We're so excited to be offering Telehealth services!
Like every in-person appointment, your appointments are divided into three parts.
Part 1 - The History
The health history involves a lengthy review of your current condition, lifestyle and past medical history. If we've worked together before, this involves a review of how your condition has progressed since our last visit. Gotten better? Gotten worse? Stayed the same? All of this information is vital in continuing to guide how we manage your case. Most clinicians will argue that a thorough medical history is the most important part of formulating our diagnosis. Thankfully, our virtual history is nearly identical to that which we can offer in-person.
Part 2 - The Physical Exam
By the time our history is done, we should have an accurate picture of what might be going on. We usually have narrowed the diagnosis down to two or three things. This list is then narrowed down even further through the physical exam. During in-person physicals, the clinician and the patient will work together to figure out what makes your symptoms worse and what makes it better. This can be achieved through assessing range of motion, aggravating movements or positions, positions of relief (things that make you feel better), and a host of other specific diagnostic manoeuvres. This battery of tests helps to increase our confidence in your diagnosis while also helping to guide how to best manage your symptoms. The goals of the physical exam during virtual consults are unchanged. But the way we achieve these goals are slightly different. With careful direction from the clinician, the patient will move him/herself through similar tests or procedures that they would perform in the presence of the clinician. Some specific tests may not be possible in a virtual environment, but our clinicians do our best to gather the same information given the tools available.
Virtual Consultations Part 3 - The Report of Findings and Plan of Management
So we've done our history and our guided physical exam. By now we should have a good idea of what the issue is and how we can create a plan for you to recover. After a detailed discussion of all the possible options including risks and alternatives, with your consent, we start to build your plan of management. During an in-person appointment, this would include hands on therapies such as acupuncture, soft tissue work, joint mobilization/manipulation, and others. While these are not possible during out virtual consults, we have a powerful tool at our disposal; exercise and activity modification. This may involve specific recommendations on training, exercise, positions to avoid, changes to your home work station, and anything else that we can use to start changing your symptoms right away.
Our goal is to give you all the tools possible to effectively manage your symptoms on your own from the comfort of your home (or wherever you are doing your social distancing). While you're putting in the work, you always have our support through constant virtual contact and updates.
We're always here for you.
Still have questions? Have a look at our video below.