The Department of Physical Medicine and Rehabilitation focuses on many different aspects of inpatient and outpatient care. We have a caring staff of physicians who specialize in each of the following areas of injury and rehabilitation.
Pre-operative evaluation and counseling, pre-prosthetic training, follow-up in amputee clinic, for routine or difficult prosthetic needs. Our amputee patients are seen by Joseph Burris, MD and Chamelle March, NP.
From the intensive care unit to community re-integration, a person with a brain injury will require a well coordinated inpatient and outpatient rehabilitation team. The Physical Medicine and Rehabilitation department offers full services for your patient with brain injury including medical, psychological, educational, and vocational plans. Peter Hwang, MD, Chrissa McClellan, MD, Katherine Edwards, MD, Chamelle March, NP, and Christopher Wolf, DO are our specialists who work with patients and their families to ensure the best quality of care possible.
The EMG or electrodiagnostic exam provides information about the status of the neurologic and muscular systems. It may be helpful in the identification of problems with the peripheral nerves, myoneural junction and muscles. Prognostic information may be obtained which can aid in the planning of further work-up and therapy. Chrissa McClellan, MD, Peter Hwang, MD, Mark Drymalski, MD, Kevin Komes, MD, and Robert Conway, MD are highly qualified and dedicated to this type of work.
Pain that has not responded to simple measures of rest and analgesics may require further evaluation and treatment by the physiatrist. The coordination of medical evaluation, decisions regarding non-surgical versus surgical treatment and physical therapy is our specialty. Early return to work or sport will be facilitated by a Physical Medicine and Rehabilitation referral to Chrissa McClellan, MD, Sarah Hwang, MD, Mohammad Agha, MD, or Kevin Komes, MD.
Spinal Cord Injury
The person with a spinal cord injury has special rehabilitation needs. Education regarding the care of their skin, bladder and bowel is required. Coordination of physical therapy to attain maximum independence, prescription of equipment and development of a life care plan are among the services offered by Michael Acuff, MD and the Physical Medicine and Rehabilitation team. Long term follow-up care in the spinal cord injury clinic will minimize complications.
Cerebrovascular disease is one of the most common disabling conditions requiring rehabilitation. Persons with hemiparesis, cognitive and speech deficits benefit from a well coordinated approach. After an evaluation to identify rehabilitation goals, the stroke patient may participate in an inpatient or outpatient program designed to return him or her to maximum independence. Peter Hwang, MD, Chamelle March, NP, or Joseph Burris, MD will assist in each step along the way to ensure the best recovery possible.
Treatment and management of the injured worker often requires the services of a specialist in Physical Medicine and Rehabilitation. From initial assessment with rapid re-integration to work, through coordination of therapy services, the injured worker is cared for in an environment that promotes fitness for duty. If assessment of permanent partial disability or other case closure services are required, these are available through the Missouri Occupational Injury Center (MOIC) by Kevin Komes, MD.