What separates the Knee Clinic from the public system?
Our facility is the only private Knee Clinic in Alberta and is not affiliated with any public knee clinic initiatives. We offer timely assessment, diagnosis and treatment as well as specialist expertise that patients may otherwise only have access to after a very lengthy wait time in the public system. At the Knee Clinic, we believe that collaboration is of paramount importance to good clinical outcomes. We are a one stop shop for many patients and all of our practitioners work hard to communicate with each other as well as with the rest of your health care team. Whether you need an assessment with one of our specialists, an image guided injection or hands on treatment by one of our other doctors or therapists, you can be sure you are seeing a practitioner who is up to date on your case and knows what is treatment is best suited to you. Finally, and perhaps most important of all, at the Knee Clinic we take the time to really listen and then clearly communicate the diagnosis and treatment plan to our patients in a way that is relevant and easy to understand.
What can the Knee Clinic do for me?
- Timely assessment and diagnosis by a specialist
- Direct surgical referrals via the public or private health care systems
- Advanced imaging requisition and consultation through either public or private streams (MRI, CT, Diagnostic Ultrasound, or any other imaging)
- Custom knee brace and orthotic prescription, acquisition and fitment
- Knee joint injection referrals and administration (Monovisc, Hyaluronic acid, Platelet-rich Plasma, Cortisone, Prolotherapy, Ozone, Cingal)
- Rehabilitation (both pre- and post-operative as well as non-operative)
- Physiotherapy, Chiropractic, Registered Massage Therapy, Acupuncture, IMS, Naturopathic Medicine
- Clear communication with your family physician and other members of your health care team
Who can receive care the Knee Clinic?
We do not discriminate against chronic injury or osteoarthritis. Individuals of all ages and activity levels are welcome at the Knee Clinic. From acute injuries or tears to chronic arthritis pain, or overuse injuries that plague both elite and recreational athletes, we can help!
Not a knee injury? Our practitioners are exceptionally well trained to assess and manage a variety of musculoskeletal ailments and would be happy to address these with you. Often a sore knee can be the result of compensation for another problem in the foot, ankle, hip, pelvis or lower back.
Who will I see?
Because our facility maintains a high quality and standard of healthcare provision, all of our practitioners are exceptionally well trained in their respective fields of expertise. Our specialists have completed extensive post-doctoral training and hold active Fellowship status in sports sciences and physical and occupational rehabilitation.
What do I need to bring with me?
Please ensure that your intake forms have been completed prior to your scheduled appointment time. These can be found on our website here or can be emailed to you upon request. If you wish to complete these forms on site, please arrive at least 10 minutes early. We also recommend that you wear loose fitting clothing or bring a pair of shorts with you.
Do I need to have had an X-ray or MRI prior to my appointment?
The short answer is no. We are good at what we do and a thorough history and clinical exam is usually sufficient to arrive at an accurate diagnosis and plan of management. However, if we feel that further imaging may be helpful, we can facilitate this for you through either the public or private system at the patient’s discretion.
Do I need a referral from a doctor?
No, you do not require a referral to see us!
How much does it cost for an initial assessment and what can I expect during this visit?
There are multiple ports of entry to the Knee Clinic and initial fees can vary, however, the initial assessment fee with one of our specialists is $334. This appointment is typically 50 -60 minutes in duration and you can expect the doctor to conduct a thorough history and clinical examination, as well as review any relevant diagnostic imaging with you. You will leave with an accurate diagnosis and plan of management, including treatment options and associated costs.
What if I need surgery?
In many cases, surgery should be viewed as a last resort, however, if after careful consideration it is deemed the most efficacious option, our clinic can facilitate a direct referral to the surgeon’s office for you. We maintain close ties with both public and private surgeons here and abroad.
Will my insurance plan cover the cost of my appointment?
This will depend on the details of your individual plan. Our specialists have received their base training as chiropractors, with extensive specialist training in the years beyond. They have attained post-doctoral fellowship status in sports sciences as well as physical and occupational rehabilitation.
As most people have chiropractic coverage it is convenient to be able to submit a claim for their initial assessment accordingly.
What are some ways to measure improvement?
WAYS TO MEASURE IMPROVEMENT
When a patient presents to our office with a complaint, it usually pertains to a change in their ability to function normally without pain. Pain is a multifaceted complaint that can be very complicated to manage. After a thorough history, physical examination and review of any pertinent imaging findings, our doctors are mandated to determine a working diagnosis. With that diagnosis comes a proposed plan of management that will require the patient to take an active role in their health care. The responsibility is a shared one between doctor and patient, and it is very important for the patient to follow through with their role during this plan of management, so that both doctor and patient are doing their part to create an optimal outcome for the patient.
Having appropriate expectations from the outset is very important and this is no more true than when talking about expectations of pain reduction or management. At both Elite Sport Performance and the Knee Clinic, our intake forms include what is known as a Visual Analog Scale for pain, allowing the patient to rate their subjective symptoms before the onset of treatment on a scale of 1 through 10. We also look at patient-reported outcome measures. This well validated approach looks at a person’s opinion of their pain and functionality and can include many different potential surveys. In our Private Knee Clinic, we utilize one such patient-reported outcome measure known as the Knee Injury and Osteoarthritis Outcome score (KOOS). Administering this survey, both before the onset of treatment and again at the conclusion of our clinical trial, allows us to get a better idea of the patient’s opinion of their own progress. There is often a disconnect, especially in the early phases of care, between subjective improvement and objective improvement. On each visit, our doctors or therapists will go through a series of objective tests and will compare the results of those tests to the previous treatment, as well as to the results from the initial assessment. Often, these findings will not match perfectly with the patient’s subjective experience of pain. This discrepancy lends itself to an important conversation about ways to measure improvement.
There are indeed many ways to measure improvement. Not only is the amount of pain important but so too is the length of time it takes for the patient’s painful symptoms to onset, the duration of symptoms, the activity level that they are able to maintain with an acceptable level of pain, and even how long it takes for them to recover after an activity.
The sport specialist nature of Elite Sport Performance is such that our mandate is to help patients continue participating in the sports or activities that they are passionate about. These patients typically understand that their pain symptoms may not go away completely during these activities but that being able to continue doing the activities even with a mild to moderate amount of discomfort is a victory unto itself. Other ways to measure improvement include a patient’s ability to sleep through the night, thereby allowing their body’s own restorative processes to help them heal further, or a patient’s ability to functionally perform their day to day tasks (such as brushing their hair) without significant pain.
Our ultimate objective is, of course, to have the patient’s pain go away and to have their function improve to the point that they are no longer thinking of or are even aware of their original presenting complaint. As the law of diminishing return suggests, the largest improvements are often made early on in the course of therapy. As time and treatment progresses, it is important for the patient to maintain consistency, both with their treatment as well as with their prescribed exercises and any changes or modifications to offending activities. With persistence and attention to these details, optimal therapeutic improvement can be reached.
Lastly, it is imperative for the patient to pay attention to what symptoms they experience from day-to-day and with different activities so that they can relay this back to the doctor or therapist. Let our doctors or therapists know of any pain medications that you may be taking because these can often mask the patient’s true symptoms.
Our brand promises at Elite Sport Performance are ‘Results, Clarity, and Collaboration’. If you have a musculoskeletal ailment and would like our expert input, please do not hesitate to contact us at (403) 689-9889 or by emailing us at firstname.lastname@example.org.