PHYSICAL MEDICINE SERVICES
Physical Medicine and Rehabilitation (Physiatry) is a specialty of medicine concerned with the diagnosis and treatment of aches and pains and other disabling conditions. Their training develops skills in areas of orthopedics, neurology, and rheumatology. This places the physiatrist in an advantageous position to decide upon the cause of a patient’s symptoms: Nerve, muscle, joint, bone, ligament, etc. In addition to the conventional use of medications, we have expertise in the use of modalities, exercise programs, manual techniques, equipment (splints, corsets, braces,) and coordination of therapy programs.
Physiatrists combine medical education, clinical experience, and research to create treatment plans tailored to a patient’s specific needs and goals Physiatrists care for patients of all ages and abilities. They diagnose and treat existing health conditions, but they also provide patient education, customize plans of care, and preventative treatments that can help patients avoid many health problems before they occur
Physical therapy services
Physical therapy services are available for patients with a wide range of diagnoses, from musculoskeletal to neurological conditions.Physical therapists are trained professionals who deal with people of all age groups that evaluate and treat abnormal physical function related to injury, disability or disease. They help patients to improve mobility and movement, improve balance to maintain function and quality of life
P.T. may include:
- Passive modalities including
- moist heat, cold therapies
- Therapeutic ultrasound
- Manual techniques including
- Myofascial release
- Stretching and massage
- Therapeutic activities and exercise
Occupational therapists (O.T.’s) help people return to their normal life through the therapeutic use of everyday activities and exercises. Our main focus is to help people recover from injuries to the hands and the “upper quarter” of the body. O.T.’s help patients to regain skills and to maximize their performance of everyday activities of daily living (ADL’s). Occupational therapy/hand therapy addresses areas such as improving strength and range of motion, decreasing pain and swelling, managing scar formation, fabricating orthoses and recommending over the counter splints and adaptive equipment to help people gain greater independence.
O.T. services include:
An personalized evaluation during which the patient, family , physiatrist and occupational therapist determine the person’s goals.
Customized plan to improve the person’s ability to perform daily activities and reach their goals.
Outcome evaluation to ensure that the goals are being met and / or make changes to the intervention plan.
Injection therapy has been found to be an effective adjunct to treatment for patients with different joints and tendon pain or inflammation. The purpose of the injection is to decrease inflammation and provide pain relief, thereby facilitating active therapy. Their primary use is as one component of a comprehensive treatment plan that includes medication, physical therapy, and education in body mechanics. It give rapid action with decrease side effects’ risk of prolonged medications use, including:
- Intra articular corticosteroids injection
- Peri articular corticosteroids injection
- Perineural injection
- Platelet rich plasma injection
Hydrotherapy is the use of water in the treatment of different conditions, such as arthritis and related rheumatic complaints, and various neurological and orthopedic disabilities. Hydrotherapy involves exercises in a warm-water pool. (temp 33–36ºC)l.
The physical trainer and or physiotherapist will train the patient how to do the exercises. The focus of the exercises is tailored according to each patients needs
Hydrotherapy tends to be focused on slow, controlled movements and relaxation. The hydrotherapy provides the buoyancy needed for different disabilities, helping the support of the weight , relieve the pain and increase movement. Furthermore the warmth of the water allows muscles to relax and ease the pain during exercises. Hydrotherapy can be used for strengthening as the water provides resistance to the moving limbs.
Pain therapy by Acupuncture
Acupuncture is a complementary medical practice that entails stimulating certain points on the body, most often with a needle penetrating the skin, to alleviate pain or to help treat various health conditions.
Nerve conduction studies(NCS) and electromyography(EMG)
NCS is a medical diagnostic test commonly used to evaluate the function, especially the ability of electrical conduction, of the motor and sensory nerves of the human body.
EMG involves the measuring of electrical activity within muscles by way of a needle electrode.
The essential treatment for obesity consists of dieting and physical exercise. Diet programs may produce weight loss over the short term, but maintaining this weight loss is frequently difficult and often requires making exercise and a lower calorie diet a permanent part of an individual’s lifestyle.
Speech therapy provides assessment and develops individualized treatment programs to address functional limitations in the areas of communication, cognition and swallowing.
Orthosis and prothesis
Orthotist and Prosthetist design and make artificial limbs (prosthetics) and appliances such as splints, braces and shoes (orthotics). These specialists work in the rehabilitation team to help restore function function and improve lifestyle of persons with different disability.
SPA and GYM activities