University of Missouri School of Medicine MU Health School of Medicine

Outpatient Care

Workers Compensation Injury Clinic

Kevin Komes, MD and all other Physical Medicine and Rehabilitation Specialists

Workers compensation patients are cared for through the Missouri Occupational Injury Center (MOIC) which is located at the Missouri Orthopaedic Institute. Dr. Komes provides evaluation and treatment of occupational injury claims including spine and upper and lower extremities injuries. Electrodiagnostics (EMG/NCS) are also available. Specialists are also available for catastrophic claims including Michael Acuff, MD, for spinal cord injury, Joseph Burris, MD, for amputees, and Christopher Wolf, DO, or Katherine Edwards, MD, for traumatic brain injury. Interventional pain management services with Ebby Varghese, MD and Mark Drymalski, MD, can also be scheduled through MOIC. The Workers' Compensation team is on hand to provide support to patients, insurance providers, adjusters, case managers, and employers. They can be reached at (573) 884-MOIC or (573) 884-6642.

Interventional Pain Medicine Clinic

Ebby Varghese, MD and Mark Drymalski, MD

The Interventional Pain Medicine clinic provides the latest and most innovative techniques to relieve pain. Drs. Varghese and Drymalski will provide your patient a treatment plan tailored to his or her needs. Some of the most common treatments they provide include nerve block therapy, epidural steroid injections, peripheral nerve blocks, sympathetic nerve blocks, facet blocks, radiofrequency ablation, sphenopalatine blocks, vertebroplasty, neuromodulation, medication management, psychological support, patient education, and physical therapy/occupational therapy referral. To consult with or refer a patient to Dr. Varghese or Dr. Drymalski, please call (573) 884-7100.

Women's Musculoskeletal and Pelvic Pain Clinic

Sarah Hwang, MD

For women’s musculoskeletal pain/chronic pelvic pain patients we currently offer:

  • Complete neuromuscular examination for musculoskeletal pain conditions in women
  • Medication (opioid, neuropathic, topical, alternative) management and/or recommendations
  • Pelvic floor trigger point injections
  • Peripheral joint steroid injections
  • Referrals for physical therapy, biofeedback/estim of the pelvic floor, osteopathic manipulation, cognitive behavioral therapy, and surgery.

Osteoporosis Rehabilitation Clinic

Katherine Edwards, MD and Sarah Hwang, MD

The Osteoporosis Rehabilitation clinic offers comprehensive rehabilitation to strengthen and help protect patients suffering from osteoporosis. Interventional treatment plans are specifically tailored for each individual patient in cooperation with the UMHC Women's Health team.

Osteopathic Manipulative Treatment Clinic

Christopher Wolf, DO

The Osteopathic Manipulative Treatment clinic offers a non-invasive alternative for musculoskeletal dysfunction. Treatment is provided for patients with sports injuries, sprains/strains, myofascial pain, tendonosos/tendonitis, headaches, back pain, rib pain, mild scoliosis, foot pain, pregnancy related back pain, and other musculoskeletal injuries. Treatment techniques are specifically tailored to the comfort level for each individual patient.

EMG Clinic

Peter Hwang, MD, Robert Conway, MD, and Kevin Komes, MD

Physiatrists experienced in evaluating neuromuscular disorders perform electromyography (EMG) and nerve conduction studies (NCS or NCV). These studies are helpful in evaluating nerve entrapments such as carpal tunnel syndrome, radiculopathy, plexopathy, peripheral neuropathy, neuromuscular junction disorders, myopathy, or motor neuron disease.

Stroke Clinic

Peter Hwang, MD, Joseph Burris, MD, and Chamelle March, NP

Comprehensive and interdisciplinary evaluation and management of patients who have suffered stroke is the focus of the Stroke Clinic. Services include neuropharmacology, therapy recommendations for speech, occupational and physical therapy, neuropsychological evaluation, community integration and vocational rehabilitation, and driving evaluation and training. A separate clinic is offered for comprehensive evaluation and treatment of spasticity related to stroke.

Spinal Cord Injury Clinic

Michael Acuff, MD

Evaluation and care, including therapy recommendations and pharmacological management, for patients with paraplegia, tetraplegia and other spinal cord injury syndromes, is the focus of the Spinal Cord Injury Clinic.

Traumatic Brain Injury Clinic

Peter Hwang, MD, Christopher Wolf, DO, Katherine Edwards, MD, and Chamelle March, NP

The Traumatic Brain Injury (TBI) clinic is a comprehensive Brain Dysfunction Clinic. Diagnostic categories include: TBI, hypoxia/anoxia encephalopathy, metabolic encephalopathy, brain aneurysm, and viral encephalopathy. Patients with memory and cognitive problems secondary to the diagnosis listed are evaluated. The clinic provides evaluation and arrangement for further testing, if indicated. Recommendations can be made for neuropsychological testing, driving evaluations for the cognitively impaired, physical therapy, occupational therapy, and speech and language therapy. The aggressive management of behavior and cognitive problems resulting from these injuries are employed using current recommendations for Neuropharmacology/Neurotransmitter treatment. Arrangements are made for appropriate psychological and psychiatric interventions.

Prosthetic and Orthotic Clinic

Joseph Burris, MD

This clinic provides evaluation and post-operative management for amputee patients. This is an interdisciplinary clinic attended by a Physical Medicine and Rehabilitation physician, orthotic and prosthetic specialists and physical therapists.

Spasticity Clinic

Rez Farid, MD

Evaluation and treatment of patients with spasticity/pain using implantable intrathecal pumps is the focus of the Spasticity Clinic. Long-term care and follow-up of these patients is provided, including medication adjustment and pump refills.

Stroke Spasticity Clinic

Peter Hwang, MD and Joseph Burris, MD

This clinic focuses specifically on the evaluation and treatment of spasticity related to stroke. Specific issues related to this unique patient population are addressed, with comprehensive treatment ranging from therapy interventions, orthotic management, oral medications, and botulinum toxin injections.

Pediatric Cerebral Palsy Clinic

Rez Farid, MD and Jane Anne Emerson, MD

This clinic is an interdisciplinary clinic, serving patients with cerebral palsy, attended by a Physical Medicine and Rehabilitation physician, a pediatric orthopaedic surgeon, and a pediatrician specializing in pediatric development and neurology. The clinic also provides patients with consultations from dieticians, social services, occupational therapy, physical therapy, speech therapy, orthotics and prosthetics, and seating and mobility specialists.

Muscular Dystrophy Clinic (MDA Clinic)

Jane Anne Emerson, MD

Offered in association with the Muscular Dystrophy Association, this interdisciplinary clinic – attended by adult and pediatric neurologists – evaluates and manages patients' muscular dystrophy related care. Consultation with Physical Medicine and Rehabilitation physicians, physical therapists and speech therapists address the patient's needs for therapy, splints, braces, and wheel chairs. MDA's muscular dystrophy coordinator is in attendance and provides additional support and advice to patients and their families. The MDA Clinic is located in the Pediatric Speciality Clinic at the Women's and Children's Hospital.

Musculoskeletal Clinic

Robert Conway, MD and Kevin Komes, MD

The clinic is staffed by physiatrists experienced in evaluating and treating a variety of acute and chronic musculoskeletal conditions, including radiculopathy, tendonitis, bursitis, arthritis, nerve entrapments, soft tissue injuries and other disorders. In the clinic we restore function which has possibly been impaired by acute pain, sports injuries, orthopedic problems, and/or rheumatologic problems. The problems often manifest themselves with abnormal gait patterns, pain with movement, altered movements, or abnormal postures.

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