Interventional Physiatry

Interventional Physiatry

What is Interventional Physiatry?

Physical Medicine & Rehabilitation physicians (also referred to as “PM&R”, or Physiatrists) specialize in the evaluation and conservative treatment of patients with a wide-variety of medical conditions. They treat conditions that can affect the muscles, tendons, bones, nerves, and soft tissues that impair the functionality of the muscular system, including spine and neck care.

Our physiatrist use a multimodal approach to the patient’s specific symptoms starting with a comprehensive evaluation to identify the cause of a patient’s pain. Electromyography testing (EMG), physical examination, and various imaging studies may be done before working with patients to design a comprehensive conservative treatment plan. This can also include physical therapy and injection procedures based on the pain and strength of supporting muscle groups. Each patient at DMOS Orthopaedic Centers undergoes an individualized rehabilitation program to achieve their maximum functional potential.

Our specialists work closely with our all of our surgeons and offer alternative care treatments for patients who do not require surgery.

Types of Treatments and Procedures Physiatrists Perform

What is EMG?   

  • EMG (Electromyography): Diagnostic exam assessing the health of the muscles and the nerves that control them. Fine needle electrodes are inserted into the muscle to measure the electrical communication between the two structures.  This test is used to help distinguish whether weakness is due to muscle or nerve dysfunction (i.e., myopathy vs. neuropathy).

What is NCS?

  • NCS (Nerve Conduction Studies): The nerve being examined is stimulated by a small electrical shock and electrodes placed on the skin measure the speed and quality of the electrical signal as it travels down the nerve. This test can help distinguish location of a nervous system lesion (radiculopathy, peripheral neuropathy, motor neuron disease, or neuromuscular junction).

What are Joint Injections?

  • Joint Injections: injections to help diagnose and treat joint disorders often seen in orthopedic, rheumatologic, and sports medicine disorders such as knee osteoarthritis, rotator cuff tendinopathy, etc.

What are Trigger Point Injections?

  • Trigger Point Injections: lidocaine or dry needling can be used as an adjunct to proper exercise and physical therapy to treat trigger points, thought to be sources of chronic myofascial (soft-tissue) pain.

What is a Musculoskeletal Ultrasound?

  • Musculoskeletal Ultrasound: although it has been used for decades as a modality to deliver deep heat in therapies, ultrasound is now increasingly being used in the outpatient setting to supplement the musculoskeletal evaluation through visualization of the structures. Ultrasound may be used to evaluate for soft tissue abnormalities in commonly examined joints and structures. This technology is also now frequently used to guide injections, as it allows for improved placement of needles for delivery of treatment without exposure to ionizing radiation.

What is an Epidural Steroid Injection?

  • Epidural Steroid Injection (ESI): involves placing the needle into the back of the epidural space and delivering the steroid over a wide area.

What is a Nerve Block? 

  • Nerve Block: the injection of numbing medication (local anesthetic) near specific nerves to decrease your pain in a certain part of your body during and after surgery.  A nerve block is not for everyone and your physiatrist will evaluate whether it is the right option for you.

What is Orthobiologics?

  • Orthobiologics (regenerative treatments): substances that Physiatrists use to help injuries heal more quickly. They are used to improve the healing of broken bones and injured muscles, tendons, and ligaments. These products are made from substances that are naturally found in your body. When they are used in higher concentrations, they may help speed up the healing process.

What is a MRI Arthrogram?

  • MRI Arthrogram: It is a two-part procedure consisting of a contrast injection into the joint, followed by an MRI. An arthrogram can find tears, degeneration or disease in the cartilage, ligament or tendon; detect growths or synovial cysts in the joint; diagnose unexplained joint pain; determine the need for treatment, including arthroscopy, surgery or joint replacement

What is TenJet?

  • TenJet: a device designed to target and treat the source of your chronic tendon pain. The needle-like device utilizes a controlled, high pressure stream of sterile saline to act as a cutting blade and selectively remove diseased tendon while sparing healthy tissue. The device can be used in minimally invasive procedures, performed under a local anesthetic, in approximately fifteen-minutes, to treat the source of your chronic tendon pain.

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