Physiatry

What is Physiatry?

What do physiatrists do?

Physiatrists specialize in non-surgical physical medicine and rehabilitation (PM&R) for patients who have been disabled as a result of a disease, condition, disorder, or injury. They diagnose, perform thorough patient histories, treat injuries and conditions, and direct your expanded treatment team using non-surgical methods.

Physiatrists focus on a personalized method of treatment to improve their patients' quality of life -- one that involves a comprehensive approach to expand the framework of resources at a patient's disposal. As a result, a patient's recuperation involves every aspect of their lives

What kind of training do physiatrists require?

Physiatrists train for four years in medical school, followed by a one-year internship and three years of hospital residency with a specialization in physiatry. The board-certified physiatrists at HSS have also received advanced degrees and fellowships in several areas of musculoskeletal specialization.

How do physiatrists diagnose?

While other specialties use similar diagnostic tools, physiatry employs the additional use of electrodiagnostic medicine in order to detect areas of nerve and muscle damage. This includes electromyography (EMG) and nerve conduction studies [NCS], which are used to measure the condition of your nerves and muscles in their relaxed and stimulated states.

What types of conditions do physiatrists treat?

Physiatrists treat a wide scope of cases - from brain and spinal cord injuries to stroke and burn victims - but the physiatrists at Hospital for Special Surgery have been specially trained and certified to help patients who have spine and sports injuries as well as other musculoskeletal problems.

What is the physiatrist's role in treatment?

Physiatrists direct a comprehensive rehabilitation team of professionals that may include physical therapists, occupational therapists, recreational therapists, rehabilitation nurses, psychologists, social workers, and others.

At HSS, physiatrists also perform several minimally invasive procedures such as IDET, Nucleoplasty, Radiofrequency Ablation, Fluoroscopic injection procedures, and shoulder and knee lavage. They combine these treatments with medically supervised exercise therapies, as well as medication and orthotics, to restore mobility and function - all without the need for surgery. In addition, several of the HSS physiatrists have special areas of specialization, such as limb lengthening and osteoporosis, which enable them to uniquely handle these specialized medical conditions from a comprehensive, multidisciplinary standpoint.

How long has physiatry been a recognized specialty?

Although physiatrists have been practicing PM&R for over seventy years, their abilities became widely known and utilized during the years of World War II, when many soldiers returned from the war with serious musculoskeletal disabilities. Recognizing the unique benefits of their specialty, the Advisory Board of Medical Specialties approved PM&R as a specialty of medicine in 1947. Today, there are over 6,700 physiatrists practicing in the U.S.

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