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If my needs are different than most patients, what skills and knowledge do you possess that makes you qualified to treat my unique condition, and how do you assure that I will get the best physiotherapist for my unique situation?

Best Practice involves integration of current research with clinical expertise, client values, and available resources to achieve best results for clients. Research shows that 17% of all therapists read fewer than 2 articles in a month, and most of those articles tend to be more case study or anecdotal in nature. In addition, research indicates that only 25% of all physiotherapists actually use the latest research in their clinical decision-making. As a prospective patient looking to get better faster, while experiencing less inconvenience, and receiving the most up-to-date information about your condition, you absolutely want a physiotherapist that incorporates evidence-based practice into their treatment programs. Your therapist should have research and other information readily available to share with you to support the use of recommended treatments.

In-depth clinical reasoning provides a more structured approach to your recovery and well being, resulting in greater consistency in diagnosis and treatment. This also helps identify when a problem may be beyond our ability to help, and when referral to another health care professional is required.

Many institutions follow pre-set treatment programs based on the classification of the injury. This means that the same treatment is applied to many individuals who may respond better to customized treatment programs. Outcomes are optimized with customized programs tailored to each patient under the direct supervision of a highly-experienced physiotherapist. This results in more complete recovery with lower incidence of recurrence.

• One to One therapists have extensive knowledge of pain management and advanced training in exercise, particularly as applied to a wide range of health concerns or medical conditions. In fact, your professional One to One· physiotherapist will combine this specialized knowledge with clinical exercise.
• Unlike many clinics that focus mostly on acute injuries – as in sports medicine – One to One· provides programs to address chronic conditions and other difficult disorders prevalent in our society. Today’s therapist must be prepared to address the problems facing an aging population and step into a leading role in health promotion and prevention. These disorders include:
  • Low back and neck pain, including degenerative disc disease
  • Headaches
  • Osteoarthritis
  • Osteoporosis
  • Fibromyalgia
  • Obesity (see Discriminated Fat Loss)
  • Type II Diabetes
  • Parkinson’s Disease
  • Multiple Sclerosis
  • Total Hip and Knee Replacements (Pre- and Post-op)
  • High Blood Pressure and Heart Disease
  • Asthma and Other Respiratory Disorders
  • Chronic Fatigue
  • Post-MVA / Whiplash Associated Disorders

• One to One therapists are engaged in regular study of pain science and movement therapy to ensure you receive the best possible care. There has been a virtual explosion of research in neuroscience in the last 10 years that has revolutionized our understanding of pain mechanisms. Unfortunately, this evidence has not yet become a part of many medical and therapeutic approaches to the problem of pain. We feel it is our responsibility to translate this information into clinically relevant outcomes that are meaningful to you.

What are the typical recovery times for my particular condition?

Clinical experience, coupled with the latest research, should enable your therapist to supply you with a predictive outcome for some conditions. Your success, however, depends in large part on your full participation in your recovery and completion of recommended treatment. In some cases, this requires changing behaviors that contribute to your condition to those that promote greater health and well-being.

• At One to One your intervention plan is based on your goals to shape the actions required to achieve optimal outcomes. This allows you to know what to expect and to actively participate in your treatment. In general, less pain + better movement + more strength = improved function! We will help get you there as quickly as possible.

Will the therapist allow me to manage my own condition, or will they create a situation where I become dependent on them for relief?

Our whole mission is centered on teaching you principles and practices of health promotion through movement and exercise. Our experience shows that lasting benefits occur when you are an active participant in your care and perform exercise to support improvements gained. While passive treatments like chiropractic adjustments may provide some temporary relief, dependency on maintenance care means true physical improvement remains elusive.

• At One to One, we integrate techniques for long term care management, reducing the incidence of recurrence, and promoting patient independence. We help you understand your condition, teach you simple exercises and movements that will improve it, and guide you through proper exercise performance. Although there are many advantages to our professional guidance (such as increased safety, greater accountability, access to equipment, etc.), highly motivated clients should be able to fulfill their treatment program mostly on their own within a few weeks.

Will treatment really help my condition or will I just feel better temporarily?

As indicated above, there are many passive treatments that do a decent job providing temporary relief of symptoms. With effective treatment, your time without symptoms should increase as you make progress toward self-management. It is also important to step back and look at the big picture of your health and functional ability. Rehabilitation is all about direction. Either you will continue on your current path and generally worsen over time or you will turn around and make the changes necessary to achieve greater well being.

• At One to One, you won’t just feel better; you’ll get better. Complete rehabilitation takes you beyond symptom relief to physically remodel your tissues, slowing the loss of muscle tissue that occurs with injury, aging, and other conditions and making your body more resistant to degeneration and tissue damage. Many health issues have traditionally limited one’s ability or perceived ability to participate in exercise. Our specialized knowledge as physiotherapists, combined with a safe protocol of productive exercise and precise equipment, will help you overcome the barriers to a more purposeful, rewarding, and satisfying life.

Does the therapist have research available to support the treatment approach?

Ask for evidence from peer-reviewed journals or explanations from books that discuss your condition and the recommended treatment. Ensure that your therapist is a consumer of the research and is constantly improving his or her clinical practice by engaging in quality continuing education.

• The entire One to One team maintains a Research and Evidence Portfolio to support everything we do or recommend. We also maintain a lending library for those interested in delving into a particular topic in more detail.

Does the physiotherapist subscribe to a "Standards Of Care"?

• At One to One, we have addressed some of the main complaints when it comes to physiotherapy, such as,· long waiting times, being passed off to assistants, minimal contact with the therapist, and not being educated about treatment options. Don't settle for therapists that are not committed entirely to your recovery. Ask for your copy of the One to One Standards of Care, or view here.

Does the physiotherapist assist you in transitioning from rehabilitation to a regular exercise program designed with your history in mind?

• At One to One, your therapist provides a clear plan for your transition to unsupervised regular exercise based on your rehabilitation history, progress, and personal goals.· All clients receive a free consultation along with a free personal training session they can use in our fitness program at the conclusion of their prescribed treatment.·