Grand Rounds
Do you have a challenging patient in your caseload?
Would you like to discuss this case with a few expert panelists who would offer you advice regarding assessment and treatment ideas?
Would you like to receive a generous honorarium for sharing this case with your peers?
If so, please consider being a case presenter for Grand Rounds.
Historically, Grand Rounds was a formal meeting at which physicians discussed the clinical case of one or more patients. The National Orthopaedic Division has developed a Grand Rounds virtual platform to educate its members. Audience participation is encouraged, and the facilitator attempts to include audience questions to the presenter and panelists.
If you are unable to attend the live 90-minute presentation, the recordings are available at PD Marketplace.
If you have a case that is challenging you, please contact us so we can discuss and learn together as a greater physiotherapy community. You will receive an honorarium for sharing your case.
Contact information:
Jill Robertson at jillrobertson1717@gmail.com
Philip Ruiz at cabotruiz@gmail.com
Grand Rounds 20
Date: February 25th, 2025
Time: 8:00pm EST
This month’s case involves a 19-year-old female university student with left antero-lateral ankle pain of no known origin for the past 6 months. Although some improvement has occurred with physiotherapy, she is still unable to fully weight bear which restricts her participation in day-to-day functions.
Case Presenter: R Michael McMurray – M.Sc. (Rehabilitation), BMR(PT), B.P.E., Diploma in Sports Physiotherapy, Registered IFSPT Specialist, FCAMPT, SFR Instructor
Mike has been practicing physiotherapy for 32 years focusing on Sports and Orthopaedics. He is a Senior Instructor at the College of Rehabilitation Sciences, University of Manitoba, teaching anatomy and orthopaedics. He has traveled internationally for 25 years working with national athletes at various sporting events including Pan Am and Olympic games. He is a lifelong learner having completed his Diploma in Sports Physiotherapy in 2000 and FCAMPT in 2023.
Panelist: Bahram Jam – DScPT, MScPT, BScPT, FCAMPT

Bahram Jam graduated from the University of Toronto (1992) then he completed a Clinical Masters and a Doctorate in Physical Therapy at the University of Queensland, Australia (1999) and at Andrews University, USA (2008).
He is an FCAMPT and the founder and director of Advanced Physical Therapy Education Institute (APTEI) and has been a chief instructor for over one-thousand postgraduate orthopaedic courses across Canada and internationally. He has presented at several national and international conferences. He currently practices in Toronto.
Panelist: François Landry – PT, BScPT, FCAMPT, Examiner NOD
François Landry graduated from Université de Montréal in 1982 and began his career in Calgary, Alberta, where he began training in orthopaedic manual therapy. After going through his intermediate examination in 1991, he obtained his diploma in advanced manual and manipulative physiotherapy in 1994. He has been and continues teaching advanced musculoskeletal physiotherapy for the last 36 years. He also officiates as an examiner of the Orthopaedic Division since 2001 and was named CAMPT honorary life member in 2015 and was the recipient of the Golden Hands Award in 2023.
Panelist: Melanie MacKinnon – PhD(student), MCISc Manip, MScPT, HBScKIN, FCAMPT, CAFCI, CIDN
Melanie is a practicing Physiotherapist, FCAMPT and an alumnus of the University of Toronto MScPT program (2004) and the Western MClSc Program (2009). With a passion for education, she teaches across the spectrum from pre-licensure in the Physical Therapy department at the University of Toronto to post-licensure with the Orthopedic Divisions’ AIM program, Integrated Dry Needling (IDN) and as a mentor for Western’s Advanced Health Care Practice Graduate Program (AHCP). Melanie is currently pursuing a PhD in Health Professional Education Research at the University of Toronto with an interest in how to create assessments that bridge the technical with social and humanistic elements of practice to help prepare health professionals for the realities of clinical practice.
Previous Grand Rounds
Grand Rounds 19
Date: November 19, 2024
Time: 8:00pm EST
This month’s case involves a 23-year-old male with an insidious onset of left leg pain which has progressed over the past few months. He is unable to exercise or participate in cricket and would like to return to sport.
Case Presenter: Michael Monks PT, BKin. (Hons), MSc. Kin., MSc. PT., CSEP-CEP, ACCDN
Originally from Newfoundland, Michael completed both his Bachelor of Kinesiology (honours) and Masters of Kinesiology at Memorial University in 2014 and 2016, respectfully. During that time he also completed his Clinical Exercise Physiologist (CEP) certificate from the Canadian Society for Exercise Physiology (CSEP). In 2018 he completed his Masters of Science in Physiotherapy from Dalhousie University. Since finishing school, Michael has been working in the private sector and has been working towards obtaining his FCAMPT credential through the AIM system. He was the recipient of the Cliff Fowler Memorial Education Scholarship in 2023.
Panelist: Karen Decker, BScK, BScPT, Dip. Sport PT, Dip. Manipulative Therapy

Karen completed her Physiotherapy and Kinesiology degrees at Dalhousie University in 1991. She has attained the post-graduate specialization Diploma in Sport Physiotherapy and the Diploma of Manipulative Therapy. As a Sport Physiotherapist, Karen has worked with all levels of athletes in the clinic and on the field. She has attended seven Canada Games, three Olympics, the Commonwealth Games, the Pan American Games, and travelled internationally with Canada’s National Teams. She has been the Chief Therapist for many games including the 2011 Canada Games held in Halifax where she resides.
Panelist: Audrey Long BScPT, Dip MDT, Clinical Specialist MSK
Audrey graduated with a BScPT from WU in 1984. She attained her Diploma in Mechanical Diagnosis and Therapy (MDT) in 1993 and has been an Instructor with the McKenzie Institute Canada since 1997. In order to keep herself well rounded she continue to enjoy attending non-MDT courses. In 1996 she completed a Certificate in Adult Education from the University of Calgary. In 2012, Audrey received the designation Clinical Specialist in MSK. Audrey has published extensively on MDT and continues to consult on MDT related projects. Her paper “Does it matter which exercise” published in 2004 is considered one of the key MDT research papers. She is a Reviewer for the Journal of Manual and Manipulative Therapy and Physiotherapy Canada. Audrey continues to work in Calgary in private practice 3 days a week.
Panelist: Jill Robertson BScPT, MScPT, FCAMPT, Clinical Specialist
Jill Robertson has been a practicing physiotherapist for 37 years. She was a part-time academic instructor at Dalhousie University for 26 years. Jill is an instructor and Lead Examiner for the Orthopaedic Division and a Clinical Specialist in Musculoskeletal Physiotherapy. She is a past Chair and Treasurer of the National Orthopaedic Division and the Canadian Academy of Manipulative Physiotherapy. Jill’s Master’s thesis measured the effects of manual therapy and exercise on hip active range of motion.
Grand Rounds 18
Date: May 8, 2024
Time: 8:00pm EST
This month’s case is a 39-year-old female who suffers with right buttock, hip and foot pain. Over the past 3 years her goals have shifted from returning to competitive sports such as skate skiing, cycling and running to performing functional activities like sitting at her job, standing to do the dishes or sit in a canoe. Let’s see if we can exceed her expectations with our panelists’ help.
Case Presenter: Laura Battcock, MScPT
Laura is a physiotherapist who graduated from Dalhousie University in 2017. She has been practicing in the public and private sectors for six years. She has a passion for orthopaedics as well as women’s postnatal health and has continued her postgraduate training with courses in both fields. Moving forwards, she plans to continue to minimize the gap to accessible health care by providing evidence-based rehabilitation to rural communities across Labrador.
Panelist: Lorrie Maffey, BMRPT, MPhty, FCAMPT, CGIMS, Medical Acupuncture, Clinical Specialist MSK

After graduating from The University of Manitoba, Lorrie completed a Clinical Masters from the University of Queensland in Australia. Since 1997, she has been an FCAMPT member and has been actively engaged in mentoring, teaching and examining with the National Orthopaedic Division (NOD) and is currently a Lead Examiner. Since 2000 she has taken an active role in teaching and policy making for Gunn Intramuscular Stimulation (CGIMS). Her decades spent with our Canadian national athletes, in particular speed skaters, fuelled her curiosity and research into areas such as groin injury risks, prevention, and management.
Panelist: Elaine Maheu, PT, FCAMPT, Grad Dip Manip Ther (Aus), MClSc(Manip)
Elaine has been teaching in Canada, Switzerland and France for many years and acts as a consultant to numerous professionals. Elaine has many fields of interest but is particularly interested in spinal conditions, headaches and neurodynamics. She has received numerous awards including the Golden Hands Award from the NOD (2012), Lifetime Membership Award to CAMPT (2012), the Carol L Richards award from the OPPQ (2017), Fellow of the OPPQ (2021), a distinction medal from the CPA (2021), the 2024 Enid Graham Memorial Lecture Award as well as a Lifetime Membership Award to the CPA (2023).
Panelist: Terry Woodard, BMR(PT), B.Sc., FCAMPT, MClSc (Manip)
Terry graduated from the University of Manitoba in 1989 with a BSc and in 1993 with a Bachelor of Medical Rehabilitation (Physiotherapy). He became a Fellow of the Canadian Academy of Manipulative Physical Therapists (FCAMPT) in 2004. He obtained his MClSc (Manipulation) at Western University (WU) in 2014. Terry works in private practice in Winnipeg and holds part time teaching positions at the U of M and WU. Terry is a mentor, instructor, and examiner in the CPA Orthopaedic Division AIM system.
Grand Rounds 17
Date: February 7, 2024
Time: 8:00pm EST
This month’s case involves a case is a 69-year-old male with ORIF due to a comminuted fracture through the left proximal femur as well as bilateral multiple costal fractures with a history of left pneumothorax and pleural effusion post MVC Nov 2021. Comfort and function have been plateauing over the last 4 months. Has he reached maximum medical recovery? Will this formerly active grandfather, outdoorsman and shade tree mechanic have to settle for walks in the mall with a cane and handing wrenches to his buddies?
Case Presenter: Gerry Ross, Reg PT, HBScPT, FCAMT, CGIMS
Gerry has a keen interest in outpatient community care as well as private practice management and mentorship. He began practicing in a general hospital in 1992 prior to entering private practice in 1995. He founded the Georgetown CBI Health site (formerly Ross Physiotherapy Solutions) in 1999 and he continues to work as a clinician at this location. In addition to his roles as clinician and clinic manager, Gerry is a member of CBI Health’s training and development team and is a mentor with the Orthopedic Division of the Canadian Physiotherapy Association.
Panelist: Linda-Joy Lee, BSc(Chem); BSc(PT); PhD

A physiotherapy graduate from the University of British Columbia, Canada, and UBC Wesbrook Scholar (1996), “LJ” became a Fellow of the Canadian Academy of Manual and Manipulative Therapists (FCAMT) in 1999 and completed her certification in Intramuscular Stimulation (IMS) in 2001. A life-long learner with an ever-questioning mind, LJ pursued a research degree part-time and remotely at the University of Queensland over many years while working clinically, mentoring her Synergy Team, and teaching internationally. In 2013 she was awarded her PhD, which focused on Motor Control & Kinematics of the Thorax, based on researching the innovative clinical ideas from her Thoracic Ring Approach™ model.
Panelist: Mathew Pulickal, BSc. PT, MSc. PT, MSCl PT
Mathew received his Human Kinetics and Biochemistry from the University of Ottawa in 1997 and then his degree in Physiotherapy and a Masters degree in Exercise Physiology from the University of Alberta in 2001. In 2004, Mathew obtained his Masters in Physiotherapy from the University of Alberta. He is a Certified Exercise Physiologist and is certified in Intramuscular Stimulation (IMS). He completed a Masters in Clinical Science at the University of Western Ontario in 2013 and obtained his Advanced Manual Therapy certification and is a Fellow of the Canadian Academy of Manipulative Physiotherapy (FCAMPT). Mathew has a very extensive background in the fields of sports, rehabilitation and chronic pain. He is presently is a running consultant for a few national level runners.
Panelist: Jill Robertson PT, MSc(PT), FCAMPT
Clinical Specialist MSK
Lead Examiner Orthopaedic Division of Canadian Physiotherapy Association
Jill Robertson has been a practicing physiotherapist for 37 years. She was a part-time academic instructor at Dalhousie University for 26 years. Jill is an instructor and Lead Examiner for the Orthopaedic Division and a Clinical Specialist in Musculoskeletal Physiotherapy. She is a past Chair and Treasurer of the National Orthopaedic Division and the Canadian Academy of Manipulative Physiotherapy. Jill’s Master’s thesis measured the effects of manual therapy and exercise on hip active range of motion. Jill teaches a short course on the Assessment and Treatment of the Thoracic Spine.
Grand Rounds 16
Date: December 6th, 2023
Time: 8:30pm (1hour 30min)
This month’s case involves a 38-year-old male struggling to recover from a workplace low back injury almost a decade ago and continues to experience persistent pain as a result. His journey is further complicated by mental health and substance use disorders.
Case Presenter: Will Bateman
William Bateman assisted in designing and implementing Steps Services, an interdisciplinary primary care team of allied health clinicians serving vulnerable and marginalized clients with persistent pain, mental health and substance use concerns in Vancouver’s Downtown Eastside. His experience on this team has highlighted the complex interplay between mental and physical health, and allowed him to explore the role PTs play in supporting clients’ mental health concerns. Prior to his time at Vancouver Coastal Heath he ran a small clinic in Squamish treating persistent pain in rock climbers. He currently sits on the CPA Pain Science Division executive committee and is a UBC Clinical Educator.
Panelist: Neil Pearson, PT, MSc(RHBS), BA-BPHE, C-IAYT, ERYT500
Neil is a physical therapist, yoga therapist, researcher, Clinical Associate Professor at UBC, and faculty in three IAYT-accredited yoga therapy programs. He is the founding chair of CPA’s Pain Science Division, and the recipient of awards honouring his work in pain care, patient education and physiotherapy by Queen’s University, the Canadian Pain Society, and Physiotherapy Associations of BC and Canada, including the Canadian 2021 Medal of Distinction. He co-authored – Yoga and Science in Pain Care 2019, authored Understand Pain Live Well Again in 2008, and is lead contributor to many free patient resources offer by Pain BC.
Panelist: Dave Walton, PT, PhD
Dave is an Associate Professor with the School of Physical Therapy (cross Dept. of Psychiatry) at the University of Western Ontario. He is a clinical researcher with interests in clinical measurement, recovery prognosis, trauma-informed care, and knowledge mobilization. He is Co-Director, Innovative Solutions with Western’s CANSpine clinical research laboratory and publishes widely in the fields of pain and spinal trauma rehabilitation.
Panelist: Dominique Gilbert, M.Sc., pht physiothérapeute

Ms Dominique Gilbert has been working as a physiotherapist for more almost 40 years. She obtained a post-graduate diploma in Insurance Medicine and Forensics from the University of Montreal in 2009. Following her graduation, she became a member of the Quebec Society of Forensic Experts (SEEMLQ) in 2013, as well as a member of the Canadian Society of Medical Evaluators in 2014. She is a clinical specialist in Pain Science and in 2015 obtained her Masters in Biomedical Science from the University of Montreal. She is currently the chair of the Pain Science Division.
Grand Rounds 15
Date: Wednesday, October 4th, 2023
Time: 8:00pm – 9:30pm EST (90 minutes)
Please note, this entire presentation will be in French
The case study is a 61-year-old woman with chronic intermittent pain in her lumbar region, buttocks and coccyx, which began after she started a fitness program with a kinesiologist a year and a half ago. The patient also has a history of urological problems following a hysterectomy. What will help her get back to an active life?
Case Presenter: Alexanne Groleau, PT
Alexanne Groleau is a physiotherapist who graduated from the Université de Sherbrooke in 2022. She has been practising for a year in the private sector, in musculoskeletal therapy and perineal rehabilitation. Alexanne is also involved in perineal rehabilitation research and is taking several courses to increase her knowledge and offer better patient care.
Panelist: Doreen Killens, BSc.PT, FCAMPT, CGIMS
Doreen Killens is an orthopaedic musculoskeletal physiotherapist (FCAMPT) with 44 years of clinical experience. She is appreciated and respected not only as a physiotherapist but also as an educator. A graduate of McGill University, she specialized in orthopaedics to earn her FCAMPT (Fellow of the Canadian Academy of Manipulative Physiotherapy) diploma in 1991. She is also certified in intramuscular stimulation (CGIMS). Her career path led her to become an instructor (1988–2015), examiner (1997–2017) and finally chief examiner (2008–2015) for the CPA Orthopaedic Division (CAMPT) examinations. She has extensive experience in curriculum development for both the CAMPT program and her own series of courses. She was made a Lifetime Member of CAMPT in 2018. In 2021 she was made a Fellow of the Ordre professionnel de la physiothérapie du Québec (OPPQ) and received the OPPQ Award of Excellence.
Panelist: Marie-Ève Prince, PT
Marie-Ève Prince graduated from the Université de Montréal in physiotherapy in 2000 and has training in perineal rehabilitation. As the founder, director and owner of Centre d’expertise Cigonia since 2002, Marie-Ève puts her leadership at the service of the profession by proposing innovative treatments year after year. Her many certificates from continuing education courses, including some from American and European schools, enable her to offer a variety of treatment approaches for urological, gynaecological, anorectal and sexological problems. Marie-Ève is a lecturer in the Master’s program in physiotherapy and the Doctor of Medicine program at the Université de Sherbrooke, as well as in the microprogram in perineal rehabilitation at the Université de Montréal. She is in charge of standardized teaching of gynaecology to medical PhD students and is also involved in a number of research projects at the CHUS clinical research centre.
Panelist: Christine Konieczka, PT, M.Cl.Sc., FCAMPT

After graduating in 1989 from the École française d’orthopédie et de massokinésithérapie (EFOM) in Paris, Christine moved to Montreal in 1990, where she obtained a Bachelor of Science (B.Sc.) equivalency in physiotherapy from McGill University in 1991. She passed her intermediate manual therapy exam with distinction in 1999 and the advanced exam in 2000, during which time she became a Fellow of the Canadian Academy of Advanced Manipulative Physiotherapy. In 2016, she obtained a Master of Clinical Sciences (M.Cl.Sc.) from the University of Western Ontario.She has been a Canadian examiner for the CPA’s National Orthopaedic Division (NOD) since 2017.In 2022, she joined the Executive of the Association québécoise de physiothérapie manuelle avancée (AQPMA) as vice-president. Christine has been an instructor in AQPMA’s advanced integrated manual therapy program since 2003 (levels 3-4-5 and exam preparation courses).
Grand Rounds 14
Date: Wednesday May 31, 2022, at 8:00 pm EST
Case Presenter: Moe Fasihi, PT
This month’s case involves a 50-year-old female warehouse worker who presents with left shoulder pain and numbness in the distribution of the ulnar nerve.
Grand Rounds 13
Date: Wednesday, March 28th at 8 pm EDT
Case Presenter: Stephanie Dumont, PT, BScPT, BScKin, CAFCI
This month’s case is a 69-year-old female pickle ball player complaining of right hip pain and left low back pain radiating to left buttock and posterior thigh.
Grand Rounds 12
Date: Wednesday, January 25th at 8 pm EDT
Case Presenter: Bahram Jam, MClSc, DScPT, MScPT, BScPT, FCAMPT
Member of the International Association for the Study of Pain (IASP)
This month’s case is a 60-year-old female dental office manager, coping with severe neck and shoulder pain as well as being diagnosed with fibromyalgia 5 years ago.
Grand Rounds 11
Date: December 6th, 2022 – 8:00 EDT
Case Presenter: Candice Bannister, MClSc., MSc.PT, BSc.Kin., FCAMPT
This month’s case is a 58-year-old yoga instructor with primary complaints of right elbow pain with a twenty-year history of low back, neck, and right sided scapular pain.
Grand Rounds 10
Date: Sep 21, 2022 – 8:30 EDT
Case Presenter: Yaara Avidgor
Grand Rounds 9
Date: May 31st, 2022 at 8:00 pm EST
Case Presenter: Sean Gibbon Bsc (Hons), RPT, MSc, PhD(c)
Grand Rounds 8
Date: April 5th, 2022, at 8 pm EST
Case presenter: Kubet Weston, BScPT
Grand Rounds 7
Date: Tuesday, Feb 1, 2022, at 8 pm EST
Case presenter: Frank Simms
Grand Rounds 6
Differential diagnoses and treatment approaches for shoulder pain and stiffness post breast cancer treatment.
Speaker: Mary-Ann Dalzell MScPT
Date: Tuesday November 23rd, 2021
Grand Rounds 5
Case: visual disturbances and facial pain triggered by neck rotation
Date: Tuesday, October 5th, 2021
Case Presenter: Melissa Venturuzzo
Grand Rounds 4
Case: ankle stiffness following a fibular fracture with ORIF has yet to return to field work 1 year post fracture
Date: March 23, 2021
Case presenter: Ashleigh Whiffen, PT
Grand Rounds 3
Case presenter: Blayne Burrows, PT
Date: March 23, 2021
Grand Rounds 2
Case: cervicothoracic, neurodynamic and scapulohumeral dysfunction resulting in shoulder and elbow pain and axillary tingling
Date: January 12, 2021
Case presenter: Andrea McAllister, PT DipManip, MClSc(Manip), Instructor and Examiner NOD AIM program
Read the Answers to questions submitted during the presentation.
Grand Rounds 1
Date: Nov. 24, 2020
Case presenter: Jill Robertson PT, MScPT, FCAMPT, Clinical Specialist MSK, Chief Examiner NOD