Physical Medicine and Rehabilitation (PM&R)

At HCAH, we understand the importance of restoring function and enhancing quality of life for our patients. Led by our experienced physiatrists, we offer comprehensive care tailored to your unique needs.

Personalized Treatment Plans: We believe in personalized care, addressing not just symptoms but the root cause of your condition. Our team works closely with each patient to develop a customized treatment plan aimed at maximizing function and minimizing pain.

Multidisciplinary Care: Collaboration is key to our approach. Our physiatrists work closely with specialists across various disciplines including physical therapy, occupational therapy, pain management, and more to provide comprehensive care for conditions ranging from musculoskeletal injuries to neurological disorders.

Evidence-Based Practices: We stay abreast of the latest advancements in physiatry and adhere to evidence-based practices to ensure the highest quality of care for our patients.

Neurological Conditions

From stroke and spinal cord injury to traumatic brain injury and multiple sclerosis, our neurorehabilitation experts are dedicated to helping patients maximize independence and quality of life.

• Stroke (Cerebrovascular accident- CVA): Stroke, whether ischemic or hemorrhagic stroke, can lead to various impairments and activity limitations. Our PM&R doctors are expert in management of spectrum of conditions faced by stroke survivors, such as cognitive deficits, difficulty in speech and language (aphasia), swallowing difficulty (dysphagia), difficulty in moving upper or lower limbs, difficulty in urination and defecation (neurogenic bladder and bowel), difficulties in mobility and activities of daily living (ADL), as well as prevention of secondary complications of Stroke such as bed sore (pressure ulcer), deep vein thrombosis (DVT), spasticity, post-stroke shoulder pain etc.


• Traumatic Brain Injury (TBI): Traumatic brain injury can have a significant impact on cognitive, physical, and emotional function. Our PM&R specialists are skilled in managing the complex rehabilitation needs of individuals with TBI, offering a comprehensive approach to treatment that may include cognitive rehabilitation, physical therapy, speech therapy, and psychological support to help patients achieve their maximum level of independence and recovery.


• Spinal Cord Injury (SCI): Spinal cord injury can result in paralysis and loss of function below the level of injury. Our team is experienced in providing specialized care for individuals with SCI, focusing on maximizing function and independence through a combination of physical therapy, assistive devices, adaptive equipment, and electrical stimulation.


• Hypoxic Ischemic Encephalopathy (HIE): HIE occurs when the brain is deprived of oxygen and blood flow, leading to neurological impairment. Treatment may include physical therapy, occupational therapy, speech therapy, and developmental interventions to address motor, cognitive, and communication deficits.


• Neuropathic Pain: Neuropathic pain can be challenging to manage. We offer a range of treatment options, including medication management, nerve blocks, spinal cord stimulation, and alternative therapies such as acupuncture and biofeedback, to help alleviate pain and improve quality of life.


• Spasticity: Spasticity is a common symptom of neurological conditions such as stroke, multiple sclerosis, and cerebral palsy. Our team specializes in the management of spasticity, offering treatments such as oral medications, injections, and physical therapy techniques to reduce muscle stiffness and improve function.

Musculoskeletal Conditions

Our team is dedicated to providing personalized care to help you overcome a variety of musculoskeletal issues, including:

• Low Back Pain and Sciatica: Back pain and sciatica can significantly impact your daily life. Our PM&R physicians specialize in the diagnosis and management of these conditions, utilizing a multidisciplinary approach to treatment. From targeted exercises and manual therapy to spinal injections and minimally invasive procedures, we work closely with you to develop a customized treatment plan aimed at relieving pain, improving mobility, and preventing future flare-ups.


• Heel Spur or Plantar Fasciitis: If you're experiencing pain in your heel or the bottom of your foot, it could be due to conditions such as heel spurs or plantar fasciitis. Our experts are skilled in diagnosing and treating these conditions, offering a range of treatment options including physical therapy, custom orthotics, and corticosteroid injections, to alleviate pain and improve function.


• Joint Pain: Whether you're dealing with osteoarthritis, overuse injuries, or other joint-related issues, our team is here to help. We offer a range of treatment options for joint pain, including medication management, joint injections, physical therapy, and regenerative medicine techniques like platelet-rich plasma (PRP) therapy to promote healing and restore function.


• Neck and Shoulder Pain: Neck and shoulder pain can be debilitating, affecting your ability to perform everyday tasks. Our PM&R offers comprehensive care tailored to your individual needs. Treatment options may include gentle stretching exercises, ergonomic modifications, therapeutic modalities, trigger point injections, and manual therapy techniques to alleviate pain and improve range of motion.
  At our practice, we understand the impact that musculoskeletal conditions can have on your quality of life, and we are committed to helping you regain function, strength, mobility and find relief from pain.

Pain Management

• Fibromyalgia: This complex chronic pain condition involves widespread body pain, fatigue, sleep disturbances, and mood changes. Our team offers a multidisciplinary approach. Treatment options may include medication management, cognitive-behavioral therapy, gentle exercise programs, relaxation techniques, and alternative therapies like acupuncture or massage therapy.


• Migraines: These debilitating headaches can significantly impact daily life. Our team understands the challenges of migraine management and provides personalized treatment plans. Options include medication management, lifestyle modifications, stress management techniques, trigger point injections, and biofeedback therapy to reduce migraine frequency, severity, and duration.


• Cancer Pain Management: Our PM&R physicians are experienced in addressing the unique needs of individuals living with cancer-related pain. We offer a range of treatment options tailored to your specific situation, including medical management, interventional procedures, palliative care, rehabilitation therapy, and psychological support to alleviate discomfort and improve your quality of life.

Sports Injuries

Whether you're a professional athlete or weekend warrior, our sports medicine specialists are here to help you recover from injuries and optimize performance through targeted rehabilitation and injury prevention strategies.

• Muscle Tear: In treating muscle tears, PM&R specialists offer personalized interventions including rest, physical therapy, modalities like ice and heat therapy, medication management, injections, bracing and functional rehabilitation. These treatments aim to promote healing, reduce pain, and restore function, enabling patients to return to their normal activities.

Amputee Rehabilitation

Our team provides comprehensive rehabilitation services for individuals who have undergone limb amputation, focusing on mobility training, prosthetic fitting, and adaptive strategies to enhance independence and quality of life.

Pediatric Rehabilitation

Our team is here to support you from the very beginning, whether you're dealing with a congenital disorder or an acquired condition. We offer comprehensive care for conditions like cerebral palsy, dystonia, autism, club foot, and genetic disorders such as Down syndrome. Treatment options may include physical therapy, orthotic devices, medication management, and injections to address spasticity and muscle tone abnormalities. Our PM&R specialists work closely with a multidisciplinary team to create personalized treatment plans tailored to each child's needs, aiming to optimize outcomes and promote overall well-being.