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Special to CBC News:
In my last column in March, we talked about what you should do
when you get hurt, and what you can Russell Gunner expect when
you see a physiotherapist. This time, we'll take a look at which
specialist might be best suited to deal with what ails you.
Virtually every professional should be able to help with just
about every injury that a weekend warrior brings through their
doors. There are not many clinics that will turn people away,
but if they can't help, the good ones should refer you to the
right practitioner.
Certified Athletic Therapist:
Athletic therapists (A.T.) specialize in treating sports injuries.
All of their training is in the area of the assessment and rehabilitation
of orthopedic conditions — the muslces, bones and joints.
They will assess and evaluate the injury based upon your sport
and figure out how to get you back into the game as soon as possible.
They can be found working closely with professional and national
teams, and also in sports clinics across the country. Athletic
therapists are known for their aggressive treatment protocol in
the attempt to speed up the healing process, and are usually quite
successfull in this process.
When should I see one? if you play team sports or are training
for a triathlon and feel that something's not quite right in your
leg or shoulder, you might want to book an appointment. Same if
you run or play tennis.
More information: The Canadian Athletic Therapist Association.
Registered Physiotherapists:
Physiotherapists draw on similar training as athletic therapists,
but will be far more encompassing of all anatomical injuries.
They are trained to assess and treat burn patients, people recovering
from strokes, traumatic and congenital neurology as well as the
elderly. Some will also treat sports injuries as well.
A physiotherapist (P.T.) will offer treatments for all of your
injuries. However, not all physiotherapists focus on just athletic
injuries, like an A.T. may.
Physiotherapists work in places such as private clinics, hospitals,
and seniors homes.
When should I see one?
You will want to see a P.T. after a major trauma (i.e. car accident,
accident on the job, stroke, etc.) or if you're suffering from
a chronic injury. A P.T. will also be someone who can help children
with various disorders as they grow.
More information: The Canadian Physiotherapists Association.
Licensed Acupuncturists:
Acupuncture is not just traditional Chinese medicine. There are
many therapists who now perform acupuncture as a so-called "tool
in their belt." He or she could be an A.T. by trade, but
will do some acupuncture if they feel it is necessary. Just make
sure that your therapist is a licensed acupuncturist.
A P.T. or A.T. may treat your shoulder injury, but an acupuncturist
may be able to help you with other things such as stomach ailments
at the same time.
A study in 2007 found that acupuncture can be more effective
than conventional treatments for back pain.
A major issue to keep in mind with acupuncture is that it is
not regulated in all provinces. Where there is no governing body,
there are no rules saying who can call themselves acupuncturists.
If it's not regulated, your insurance company may not cover your
treatments.
In B.C., you need a license from the College of Traditional Chinese
Medicine Practitioners and Acupuncturists of British Columbia
to practice. Regulations vary by province. Check your local health
ministry for details.
When should I see one? You might want to consider an acupuncturist
if your traditional therapy hasn't been achieving results. Acupuncturists
can treat most injuries and ailments, but don't necessarily specialize
in one treatment. Some will be very traditional and use herbs
to help. Others may take a more western approach (treat only the
injury locally).
Chiropractors:
Chiropractors are one of the largest primary health providers
in Canada with more than 7,000 practitioners across the country.
Chiropractors are known for adjusting and manipulating the spine,
but can also help other joints or muscles. Many people have been
seeing chiropractors for years, receiving treatment on a regular
maintenance program to continue addressing their health issues.
Every chiropractor is different, so search carefully for which
one will best support your problems.
When should I see one? A chiropractor is certainly known for
being a specialist in spine adjustments. They're often the first
practitioner to turn to if you are suffering from a neck or back
ailment.
More information: The Canadian Chiropractic Association.
Registered Massage Therapists:
A registered massage therapist (RMT) is a professional who can
address musculature problems in your body. They will assess and
treat those tight and injured muscles over a 30-60 minute massage.
If you have never had a real massage before, it's not always as
comfortable as you may think. Don't get me wrong, they can work
wonders on your muscles, but it may be a little uncomfortable
getting to that point of relief.
Please don't confuse a "masseur" with a RMT. Massage
therapy is a regulated health profession in British Columbia,
Ontario and Newfoundland. Their services may be covered under
your extended health insurance plan.
When should I see one? A RMT could be ideal if you're suffering
from that tight muscle feeling that just won't seem to go away.
More information: Massage therapy in Canada.
Osteopathy:
Osteopaths offer an advanced form of therapy. Most osteopaths
were probably one of the above professions (P.T., A.T., R.M.T.)
who have taken an extensive five-year course. Osteopaths can be
found in various clinics, but are in high demand and tough to
find.
Osteopathy emphasizes a holistic approach to health: your body
is a unit and possesses self-regulatory mechanisms.
You may come in with a neck injury but your osteopath might also
assess your internal organs (liver, stomach, kidney, etc.) to
determine whether they are correctly positioned and not putting
your body under any undue stress. They might also check the lower
body to see if everything is in alignment.
When should I see one? You will usually see an osteopath when
your condition has become chronic (going on for months) or for
any type of head injury. They are quite effective with cranio-sacral
techniques — light-touch manipulation of the bones of the
skull, face, mouth and spinal column.
More information: visit the main osteopathic school in Canada.
This is not an exhaustive list of the types of practitioners
who might be able to help get you back on the field or on the
job. It's a good idea to ask around: if someone's suffering from
the same injury that's plaguing you, find out what worked for
them. Ninety per cent of all referrals that come into my clinic
are from word of mouth.
Most importantly, if you are not satisfied with your therapist
don't be afraid to try somebody different. As a general rule of
thumb (though it depends upon your injury) you should see some
significant change after three or four treatments. If you don't,
try someone else.
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