The goal of TeleOrthopaedics.com is to leverage internet technology to improve orthopaedic triaging and the standard of patient care by connecting people with the most appropriate healthcare professional as soon as possible.
Given that the majority of musculoskeletal injuries get better without clinic -based treatment, without prescription medications, without an MRI, without injections or surgery, our first project is to explore online physiotherapy consultations and patient education to Canadians living in areas without access to a local orthopaedic physiotherapist.
TeleOrthopaedics.com is owned and operated by registered Canadian Orthopaedic Physiotherapist Terry Kane (Calgary).
Orthopaedic surgeons trust experienced orthopaedic physiotherapists more than any other healthcare profession to know whether a patient has executed a well designed non-surgical treatment and rehabilitation plan and requires a surgical consult.
Physiotherapists are regulated primary contact healthcare professionals, competent in a differential diagnosis model of assessments and triaging, as well as evidence based treatment methods and designing safe, appropriate and progressive rehab exercise programs – based on a patient’s medical profile, current condition and stage of tissue healing.
According to published research conducted at the University of British Columbia Department of Orthopaedics, experienced orthopaedic physiotherapists were four-times better than family physicians and emergency room physicians at identifying patients requiring orthopaedic surgery (1).
The Problem = Canadians without Access to a Local Physiotherapist
“Unfortunately, ninety-two percent of all physiotherapists in Canada are concentrated in only eight percent of Canada’s total landmass (2). This means there are thousands of Canadians without access to a local physiotherapist and who are not receiving the same access and standard of orthopaedic care as Canadians in urban centres”
Terry Kane, OrthopaedicsCanada.com
The Consequences of Delayed, Inadequate or Inappropriate Orthopaedic Care
Unfortunately, Canadians who receive delayed, inadequate or inappropriate treatment for an orthopaedic injury or condition are considered to be at a higher risk:
- To develop chronic and disabling neuromuscular pain.
- To become dependent on prescription pain medications,
- To develop permanent disability that prevents them from working or performing normal activities of daily living,
- To place a greater burden on their families and other caregivers for support over their lifetime.
- To become increasingly dependent on the healthcare system over their lifetime.
- For patients who’ve undergone orthopaedic surgery and returned home without access to a local physiotherapist, there is a greater possibility that they (a) will not do their rehab properly or regularly, (b) will fail to meet their rehab goals on schedule and (c) potentially achieve a sub-par surgical outcome / result.
The Solution = Online Orthopaedic Physiotherapy Consults
Online physiotherapy is not meant as a substitute for face-to-face care, however – for patients without easy access to a local physiotherapist;
- Online physiotherapy is considered better than receiving “no care” for their condition,
- Communicating with a physiotherapist is helpful to interview, assess and ensure patients have been triaged onto the right clinical pathway for their condition,
- Physiotherapists are considered ‘movement’ experts in designing safe, appropriate and progressive rehab exercise programs based on a patient’s medical profile, condition and stage of healing.
- Communicating with a physiotherapist, is helpful to educate patients (and their families), answer questions and to identify warning signs of potential problems and complications.
- In the event the health and safety of a patient becomes an issue, a physiotherapist can communicate immediately with appropriate healthcare professionals to prevent and/or manage them.
- In the event a patient has undergone orthopaedic surgery and is behind schedule in their rehabilitation, a physiotherapist can communicate with a surgeon to determine most appropriate solution.
According to the Canadian Alliance of Physiotherapy Regulators;
“Tele-rehabilitation technologies and applications are expanding rapidly and have the ability to improve patient access to care and otherwise increase efficiencies when used with the right patient at the right time. In some cases, such as when travel is difficult or there is no provider nearby, the use of the technology is preferable to a traditional (in-person) encounter.”(3)
Telephone & Video Consults with Orthopaedic Physiotherapist, Terry Kane
Founder / Owner, OrthopaedicsCanada.com & TeleOrthopaedics.com
“In my clinical experience, I believe the majority of patients – who are well educated on their condition – can improve at home with a home based treatment and progressive rehab exercise program.” – Terry Kane PT
Since 1985, Terry Kane has worked with some of the top orthopaedic surgeons, sports medicine physicians and chronic pain specialists in Canada and the United States. A graduate of the University of Toronto, former Canadian Olympic Hockey Team and Calgary Flames physiotherapist, Terry has over 30 years of clinical experience in diagnosing and designing evidenced based rehab programs for thousands of orthopaedic patients, including over 500 Olympic and professional athletes.
In 2011, Terry founded and launched Canada’s only national online Orthopaedic Network, OrthopaedicsCanada.com.
No physician referral is required to talk with Terry and this service is available to all residents of Alberta .
Terry does not consult to patients with;
- Injuries resulting from motor vehicle accidents.
- Injuries resulting from work-related accidents.
- Patients involved in legal litigation with respect to their injuries or condition.
- Patients on short or long disability insurance related to a condition or injury.
- Served as Head Physical Therapist for the Calgary Flames and Canada’s Olympic Men’s Ice Hockey Team,
- Lectured internationally on exercise based rehabilitation for over twenty years (i.e. American College of Sports Medicine, etc)
- Lectured on physical therapy for the University of Calgary Department of Orthopaedics as well as Department of Continuing Medical Education.
- Served as an Injury Analysis Consultant to the National Hockey League’s Injury Analysis Panel.
- Served as a contributing developer & instructor of a MainPro-C Course on “Chronic Pain for Family Physicians” for the University of Calgary Department of Continuing Medical Education.
- Served as a contributing author “Foundations of Personal Training”: Human Kinetics, 2008 (ISBN-13:9781450441322)
- Served as an editorial peer reviewer for the Physician and Sportsmedicine, the Clinical Journal of Sports Medicine and Pain Research and Management Journal.
- Served as a volunteer member of Alberta’s Bone and Joint Strategic Clinical Network .
Career Path | Background
- Physical Therapist, Terry Kane Physical Therapy (1985 – present)
- Physical Therapist, Fourth Street Clinic Primary Care Clinic (2016 – present)
- Physical Therapist, Calgary West Central Primary Care Network ( August 2014 – March 2016)
- Founder, Owner, OrthopaedicsCanada.com Network (2008 – present)
- Founder, Owner, OrthopaedicProtocols.com (2008 – present)
- Physical Therapist, Copeman Healthcare, (2008 – 2011)
- Physical Therapist, Alberta Health Services, Calgary Chronic Pain Centre (2005 – 2008)
- Injury Analysis Consultant, National Hockey League (2000-2004)
- Physical Therapist, Calgary Flames (1995 – 2001)
- Owner, Physical Therapist, Achilles Physiotherapy Clinic (1993 – 1995)
- Physical Therapist, University of Calgary Sports Medicine Centre, (1990 – 1993)
- Physical Therapist, McMahon Stadium Sports Physiotherapy Clinic (1988 – 1990)
- Physical Therapist, Canadian Men’s Olympic Hockey Team (1985 – 1988)
- University of Toronto, Bachelor of Sciences (Physical Therapy) (1982-1985)
- University of Toronto, Bachelor of Physical and Health Education (1977-1981)
- A physiotherapy triage service for orthopaedic surgery: an effective strategy for reducing wait times. Napier, C , McCormack RG, Hunt, MA, Brooks-Hill A, Physiother Can. 2013 Fall;65(4):358-63
- Strengthening Rural Canada: Fewer and Older: Demographic and Population Challenges Across Rural Canada, A Pan-Canadian Report; CIHI Physiotherapist Data Tables 2015.
- Tele-rehabilitation in Physiotherapy Guidelines for Physiotherapists, Physiotherapy Alliance of Canada, Approved 170926.