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PM&R Practice

APDoc

Full Member
15+ Year Member
Oct 17, 2002
62
0
VA
    As a hopeful future physiatrist, just wanted to throw a question out there for discussion since I'm still a second year finding out more about the specialty each day. What do each of you find to be the the most interesting/intriguing aspect of practicing physiatry? On the other hand, what is the least interesting/boring aspect of a PM&R practice? Just interested in seeing why most of you have personally chosen to pursue the field and what your thoughts are-- thanks in advance, and I just want to say that I appreciate everyone's comments and advice on this board!
     

    Ligament

    Interventional Pain Management
    Lifetime Donor
    15+ Year Member
  • Jan 9, 2002
    6,192
    2,727
    1. Attending Physician
      Hi APDoc,

      I really enjoy the opportunity to think about and apply biomechanics in the treatment of my patients.

      Patient: I got neck pain for 5 years.
      Me: You got a short leg by 1/4inch. Here, throw this 1/4inch heel lift in yo shoe.
      Patient (week later): Neck pain is gone!

      I think thats pretty fun.

      best, Ligament
       

      Su4n2

      Senior Member
      7+ Year Member
      15+ Year Member
      Jul 24, 2002
      445
      3
        Cool Ligament, we just learned about short leg syndrome in OMM. we even learned about a special x-ray and formula to figure out lift size. do u use that as well?
        also, since i am asking, we had a really interesting lecture on Quadratus Lamborum syndrome, and i was curious if u ever see that as well.
         

        Ligament

        Interventional Pain Management
        Lifetime Donor
        15+ Year Member
      • Jan 9, 2002
        6,192
        2,727
        1. Attending Physician
          We see "short leg syndrome" very often in PM&R. We prescribe heel lifts pretty frequently.

          I know about the postural radiographs you speak of. I have not used those during residency. It seems you rarely need to. You can do a lot with your hands and eyes and feedback from the patient before you need to get a positional film. Heel lifts are VERY cheap so you can always fine tune and throw the old one away if needed.

          Posture, Gait and biomechanics are VERY important in PM&R, and much of what you learn in OMM right now, you may never see again until you enter PM&R residency.

          best, Ligament
           
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