PHYSICIAN QUESTIONS

Who are the physicians working at Integrate? Are they certified in sport medicine?


Dr. Junek is a general practitioner practicing in integrative medicine and musculoskeletal medicine. Dr. Junek is not certified in sport medicine but has a special interest and training in management of musculoskeletal injuries, including sport and occupational injuries. Dr. Pozgay has been practising medicine for 20 years as an emergency and sports & exercise doctor. She graduated from McMaster where she did her MD and then went to the University of Alberta where she completed a residency in Emergency Medicine and a Fellowship in Sports Medicine. The clinic is open to receiving other physicians interested in musculoskeletal medicine, including sport doctors, emergency physicians and general practitioners.




What services do your physicians offer?


Physicians at Integrate offer medical assessment services for musculoskeletal pain or injuries, including:

  • Full medical assessment of the problem
  • Referrals to necessary services such as X-Ray, ultrasound, MRI
  • Referrals for specialists such as sport medicine or orthopedics where required
  • Prescription of appropriate medications (NOTE: opioids are NOT prescribed at Integrate).
Physicians also offer interventional musculoskeletal treatments including:
  • Trigger point injections
  • Neurofunctional medical acupuncture




Why should my patient consider trigger point injections or neurofunctional acupuncture?


While some acute musculoskeletal injuries resolve on their own within a few days to weeks, others can persist in the form of chronic pain, pain with movement, reduced mobility, or other functional difficulties. Conventional medical management of musculoskeletal pain or injury often relies on prescription medications (analgesics, anti-inflammatories, muscle relaxants or opioids) to mask the pain until the problem goes away on it’s own. But this approach doesn’t always lead to resolution of the problem once patterns of pain and dysfunction become set in your muscles and nerves. Interventional treatments can complement any other therapies to directly address the problems in your muscles and nerves. Trigger point injections can help to deactivate hypercontractile fibres – a.k.a. “undo knots” in your muscles, while neurofunctional acupuncture treatments help to “reset” any misfiring nerve patterns in your nervous system contributing to musculoskeletal dysfunction. With just a few treatments, these therapies can offer long term benefits for management of your musculoskeletal injuries. Please refer to our services page for more information on trigger point deactivation therapies and neurofunctional acupuncture.




How should I prepare for my first treatment? What should I anticipate afterwards?


  • Preparation: Very little special preparation is required. You are encouraged to arrive well rested and having eaten a meal or a snack in the past few hours. Wear comfortable clothing that allows you to expose the areas to be treated, extra draping can be provided at the clinic if necessary.
  • During Treatment: Some persons can feel lightheaded during or after treatment and fainting episodes are possible. Acupuncture treatments in particular may make you feel very relaxed or sometimes even drowsy. For these reasons, we ask that you remain at the clinic for 15-20min after your first treatment for general monitoring to ensure that you are well enough to drive off to your next destination. Waiting is not required for follow-up treatments unless you are feeling unwell.
  • After Treatment: You can expect to feel some mild pain or soreness at the sites being treated (more so for trigger point injections than for acupuncture) which should gradually resolve within a day or so. Mild aching and bruising are common at treatment sites, although you should contact the clinic if you have any persistent pain or other unexpected symptoms.
  • Return to Activity: You are encouraged to resume normal activity and exercise patterns after treatment. We recommend avoiding strenuous workouts for a day or so after trigger point injections, however, acupuncture treatments can leave your body feeling stronger or more stable so you are encouraged participate in physical activity without any special limitations.




Are trigger point injections covered by OHIP?


Yes and no. Up to 3 trigger point injections per visit are covered by OHIP, however, this is not always sufficient for full treatment of an injured area. Patients requiring more than 3 injections can pay an added fee with their visit to cover the cost of additional injections for complete therapy required for treatment.




Are acupuncture services covered by private insurance?


Neurofunctional medical acupuncture services may be covered under some private insurance plans under “acupuncture”. Acupuncture services are provided by both chiropractors and physicians at Integrate: when acupuncture is provided by a chiropractor, it is covered under “chiropractic”; when acupuncture is provided by a physician, it may be covered under “acupuncture”. Check with your insurance provider for details on whether or not this service is covered under your plan.




Do your physicians take referrals?


Yes!!! Physicians at integrate are happy to take referrals for management for musculoskeletal pain or injuries, including for trigger point injections (TPI) or contemporary neurofunctional acupuncture (medical acupuncture). Referrals are strongly recommended for patients whose family doctors belong to a FHO to help coordinate an optimal care plan.




I am a family doctor who belongs to a FHO (Family Health Organization).  What happens if my patient see a physician at Integrate?


Physicians working at Integrate include general practitioners who use general practice billing codes. Any patient can book a musculoskeletal assessment at the clinic; walk-in visit billings may affect a FHO. We care about our local family doctors! Referrals are the best way to initiate a pro-active dialoge to determine the best course of action if your patient plans to pursue a series of treatments with a physician at Integrate. If you have any questions about your patient’s ability to see one of our physicians, please contact the clinic for more details.