Doctor insights on:
Chronic Pain Physical Medicine Rehabilitation Specialists
Physical medicine and rehabilitation or physiatry is a medical specialty focused on the diagnosis, treatment, and rehabilitation of disorders that limit a person's ability to take care of themselves, work, or participate in society. In other words, it focuses on medical problems that affect how people move, walk, or interact with each other (most commonly muscle, bone, ...Read more
REad below: Physical medicine and rehabilition (pm&r) concerns bringing a person to his or her individual highest level of function regardless of the underlying illness or disability. Most pm&r speicialists (physicatrist) specialise in particular disorders such as spinal cord or brain injury, nerve injury or musculosckeletal injury, or occupational health, or children's physical problems. ...Read more
They have a lot of: Overlap. Occupational medicine focuses on medical issues related to work/occupational function, injuries related to specific occupations, workplace safety and function and ability of patients for certain work. Pm;r also deals with a lot of this, but also works with many other neurologic issues, such as brain injuries, sports injuries, spinal cord injuries, etc. Pm;r deals more with overall functio. ...Read more
Unpleasant sensation: The symptoms of pain include any unpleasant sensation. The pain may be described as sharp, electrical, or burning. Constant or intermitten in occurrance. Aggravating and alleviating factors should also be noted. Where the pain originates from and where it spreads to is helpful in identifying the source of the pain. ...Read moreSee 1 more doctor answer
Really all types: Most pain clinics will treat pain due to many different problems...arthritis, pinched nerves, chronic back pain,etc. Generally speaking though, the source of the pain should have been evaluated and treated to the fullest extent before a pain clinic would take over. ...Read moreSee 1 more doctor answer
Neuroleptics: Often the best first line meds are neuroleptic medications such as Neurontin and lyrica (pregabalin). Cymbalta is also a good choice. This will focus more on nerve symptoms. If you are dealing the spasm and spasticity then a muscle relaxant may help. Opioids may also help but should not be used as the first line medication. Physical therapy is the best non-medication alternative. ...Read moreSee 2 more doctor answers
Structural problem: Most scoliosis problems that I have seen originate from three load bearing areas. The TMJ can cause postural avoidance of pain/airway going down the body, the hips both ascending/descending issues, and feet problems ascending up the body. Everything is connected. You could have a single problem or several overlapping. You may need to see several specialist to get diagnosis and treatment. ...Read moreSee 1 more doctor answer
What type of pain management treatment can a pain management specialist provide for chronic ankle injury to Anterior Tibialis and Post Tibial tendons.
Pain team: The best pain groups will comprehensively address the history of your chronic pain condition, review diagnostic tests and or order new ones, perform a detailed pertinent physical examination, then design an individualized treatment plan which can include injections, braces, creams, medications, physical therapy and more options. This may also include acupuncture, massage, pain psychology and rehab. ...Read moreSee 2 more doctor answers
Pain Management: Your doc or your local medical association can refer you to a pain management specialist. They do lots of good work but please do not forget behavioral approaches such as clinical hypnosis (see www.asch.net), biofeedback, massage therapy, talk therapy, etc. Peace and good health. ...Read more
What spine md evaluates harrington rod pt (poor surgical candidate) for increasing leg weakness? Physiatrist , orthopod, neurosurgeon? Xrays best?
Different: A physiatrist is a medical doctor who takes a history, reviews your records, & examines you to identify the source of your pain & give a medical diagnosis. A physical therapist can evaluate your neck and design therapies (stretching, strengthening, manual therapy, heat, traction, electrical stimulation, joint mobilization). Best to get a diagnosis first, them customize therapy for the diagnosis. ...Read moreSee 2 more doctor answers
Medical opinions: nootropics, tcm, &chiropractors a safe alternative to psych meds for ptsd & mood disorders and pain medicines for chronic pain?
Really complicated: So many therapeutic approaches are in your question, it's impossible to answer. Even the "nootropic" part is extremely complicated. These can be food substances like phenethylamine and l-theanine (found in chocolate and green tea) or many other things. Different ones have different characteristics, safety, & effectiveness. An integrative physician could help guide you. www.holisticboard.org. ...Read moreSee 1 more doctor answer
Chiropractors, massage therapy, acupuncture, physiotherapy - which is the best treatment for back pain?
All and none: Everything depends what is the cause for pain. If your family doctors rules out serious pathology, i.e. Fracture, cancer, infection, etc., then try acupuncture, pt, chiropractor, depending on your preferences. Stay away from motrin, alive, celebrex, (celecoxib) etc. There is no inflammation with back pain. Use of this type of drugs actually proven to delay healing in spite of "helping"(more like masking) pain. ...Read moreSee 2 more doctor answers
Fore treatment-resistant depression. No local psychiatrists prescribe it, so seeking anesthesiologists or pain management physicians .
Physical Medicine & Rehabilitation (PM&R) is a field of study in which a doctor trains to become a specialist in the problems of recovery after injuries, paralysis, or amputations, in addition to sports injuries and work injuries. PM&R doctors are called physiatrists (not to be confuses with psychiatrists, who are specialists in mental ...Read more
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