Physical Medicine & Rehabilitation Treatment

As the individual continues on his regimen of therapeutic exercises, the PM&R Physician will need to constantly maintain lines of communication with the patient. Feedback on how the patient feels physically and emotionally should be assessed at regular intervals. To ensure that the patient does not develop a physical barrier to hinder his or her progress with the program, it is critical that the PM&R Physician assess the patient's overall pain levels and provide appropriate treatment in an efficient manner. In an effective therapy program, there are often noticeable physiologic and emotional changes that occur. Blood pressure and blood sugars often improve with weight loss and improved overall fitness. Patients who struggle with insomnia start to have improved sleep-wake cycles with a structured exercise routine. Individuals who are on psychotropic medications for depression and mania begin to notice improvement of their overall mood, self-image, and energy levels. As the PM&R Physician who is checking in and monitoring all of these positive changes, appropriate medical management must concurrently be provided. Necessary coordination and discussion with the patient's Primary Care Physician, Psychiatrist, and other treating specialist physicians must be done to ensure that the patient's various medications are appropriately lowered or tapered off based on the noted physical and emotional changes.

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