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Physiatry | Sports Medicine

Physiatry, also known as Physical Medicine and Rehabilitation (MFR), is a medical speciality that focuses on the prevention, diagnosis and treatment of conditions affecting the musculoskeletal and neuromuscular system, which result in functional limitations.

This medical speciality plays a crucial role in promoting rehabilitation and improving the quality of life of patients with disabling conditions.

This area uses a variety of therapeutic techniques and modalities to help patients regain functionality, adapt to limitations and optimise their general well-being.

Specialising in Sports Medicine allows doctors to work in the prevention, diagnosis and treatment of injuries and medical conditions related to physical activity and sport.

How does the physiatrist's assessment work?

Physiatrists use various diagnostic methods to assess and understand patients' musculoskeletal and neuromuscular conditions.

Here are some of the common diagnostic means of assessment:

1. Clinical Assessment: The clinical assessment is a fundamental part of the physiatrist's diagnosis. This includes a detailed clinical history, physical examination and assessment of the patient's complaints and functional limitations.

2. Imaging tests: Physiatrists can order a variety of imaging tests to assess specific structures in the body. This can include X-rays, magnetic resonance imaging (MRI), computed tomography (CT), ultrasound and other specialised imaging tests.

3. Electrodiagnostic studies: Electrodiagnostic studies, such as electroneuromyography (ENMG) and nerve conduction studies, are often used to assess the integrity of the peripheral nervous system and identify conditions such as neuropathies and muscle injuries.

4. Functional Testing: Physiatrists can carry out specific functional tests to assess muscle strength, range of movement, balance and coordination. These tests help quantify the patient's functional capacity and monitor progression throughout treatment.

5. Gait and posture assessment: Gait and posture analysis is a valuable tool for assessing muscle or joint problems that can affect the way a person moves.

6. Laboratory studies: In some cases, blood tests or other laboratory tests may be ordered to assess the presence of inflammatory, autoimmune or metabolic conditions that may be contributing to the patient's symptoms.

7. Pain Assessment: Pain assessment tools, questionnaires and scales can be used to understand the nature and intensity of the pain reported by the patient.

8. Activity and Symptom Log: Keeping a record of daily activities, pain levels and responses to different interventions can help the physiatrist better understand the evolution of the condition and adjust the treatment plan as necessary.

These diagnostic means are often used together to provide a comprehensive assessment and help the physiatrist establish an accurate diagnosis. The approach can vary depending on the specific needs of each patient and the clinical condition in question.