THE ROLE OF PM&R IN PROVIDING QUALITY HEALTHCARE

U N D E R S T A N D I N G

Physical Medicine and Rehabilitation (PM&R) Oakwood

What is PM&R?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?What Conditions Do PM&R Physicians (Physiatrists) Treat?

Musculoskeletal Conditions

Acute and Chronic Medical Conditions

Severe Disabilities

Conditions Conditions

Any Type of Musculoskeletal Pain Sports-Related Injury Birth Defect Traumatic Brain Injury Spinal Cord Injury Multiple Sclerosis Incontinence

ConditionsConditions

Neck and Back Pain Headaches (Tension) Stroke Amputation Cancer Nerve Injury Severe Burn

ConditionsConditions

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 TreatmentAdvanced 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 – StatisticsLow 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 ApproachLow 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 PlanLow 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: ResultsLow Back Pain: Results

Pain control often relief

Return to work

Patient practicing self-management prevention techniques (strong patient education)

“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.”

PM&R – The PM&R – The ““Quality of LifeQuality of Life”” SpecialtySpecialty

Wayne State University Physician Group - Department of PM&R Oakwood18181 Oakwoood Blvd, Suite MOB 411Dearborn, MI 48201 Annette G. DeSantis, MDAashish A. Deshpande, MDSteven R. Hinderer, MD, MS, PTYongmin Liu, MDHeidi B. Martin, PsyD (Neuropsychologist)Jay M. Meythaler, JD, MD (Program Chair)Parmod K. Mukhi, MDP. Tyler Roskos, PhD, ABPP (Neuropsychologist)Michael K. Yoshida, MD, PhD

Administrative Offices – 313-438-7373

PM&R Outpatient Locations include Dearborn, Novi, and Southgate.

WSU Academic PM&R Group

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