The Most Underutilized Specialists for Musculoskeletal Pain

April 23rd, 2016

Most people know what orthopedic surgeons and physical therapists are, but few of us have ever heard of or are familiar with physiatrists.  This highly underutilized medical specialty focuses on muscles, nerves and joints but in a more non-surgical approach that sees problems as being part of a larger process.  Physiatrists are called by many different names:  physical medicine and rehabilitation specialists, PM&R, sports medicine, and physiatry,

Physiatrists often work in close coordination with physical therapists, orthopedic surgeons, pain management specialists, neurologists and primary care physicians.  All physiatrists have a MD or DO designation which means they are able to prescribe medications and can do procedures such as injection of joints, EMG (electromyography), trigger point injections for muscle pain, or removal of excess fluid.  What makes them different from orthopedic surgeons is that their approach is mainly non-surgical and try to prevent the problem from progressing to the point of needing surgery.

For most minor musculoskeletal issues, a 2 week trial of anti-inflammatory medications, rest, and stretching should improve symptoms.  However, if there is no improvement an evaluation with your primary care physician can determine whether you need physical therapy, orthopedics, or a physiatrist.

For more information about physiatry, please visit the American Academy of Physical Medicine and Rehabilitation website.