knee range of motion after total knee replacement or shoulder range of motion after shoulder surgery may be painful. Your physical therapist will utilize a variety of techniques to help maximize your treatment goals. It is important that you communicate the intensity, frequency, and duration of pain to your therapist. Without this information, it is difficult for the therapist to adjust your treatment plan.

Who pays for the treatment?
In most cases, private health insurance will cover your treatment of physiotherapy. You must pay for your session following each session. A receipt will be issued. You will need to send the original receipts to your insurance company to be reimbursed along with the physician's referral (some insurance companies do not request a physician referral). Cheques, Visa, Master Card, Interact debit and Cash are accepted. You can talk to our receptionist so we can help you clarify the process.

What do I need to do after my treatments?
Some patients will need to continue with home exercises. Some may choose to continue with a gym exercise program. Others will complete their rehabilitation and return to normal daily activities. It is important that you communicate your goals to your therapist, so we can develop a custom program for you.

What happens if my problem or the pain returns?
Flare-ups are not uncommon. If you have a flare-up (exacerbation), give us a call. We may suggest you come back to see us, return to your doctor, or simply modify your daily activities or exercise routine.

What are patients saying about you?
The majority of our patients think Bayview Physiotherapy is caring and very professional. Read the testimonials on our review page to see for yourself.

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