{"id":9,"date":"2015-08-15T07:31:29","date_gmt":"2015-08-15T07:31:29","guid":{"rendered":"https:\/\/musclemd.ca\/referrals\/"},"modified":"2025-03-21T21:05:25","modified_gmt":"2025-03-21T21:05:25","slug":"referrals","status":"publish","type":"page","link":"https:\/\/musclemd.ca\/?page_id=9","title":{"rendered":"Referrals"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;0px|||&#8221; custom_width_percent=&#8221;80&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.25.1&#8243; text_font=&#8221;Abel||||||||&#8221; text_font_size=&#8221;20px&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; hover_enabled=&#8221;0&#8243; border_width_top=&#8221;5px&#8221; border_color_top=&#8221;#0c71c3&#8243; border_width_bottom=&#8221;5px&#8221; border_color_bottom=&#8221;#0c71c3&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\">The clinic is currently booking appointments for new patients with a wait time of 3-5 months.\u00a0<\/p>\n<p style=\"text-align: center;\"><em>Referrals for TPI can only be initiated from Licensed Canadian Physicians at this time. If you are an allied health professional who feels that your patient may benefit from treatment, please discuss possible referral with the patient\u2019s relevant physician.<\/em><\/p>\n<p style=\"text-align: center;\"><em>Referrals are not required to see our Registered Massage Therapist.<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; custom_padding_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;0px|||&#8221; custom_width_percent=&#8221;80&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Referral information for patients&#8221; url=&#8221;https:\/\/musclemd.ca\/?page_id=906&#8243; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xe058;||divi||400&#8243; icon_color=&#8221;#0c71c3&#8243; image_icon_background_color=&#8221;#ffffff&#8221; image_icon_width=&#8221;48px&#8221; _builder_version=&#8221;4.16&#8243; header_font=&#8221;Abel||||||||&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; image_icon_custom_padding=&#8221;25px|25px|25px|25px|false|false&#8221; text_orientation=&#8221;center&#8221; max_width_tablet=&#8221;50px&#8221; animation=&#8221;off&#8221; border_radii_image=&#8221;on|100%|100%|100%|100%&#8221; use_circle=&#8221;on&#8221; circle_color=&#8221;#ffffff&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221; image_icon_background_color__sticky_enabled=&#8221;#7EBEC5&#8243; image_icon_background_color__sticky=&#8221;#7EBEC5&#8243;][\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Referral information for doctors&#8221; url=&#8221;https:\/\/musclemd.ca\/?page_id=909&#8243; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xe058;||divi||400&#8243; icon_color=&#8221;#0c71c3&#8243; image_icon_background_color=&#8221;#ffffff&#8221; image_icon_width=&#8221;48px&#8221; _builder_version=&#8221;4.16&#8243; header_font=&#8221;Abel||||||||&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; image_icon_custom_padding=&#8221;25px|25px|25px|25px|false|false&#8221; text_orientation=&#8221;center&#8221; max_width_tablet=&#8221;50px&#8221; animation=&#8221;off&#8221; border_radii_image=&#8221;on|100%|100%|100%|100%&#8221; use_circle=&#8221;on&#8221; circle_color=&#8221;#ffffff&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221; image_icon_background_color__sticky_enabled=&#8221;#7EBEC5&#8243; image_icon_background_color__sticky=&#8221;#7EBEC5&#8243;][\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_2,1_2&#8243; custom_padding_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;0px|||&#8221; custom_width_percent=&#8221;80&#8243; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Download referral form&#8221; url=&#8221;https:\/\/musclemd.ca\/wp-content\/uploads\/2021\/02\/2021-referral-form.pdf&#8221; url_new_window=&#8221;on&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xe0e6;||divi||400&#8243; icon_color=&#8221;#0c71c3&#8243; image_icon_background_color=&#8221;#ffffff&#8221; image_icon_width=&#8221;48px&#8221; _builder_version=&#8221;4.16&#8243; header_font=&#8221;Abel||||||||&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; image_icon_custom_padding=&#8221;25px|25px|25px|25px|false|false&#8221; text_orientation=&#8221;center&#8221; max_width_tablet=&#8221;50px&#8221; animation=&#8221;off&#8221; border_radii_image=&#8221;on|100%|100%|100%|100%&#8221; use_circle=&#8221;on&#8221; circle_color=&#8221;#ffffff&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221; image_icon_background_color__sticky_enabled=&#8221;#7EBEC5&#8243; image_icon_background_color__sticky=&#8221;#7EBEC5&#8243;][\/et_pb_blurb][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_blurb title=&#8221;Download patient information sheet&#8221; url=&#8221;https:\/\/musclemd.ca\/wp-content\/uploads\/2018\/02\/MuscleMD-patient-infosheet-Updated.pdf&#8221; url_new_window=&#8221;on&#8221; use_icon=&#8221;on&#8221; font_icon=&#8221;&#xe0f7;||divi||400&#8243; icon_color=&#8221;#0c71c3&#8243; image_icon_background_color=&#8221;#ffffff&#8221; image_icon_width=&#8221;48px&#8221; _builder_version=&#8221;4.16&#8243; header_font=&#8221;Abel||||||||&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; image_icon_custom_padding=&#8221;25px|25px|25px|25px|false|false&#8221; text_orientation=&#8221;center&#8221; max_width_tablet=&#8221;50px&#8221; animation=&#8221;off&#8221; border_radii_image=&#8221;on|100%|100%|100%|100%&#8221; use_circle=&#8221;on&#8221; circle_color=&#8221;#ffffff&#8221; saved_tabs=&#8221;all&#8221; global_colors_info=&#8221;{}&#8221; image_icon_background_color__sticky_enabled=&#8221;#7EBEC5&#8243; image_icon_background_color__sticky=&#8221;#7EBEC5&#8243;][\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; The clinic is currently booking appointments for new patients with a wait time of 3-5 months.\u00a0 Referrals for TPI can only be initiated from Licensed Canadian Physicians at this time. If you are an allied health professional who feels that your patient may benefit from treatment, please discuss possible referral with the patient\u2019s relevant [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":4,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"<p>The clinic is currently booking appointments with a wait time of less than one week.<\/p><p>Referrals can only be initiated from Licensed Canadian Physicians at this time. If you are an allied health professional who feels that your patient may benefit from treatment, please discuss possible referral with the patient's relevant physician.<\/p><p><a href=\"https:\/\/musclemd.ca\/wp-content\/uploads\/2015\/08\/Referral-form-1.1.pdf\" target=\"_blank\">Click here to download the referral form (PDF)<br \/> <\/a><\/p><p><a href=\"https:\/\/musclemd.ca\/wp-content\/uploads\/2016\/01\/Patient-Information-2.pdf\" rel=\"\">Click here for a patient information sheet<\/a><\/p><p>\u200b<br \/> <strong>Information for referring Physicians<\/strong><\/p><p>This clinic provides MSP-covered trigger-point injection treatment to patients with myofascial pain. The scope of practice of the MuscleMD Clinic is limited to this treatment only. This is to allow for the clinic to cope with the increasing number of referrals for patients requiring treatment, with limited clinical time\/resources.<\/p><p>No referrals\/investigations\/prescriptions will be issued by MuscleMD physicians. The referring physician accepts responsibility for managing ongoing prescriptions and arranging further investigations\/referrals as they deem appropriate.<\/p><p>If it is felt that the patient would potentially benefit from further investigations\/specialist opinion this information will be relayed to the referring physician promptly and left to the physician's discretion.<br \/> <a href=\"#indications\">Treatment Indications<\/a><\/p><p><a href=\"#referral\">Referral Criteria<\/a><\/p><p><a href=\"#contra\">Contraindications to Treatment<\/a><\/p><p>\u00a0<\/p><p><a name=\"indications\"><\/a><strong>Treatment Indications<\/strong><\/p><p>Any pain that is thought to be muscular\/fascial in origin may benefit from TPI treatment. Common conditions that have been treated include:<\/p><ul style=\"list-style-type: circle;\"><li>Muscular sprain\/strain- type injuries e.g. whiplash-type injuries<\/li><li>Neck\/shoulder pain\/tightness<\/li><li>Restricted range of motion with no known muscle tear\/rupture e.g. frozen shoulder<\/li><li>Headaches (non-malignant) that have not responded to conventional medical management<\/li><li>Plantar fasciitis \/ Achilles tendinitis<\/li><li>Neuropathy-type symptoms with negative EMG studies<\/li><li>Superficial abdominal pain with negative investigations<\/li><\/ul><p>\u00a0<\/p><p><a name=\"referral\"><\/a><strong>Referral criteria<\/strong><\/p><p>Please provide as much relevant clinical information as possible on the referral page and enclose any related investigations\/results\/consults. Incomplete referrals will be returned.<\/p><p>Please ensure that the patient has been examined\/investigated for any concerning symptoms\/conditions, and that these have been excluded prior to referral to the MuscleMD Clinic. For example if a patient has back pain with neurological symptoms\/red flags appropriate investigations should have been performed to exclude cauda equina\/nerve root compromise, and these results should be enclosed in the referral package.<\/p><p>WorkSafeBC claim-related cases can not be referred without prior WorkSafe approval.<\/p><p>\u00a0<\/p><p><a name=\"contra\"><\/a><strong>Contraindications to treatment<\/strong><\/p><p>Unfortunately we are unable to see the following groups of patients (due to increased risk of procedural complications):<\/p><ul><li><strong>Pregnant<\/strong> patients<\/li><li><strong>Anticoagulated<\/strong> patients (or those on anti-platelet drugs)- due to increased bleeding risk from IM injections. These patients can only be treated if off medications for an adequate period of time. This is a decision between the patient and MRP, if they feel the risks of being off medication can be justified by potential benefits of treatment.<\/li><li>Patients with <strong>bleeding disorders<\/strong><\/li><li><strong>Immunocompromised<\/strong> patients \/ skin infection\/breakage over area needing treatment<\/li><li>Patients with severe <strong>needle-phobia<\/strong> that cannot be controlled with prescription medication<\/li><\/ul><p>If you are unsure about whether your patient would be appropriate for Trigger-Point Injection therapy please do not hesitate to get in touch to discuss this further with the treating physician.<\/p>","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-9","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/musclemd.ca\/index.php?rest_route=\/wp\/v2\/pages\/9","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/musclemd.ca\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/musclemd.ca\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/musclemd.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/musclemd.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9"}],"version-history":[{"count":69,"href":"https:\/\/musclemd.ca\/index.php?rest_route=\/wp\/v2\/pages\/9\/revisions"}],"predecessor-version":[{"id":1237,"href":"https:\/\/musclemd.ca\/index.php?rest_route=\/wp\/v2\/pages\/9\/revisions\/1237"}],"wp:attachment":[{"href":"https:\/\/musclemd.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}