Lorianne Gonzalez-Bayard

Occupation:
Physiotherapist
Main clinic:
Physioactif Montreal
Pronoun:
She
Lorianne Gonzalez-Bayard, a physical therapist at Physioactif, smiling in a striped shirt while holding a pelvic model

Lorianne Gonzalez-Bayard

in a nutshell

I can't count how many times I get asked this question when I talk about my physio practice, especially in perineal rehabilitation!

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My fascination with the human body led me to physiotherapy, and I love working with my patients to help them achieve what is important to them, whether it's styling their children's hair, winning their basketball tournament, or enjoying their detective novel!

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Furthermore, women's health, too often overlooked by science, is an area that I am particularly passionate about. That's why I decided to complete a university microprogram in perineal and pelvic rehabilitation after my master's in physiotherapy, and why I give conferences to introduce this field to the general public and even to doctors!

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You'll get along well with me if:

  • You love nature, sports, cultural outings, and sunsets.
  • You are eager to understand the whys and wherefores.
  • You want to regain control over your life!

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I have a particular interest in:

  • Perineal rehabilitation for everyone
  • Athletes... on Sundays and every other day (Bonus if you play basketball or spikeball like me)
  • Young people and toddlers
  • People who ask questions!
What has your career path been like?

It was by chance that I ended up in physiotherapy! I didn't even know exactly what a physiotherapist did when I was filling out my application at the end of CEGEP! Finally, during my studies at the University of Montreal and thanks to my internships, I had the chance to discover a wonderful profession that allows me to learn a lot about human beings... and myself! I am truly certain that I can help a lot of people by being a physiotherapist, and that confirms that my random choice was the right one!

Continuing education?
  • Microprogram in perineal and pelvic rehabilitation, University of Montreal (Winter 2021 - Winter 2024)
  • Advanced Concussion; Body Image and Midline Presentations, Sean Gibbons (November, 2021)
  • SIJ; Hip & Lower Limb: Movement analysis; Sub-classification; Neuromuscular Retraining for Functional Movement Control, Sean Gibbons (May, 2022)
  • Physiotherapeutic approach for dyspareunia (May, 2022)
  • Shoulder Girdle; Forearm and Hand : Movement and Loading Analysis for Motor Behavior Therapy, Sean Gibbons (October, 2022)
  • Cervical Spine & Temporo-mandibular Joint : Loading Analysis for Motor Behavior Therapy, Sean Gibbons (April, 2023)
  • Thoracic Spine : Movement & Loading Analysis for Motor Behavior Therapy, Sean Gibbons (November, 2023)
  • Lower Quadrant Level 2 (Spring, 2024)
  • Mastering psychosocial challenges in physiotherapy (date to be confirmed)
  • Headache and Orofacial Pain (date to be confirmed)
What do you find most rewarding about your job?

It's a bit of a cliché, but what really motivates me as a physiotherapist is helping the people who consult me! I want to help them enjoy all the little daily joys that we sometimes forget when we are in pain. In physiotherapy, the helping relationship and human interactions are extremely important, and I love that! Also, I find the human body, in all its complexity and beauty, endlessly interesting... I am fascinated by everything it can accomplish, and I can't imagine working in another field!

What sports do you play?

I have played basketball for many years, formerly competitively and now more recreationally. Otherwise, I do a bit of running, cycling, hiking, and any other sporting activity that allows me to have fun with people I appreciate!

Have you ever been injured?

I've been very lucky and never had a serious injury. However, it's about time I put into practice the advice I give to my patients, otherwise I'll be the one needing physiotherapy before long!

Three funny facts about you
  • During a week off from CEGEP (post-secondary school), my friend and I decided on a whim to go on a trip the same day. We bought plane tickets around noon and were off to the airport at 4 p.m.! Five days later, we took the plane back home and returned to school the day after tomorrow.
  • When I was an assistant coach for a high school basketball team, half of the players were taller than me!
  • I played classical piano for 12 years.

Services Offered by
Lorianne

We offer a full range of healthcare services tailored to your individual needs. Whether you’re seeking treatment for a specific condition or looking to maintain your overall well-being, we’re here to help.

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Stiffness, rigidity, or loss of mobility

In most cases, a blockage or stiffness doesn't originate solely from the area where you feel the limitation. It could be due to joint irritation, a protective muscle spasm, or a mechanical restriction that prevents normal movement.

Simply treating the pain or “forcing” movement does not solve the problem. At Physioactif, our approach involves precisely identifying the underlying issue through advanced manual physical therapy and restoring effective movement starting with the very first sessions.

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Common reasons for seeking medical advice
Nerve pain and numbness

Numbness or neuralgia does not always originate solely from the area where the symptoms appear. The problem may be related to irritation or compression of the nerve in the spine or elsewhere along its peripheral course, as in the case of jaw neuralgia, where the pain radiates to the face.

When the median nerve is compressed at the wrist, numbness is often caused by compression of the median nerve at the wrist. An evaluation helps pinpoint the exact cause of the symptom and allows for the use of appropriate techniques, such as neurodynamic mobilization, to improve the nerve’s tolerance to movement and reduce radiating pain.

When symptoms affect the inner ear, treatment for vertigo involves targeted exercises for the vestibular system. Our guide to physical therapy for nerve-related pain explains these techniques in detail.‍

Common reasons for seeking medical advice
Comprehensive evaluation and second opinion

It’s common to have received several different explanations or to have not received a satisfactory answer to a persistent problem. When faced with conflicting explanations or a persistent problem, getting a second opinion from a physical therapist can help clarify your condition. A thorough evaluation allows for a structured review of your case and an analysis of factors that are often overlooked during initial consultations.

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At Physioactif, the evaluation aims to establish precise clinical reasoning, validate or invalidate certain hypotheses, and propose a clear direction based on your actual situation.

Common reasons for seeking medical advice
Physical Therapy for Chronic Pain

Physioactif assesses the source of the pain—whether it affects the back, neck, a joint, or the nervous system—and then develops a precise, measurable treatment plan. Our physical therapists combine techniques to restore movement and reduce pain in everyday life:

Common reasons for seeking medical advice
Pre- and post-surgical rehabilitation

Rehabilitation doesn't start after surgery, but well before. Good preparation helps improve mobility, strength, and understanding of exercises, which greatly facilitates post-operative recovery.

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After surgery, the goal is to gradually restore movement, protect the healing tissues, and regain the abilities needed for your daily activities without compromising the results of the surgery—a process supervised by physical therapists certified by the FCAMPT.

Common reasons for seeking medical advice
Perineal Physical Therapy

Physioactif begins with a comprehensive examination of the perineum and pelvis: function, tone, and control of the pelvic floor. With your consent, the examination may include an internal component. It guides the development of a clear treatment plan tailored to your specific condition (incontinence, organ prolapse, or pain), combining several techniques to rehabilitate the pelvic floor and the body:

Areas of expertise in physical therapy
Prenatal and postpartum care

During pregnancy and after childbirth, the body undergoes significant adaptations that affect muscles, joints, and the pelvic floor. These changes can lead to lower back pain, urinary leakage, or reduced muscle control.

, symptoms treated by pelvic floor rehabilitation‍

Physical therapy during pregnancy helps monitor changes in the body, prevent certain complications, and gradually regain strength, stability, and control through exercises tailored to each stage. After birth, we also support the infant’s development through pediatric physical therapy.

Areas of expertise in physical therapy
Sports Physical Therapy

Our physical therapists at Physioactif assess the affected area (knee, shoulder, Achilles tendon) and the stage of the injury—whether acute or chronic—to develop a clear plan. We combine three approaches to restore movement and performance:

Areas of expertise in physical therapy
SAAQ Program (Traffic Accidents)

Physioactif begins with a targeted assessment of the affected areas—from the neck to the back, including the nervous system—and determines whether the injury is recent or chronic. This detailed assessment guides a treatment plan with measurable goals. Three approaches work together to relieve pain and restore movement:

Access to healthcare and reimbursement
CNESST Program (Workplace Accidents)

The initial assessment takes into account the movements and physical demands of your job, since a work-related injury can be mechanical, muscular, or caused by repetitive motions. Based on this diagnosis, your physical therapists set specific goals and develop a structured plan. Three key elements work together to reduce pain and restore function:

Access to healthcare and reimbursement
IVAC Program (Criminal Offenses)

We begin your care with a thorough assessment of how the injury is affecting your mobility and function, whether it involves muscle pain, stiffness, or more severe impairments. This diagnosis serves as the foundation for a treatment plan with measurable goals. Three key approaches work together to relieve pain and restore movement:

Access to healthcare and reimbursement
Veterans Program

Injuries in veterans are often complex and can affect multiple systems, such as joints, muscles, or the nervous system.

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Our approach aims to precisely understand your condition and provide structured treatment that meets program requirements while supporting a gradual return to your activities.

Access to healthcare and reimbursement

Approaches mastered by
Lorianne

McKenzie Approach

The McKenzie Approach is a globally recognized assessment and treatment method that is particularly effective for back problems. It is often combined with manual therapy provided by an FCAMPT-certified physical therapist to create a comprehensive treatment plan. This approach gives you the tools to manage and prevent your pain on your own. The same principle of guided self-treatment applies to jaw joint pain, where targeted exercises help restore a comfortable range of motion.

Mulligan Approach

The Mulligan approach, recognized worldwide, combines active movement and mobilization to produce immediate results. This unique technique restores joint function without pain, even in cases where other approaches have failed. It is part of our arsenal of orthopedic manual therapy techniques.

Teaching about the condition

Knowledge is the key to a successful recovery. Our educational approach helps you better understand your pain-related issues and provides you with the tools you need to actively participate in your recovery and prevent relapses. For example, it helps you understand the mechanisms behind urinary incontinence.

Workplace Assessment

An ill-suited workstation can cause strain and pain that affect your productivity. Our professional ergonomic assessment identifies the adjustments needed to create a comfortable and efficient workspace.

Strength and Endurance Exercises

A personalized exercise program is the key to achieving your strength and endurance goals, as well as to strengthening your thigh muscles and relieving patellofemoral pain. Our expertise in designing tailored programs allows you to progress safely while taking your abilities and lifestyle into account. To understand how these therapeutic rehabilitation exercises fit into a recovery plan, check out our comprehensive guide.

Exercises for stabilizing muscles

Weak stabilizing muscles can cause pain during prolonged postures or everyday movements. Core exercises are often taught incorrectly and can hinder your progress—a common challenge in postpartum physical therapy when it’s necessary to reactivate the abdominal core. Our specialized approach activates these essential deep muscles, creating a solid foundation for all your movements and daily activities. The pelvic floor is one of these deep muscles, and its rehabilitation follows the same principles of control and coordination.

Joint mobilization and manipulation

Joint pain and stiffness can significantly limit your daily activities. Our physical therapists, trained in the FCAMPT approach, use specialized joint mobilization and manipulation techniques to restore the natural movement of your joints and reduce your pain, including for temporomandibular joint disorders that limit your ability to open your mouth. This expertise is based on FCAMPT certification.

Posture

Poor posture can be the source of many everyday aches and discomforts, including jaw tension related to the position of the head and neck. Our approach combines precise postural analysis with practical solutions to improve your natural alignment and prevent chronic muscle tension. For toddlers, posture assessment is part of pediatric physical therapy for children ages 0 to 7.

Movement Rehabilitation

Always moving the same way can lead to injuries because repetitive movements eventually overburden the same structures in your body, which often explains persistent pain in the front of the knee. Our approach precisely analyzes and corrects your movement patterns to restore biomechanics that won’t cause microtrauma. This focus on quality of movement also applies to children’s motor development, where we support the acquisition of proper movement patterns from an early age.

Taping

Therapeutic taping uses adhesive strips to support a joint and guide movement in the short term. Among our approaches, we use the McConnell method in particular, which focuses on biomechanical correction rather than a neuromuscular effect—a technique sometimes used as a complementary treatment for patellar pain. Taping aimed at altering biomechanics can provide short-term relief; however, according to available data, so-called neuromuscular taping approaches do not show a clear advantage over placebo taping. We do not deny that some people still experience a benefit from it, but it is not an approach we recommend as a first resort: taping always complements an active treatment plan tailored to your evaluation—it is never a substitute for it.

Telerehabilitation

Tele-physical therapy offers the flexibility of professional care from the comfort of your own home. No matter where you are in the world, you can benefit from our unique expertise. This modern solution provides effective, personalized care tailored to your schedule, while maintaining the highest quality of care.

Neurodevelopmental Therapy and Primitive Reflexes

Primitive reflexes that persist into adulthood can disrupt your balance, coordination, and posture, causing chronic tension and pain. The symmetrical tonic neck reflex during lateral flexion can also be assessed. The integration of these reflexes is a cornerstone of pediatric physical therapy for children ages 0 to 7. The Galant spinal reflex test is one such assessment. When balance disorders are predominant, vestibular rehabilitation complements this approach. Our specialized approach targets these primitive motor patterns to restore more mature and efficient movements, specifically by assessing the Galant spinal reflex. These treatments are indicated for persistent pain.

Nerve treatment

We are pioneers in Quebec in the treatment of nerves. We know that symptoms of nerve compression—such as tingling, numbness, or burning pain—can disrupt your sleep and your quality of life. These nerve irritations can also contribute to jaw pain, which we evaluate in the same way. Our specialized nerve treatment techniques precisely target these sensitive structures to reduce irritation and restore their proper function.

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Lorianne Gonzalez-Bayard

If you have any questions or would like more information, please don't hesitate to contact us.

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A physical therapist performing a shoulder and neck massage on a patient at a physical therapy clinic
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