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Description of the medical specialty - Physical Medicine and Rehabilitation also known as Physiatry.

Description of the medical specialty - Physical Medicine and Rehabilitation also known as Physiatry.

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  • Nice and short presentation Margarita.Thank you.I am a resident in Bangladesh of MD,PMR.I want to know from you that what is the difference between the working field of a Rheumatologist and Physiatrist.It is still not clear to me.You have also shown here that Physiatrist do treat arthritis,back and neck pain.Rheumatologist also treat these.So who the patient will visit with arthritis?
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  • ’In all the lectures I have made and will make in the future I never write or include my personal opinions or statements, unless asked to do so in a panel or forum. My lectures are based on published textbooks, research data, articles, journals and reference'.
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  • 1. Physical Medicine & Rehabilitation
    • “ Physiatrist”
  • 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 , sponsored by the American Board of Medical Specialties
  • 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” – 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
  • 7. Conditions Treated
    • Brain Injuries, Stroke
    • Spinal Cord Injuries
    • Post-Polio Syndrome
    • Work-Related Injuries
    • Auto-Related Injuries
    • Sports Injuries
    • Lymphedema
  • 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 physician’s 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 person’s 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…
  • 14. Electrodiagnostic Studies
    • Electrodiagnostic Studies aid in the diagnosis of conditions related to nerves and muscles
  • 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.