When should I see a physiatrist vs physical therapist?

Answered by Stephen Mosley

When it comes to deciding whether to see a physiatrist or a physical therapist, it is important to understand the roles and expertise of each professional. While both physiatrists and physical therapists can play a crucial role in managing and treating various medical conditions, there are certain situations where it is more appropriate to see one over the other.

1. Understanding the roles:
– Physiatrists, also known as physical medicine and rehabilitation (PM&R) physicians, are medical doctors who specialize in diagnosing and managing conditions that affect the musculoskeletal system, nerves, and other bodily systems. They are experts in non-surgical treatments and rehabilitation.
– Physical therapists, on the other hand, are healthcare professionals who specialize in providing hands-on treatments, exercises, and therapies to improve mobility, relieve pain, and restore physical function.

2. When to see a physical therapist:
Physical therapists are often a first-line treatment for musculoskeletal injuries or conditions that do not require surgical intervention. Here are some situations where seeing a physical therapist may be appropriate:

– Acute or chronic musculoskeletal pain: If you are experiencing pain in your muscles, joints, or bones, a physical therapist can help assess the cause of the pain and develop a personalized treatment plan to alleviate it.
– Post-surgical rehabilitation: After undergoing surgery, physical therapy is often prescribed to aid in the recovery process, regain strength, and restore movement.
– Sports injuries: Physical therapists can provide specialized treatments and exercises to help athletes recover from sports-related injuries and improve performance.
– Mobility issues: If you have difficulty walking, maintaining balance, or performing daily activities due to a physical impairment, a physical therapist can help improve your mobility and functional abilities.

Physical therapists use a variety of techniques and modalities such as manual therapy, therapeutic exercises, ultrasound, traction, TENS, and more to address your specific needs.

3. When to see a physiatrist:
While physical therapists can provide effective treatments for many conditions, there are situations where it is necessary to consult a physiatrist. Here are some examples:

– Complex medical conditions: If you have a complicated medical history or multiple co-existing medical conditions, a physiatrist can provide a comprehensive evaluation and coordinate your care with other specialists.
– Chronic pain management: Physiatrists are experts in managing chronic pain conditions, such as fibromyalgia, chronic back pain, or neuropathic pain. They can offer a wide range of treatments, including medication management, injections, nerve blocks, and advanced pain management techniques.
– Spinal cord injuries and neurological disorders: Physiatrists specialize in treating conditions that affect the nervous system, such as spinal cord injuries, stroke, multiple sclerosis, or Parkinson’s disease. They can help optimize your function, develop rehabilitation plans, and prescribe assistive devices.
– Electrodiagnostic studies: If you have symptoms like numbness, weakness, or tingling, a physiatrist can perform electrodiagnostic studies like nerve conduction studies (NCS) and electromyography (EMG) to evaluate nerve and muscle function, and help diagnose conditions like carpal tunnel syndrome, peripheral neuropathy, or radiculopathy.

Physical therapists are often the first point of contact for musculoskeletal conditions and can provide excellent care for many individuals. However, if you have complex medical needs, chronic pain, or neurological conditions, consulting with a physiatrist may be beneficial due to their specialized medical training and ability to offer a wider range of treatments. It is important to work collaboratively with both professionals to receive the most comprehensive and effective care for your specific needs.