STEADY STRIDES OUTPATIENT PHYSIATRY SERVICES AT OUR CLINICS

Physiatry (aka Physical Medicine and Rehabilitation, PM&R) is a medical specialty combining neurology and non-surgical orthopedics to improve patient function and safety. Physiatrists prescribe goal directed functional medicine and rehabilitation interventions in outpatient as well as acute, subacute and chronic inpatient rehabilitation facilities to reduce hospital admissions, falls and other medical complications and improve patient satisfaction and medical/rehabilitative outcomes. Physiatrists specialize in helping patients “age in place” and age with maximal functional independence.

 

FALL PREVENTION

Centers for Disease Control define patients at high risk of falls as older adults/seniors with with one traumatic fall or two falls a year. These patients' medical and movement impairments need to be thoroughly reviewed by a professional with expertise in fall prevention, since falls in elderly can result in fractured hips, wrists and head trauma. Unfortunately, it can often be difficult to get all your answers in one place, since very few physicians specialize in fall prevention. At Steady Strides this is our specialty and primary area of focus.

Typically patients report they they continue to fall and/or suffer from balance deficits despite months or years of physical therapy and multiple specialist physician visits. They also often complain that they are still unclear about their diagnosis that is causing them to fall. At Steady Strides we provide a convenient “one-stop-shop” to provide a comprehensive medical assessment to help diagnose why you fall and provide a goal directed patient-tailored medical and rehabilitation plan of care. Our physician, physical and occupational therapists work together, discuss your case closely and deliver cutting edge evidence-based interventions to help restore your confidence and safety while you walk.

Even though many of our patients come to the clinic after suffering life-threatening falls and fractures, we also work closely with people who have not yet fallen. Patients who feel that their balance may be impaired, or those that use walkers, canes or foot braces are welcome at fall prevention program.


STROKE REHABILITATION

Almost half of stroke survivors suffer with residual disabling limitations in moving around and activities of daily living. Most patients receive interventions to prevent strokes, but few undergo care of the disabling post-stroke limitations by an expert in stroke rehabilitation. After a stroke complications such as tightness (aka "spasticity") of arm or leg, shoulder pain, difficulty moving around and others are common. American Heart Association/American Stroke Association have formulated specific guidelines for neuro-rehabilitation.

At Steady Strides we specialize in post-stroke conditions and coordinate our medical and physical/occupation rehabilitation efforts to help maximize your recovery.  

For some of our patients chemodenervation procedures using Botox is is used to help treat spasticity not adequately managed with more conservative measures


An average car driver is estimated to expect 4 auto accidents in her or his lifetime. Men tend to be involved in accidents more often than women. Car accidents can cause psychological trauma, painful muscle sprains/strains, whiplash, neurological injury, brain injury/concussion and other medical and psychological conditions. These problems may often be overlooked and without proper medical intervention, may cause morbidity that may last for many years.

Fortunately, at Steady Strides we specialize in conditions mild or severe affecting muscle, tendons, joints, nerves, bones, and the central nervous system (spinal cord and the brain). We work as an expert team combining medical and rehabilitative measures to diagnose and treat your pain, suffering and disability. Our physician and therapy providers coordinate closely to deliver individually tailored interventions to help maximize your recovery.

AUTO ACCIDENTS


The human nervous system can be classified as central (brain and the spinal cord) vs peripheral (nerves outside the brain and the spinal cord). Both central and peripheral conditions may cause temporary or permanent damage. Central nervous system conditions include stroke, Parkinson's, brain injury/concussion, multiple sclerosis, spinal cord injury (paraplegia or tetraplegia). Conditions like stroke occur abruptly, whereas conditions like myelopathy (spinal cord compression) may develop over years due to gradual narrowing in the neck or lumbar spinal canal (cervical or lumbar spinal stenosis). These conditions often affect multiple systems including vision, swallowing, bowel and bladder function, and use of arms and legs. Peripheral nephropathy may be caused by common conditions like diabetes, radiculopathy, the carpal tunnel syndrome, or rare etiologies like the pancoast tumor. Patients may experience weakness, numbness and pain, usually in your hands and feet.

At Steady Strides we can help diagnose these conditions by performing a thorough neurological assessment, referring you to advanced imaging facilities, or performing on site electrodiagnostic (EMG/NCS) studies as needed. After defining the cause of your problem we will help improve your function via coordinating medical and team based goal directed rehabilitation interventions.

NERVE DAMAGE


Feeling "light-headed" or "dizzy" may be due to multiplicity of medical conditions. Some of these conditions may be due to serious life-threatening conditions affecting your heart or the brain, while others are much more benign.

Traditionally, vertigo is defined as feeling like the "room is spinning" and may be due to "peripheral" conditions (often involving the deeper ear-related structures), like benign paroxysmal positional vertigo, Meniere’s disease or vestibular neuritis, or, less commonly, "central" conditions (involving the brain), like stroke, migraine, tumors or multiple sclerosis.

Physician involvement is often necessary to help diagnose the condition and guide the treatment course. Many of these conditions need a team based approach often involving rehabilitative interventions. At Steady Strides our physician and therapy colleagues work closely together to help you maximize your recovery.

VERTIGO


The National Center for Health Statistics reports that one in every four Americans have suffered from pain that lasts longer than 24 hours. Chronic pain is the most common cause of long-term disability. Common pain conditions include neck, shoulder, lower back, hip and knee pain.

At Steady Strides we help find the right diagnosis for the source of the pain and define a comprehensive yet conservative patient-specific goal-directed medical and rehabilitation protocol. We pride ourselves in helping patients without needing to resort to potentially addictive opiate medications and preventing many costly and often painful hip, knee, back or neck surgeries. We use targeted rehabilitation therapies, modalities, topical and neuropathic medications and if needed steroid injections. For patients seeking opiate medications we recommend consultation elsewhere.

PAIN


Parkinson's disease is a progressive brain disorder classically associated with slowed movement which can be treated to relieve symptoms without providing a cure. Symptoms include leg/arm muscle rigidity/tremors, soft or slurred speech and a shuffling gait. It also affects the so called autonomic nervous system which may cause symptoms of dizziness when getting up from a bed or a chair due to a drop in blood pressure.

At Steady Strides we coordinate medical and rehabilitation interventions to help you maximize your independence despite this disabling, degenerative condition.

PARKINSON’S


GENERAL DISABILITY

If you feel limited by conditions like adult cerebral palsy, multiple sclerosis, amputation, traumatic brain injury/concussion, spinal cord injury, weakness, balance deficits and others, we may be able to help. We specialize in helping you regain your maximal level of function by offering the best of medical and rehabilitative care. We will work closely with your existing physicians and therapists to help you get the best possible outcomes.


Migraine headaches may be difficult to diagnose and treat. A comprehensive approach involves a thorough medical and rehabilitative assessment and interventions including medication adjustment and manual therapies. For select patients with particularly difficult to treat pain, injections with Botox may be indicated.

MIGRAINE