How can massage therapy help me?
Massage therapy can be beneficial to people of all ages and conditions and is widely used to help obtain relief from many specific problems, including:
- Inflammatory conditions such as arthritis and tendinitis
- Stress relief and associated conditions
- Headaches and migraines
- Muscle and related conditions such as spasms, strains and sprains
- Back pain
- Repetitive strain injury
- Circulatory and Respiratory problems
- Pregnancy and labour discomfort
- Post-injury and post surgical rehabilitation
Can anyone receive massage therapy?
Yes, massage therapy is appropriate for individuals of all ages, including infants, children, and the elderly; however, there are some conditions for which massage therapy is not appropriate. A qualified Massage Therapist (RMT) is trained to recognize these cases.
Many Massage Therapists treat a variety of diseases and disorders while other Massage Therapists concentrate on certain conditions (fibromyalgia) or groups of people such as athletes, performers, women during pregnancy (including labour and delivery), infants and children. When booking your first consultation, be sure that the Massage Therapist is the right choice for you.
Is massage therapy a regulated health profession?
The practice of massage therapy is regulated under the Regulated Health Professions Act, 1991 (RHPA) and is therefore a Regulated Health Profession. Only individuals who have completed the requisite training and have met the strict competency requirements of the College of Massage Therapists of Ontario (CMTO) can call themselves a “Massage Therapist” or a “Registered Massage Therapist”.
When seeking massage therapy, look for an individual who uses one of those two titles and ask to see their registration with the CMTO.
Do I have to remove all my clothing for massage therapy?
No. Your comfort as a client is of the utmost to all Registered Massage Therapists, whether that is in the context of the clothing you wear or the treatment you receive. Massage Therapists can provide important treatment whether you elect to remove any, some, or all of your clothing. All RMTs are trained in proper draping procedures to ensure that your privacy is completely respected at all times during treatment. Your comfort and ability to relax is paramount to effective treatment.
Registered Massage Therapists will also describe the treatments to be provided to ensure that you are comfortable with them. Your consent is sought before treatment is provided. If you are uncomfortable, your RMT wants you to let them know immediately, whether that discomfort involves the treatment, draping or any pain you may experience.
Why do Massage Therapists charge HST?
Under the federal Excise Tax Act, massage therapy is a service to which GST was applied. While massage therapists are considered health care practitioners under Ontario Regulated Health Professions Act, 1991, massage therapy is not included in the definition of health services that are exempt from the application of the HST. The list of exemptions is controlled by the federal government and the federal Minister of Finance has made it clear that the current policies governing exemptions will remain in place. A health profession can be exempted if is it regulated in five provinces or territories or if it is paid for in the health plans of three provinces. Massage therapy does not meet either of these conditions.
Does massage therapy hurt?
As with many treatments affecting the soft tissue, there are times when massage therapy can cause some light discomfort but it is not harmful. Discomfort usually diminishes and no technique of this nature is used without the therapist first discussing it with the client and obtaining your permission. A comfort scale will be established and the therapist will work to the client’s tolerance level. The client can stop or change the treatment at any time and Massage therapists will modify their techniques to meet their client’s needs.
What happens on the first visit?
On the first visit you will complete a confidential health history as part of your assessment. This is important as the Massage Therapist needs to know if you have any medical conditions or are taking any medications. The Massage Therapist will listen to your concerns, assess your individual needs as well as other factors that may be contributing to your injury (lifestyle, nutritional status, etc.). The Massage Therapist will then develop a treatment plan with you to ensure you receive appropriate treatment that will help you return, as much as possible, to your normal activities.
Is massage therapy covered under the Ontario Health Insurance Plan (OHIP)?
No. Massage therapy treatments are not covered under OHIP, regardless of whether the treatments are provided by a Massage Therapist directly, by a physician or required by a physician.
Most progressive extended health benefit plans do cover massage therapy treatments when provided by a Registered Massage Therapist and most do not require a physician’s order to do so.
How do I become a Massage Therapist?
In order to become a Massage Therapist in Ontario, an individual must complete a 2200 hour educational program at an educational institution recognized by the Ontario Ministry of Training, Colleges and Universities.
Upon graduation, the individual must become registered with the College of Massage Therapists of Ontario (CMTO), the regulatory body for the Massage Therapist Profession. This includes the completion of Certification Examinations.
Certification Examinations include two components, Computer Adaptive Multiple-Choice Examination and Objective Structured Clinical Evaluation (OSCE). Successful completion of both components of the certification examination is a non-exemptible requirement for all candidates seeking registration with the College.
Is Acupuncture Safe?
Acupuncture is a safe technique, provided that practitioners are properly trained and follow appropriate techniques. Practitioners of acupuncture use single-use, sterile disposable needles and have been trained regarding precautions and contraindications to acupuncture.
It is important to notify the practitioner if you are pregnant or could possibly be pregnant, as acupuncture treatment may have to be modified or may not be appropriate.
How does acupuncture work?
Acupuncture is the stimulation, by insertion of needles, of specific points on the body which have the ability to alter various biochemical and physiological conditions. Acupuncture stimulates the release of endorphins, which are the body’s natural pain-relieving neurohormones. Acupuncture affects the functioning of the hormonal system, promotes a decrease in inflammation, increased circulation and relief from pain.
Is acupuncture painful? What does it feel like?
Acupuncture is usually a comfortable treatment. Needles are very fine, metallic and as thin as a hair, making them quite painless upon insertion. Everyone experiences acupuncture differently, but most feel no pain or very minimal pain as the needles are inserted. You may experience a mild aching sensation or warmth around the needle site.
How much exercise should I do?
Exercise helps to improve blood circulation and recovery from illness depends on a good supply of nutrients and oxygen. Exercise as frequently as possible but never to the point of exhaustion. Rest between exercises and replenish the body with nutritious food and drinks.
What activities are to be avoided after acupuncture treatment?
Strenuous physical activities including vigorous exercise should be avoided for at least 2 hours after treatment.
A good feeling after acupuncture must not be taken as full recovery and patients must avoid over-engaging in any activities they were unable to perform previously due to their condition until they regain their strength and stamina.
What should I do before and after an acupuncture treatment?
You should make sure that you have eaten a light meal prior to having acupuncture. You should avoid consuming caffeine or nicotine for 90 minutes before and after treatment. Continue with all medications as prescribed.
Is acupuncture covered by insurance?
Many insurance plans offer coverage for acupuncture treatment. To find out if your plan covers acupuncture, and any limits to the number of treatments covered, you should contact your insurance company directly. Acupuncture may also be covered if you sustained a workplace injury or were injured in a motor vehicle accident.
How are Orthotics Constructed?
A non weight bearing cast in subtalar neutral is first performed. The client’s clinical data is referenced to the normal population and abnormalities are corrected. A laser scans the negative cast that the health care provider has made from your foot impression to create a corrected positive. The mould is milled using the corrected casting from the computer then ground and posted as to the specific requirements of the patient. Then engineered copolymer with complete intrinsic memory and predictability postings made from carbon flex, polypropylene and/or bay comp carbon is vacuum formed over the positive. The shell material is applied. All orthotics provided by Dr. Jay Rappazzo have been hand made with 100% raw materials.
How long will a pair of Custom Orthotics last?
With every-day use Custom Orthotics should last at least one year. Many patients do have multiple pairs, which extends the life of the Custom Orthotics, and they can last between 2 – 5 years.
Do insurance plans cover Custom Orthotics?
Yes. The majority of Canadian workers have partial or full coverage for custom orthotics through their workplace health care plans. OHIP does not cover these medical appliances. To help make insurance reimbursement easy, the patient is provided with a detailed itemized receipt, upon payment at the time of purchase, listing the health provider’s credentials and registration numbers, as well as the cost and date of the order.
Do I need a Doctor’s prescription for Custom Orthotics?
Some insurance companies may require a note from a physician explaining why has been recommended. It is important to check with your insurance provider.