China
Africa
Explore chapters and articles related to this topic
Myofascial Trigger Points, Sensitization, and Chronic Musculoskeletal Pain
Published in Sahar Swidan, Matthew Bennett, Advanced Therapeutics in Pain Medicine, 2020
Vy Phan, Jay P. Shah, Pamela Stratton
During her first visit, the physiatrist focuses on the history and pattern of her painful symptoms. She reports having severe, doubling over midline pelvic cramping during her menstrual cycles that is often accompanied by low back pain. Initially she thought that these symptoms were normal with menstruation and endometriosis as her mother and sisters each had similar pain symptoms. A few years ago, she was diagnosed with irritable bowel syndrome and experiences both constipation and bloating.
The Musculoskeletal System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
PhysiatricS is that branch of medicine concerned with diagnosis and treatment of disease of the neuromuscular system with physical elements (heat, cold, water, electricity, etc.) to bring about maximal restoration of physical, physiological, social, and vocational function. A physiatrist is a physician who specializes in physiatry. Other health care practitioners in this field include physical therapists (PTs), occupational therapists (OTs), speech pathologists, and vocational counselors.
The Many Facets of Chronic Pain
Published in Michael S. Margoles, Richard Weiner, Chronic PAIN, 2019
Michael S. Margoles, Lawrence A. Funt
When available, the services of a physiatrist (physical medicine and rehabilitation doctor) may be of value in the diagnosis and treatment of chronic muscular pain and weakness. These specialists, or similar type therapists, assess muscle dysfunction and overall need for physical rehabilitation and reconditioning. They can use dynamometer or metric strength testing to assess muscle weakness. They can also document problems of range of motion restriction.
Short-term effects of dry needling of thenar muscles in manual laborers with carpal tunnel syndrome: a pilot, randomized controlled study
Published in Physiotherapy Theory and Practice, 2023
Maedeh Rezazadeh, Atefeh Aminianfar, Daryoush Pahlevan
The measured parameters in motor studies were CMAPs, which were obtained by placing the bipolar recording electrodes on the abductor pollicis brevis muscle. The stimulating site of the median nerve was 8 cm proximal to the active recording electrode. Then, DMLs were measured from the onset of stimulus artifact to the onset of the CMAP. SNAPs were measured by an antidromic method and recorded with ring electrodes placed at the proximal and distal interphalangeal joints of the index finger. Meanwhile, the stimulating electrode was at 14 cm proximal to the recording electrodes. DSLs were measured from the onset of the stimulus artifact to the peak of the SNAP. The room temperature was kept constant for all measurements (24°C–26°C). A digital surface thermometer was used to measure the skin temperature throughout the test. All measurements were conducted by the same physiatrist for all patients.
Spontaneous spleen rupture mimicking non-specific thoracic pain: A rare case in physiotherapy practice
Published in Physiotherapy Theory and Practice, 2023
Carla Sforza, Michele Margelli, Firas Mourad, Fabrizio Brindisino, John D. Heick, Filippo Maselli
A 60-year-old male physiatrist presented to the author’s rehabilitation outpatient clinic. The patient complained of central thoracic back pain that was localized between the third (T3) to the seventh (T7) thoracic vertebrae, bilateral shoulder pain, mainly on the trapezius, and pain in the right abdominal upper quadrant (RUQ) (Figure 2). Two days after the onset of symptoms, the patient self-referred because he felt his pain was a musculoskeletal condition. Recently, the patient needed to assist his disabled father, which was physically demanding and an activity the patient was not used to doing. More recently the patient reported a severe and generalized sense of fatigue never experienced before and difficulty sleeping due to TP. He denied any other concerning symptoms or risk factors in the medical history such as recent heavy-duty work, trauma, or unusual movements.
Understanding the role of the physiatrist and how to improve the continuum of care for trauma patients: a qualitative study
Published in Disability and Rehabilitation, 2021
Sander L. Hitzig, Lesley Gotlib Conn, Sara J. T. Guilcher, Stephanie R. Cimino, Lawrence R. Robinson
A notable issue at the clinical-team level was the lack of clarity on the physiatrist role, in terms of its placement within the acute care and rehabilitation settings, and the lack of uniformity in terms of expertise among physiatrists, which adds to the complexity of implementing the role across care settings. It was surprising to find that there was a lack of understanding of the role by the acute and rehabilitation staff, some of whom have years of experience working with physiatrists. There is also literature highlighting that patients also have a poor understanding of the role of physiatrists and their scope of practice. In a U.S. survey study of patients who were referred to a PM&R consult, only 19% of 202 referred patients were able to correctly identify that the attending physician was a physiatrist or similar specialist (i.e., PM&R specialist, physical medicine specialist, etc.) while 33% thought the physiatrist performed surgery [38]. There is a need to educate the healthcare field about the value of physiatry in order to grow the field [39] but physiatry itself needs to consider the changing medical landscape as a means for establishing a clear identity [40]. To help reduce role ambiguity, the rehabilitation staff suggested having the physiatrist facilitate liaisons with other specialists, such as orthopedic surgeons, and to provide specific knowledge on rehabilitation goals and topics (e.g., sharing latest research evidence). This role ambiguity highlights the need to better define the scope of practice under the auspice of the physiatrist and how they fit with the larger clinical team.