Physical Medicine & Rehabilitation


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Physical Medicine and Rehabilitation Overview

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Physical Medicine & Rehabilitation

  1. 1. Physical Medicine & Rehabilitation <ul><li>“ Physiatrist” </li></ul>
  2. 2. What is a Physiatrist? <ul><li>Medical Doctors (M.D.) </li></ul><ul><li>4 years Residency Program - training in the medical specialty physical medicine and rehabilitation (PM&R) </li></ul><ul><li>Certification: American Board of Physical Medicine and Rehabilitation </li></ul>
  3. 3. What is a Physiatrist? <ul><li>Experts at diagnosing and treating pain </li></ul><ul><li>Restore maximum function lost through injury, illness or disabling conditions </li></ul><ul><li>Treat the whole person, not just the problem area </li></ul><ul><li>Lead a team of medical professionals </li></ul>
  4. 4. What is a Physiatrist? <ul><li>Provide non-surgical treatments </li></ul><ul><li>Explain your medical problems and treatment plan </li></ul><ul><li>Work not only on treatment but also prevention </li></ul>
  5. 5. Conditions Treated <ul><li>Amputations/Prosthetics (“artificial limbs”) </li></ul><ul><li>Arthritis </li></ul><ul><li>Back and Neck Pain </li></ul><ul><li>“Pinched Nerves” – radiculopathy </li></ul><ul><li>Carpal Tunnel Syndrome, Cubital Tunnel Syndrome, Tarsal Tunnel Syndrome </li></ul><ul><li>Peripheral neuropathy (hereditary, acquired) </li></ul>
  6. 6. Conditions Treated <ul><li>Pain from different sources: </li></ul><ul><li>Joints </li></ul><ul><li>Bones </li></ul><ul><li>Muscles </li></ul><ul><li>Ligaments/Tendons </li></ul><ul><li>Bursa </li></ul><ul><li>Nerves </li></ul>
  7. 7. Conditions Treated <ul><li>Brain Injuries, Stroke </li></ul><ul><li>Spinal Cord Injuries </li></ul><ul><li>Post-Polio Syndrome </li></ul><ul><li>Work-Related Injuries </li></ul><ul><li>Auto-Related Injuries </li></ul><ul><li>Sports Injuries </li></ul><ul><li>Lymphedema </li></ul>
  8. 8. How the Physiatrist can help? <ul><li>Rehabilitation physicians accurately pinpoint the source of an ailment. </li></ul><ul><li>Design a treatment plan that can be carried out by the patients themselves or with the help of the rehabilitation physician’s medical team. </li></ul><ul><li>This medical team might include other physicians and health professionals, such as neurologists, orthopedic surgeons, and physical/occupational therapists. </li></ul>
  9. 9. How the Physiatrist can help? <ul><li>By providing an appropriate treatment plan , rehabilitation physicians help patients stay as active as possible at any age. </li></ul><ul><li>The broad medical expertise allows the Physiatrist to treat disabling conditions throughout a person’s lifetime. </li></ul>
  10. 10. Treatments <ul><li>Injections: </li></ul><ul><li>trigger points </li></ul><ul><li>joints (Synvisc/Hyalgan) </li></ul><ul><li>bursa (i.e. hip bursitis, shoulder bursitis) </li></ul><ul><li>tendon sheath (i.e. rotator cuff tendinopathy) </li></ul>
  11. 11. Treatments <ul><li>Prescribe Medications: </li></ul><ul><li>Analgesics </li></ul><ul><li>Muscle relaxants </li></ul><ul><li>Anti-inflammatory agents (NSAID) </li></ul><ul><li>Medications for conditions such as neuropathic pain, fibromyalgia syndrome… </li></ul>
  12. 12. Treatments <ul><li>May prescribe a Rehabilitation Program </li></ul><ul><li>Physical Therapy </li></ul><ul><li>Occupational Therapy </li></ul><ul><li>Mental Health/Psychology </li></ul><ul><li>Vocational Rehabilitation </li></ul>
  13. 13. Diagnostic Studies <ul><li>May request radiological studies such as X-rays, MRI, CAT scan, Bone Scan… </li></ul>
  14. 14. Electrodiagnostic Studies <ul><li>Electrodiagnostic Studies aid in the diagnosis of conditions related to nerves and muscles </li></ul>
  15. 15. Electromyography (EMG) <ul><li>The needle EMG involves the insertion of very thin pin electrodes into the skin to the muscle.  Several muscles are tested in each extremity. </li></ul><ul><li>The EMG helps to distinguish between muscle conditions in which the problem begins in the muscle and muscle weakness due to nerve disorders. </li></ul><ul><li>EMGs can also be used to isolate the level of nerve irritation or injury. </li></ul>
  16. 16. Electromyography (EMG) <ul><li>EMG is performed using an instrument called an electromyograph , to produce a record called an electromyogram . </li></ul><ul><li>An electromyograph detects the electrical potential generated by muscle cells when these cells are mechanically active, and also when the cells are at rest. </li></ul>
  17. 17. Nerve Conduction Studies (NCS) <ul><li>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 . </li></ul><ul><li>Nerve conduction velocity (NCV) is a common measurement made during this test. </li></ul>
  18. 18. Questions and Answers