A physiatrist is a medical doctor who specializes in physical medicine and rehabilitation. They complete 4 years of medical school and a residency program in physiatry. Physiatrists are experts in diagnosing and treating pain and restoring function lost to injury or illness. They lead a team that provides non-surgical treatments and works to prevent future issues. Physiatrists can treat many conditions including injuries, arthritis, neurological disorders and more. They accurately diagnose problems and design customized treatment plans which may include medications, rehabilitation therapies, and diagnostic studies.
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2. What is a Physiatrist? Medical Doctors (M.D.) 4 years Residency Program - training in the medical specialty physical medicine and rehabilitation (PM&R) Certification: American Board of Physical Medicine and Rehabilitation
3. What is a Physiatrist? Experts at diagnosing and treating pain Restore maximum function lost through injury, illness or disabling conditions Treat the whole person, not just the problem area Lead a team of medical professionals
4. What is a Physiatrist? Provide non-surgical treatments Explain your medical problems and treatment plan Work not only on treatment but also prevention
5. Conditions Treated Amputations/Prosthetics (artificial limbs) Arthritis Back and Neck Pain Pinched Nerves C radiculopathy Carpal Tunnel Syndrome, Cubital Tunnel Syndrome, Tarsal Tunnel Syndrome Peripheral neuropathy (hereditary, acquired)
6. Conditions Treated Pain from different sources: Joints Bones Muscles Ligaments/Tendons Bursa Nerves
8. How the Physiatrist can help? Rehabilitation physicians accurately pinpoint the source of an ailment. Design a treatment plan that can be carried out by the patients themselves or with the help of the rehabilitation physicians medical team. This medical team might include other physicians and health professionals, such as neurologists, orthopedic surgeons, and physical/occupational therapists.
9. How the Physiatrist can help? By providing an appropriate treatment plan , rehabilitation physicians help patients stay as active as possible at any age. The broad medical expertise allows the Physiatrist to treat disabling conditions throughout a persons lifetime.
10. Treatments Injections: trigger points joints (Synvisc/Hyalgan) bursa (i.e. hip bursitis, shoulder bursitis) tendon sheath (i.e. rotator cuff tendinopathy)
11. Treatments Prescribe Medications: Analgesics Muscle relaxants Anti-inflammatory agents (NSAID) Medications for conditions such as neuropathic pain, fibromyalgia syndrome
12. Treatments May prescribe a Rehabilitation Program Physical Therapy Occupational Therapy Mental Health/Psychology Vocational Rehabilitation
13. Diagnostic Studies May request radiological studies such as X-rays, MRI, CAT scan, Bone Scan
15. Electromyography (EMG) The needle EMG involves the insertion of very thin pin electrodes into the skin to the muscle.? Several muscles are tested in each extremity. The EMG helps to distinguish between muscle conditions in which the problem begins in the muscle and muscle weakness due to nerve disorders. EMGs can also be used to isolate the level of nerve irritation or injury.
16. Electromyography (EMG) EMG is performed using an instrument called an electromyograph , to produce a record called an electromyogram . An electromyograph detects the electrical potential generated by muscle cells when these cells are mechanically active, and also when the cells are at rest.
17. Nerve Conduction Studies (NCS) A nerve conduction study (NCS) is a test commonly used to evaluate the function, especially the ability of electrical conduction , of the motor and sensory nerves of the human body . Nerve conduction velocity (NCV) is a common measurement made during this test.