Who Should Be Referred?
Patients with Low back pain and /or low back-related leg symptoms of at least 6 weeks duration, but no longer than 1 year
Patients with unmanageable or recurrent low back pain
Patients must be 18 years or older
Who does not qualify?
Pain that is a result of an accident (Motor vehicle /workplace covered under WSIB)
Conditions that require urgent or emergency care – patients should seek emergency care if required
Long-standing low back conditions (greater than 12 months in a row with no relief), as the program is not designed for chronic conditions
Patients under the age of 18
Pregnant or within 12 months after childbirth (<1 year)
| What imaging should be completed prior to submitting the referral?
Who will I see?
- You will be initially assessed by an Advanced Practice Provider (APP), a specially trained physiotherapist or chiropractor, who has undergone additional training with our Spine Surgeons.
- They have advanced skills and training to provide you with a program that includes a detailed standard assessment and education about your condition.
- They will work together with both surgeons and your PCP to ensure you get the most appropriate care.
- The APP will determine the best course of management and if required, recommend diagnostic imaging or consultation with a surgeon.
- Patients who require a surgical consultation can choose the “first available” surgeon and will experience shorter wait times or can choose a surgeon or hospital of their choice.
- If applicable, appointments with the Spines Surgeon will vary based on each surgeon.
What will my appointment with the APP consist of?
- To optimize your time with the APP, we recommend that you download and complete the patient intake form prior to your first appointment.
- Review your medical history, surgical history, medication, and functional limitations
- Comprehensive physical examination
- Personalized treatment plan
- **If more investigations are needed, you will be referred to the Practice Lead for surgical triage
- If required, recommend diagnostic imaging or consultation with a surgeon
- Potential follow-up visits (from 1-4)
Will the APP provide treatment?
- The APP for the RAC – LBP does not provide treatment (hands-on therapy). It is an inter-professional shared care model that provides evidence informed assessment, education and personalized self-management plan.
- Self-management plans include advice on staying active, as well as instruction on exercises and modified activities as needed.
- Patients can also be connected to services in their local community if they need more supervised care.
How long will I wait for an assessment?
- Ministry of Health has mandated that patients be assessed by an APP within 4 weeks of receiving the referral
How long is my appointment?
- Initial appointments are roughly 60 minutes
- Follow-up appointments are roughly 30 minutes
What should I bring?
- Health Card
- List of medication, including over-the-counter medication , and an allergy list
- If you are unable to keep your appointment or need to change it for any reason; please notify the clinic within 2 business days of your scheduled appointment.