WHERE IS MY PRACTICE?
- I am currently not in practice at any particular location. Please contact me if I may be of service.
DO YOU NEED A MEDICAL REFERRAL?
- You DO NOT need a medical referral to consult/visit a chiropractor in Ontario. A benefit of this is that chiropractors are free to work outside of the "medical umbrella" and are able to offer independent insight.
- We do, however, work in cooperation with your medical and other health professionals. Where it is to your advantage and with your permission, a clinical report can be sent to your physician.
WHAT ARE MY FEES?
- An initial chiropractic ranges between $80 - $100.
- Each additional treatment visit is $40 - $50.
- Please call to discuss. 905-636-6886
WHAT HAPPENS AT YOUR FIRST VISIT?
- Your initial appointment includes intake, consultation, examination, referral for x-rays and further tests as necessary, diagnostic impression, and depending on your situation a treatment to help you start feeling better.
DO WE TAKE X-RAYS?
- X-rays are taken only as necessary, that is, to qualify a diagnosis or to rule out other complications.
- I typically refer you to a local medical facility that will take your X-rays. The taking of the X-rays is covered by OHIP (take your card with you), however, you may have to pay a modest out-of-pocket fee for their radiologist to read and provide a report*. A report may be sent to your physician. Depending on the x-ray facility you may need to visit the lab in the next few days and they will turn the films/CD/images over to you to bring back to the clinic where we can look at them together. Some x-rays labs now e-transfer your images to us directly.
study. Dr. Kassis is usually amenable to ordering x-rays of her current patients.
- If you need advanced imaging we refer you to your physician. If necessary I can provide you a report explaining the reason for a CT or MRI scan.
- I can also refer you to a private facility that can perform advanced (MRI/CT) imaging. The cost is currently about $800 and not covered by insurance, although it may be tax deductible (contact your accountant). The advantages of this opportunity and whether it is a prudent expense can be discussed with you.
WHAT’S HAPPENS NEXT?
- On your second visit we will discuss our findings and your diagnosis - that is - identify what is troubling you, how it came to be, and what we need to do about it. This usually involves laying out a treatment plan to get you the best results as quickly as we can. I usually do a treatment as well.
HOW LONG WILL IT TAKE UNTIL YOU ARE BETTER?
- That, of course, depends on your own particular problem. A new injury on a relatively fit individual will respond faster than an elderly person with long term issues. Many patients enjoy substantial relief on their first visit. However, in most cases, the acute/relief phase may require frequent visits over the course of several weeks to get through. It is to your advantage to consider your long term function and health rather than just pain relief. Longer term corrective care typically requires one or two visits per week over several months to a year. Please see "Do I need to keep coming back?" down below.
DO CHIROPRACTORS ONLY TREAT INJURIES?
- Most people will start seeing a chiropractor due to some form of injury. While chiropractors are specialists in treating Musculo-Skeletal Injuries, particularly those involving the spine, more people are seeing chiropractors to invest in their health and long-term wellness.
- Do note that few health conditions just happen. Please see the section "HONEST, DOC! I WASN'T DOING ANYTHING!".
WHAT TYPE OF TREATMENT DO I USE?
- I use several modalities such as ultrasound, laser, and electro-stimulation. However, the mainstay of chiropractic is manipulation of the joints and tissues. Some chiropractors use a device called an "Activator" depending on what is appropriate for your needs.... I prefer a hands on approach as I believe it gives more effective results
HOW DOES MANIPULATION WORK?
- Essentially, is stretches the tissues around the joint to make it more flexible and helps re-position and normalize the motion of the joint (corrects spinal misalignment). The immediate effect is better mobility and less pain.
- Normalizing the joint will also relieve pressure and irritation of nerves which itself is a major source of pain and impairs health. See the page "HONEST, DOC! I WASN'T DOING ANYTHING!"
IS MANIPULATION SAFE?
- About as safe as golfing and bowling... probably safer. The most dangerous part of a chiropractic adjustment (treatment) is getting to the office. If you have more specific questions or concerns than I can answer here, you are welcome to email me your question or schedule a consultation.
- I also suggest that you review this statement from the Canadian Chiropractic Protective Association: Informed Consent To Chiropractic Treatment. which outlines the potential benefits, risks, and alternatives to chiropractic treatment.
DOES IT HURT?
- Generally no. Treatments such as Ultrasound produce a pleasant warmth. Most people describe the feeling from electrotherapy as soothing. With manipulation therapy most people experience a tolerable, some even say pleasing degree of pressure and stretching. It is much like cracking a knuckle. I liken a treatment to jumping into cool water. It is annoying to think about, but once done, it wasn’t so bad and well worth the effort.
DO YOU NEED TO KEEP COMING BACK?
- That is up to you... please read on.
- For typical Musculo-Skeletal and Spinal Injuries there are typically three stages of care.
- In the initial relief stage, the goal is to get you free of pain and functional as soon as we can. Treatments during the acute phase are often daily for the first week or two. As you recover, you can expect treatments to spread to every other day to twice per week over the course of several more weeks.
- By this time, you have entered the sub-acute phase. Treatment at this time are directed to repair damaged tissues and restore normalized function. Please note that being out of pain does not necessarily mean the injury has resolved. Healing takes time and we must allow the living tissue to adapt to the corrections being made. Through this phase treatments may begin at three per week and gradually taper to weekly or every two weeks.
- Your need for ongoing care depends upon your condition. Some injuries are permanent. This does not mean that you are constantly suffering. In fact, many permanent injuries stabilize and can be managed quite well. However, it is to your advantage to consider your health a long term investment.
- Many patients appreciate the benefits of regular “maintenance” visits every two to four to six weeks. It feels good to feel good and it (YOU) are a worth the investment.
- Nonetheless, I will offer you my recommendations and why, so that you may make informed decisions. How long you chose to continue chiropractic therapy for any particular condition is always YOUR choice.
For patients seeking Spinal Correction Care and Wellness Care the course of therapy may vary from Injury Care.
DOES OHIP COVER ANY OF THE COST?
- No part of chiropractic services are covered by OHIP.
DO WE ACCEPT PRIVATE INSURANCE?
- Each extended benefits policy has its own conditions. Our contract is with you and not your insurer. In most cases, you pay us, we will assist with what ever paper work is necessary, and you then submit to your insurer for re-reimbursement. If your insurer agrees, we will take payment directly.