1. T HE R OLE OF PM&R IN P ROVIDING Q UALITY H EALTHCARE U N D E R S T A N D I N G Physical Medicine and Rehabilitation (PM&R) Oakwood

2. What is PM&R?  Physical Medicine and Rehabilitation  Established Medical Specialty  Restore or Maximize Function  “Quality of Life” Specialty

3. What Conditions Do PM&R Physicians (Physiatrists) Treat?  Musculoskeletal Conditions  Acute and Chronic Medical Conditions  Severe Disabilities

4. Conditions  Any Type of Musculoskeletal Pain  Sports-Related Injury  Birth Defect  Traumatic Brain Injury  Spinal Cord Injury  Multiple Sclerosis  Incontinence

5. Conditions  Neck and Back Pain  Headaches (Tension)  Stroke  Amputation  Cancer  Nerve Injury  Severe Burn

6. Conditions  Spasticity  Arthritis  Tendinitis  Work-related Injury  Repetitive Stress Injury  Muscular Dystrophy

7. PM&R Inpatient Consult Services  Comprehensive evaluation of all patient rehabilitation needs above and beyond disposition.  Recommendation for therapeutic interventions while still in acute inpatient hospital setting.  Continuity of care with inpatient, sub-acute, LTAC, home, and outpatient services.  Availability of WSUPG follow-up with sub-acute program.  Support for teaching and research programs in PM&R Oakwood at WSU.

8. Advanced Diagnosis and Treatment  EMGs  Nerve Conduction Studies  Nerve Blocks (for Pain and Spasticity)  Botox Injections (for Spasticity and Pain)  Injections (for Osteoarthritis)  ITB Pump Maintenance (for Spasticity)  Coordination with Anesthesiology/Pain Management

9. Low Back Pain – Statistics  4 out of 5 Americans experience low back pain  Most frequent cause of disability for people < 45  Estimated annual cost to society >$100 billion  2nd most common reason for primary care visit

10. Low Back Pain: PM&R Approach  Comprehensive clinical exam & medical history  Assessment of patient lifestyle, occupational risks  Potential for future complications  Goal setting

11. Low Back Pain: Treatment Plan  Diagnosis and intervention  Pain and sleep medication  Physical therapy program (aquatic and land)  Patient counseling and education ( Neuropsychologist)  Measure progress (functional capacity, work site evaluation and ergonomics)

12. Low Back Pain: Results  Pain control often relief  Return to work  Patient practicing self-management prevention techniques (strong patient education)

13. “ Quality of life has long been the goal of PM&R. We strive to achieve that goal by looking at the multiple problems of patients, minimizing those problems, and optimizing function. ” PM&R – The “Quality of Life” Specialty

14. Wayne State University Physician Group - Department of PM&R Oakwood 18181 Oakwoood Blvd, Suite MOB 411 Dearborn, MI 48201 Annette G. DeSantis, MD Aashish A. Deshpande, MD Steven R. Hinderer, MD, MS, PT Yongmin Liu, MD Heidi B. Martin, PsyD (Neuropsychologist) Jay M. Meythaler, JD, MD (Program Chair) Parmod K. Mukhi, MD P. Tyler Roskos, PhD, ABPP (Neuropsychologist) Michael K. Yoshida, MD, PhD Administrative Offices – 313-438-7373 PM&R Outpatient Locations include Dearborn, Novi, and Southgate. WSU Academic PM&R Group

15. Important Phone Numbers  For Patient Appointments Call: 313-438-7373 (Dearborn) 248-465-0100 (Novi) 734-284-0865 (Southgate)  PM&R Oakwood Inpatient Consults: Pager 313-436-2848, #0151