Physical Medicine and Rehabilitation (PM&R or Physiatry) is a medical specialty that includes Musculoskeletal and Sports Medicine. It is a specialty dedicated to the diagnosis, prevention and treatment of conditions related to the nerves, bones, joints, ligaments, muscles, and tendons.
Physiatry takes a holistic, multi-faceted approach to care that focuses on how a patient’s medical condition affects all aspects of their life including their mobility and activities of daily living. The goal is to maximize physical functioning, greatly decrease or eliminate pain, and improve quality of life.
Conditions We Treat
At Elevate, we evaluate and treat patients with musculoskeletal conditions. Our goal is to decrease pain and restore function without surgery.
Below are some of the common musculoskeletal PM&R-related conditions that we treat:
- Knee conditions including ligament injuries, osteoarthritis, patello-femoral syndrome, bursitis
- Shoulder conditions including impingement syndrome, adhesive capsulitis, tendonitis/bursitis and muscle injuries
- Neck pain, cervical radiculopathy
- Back pain, lumbar radiculopathy, disk disorders, SI joint pain
- Carpal tunnel syndrome
- De Quervain’s tenosynovitis
- Elbow epicondylosis
- Iliotibial band syndrome
- Hip pain
- Greater trochanteric pain syndrome
- Plantar fasciitis
- Myofascial pain syndrome
Typical PM&R Treatments
- Medication management
- Activity modification, load management, joint protection, postural education, ergonomics, movement pattern
- Specific physical therapy prescription
- Exercise-based rehabilitation
- Peripheral Joint Injections: Steroid injections to help manage bone and soft tissue disorders such as knee osteoarthritis and rotator cuff tendinopathy. Due to the negative long term effects of steroid on joint health, Dr. Panjwani does these sparingly and only when absolutely necessary
- 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