Specialties & Services

Physical Medicine and Physical Therapy

Don’t let pain hold you back from living life to the fullest. Physical medicine and physical therapy services can help you get much-needed relief. We are a regional leader offering a broad range of therapies, so you have the best chances for healing.

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Why choose us for physical medicine and physical therapy?

BJC HealthCare works with WashU Medicine physicians, BJC Medical Group, and providers across the region to deliver extraordinary care. Our team includes trusted physical medicine doctors (physiatrists), physical therapists, and rehabilitation specialists. Whether you want to resume your sport, return to work, or keep up with household tasks, we can help you. We offer:

  • Connected services: We collaborate with all the specialists you are seeing to ensure a seamless care experience. Our extended team includes orthopedic surgeons, sports medicine doctors, and human performance experts. We coordinate details like assessment findings and treatment plans that lead to exceptional outcomes.
  • Extraordinary care: You benefit from one-on-one therapy sessions. We work closely with you, helping you make steady progress toward your goals. This approach helps us successfully treat some of the region’s most complex cases.
  • Holistic approach: Care often starts with a physiatry evaluation where we consider all possible causes for your symptoms. For example, back pain may be due to weak muscles in another area of the body. Our depth of experience enables us to make an accurate diagnosis.
  • Innovative assessments: You have access to sophisticated evaluations that are only available in select programs such as ours. These include strength and balance testing and video motion analysis. They provide precise measurements and other data that help us determine your needs and treatment response.
  • Total coverage: Our physiatrists specialize in a wide array of problems affecting the musculoskeletal system, including: elbow and shoulder conditions, foot and ankle issues, hand and wrist pain, hip and knee conditions, orthopedic trauma, and sports injuries.

What is physical medicine and physical therapy?

Overview of physical medicine and rehabilitation (PM&R)

What is PM&R?

Physical medicine and rehabilitation (PM&R) is also called physiatry. It is a medical specialty that focuses on restoring function for a person who has been disabled due to a disease, disorder, or injury.

Physiatry provides integrated, multidisciplinary care aimed at recovery of the whole person. It addresses the person's physical, emotional, medical, vocational, and social needs. A healthcare provider who specializes in physical medicine and rehabilitation is called a physiatrist.

Physical therapist working with woman on arm stretches.

What is rehabilitation?

Rehabilitation (rehab) is the process of helping a person achieve the highest level of function, independence, and quality of life possible. Rehab does not reverse or undo the damage caused by disease or injury. But it helps restore the person to their best health, functioning, and well-being.

The rehabilitation program

Rehabilitation medicine is designed to meet each person's specific needs. So each program is different. Some general treatment components for rehab programs include:

  • Treating the basic disease and preventing complications
  • Treating the disability and improving function
  • Providing adaptive tools and altering the environment
  • Teaching the person and their family, and helping them adapt to lifestyle changes

The success of rehab depends on many variables, including:

  • The nature and severity of the disease, disorder, or injury
  • The type and degree of any resulting impairments and disabilities
  • The person's overall health
  • Family support

Areas covered in rehab programs may include:

Patient needExample
Self-care skills, including activities of daily living (ADLs)Feeding, grooming, bathing, dressing, toileting, and sexual function
Physical careNutritional needs, medicine, and skin care
Mobility skillsWalking, transfers, and self-propelling a wheelchair
Respiratory careVentilator care, if needed; breathing treatments and exercises to promote lung function
Communication skillsSpeech, writing, and alternative methods of communication
Cognitive skillsMemory, concentration, judgment, problem-solving, and organizational skills
Socialization skillsInteracting with others at home and in the community
Vocational trainingWork-related skills
Pain managementMedicine and alternative methods of managing pain
Psychological counselingIdentifying problems and solutions with thinking, behavioral, and emotional issues
Family supportHelp with adapting to lifestyle changes, financial concerns, and discharge planning
EducationPatient and family education and training about the condition, medical care, and adaptive methods

Understanding rehabilitation terminology

Rehab is needed when a disease and injury cause an impairment. Consider the following:

  • An impairment is a loss of normal function of part of the body, such as paralysis of a leg.
  • Disability occurs when a person can't do an activity in a normal way due to an impairment, such as not being able to walk.
  • A handicap occurs when there are limits that prevent a person with a disability from doing their normal roles, such as not being able to work. A handicap refers to a barrier that may be imposed by society, the environment, or the person's own attitude.

Most people with disabilities are not considered handicapped. They go to school, work, perform family duties, and interact with society fully and capably.

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