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Physical Medicine Doctors Physical medicine and rehabilitation is the field of medicine concerned with restoring functionality after disease or injury causes damage to the muscles, bones, tissues and nerves. Physical medicine doctors or physiatrists specialize in treating conditions such as stroke or traumatic brain injury, heart disease, sports injuries, spinal cord injuries and amputations. Procedures performed by physical medicine doctors include occupational therapy, physiotherapy, speech and language assessment, speech training and speech therapy. |
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What is physical medicine and rehabilitation? What is a rehabilitation physician? How do rehabilitation physicians diagnose? |
What is physical therapy? What does a physical therapist do? What should you look for in a physical therapist? Can your doctor suggest one? Do you need a referral from your doctor? What is physical therapy? Physical therapy is a type of treatment you may need when health problems make it hard to move around and do everyday tasks. It helps you move better and may relieve pain. It also helps improve or restore your physical function and your fitness level. The goal of physical therapy is to make daily tasks and activities easier. For example, it may help with walking, going up stairs, or getting in and out of bed. Recommended Related to Pain ManagementOxyContin: Pain Relief vs. Abuse From time to time, OxyContin abuse flares up as a hot topic around the water cooler. If it isn't celebrities in the news for abusing the prescription painkiller, it's reports of drug-dealing doctors and overdose deaths. Add to that a law enforcement crackdown on OxyContin, and the result is a backlash affecting legitimate use of the drug: Many chronic pain sufferers won't take OxyContin for fear of becoming addicted, and some health care providers refuse to write OxyContin prescriptions for... Physical therapy can help with recovery after some surgeries. Your doctor may suggest physical therapy for injuries or long-term health problems such as: Back pain. Tendon or ligament problems, such as an anterior cruciate ligament (ACL) injury, a meniscus tear, or plantar fasciitis. Osteoarthritis and rheumatoid arthritis. COPD. Spinal stenosis. Parkinson's disease. Multiple sclerosis. Physical therapy may be used alone or with other treatments. You may get physical therapy at: A clinic. A hospital. A nursing home. Your own home, through home health agencies. School. A sports or fitness setting. What does a physical therapist do? Your physical therapist will examine you and make a treatment plan. Depending on your health problem, your therapist will help you with flexibility, strength, endurance, coordination, and/or balance. First, your therapist will try to reduce your pain and swelling. Then he or she will probably work to increase your flexibility, strength, and endurance. Physical therapy almost always includes exercise. It can include stretching, core exercises, weight lifting, and walking. Your physical therapist may teach you an exercise program so you can do it at home. Your physical therapist also may use manual therapy, education, and techniques such as heat, cold, water, ultrasound, and electrical stimulation. Treatment may cause mild soreness or swelling. This is normal, but talk to your physical therapist if it bothers you. What should you look for in a physical therapist? You'll want a therapist who has experience with your health problem. Some physical therapist are board-certified in areas such as orthopedics, sports, geriatrics, and neurology and may offer more specialized care. Physical therapists can specialize in: Muscles, joints, tendons, ligaments, and bones. Nerves and related muscles. The heart and blood vessels. Lung problems and breathing. Skin problems, including wounds and burns. Cancer-related problems. Treatment for children, older adults, or women. Here are some questions to think about when choosing a physical therapist: Can your doctor suggest one? Do you need a referral from your doctor? What is the rehabilitation physician�s role in treatment? What is the scope of the rehabilitation physician�s practice? What kind of training do rehabilitation physicians have? How did the specialty develop? Where do rehabilitation physicians practice? How can I locate a rehabilitation physician? What is physical medicine and rehabilitation? What is a rehabilitation physician? How do rehabilitation physicians diagnose? What is the rehabilitation physician�s role in treatment? What is the scope of the rehabilitation physician�s practice? What kind of training do rehabilitation physicians have? How did the specialty develop? Where do rehabilitation physicians practice? How can I locate a rehabilitation physician? What is rehabilitation? Complete neurological exam focusing on gait, muscle tone, strength, and vision Mini Mental Status Exam (to test memory and concentration) Neurological Rehabilitation Musculoskeletal Rehabilitation Orthopaedic Rehabilitation Cardiac Rehabilitation Pulmonary Rehabilitation Cancer Rehabilitation Nephrology Rehabilitation Ophthalmology Rehabilitation Gastroenterology Rehabilitation Urology Rehabilitation Gynecology Rehabilitation What is Physical Therapy? What is rehabilitation? Who may need rehabilitation? Why is rehabilitation important? Who directs or coordinates rehabilitation? Is rehabilitation merely exercises? How does the rehabilitation process work? Functional Assessment If you mark any of the following statements, please talk with your physician or other appropriate health care provider before engaging in exercise. __ I have a heart condition and my health care professional recommends only medically supervised physical activity. __ During or right after I exercise, I often have pains or pressure in my neck, left shoulder, or arm. __ I have developed chest pain within the last month. __ I tend to lose consciousness or fall over due to dizziness. __ I feel extremely breathless after mild exertion. __ My health care provider recommended that I take medicine for high blood pressure or a heart condition. __ I have bone or joint problems that limit my ability to do moderate-intensity physical activity. __ I have a medical condition or other physical reason not mentioned here that might need special attention in an exercise program. __ I am pregnant and my health care professional hasn’t given me the OK to be physically active. These specialists focus on restoring function to people and adding quality to life. Physical medicine and rehabilitation (PM&R), also called physiatry, is the branch of medicine emphasizing the prevention, diagnosis, and treatment of disorders � particularly related to the nerves, muscles, and bones � that may produce temporary or permanent impairment. PM&R is one of 24 medical specialties certified by the American Board of Medical Specialties. PM&R provides integrated care in the treatment of all conditions related to the brain, muscles, and bones, from traumatic brain injury to lower back pain. They see patients in all age groups and treat problems that affect all of the major systems in the body. What is a rehabilitation physician? Rehabilitation physicians are nerve, muscle, and bone experts who treat injuries or illnesses that affect how you move. Rehabilitation physicians have completed training in the medical specialty physical medicine and rehabilitation (PM&R). They are sometimes referred to as PM&R physicians or physiatrists. Rehabilitation physicians treat a wide range of problems from sore shoulders to spinal cord injuries. Their goal is to decrease pain and enhance performance without surgery. To learn about some of the conditions rehabilitation physicians treat, click here. How do rehabilitation physicians diagnose? Rehabilitation physicians take the time needed to accurately pinpoint the source of an ailment. Their specific diagnostic tools are the same as those used by other physicians (medical histories, physical examinations, and imaging studies), with the addition of special techniques in electrodiagnostic medicine like electromyography (EMG), nerve conduction studies, and somatosensory evoked potentials. These techniques help the rehabilitation physician to diagnose conditions that cause pain, weakness, and numbness. What is the rehabilitation physician�s role in treatment? Once they have a diagnosis, rehabilitation physicians 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 interdisciplinary medical team may include medical professionals such as neurologists, psychiatrists, orthopedic surgeons, and urologists, and non-physician health professionals such as physical therapists, occupational therapists, speech pathologists, vocational counselors, psychologists and social workers. The team is different for each patient, and the team's composition changes during treatment to match the patient's shifting needs. By providing an appropriate treatment plan, rehabilitation physicians help patients stay as active as possible at any age. Their broad medical expertise allows them to treat disabling conditions throughout a person�s lifetime. What is the scope of the rehabilitation physician�s practice? PM&R is often called the quality of life profession because its aim is to enhance patient performance. The job of a rehabilitation physician is to treat any disability resulting from disease or injury involving any organ system. The focus is not on one part of the body, but instead on the development of a comprehensive program for putting the pieces of a person's life back together � medically, socially, emotionally, and vocationally � after injury or disease. The problems that rehabilitation physicians manage span the entire spectrum, from the most complicated multiple trauma to injury prevention for athletes. Some rehabilitation physicians have broad-based practices that encompass many different types of patients. Others pursue special interests and focus on specific groups or problems. For example, sports medicine has grown as a special interest. Rehabilitation physicians who focus on sports medicine treat sports-related injuries, develop programs to help athletes avoid injury, and may do research in the field. What kind of training do rehabilitation physicians have? To become a rehabilitation physician, individuals must graduate from medical school followed by four additional years of postdoctoral training in a physical medicine and rehabilitation. This includes one year developing fundamental clinical skills and three additional years of training in the full scope of the specialty. Fellowships are available for specialized study in such areas as musculoskeletal rehabilitation, pediatrics, traumatic brain injury, spinal cord injury, and sports medicine. How did the specialty develop? The field of physical medicine and rehabilitation (PM&R) began in the 1930s to address musculoskeletal and neurological problems, but broadened its scope considerably after World War II. Where do rehabilitation physicians practice? Rehabilitation physicians practice in rehabilitation centers, hospitals, and in private offices. They often have broad practices, but some concentrate on one area such as pediatrics, sports medicine, geriatric medicine, brain injury, and many other special interests. How can I locate a rehabilitation physician? What is rehabilitation? Rehabilitation is the process of helping an individual achieve the highest level of function, independence, and quality of life possible. Rehabilitation does not reverse or undo the damage caused by disease or trauma, but rather helps restore the individual to optimal health, functioning, and well-being. Rehabilitate (from the Latin "habilitas") means to make able. The rehabilitation program: Rehabilitation medicine is designed to meet each person's specific needs; therefore, each program is different. Some general treatment components for rehabilitation programs include the following: * treating the basic disease and preventing complications * treating the disability and improving function * providing adaptive tools and altering the environment * teaching the patient and family and helping them adapt to lifestyle changes The success of rehabilitation depends on many variables, including the following: * the nature and severity of the disease, disorder, or injury * the type and degree of any resulting impairments and disabilities * the overall health of the patient * family support Areas covered in rehabilitation programs may include the following: Patient need: Example: Self-care skills, including activities of daily living (ADLs) Feeding, grooming, bathing, dressing, toileting, and sexual function Physical care Nutritional needs, medication, and skin care Mobility skills Walking, transfers, and self-propelling a wheelchair Respiratory care Ventilator care, if needed; breathing treatments and exercises to promote lung function Communication skills Speech, writing, and alternative methods of communication Cognitive skills Memory, concentration, judgment, problem solving, and organizational skills Socialization skills Interacting with others at home and within the community Vocational training Work-related skills Pain management Medications and alternative methods of managing pain Psychological counseling Identifying problems and solutions with thinking, behavioral, and emotional issues Family support Assistance with adapting to lifestyle changes, financial concerns, and discharge planning Education Patient and family education and training about the condition, medical care, and adaptive techniques Cardiac Rehabilitation Pulmonary Rehabilitation Cancer Rehabilitation Musculoskeletal Rehabilitation Neurological Rehabilitation Gastroenterology Rehabilitation Urology Rehabilitation Gynecology Rehabilitation Orthopaedic Rehabilitation Cardiac Rehabilitation
How severe is it? How long does it last? Does it stay in your chest or radiate to other parts of your body? Did you have this pain before your heart attack? What brings it on? How frequently do you get it? Do you ever get chest pain or pressure at rest? What relieves the chest pain? If you take nitroglycerin, how many doses do you usually need to take before the pain goes away? How often do you take nitroglycerin? Do you get short of breath when you lie down or exert yourself? Do you awaken in the middle of the night short of breath? Do your ankles swell? Do you ever feel lightheaded? Have you fainted? Do you get rapid or pounding heartbeat for no reason? Do you know what each of the medications you are taking does? Do you know the side effects of each medication? Are you having any side effects? Are you taking an aspirin every day? Are you doing everything you can to modify the risk factors that can worsen your coronary artery disease (cigarette smoking, high blood pressure, high cholesterol, and diabetes are the most important risk factors)? Are you participating in a supervised exercise program? Are you resuming your normal activities? Are you sexually active? Have you returned to work? Have you been feeling depressed since your heart attack? Have you been able to reduce the stress in your life? Have you been fatigued? Your Doctor Might Examine the Following Body Structures or Functions: Heart rate, blood pressure, and weight Pulses Major arteries in the neck, groin, and feet (for abnormal noises) Veins in the neck Heart and lungs Ankles and legs (for swelling) Pulmonary Rehabilitation Cancer Rehabilitation Musculoskeletal Rehabilitation Neurological Rehabilitation
Have you noticed a slowing of your movements? Do you have a stooped posture or a slow, shuffling gait? Are you becoming more unsteady? Are your muscles becoming more rigid? Have you noticed your handwriting is getting smaller? Do you have any problems with speech? Are you depressed? Do you have problems with memory, concentration, or problem-solving? Are you having any visual changes? Do you have hot flashes? Are you taking any medications? Do you have a history of any toxic exposures? Your Doctor Might Examine the Following Body Structures or Functions: Complete neurological exam focusing on gait, muscle tone, strength, and vision Mini Mental Status Exam (to test memory and concentration) Nephrology Rehabilitation Ophthalmology Rehabilitation Gastroenterology Rehabilitation Urology Rehabilitation Gynecology Rehabilitation Orthopaedic Rehabilitation What is Physical Therapy? Physical Therapy is a branch of health care that is especially concerned with the evaluation and treatment of health problems resulting from injury or disease. The physical therapist assesses joint motion, muscle strength and endurance, function of the heart and lungs, nerves, and performance of activities required in daily living. Treatments include therapeutic exercise, stretching, massage, instruction in activities of daily living and cardiovascular endurance training. Various modalities are often utilized. What is rehabilitation? Rehabilitation medicine is the treatment of disorders that have caused either temporary or permanent disability. Rehabilitation usually involves the neurological, muscuoskelatal, cardiovascular and pulmonary systems with the goal being restoring function of the affected physical systems. Who may need rehabilitation? People recommended for rehabilitation treatment include all ages, all socioeconomic strata and all races and ethnic groups. Physical rehabilitation is effective for: Muscuoskelatal injuries * Spinal cord injury victims * Professional athletes * Weekend warrior * Employees with work-related injuries * Infants with birth defects * Arthritis patients * Auto-accident victims * Osteoporosis patients * Amputees * Incontinence patients * Stroke victims * Cancer survivors * Scoliosis patients * Drug overdose survivors * Elderly adults with a broken hip * Agricultural accident victims * Multiple Sclerosis patients * ALS patients * Patients recovering from surgery * Brain injury patients * Gun shot victims * Heart attack patients * Accidental poisoning victims * Teens with sprained ankles * Suffers of chronic back pain * Cerebral palsy patients * Workers with carpel tunnel syndrome etc Why is rehabilitation important? Costs for on-the-job muscuoskelatal injuries continue to rise, despite improving safety statistics. The average cost for an injury claim has surpassed $25,000 while a few claims cost 10-100 times the average. Companies look to rehabilitation team experts for cost-effect methods of returning good workers back to productive jobs. Rehabilitation professionals take a moderately-to-severely impaired patient and through specific therapies, return the individual to the highest level of function and independence. Many individuals return to lives that are essentially unchanged from before the injury or disorder. Some patients, although they never return to pre-injury or pre-disease/disorder status, are able to live independently, hold down responsible jobs and have an excellent quality of life. Without rehabilitation, these individuals would need to be cared for the rest of their lives. The cost of rehabilitation is small compared to the costs of lifelong care. More than two million people in the U. S. suffer strokes every year costing nearly $30 Billion in direct and indirect costs. The 67 percent who survive undergo rehabilitation to help them regain functionality and independence. Although rehabilitation cannot reverse brain damage, rehabilitation helps stroke survivors relearn skills such as speech, motor control and urinary or bowel continence. To help stroke survivors make the greatest amount of progress, rehabilitation usually begins 24-48 hours following the stroke. With as many as 8.9 Americans have a history of cancer, 2 million brain injuries, 15,000 spinal cord injuries, 4 million on-the-job injuries and 100,000 automobile injuries annually, rehabilitation will become even more important. Who directs or coordinates rehabilitation? An interdisciplinary rehabilitation team usually has the responsibility of assessing the injury or disorder, designing a rehabilitation plan and working one-on-one with each patient. The rehabilitation team may consist of a physician specializing in physical medicine and rehabilitation (a physiatrist), a chiropractor, rehabilitation nurses, a physical therapist, a massage therapist, an occupational therapist, a vocational rehabilitation therapist and a speech pathologist. The rehabilitation team members work with patients until maximum function is attained. They may also periodically evaluate patients after rehabilitation is complete and recommend additional therapy. Is rehabilitation merely exercises? Rehabilitation is a multi-pronged approach to guiding patients to as high a functioning as possible. Physical exercise is only one part of a rehabilitation treatment plan. How does the rehabilitation process work? Rehabilitation methods differ widely with the specific injury or disorder. Rehabilitation may require prescription medications, specially prescribed mobility equipment, such as wheelchairs or walkers, leg braces or even a prosthetic limb. Rehabilitation may also require techniques including massage, heat or cold therapy, biofeedback, electrotherapy, traction and rehabilitation exercises. For spinal cord injury, head trauma and stroke, patients may also need mental as well as physical rehabilitation. Psychological, neurological, social and behavioral therapy may be added to the regimen of rehabilitation. |
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