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Physical medicine, aimed at function
Physiatry asks a different question than the rest of the chart: what can this person do, and what is stopping them? Our PM&R clinicians work directly with your therapy team on the answer.
What we treat
Physiatry covers a wide range
Every referral is assessed on its own merits. If a resident needs a different specialty or a higher level of care, we say so plainly.
Conditions we manage
- Post-stroke and neurologic rehabilitation
- Post-surgical and post-fracture recovery
- Spasticity and tone management
- Chronic musculoskeletal and spine pain
- Contracture risk and prevention
- Deconditioning and falls
- Amputee care and prosthetic readiness
- Functional decline of unclear cause
- Parkinson disease and movement disorders
At the bedside
What we do at the bedside
What the clinician actually does in the room.
Functional assessment
Rehab potential, mobility, transfers and self-care, documented in terms therapy can use.
Therapy goal alignment
Consult notes written to support the plan of care, not to sit beside it.
Pain management planning
Multimodal strategies that keep residents participating in therapy.
Spasticity management
Tone assessment, oral agents and injection therapy where indicated.
Injections
Joint and soft-tissue injections at the bedside, ultrasound-guided where appropriate.
Bracing and equipment
Orthotic, wheelchair and DME recommendations with justification written in.
Discharge readiness
An honest read on whether a resident can go home, and what has to change first.
Care pathway
How a physiatry referral moves
Sequential by design — every step is a hand-off with a named owner, so nothing sits waiting for someone to notice it.
- Consult request. From the attending, the DON or therapy after a plateau or a change in function.
- Bedside evaluation. Function-focused assessment with the therapist present when possible.
- Recommendations. A written plan covering pain, tone, equipment and therapy targets.
- Interventions. Injections and medication changes carried out or ordered.
- Follow-up. Reassessment against the functional goal, not just symptom report.
Settings served
- Skilled nursing
- Short-term rehab
- Long-term care
- Assisted living
- Private residence
Most useful early — a physiatry consult at plateau beats one at discharge.
Ready to add physiatry to your building?
Send us your setting and census and we’ll come back with a rounding plan.
QMed 