The Neuromuscular & Electrodiagnostic (EMG) Clinic

For diseases of nerves and muscles

The Neuromuscular & Electrodiagnostic (EMG) Clinic

Electrodiagnostic medicine is the study of the diseases of nerves and muscles.  If you have been referred to our clinic, your doctor has recommended an EMG test to see if your muscles and nerves are working right.  The results of the tests will help your doctor decide what is wrong and how it can be treated.
 
Doctors who do EMGs go to four years of medical school and then have three or four more years of training in a residency program.  Most work as neurologists or physical medicine and rehabilitation doctors.  Medical training helps the doctor decide which tests to perform based on your symptoms.  It teaches doctors what can go wrong with the human body and how to tell the difference between these problems.  The American Association of Neuromuscular & Electrodiagnostic Medicine's policy is that an appropriately trained doctor should do all needle EMG testing.  A trained assistant or technologist under a doctor's supervision can do nerve conduction studies.

We apply the following evaluation techniques:  Nerve Conduction Studies, Electromyography, Single Fiber EMG, Nerve Hyperexcitability Testing for Cramp-Fasciculation Syndromes, Ischemic Forearm Exercise Testing, Muscle, Nerve, and Skin Biopsies and Diagnostic Injections.Nerve Conduction Studies, Electromyography, Single Fiber EMG, Nerve Hyperexcitability Testing for Cramp-Fasciculation Syndromes, Ischemic Forearm Exercise Testing, Muscle, Nerve, and Skin Biopsies and Diagnostic InjectionNerve Conduction Studies, Electromyography, Single Fiber EMG, Nerve Hyperexcitability Testing for Cramp-Fasciculation Syndromes, Ischemic Forearm Exercise Testing, Muscle, Nerve, and Skin Biopsies and Diagnostic Injections  

Key Contact

For more information contact us at:

Neuromuscular & Electrodiagnostic Clinic at
(204) 478-6399

We specialize in the diagnosis and management of:

  • Median Neuropathy (eg. Carpal Tunnel Syndrome)
  • Ulnar Neuropathy
  • Peroneal Neuropathy
  • Entrapment Neuropathy
  • Polyneuropathy
  • Plexopathy
  • Cervical and Lumbosacral Radiculopathy
  • Myopathy
  • Inclusion Body Myositis
  • Dermatomyositis/Polymyositis
  • Metabolic Myopathy
  • Motor Neuron Disease (eg. Amyotrophic
  • Lateral Sclerosis)
  • Myasthenia Gravis
  • Muscular Dystrophy
  • Mitochondrial Disease

We offer comprehensive management in:

  • Immunomodulation and Disease-Modifying Treatments
  • Pharmacologic management for neuropathic pain
  • Rehabilitation management for neuromuscular conditions.
  • Carpal Tunnel Steroid Injections
  • Ultrasound guided joint injections
  • EMG guided Botox injections 

Being Admitted

Being Admitted

Because all of our admissions are planned, and we do receive information about you in advance, we do not require you or a member of your family to stop at a Registration Area.  You can just proceed to the unit that is expecting you.  If you are not sure, the clerk at the Information Desk can provide assistance.

Key Contact

For more information contact us at:

(204) 478-6259

Where will I go when I get to Riverview?

Because all of our admissions are planned, and we do receive information about you in advance, we do not require you or a member of your family to stop at a Registration Area.  You can just proceed to the unit that is expecting you.  If you are not sure, the clerk at the Information Desk can provide assistance.

Will I need to bring any information?

Yes, we will need you to provide the clerical partner or nurse on the unit with your Manitoba Health Card so we can verify that your information is correct. 

The Continence Clinic

Our confidential service offers assistance to people who have problems with incontinence.

The Continence Clinic

Your Questions

Riverview's Continence Rehabilitation Program helps you to gain control of your incontinence by offering:

- A detailed assessment of your problem
- Education on bladder or bowel control problems
- Conservative methods of treatment

Incontinence means that you have accidents during which you lose control of your bladder or bowels. Some people have problems with both bladder and bowels.

Key Contact

For more information on this program, contact the Patient Care Manager at:

Continence Clinic at
(204) 478-6108

Our Caregivers

The Program is run by a nurse continence advisor who has over fifteen years of experience helping people who have bladder or bowel control problems. She will keep your doctor informed about your plan and progress.

What to Expect from the Program

Your first appointment is about one hour long. You are welcome to bring a family member or friend with you. The nurse continence advisor will ask you questions about your problem. She will also do a physical examination, which may include a manual vaginal and/or rectal exam. You will be asked for a urine specimen while at the clinic.

During the first meeting, you will have time to talk about your concerns and ask any questions. Education is an important part of the Program. The nurse continence advisor will give you some reading materials and may ask you to watch a video.

A Plan to Control Incontinence

You and the nurse together will devise a plan to control your incontinence. This plan may include dietary changes, fluid modification and exercise therapy. Further information on the therapy will be given to you at the time of your first visit.

Hours of Operation

The nurse continence advisor is available on designated days and times.

The Continence Rehabilitation Program Location

The Continence Rehabilitation Program is in Robert Steen Day Hospital on the first floor. Upon arrival at Riverview Health Centre, stop at the information desk and ask for directions.

Access To Our Beds

Patients and residents come to us as a result of coordination with the Winnipeg Regional Health Authority (WRHA)

Access To Our Beds

Unlike acute care hospitals, there is no direct access to our beds.  We do not have an emergency room.  Patients and residents come to us as a result of coordination with the Winnipeg Regional Health Authority (WRHA).  We collaborate with several regional programs to admit people who will benefit from our specialized care to our beds.

Key Contact

For more information contact us at:

(204) 478-6259

How do people get admitted to Riverview?

How do I get admitted to a rehab bed?

We are part of the Winnipeg Regional Health Authority (WRHA) rehab/geriatrics program coordinated entry system. Riverview offers stroke and acute brain injury rehabilitation. If you need rehab from a full team of rehab clinicians (doctors, nurses, occupational therapists, physiotherapists, speech language pathologists, and others) and do not require acute care hospitalization, you can be referred to the regional system by your physician.  As beds become available, Riverview receives candidate applications from the system. Where more than one centre offers rehab, this centralized process helps ensure that you go to an available rehab bed as quickly as possible.

Learn more about how this works:  http://www.wrha.mb.ca/prog/rehab/index.php

How does my family member get admitted to a Personal Care Home?

We work with the WRHA’s Long Term Care Access Centre to determine who gets admitted. Prior to coming to live at Riverview you or your family member will be assessed to determine how best your care needs can be met. This is usually done by community care providers from home care and your physician.  If you are in a hospital and cannot return home, you’ll be assessed by members of your care team and the long term care access centre team to see what your needs are and what options are available. The long term access centre keeps track of who is waiting.  As beds become available, applications from our waiting list are sent to us by the Access Centre.

Learn more about how this works:  http://www.wrha.mb.ca/ltc/access.php

How can my family member be admitted to your palliative care unit?

The WRHA palliative care program team members determine who gets admitted to our beds. When you have a life-limiting illness, your physician can refer you to the program.  As part of their range of palliative care services, and as our beds become available, members of this team determine which patients on their program require our specialized in-patient services.

Learn more about how this works: http://www.wrha.mb.ca/prog/palliative/index.php

Acquired Brain Injury Rehabilitation

For patients with primary diagnoses of traumatically acquired brain injury resulting in functional limitations

Acquired Brain Injury Rehabilitation

The Riverview Health Centre Neurology Rehabilitation: Acquired Brain Injury (ABI) Program provides comprehensive interdisciplinary care for adults with neurological damage as a result of acquired brain Injury. Rehabilitation services are typically provided for these individuals within a period of 4 to 6 weeks.

 

Key Contact

For more information on this program, contact the Patient Care Manager at:

204-478-6135

The Riverview Health Centre Neurology Rehabilitation: Acquired Brain Injury (ABI) Program provides comprehensive interdisciplinary care for adults with neurological damage as a result of acquired brain Injury.  Rehabilitation services are typically provided for these individuals within a period of 4 to 6 weeks. 

The referral process

The ABI program addresses the rehabilitation needs of patients with neurological impairments and disabilities related to traumatic injuries of the brain.  Individuals with other pathologies such as tumours, infections and anoxic damage may be admitted if they demonstrate potential to benefit from the program's specialized resources.  

Admission of a patient to the Riverview Health Centre Neurology Rehabilitation: Acquired Brain Injury Program is initiated by written application by a physician to the regional Rehab/Geriatrics Program Coordinated Entry Office (Fax: (204)982-0144).  Requests for additional information will be made of the referral source as necessary.

Objectives of the Program

  • To provide specialized and coordinated interdisciplinary team assessment, planning, care and treatment approaches with an emphasis on continuity of care from the acute stage to active rehabilitation and follow-up after discharge.
  • To respond to referrals and complete assessments within the Winnipeg Regional Health Authority hospital sites, and be available as a contact for patients residing in the rural areas of Manitoba, Nunavut and Northwestern Ontario. 
  • To offer a holistic approach to meeting patient needs, including but not necessarily limited to physical, cognitive, behavioural, emotional, social and community functioning.
  • To encourage and support research in various aspects of rehabilitation for individuals affected by acquired brain injuries, thereby improving the quality of services provided.
  • To provide educational programs for the patients/families/team members and appropriate stakeholders.

Components of the Program

Patients will be assessed and provided with treatment and care by an interdisciplinary team.  Treatment programs are established and patient progress is monitored at regular intervals.  Treatment programs typically address the areas of:

  • Physical functioning
  • Cognitive functioning
  • Behavioural and emotional functioning
  • Social and community functioning

About the Unit

The Neurology Rehabilitation:  Acquired Brain Injury Program is located on 4 West, a 10-bed unit.  Patients have private bedrooms, each with their own bathroom.  There is a communal dining area and lounge for use by patients and families.  Therapy programs are primarily provided off the unit in a central rehabilitation treatment area.   Dependent on patient needs the program will provide or have consultative services from:

  • Audiology
  • Clinical Nutrition
  • Home Care
  • Laboratory
  • Medical Specialists
  • Nursing   
  • Occupational Therapy
  • Orthotics
  • Physiotherapy
  • Pharmacy 
  • Rehabilitation Engineering for special devices
  • Rehabilitation Psychology/Neuropsychology
  • Respiratory Therapy 
  • Speech and Language Pathology
  • Social Work
  • Spiritual Care 
  • Therapeutic Recreation
  • Vocational Rehabilitation

Adult Day Program - The Rendezvous Club

A community-based program that provides recreational activities and caregiver relief in a group setting

Adult Day Program - The Rendezvous Club

The Rendezvous Club is a community-based program that provides recreational activity programs, socialization and caregiver relief in a group setting. The Rendezvous Club offers space for 13 adults each day. Four spaces are offered for adults on oxygen therapy. Oxygen is provided for adults while they are at the club. A typical day starts at 10 a.m. and ends at 3 p.m., not including transportation time.

Key Contact

For more information contact us at:

204-478-6153 or fax 204-478-6154

About the Rendezvous Club

The Club is for adults living in the Riverview Health Centre area who would benefit from programs and services. It is located at Riverview Health Centre in the Princess Elizabeth Building, room 102.

The Club's Coordinator will make transportation arrangements for you when you are contacted to discuss joining the club.

Programs Offered

A variety of social, leisure and physical programs are scheduled, with a rest break included. Rendezvous Club members enjoy meeting new people and participating in a variety of recreation programs. Programs include exercises, active and table games, crafts and outings. Club activities are only limited by imagination and desire. The Coordinator is available on your first day to discuss the activities you enjoy doing. Other services, such as a hairdresser, are also available if you are interested.

Meals/Snacks

One hot meal and a nutritious snack are provided each day.

Personal Care

The Rendezvous Club staff are available to assist you with personal care as needed (i.e. washroom breaks).

What to bring

You should bring the things you would normally need in your day, such as your medications, walking aids or toileting products. If you are on oxygen, bring your oxygen cart/holder. Oxygen will be provided during participation in Club activities. However, clients should plan to use their own oxygen during transportation to and from Riverview Health Centre.

Complex Continuing Care

For adults with health care needs greater than can be provided in a personal care home environment

Complex Continuing Care

The Complex Continuing Care Program offers comprehensive care for adults with health care needs requiring more professional intervention than can be provided in a personal care home environment. 

The Program is designed for patients who require complex continuing care. In order to establish eligibility for the service, patients are reviewed through the regional paneling process. Once eligibility is established, the WRHA Long Term Care Access Centre will advise Riverview Health Centre. The Patient Care Manager of the Chronic Care Program will work with the referring agency and the patient's family to coordinate admission.

Key Contact

For more information on this program, contact the Patient Care Manager at:

Long Term Ventilation
at 204-478-6130

Other Chronic Care
at 204-478-6128

Objectives of the Program

               

  • To provide the best quality of life possible for patients through consideration of their physical, cognitive and emotional needs.

  • To maintain and enhance, when possible, the functional level of the patient's capacities.

  • To apply the principles of patient focused care through the involvement of patients and family members in care planning and care giving.

Components of the Program

Patients will be assessed and provided with treatment and care by an interdisciplinary team of health professionals. Using their specialized skills and knowledge, professionals will provide treatment and adapt the social and physical environment to meet the functional, emotional and social needs of patients.

Each patient is assigned a Primary Nurse. In collaboration with the patient, their family and other team members, the Primary Nurse coordinates the plan of care for assigned patients. Family members are encouraged to contact the Primary Nurse or Patient Care Manager whenever they have questions or concerns.

About the Unit

The Chronic Care Program is located on 2 West, a 30-bed unit with a mix of private and semi-private rooms.  All rooms have their own bathroom. There is a communal dining area and lounge for use by patients and families. Programs and activities are primarily provided on the unit. The Chronic Care Program benefits from an interdisciplinary team consisting of:

  • Recreation Facilitator
  • Spiritual Care
  • Clerical Partner
  • Dietitian
  • Health Care Aides
  • Occupational Therapist
  • Pharmacist
  • Physician
  • Physiotherapist
  • Registered Nurses
  • Rehabilitation Assistant
  • Respiratory Therapist
  • Service Partners
  • Social Worker
  • Speech Language Pathologist (on consultation)

Day Hospital Program

Programming to help elderly clients reach and maintain a level of physical, mental, emotional and functional health

Day Hospital Program

Riverview Health Centre Day Hospital provides a short-term rehabilitation program to help elderly clients reach and maintain a level of physical, mental, emotional and functional health. The goal is to maximize independence, self-esteem and life satisfaction.

Key Contact

For more information on this program, contact the Patient Care Manager at:

204-478-6262
or fax 204-284-5386

What the Day Hospital Program provides

  • The program is made to address your particular needs. It is intended to improve or maintain ability to function in the community.

  • Day Hospital also provides home visit assessments by various team members as needed.

  • Care is provided by a number of different health professionals. Based on your needs, you may receive rehabilitation with the physiotherapist or occupational therapist;  medical and nursing care; social services (such as social work and/or spirituall care); nutritional and pharmaceutical plans of care; health education; and recreation activities.

What can you expect

  • You will see and speak with a number of health care professionals when we first meet with you. This is our way of  getting to know you.

  • In some situations, all that is required is for us to meet once or twice to address your concerns. In most situations, a program  is planned by the team and discussed with you and your family. We will also keep in touch with your family doctor as needed.

What your day will be like

Clients attend Day Hospital Monday to Friday, once or twice a week. The program begins at 9:30 a.m. with exercises and ends at 2:30 p.m. A hot lunch and refreshments will be provided during the day at no cost.

Outpatient Clinics

Help with diagnosis of neuromuscular conditions & assistance to our rehab patients after discharge

Outpatient Clinics

Physically located in the Day Hospital, we offer a neuromuscular and electrodiagnostic clinic and additional outpatient services to support some of our discharged rehab patients.

Key Contact

For more information contact us at:

(204) 478-6262

Palliative Care

The Riverview Health Centre Palliative Care Unit (3 East) is a 30-bed specialty inpatient unit

Palliative Care

The unit is designated for the care of patients with life-limiting illnesses who have been registered with the Winnipeg Regional Health Authority Palliative Care Program and require the knowledge and expertise of an interdisciplinary Palliative Care Team.

Key Contact

For more information on this program, contact the Patient Care Manager at:

204-478-6137

           

Admissions to 3 East

All patients admitted to 3 East must first be registered with the Winnipeg Regional Health Authority Palliative Care Program. Physicians may refer their patients to the Palliative Care Program for assessment and registration. Admissions to 3E are co-ordinated through the Palliative Care Co-ordinators or the Palliative Care Physician (after regular business hours). Once a patient's symptoms have been managed, discharge home or to a hospice or personal care home may be appropriate.

Your Stay on 3 East

  • All of the patient rooms are single rooms with a private bathroom.

  • A stove and microwave are available in the unit dining room for your use.

  • If you choose, you may bring some of your own food, but it must be labelled and dated if you wish to store the food in the unit fridge. Space is limited for storage in the fridge.

  • Riverview Health Centre cannot be responsible for personal items brought in to the facility. Please leave your valuables at home.

  • Thanks to the generosity of donors to the Riverview Health Centre Foundation, televisions with cable and VCRs are provided free of charge in each room. A library of movies and books is available for your enjoyment.

  • Computer and Internet access for patients and families is available through a central work station on the unit.

  • Private telephones are available in each room for a nominal fee.

  • An interfaith chapel is open to all and holds regularly scheduled services.

  • Riverview is a smoke-free facility. Smoking is prohibited in our buildings or on our grounds. Patients must arrange for family or friends to accompany them outside.

Personal Care

We have 168 private rooms located on four floors. Each resident unit team supports 42 rooms.

Personal Care

The program recognizes that residents each have their own special needs, and care plans are designed to meet these individual needs.

Residents enjoy predominantly private rooms, and each wing has a central area for dining and activities. Regular social events are planned, including outings, media reviews, flower arranging, bingo and many more, according to the desires of the residents. In room cable television and telephone connection can be made available.

Three of the Personal Care wings have a wanderguard security system for the protection of residents with cognitive impairment.

Key Contact

For more information on this program, contact the Patient Care Manager at:

204-478-6133

Objectives of the Program

One of the main objectives of the Personal Care Units is to develop a community spirit amongst the residents so they will feel at home at Riverview. Other objectives include:

  • To provide supportive care for individuals who are no longer capable of living independently in the community.
  • To ensure the residents' individual autonomy is preserved.
  • To maximize the residents' quality of life.
  • To maintain the highest degree of functional independence possible.
  • To provide a safe and secure environment.

Eligibility

  • Residents must meet the criteria for panelling through their case coordinator in the community.
  • Applications go the the WRHA Long Term Care Access Centre.
  • The Access Centre forwards the application to the care home selected by the resident.
  • Residents are admitted to Riverview's Personal Care Units according to their care needs and the availability of beds.

Care provided on the Personal Care Units

The Personal Care Units offer a full range of professional care, including physician coverage, nursing staff, recreation facilitator, clinical pharmacist, occupational therapist, physiotherapist and spiritual care.

Special Needs

Our Units are designed for individuals who have problems with memory, including Alzheimer’s disease and related dementia

Special Needs

The Special Needs Units offer a personal care home setting with secured exits to ensure the safety of residents who may wander. Riverview's Special Needs Units are located on AB1 & AB2. Each wing has 15 private rooms with their own 2 piece bathroom for a total of 60 Special Needs Unit rooms.

Key Contact

For more information on this program, contact the Patient Care Manager at:

204-478-6127 or 478-6141

Eligibility for the Special Needs Units

  • Individuals who are over 50 years of age and have been paneled and accepted for personal care home placement.
  • Individuals who have a diagnosis of dementia or dementia related illness and are medically and psychiatrically stable.
  • Individuals who have behavioral management or safety needs that cannot be met in a general personal care home environment.

Special Needs

Objectives of the program

  • To provide supportive care for individuals who are no longer capable of living independently in the community or on a general personal care home unit.
  • To optimize the client's quality of life.
  • To maintain the highest degree of functional independence possible.
  • To provide a safe and secure environment while maintaining a least restrictive approach to care.

Care provided on the Special Needs Units

Residents of the Special Needs units have access to a full range of care and supports that includes assistance with activities of daily living, and assessment and intervention by an interdisciplinary team. Individualized care plans are developed and regularly updated. Professional care includes physician coverage, nursing, recreation, occupational therapy, physical therapy, dietitian, social work, spiritual care, and clinical pharmacy. Family members are considered integral to the team and are invited to participate in care planning and decision making.

Tours of the Centre

Riverview offers tours of the Personal Care Units for family members of clients. Information regarding the next tour can be obtained by calling 204-452-3411. 

Stroke Rehabilitation

Care for adults with neurological impairments due to cerebral vascular accidents (CVAs)

Stroke Rehabilitation

The Riverview Health Centre Neurology Rehabilitation: Stroke Program provides comprehensive, interdisciplinary care for adults with neurological impairments due to cerebral vascular accidents (CVAs).

Care is provided from the active rehabilitation stage through discharge and community re-entry, a period of typically 6 to 8 weeks. 

Key Contact

For more information on this program, contact the Patient Care Manager at:

(204) 478-6135

The Program and its Referral Process


The stroke program primarily addresses the rehabilitation needs of patients with neurological impairments and disabilities related to cerebral vascular accidents who would benefit from intense rehabilitation. 

Admission of a patient to the Riverview Health Centre Neurology Rehabilitation: Stroke Program is initiated by written application by a physician to the regional Rehab/Geriatrics Program Coordinated Entry Office Fax: (204) 982-0144.  Requests for additional information will be made of the referral source as necessary.

Objectives of the Program

  • To provide specialized and coordinated interdisciplinary team assessment, planning, care and treatment approaches with an emphasis on continuity of care from the acute stage to active rehabilitation and follow-up after discharge.
  • To respond to referrals and complete assessments within the Winnipeg Regional Health Authority, rural Manitoba and/or Northwestern Ontario. 
  • To offer a holistic approach to meeting patient needs, including but not necessarily limited to physical, cognitive, behavioural, emotional, social and community functioning.
  • To encourage and support research in various aspects of rehabilitation for individuals affected by cerebral vascular accidents, thereby improving the quality of services provided.
  • To provide educational programs for patients/families/team members and other appropriate stakeholders.


About the Unit

The Neurology Rehabilitation: Stroke Program is located on 4 East, a 30-bed unit.  Patients have private bedrooms, each with their own bathroom.  There is a communal dining area and lounge for use by patients and families.  Therapy programs are primarily provided off the unit in a central rehabilitation treatment area.   Dependent on patient needs the program will provide or have consultative services from:

  •   Audiology
  •   Clinical Nutrition
  •   Home Care
  •   Laboratory
  •   Medical Specialists
  •   Nursing 
  •   Occupational Therapy
  •   Orthotics
  •   Physiotherapy
  •   Pharmacy
  •   Rehabilitation Engineering for special devices
  •   Rehabilitation Psychology/Neuropsychology
  •   Respiratory Therapy
  •   Speech and Language Pathology
  •   Social Work
  •   Spiritual Care
  •   Therapeutic Recreation