Understanding the Role of PM&R

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UNDERSTANDING
Physical Medicine and Rehabilitation
(PM&R) Oakwood
THE ROLE OF PM&R IN
PROVIDING QUALITY HEALTHCARE
What is PM&R?

Physical Medicine and Rehabilitation

Established Medical Specialty

Restore or Maximize Function

“Quality of Life” Specialty
What Conditions Do PM&R Physicians
(Physiatrists) Treat?

Musculoskeletal Conditions

Acute and Chronic Medical Conditions

Severe Disabilities
Conditions
Any Type of Musculoskeletal Pain
 Sports-Related Injury
 Birth Defect
 Traumatic Brain Injury
 Spinal Cord Injury
 Multiple Sclerosis
 Incontinence

Conditions
Neck and Back Pain
 Headaches (Tension)
 Stroke
 Amputation
 Cancer
 Nerve Injury
 Severe Burn

Conditions
Spasticity
 Arthritis
 Tendinitis
 Work-related Injury
 Repetitive Stress Injury
 Muscular Dystrophy

PM&R Inpatient Consult Services

Comprehensive evaluation of all patient rehabilitation needs above
and beyond disposition.

Recommendation for therapeutic interventions while still in acute
inpatient hospital setting.

Continuity of care with inpatient, sub-acute, LTAC, home, and
outpatient services.

Availability of WSUPG follow-up with sub-acute program.

Support for teaching and research programs in PM&R Oakwood at
WSU.
Advanced Diagnosis and Treatment

EMGs

Nerve Conduction Studies

Nerve Blocks (for Pain and Spasticity)

Botox Injections (for Spasticity and Pain)

Injections (for Osteoarthritis)

ITB Pump Maintenance (for Spasticity)

Coordination with Anesthesiology/Pain Management
Low Back Pain – Statistics

4 out of 5 Americans experience low back pain

Most frequent cause of disability for people < 45

Estimated annual cost to society >$100 billion

2nd most common reason for primary care visit
Low Back Pain: PM&R Approach

Comprehensive clinical exam & medical history

Assessment of patient lifestyle, occupational
risks

Potential for future complications

Goal setting
Low Back Pain: Treatment Plan

Diagnosis and intervention

Pain and sleep medication

Physical therapy program (aquatic and land)

Patient counseling and education
(Neuropsychologist)

Measure progress (functional capacity, work site evaluation and
ergonomics)
Low Back Pain: Results

Pain control often relief

Return to work

Patient practicing self-management
prevention techniques (strong patient education)
PM&R – The “Quality of Life” Specialty
“Quality of life has long been the goal of
PM&R. We strive to achieve that goal by
looking at the multiple problems of
patients, minimizing those problems, and
optimizing function.”
WSU Academic PM&R Group
Wayne State University Physician Group - Department of PM&R Oakwood
18181 Oakwoood Blvd, Suite MOB 411
Dearborn, MI 48201
Annette G. DeSantis, MD
Aashish A. Deshpande, MD
Steven R. Hinderer, MD, MS, PT
Yongmin Liu, MD
Heidi B. Martin, PsyD (Neuropsychologist)
Jay M. Meythaler, JD, MD (Program Chair)
Parmod K. Mukhi, MD
P. Tyler Roskos, PhD, ABPP (Neuropsychologist)
Michael K. Yoshida, MD, PhD
Administrative Offices – 313-438-7373
PM&R Outpatient Locations include Dearborn, Novi, and Southgate.
Important Phone Numbers
For Patient Appointments Call:
313-438-7373 (Dearborn)
248-465-0100 (Novi)
734-284-0865 (Southgate)
PM&R Oakwood Inpatient Consults:
Pager 313-436-2848, #0151
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