prepare for your visit to the physical medicine and rehabilitation clinic
For ALL PM&R visits please wear comfortable and loose clothing and bring:
- Your insurance information
- Any brace or orthotics you are using
- Any appropriate images (x-rays, MRI’s) related to your condition
- Any required forms from your school
- Names and contact information for anyone else you would like us to include in the care plan. These may include coaches, athletic trainers, doctors, or school officials.
what to expect for:
concussion evaluation visit:
- Review of injury and symptom history with PM&R nurse
- Evaluation by pediatric PM&R physician
- Review of diagnosis, recovery and treatment of concussion
- Development of individualized treatment plan based on your symptoms
- Potential referral to physical therapy, occupational therapy, speech therapy, or psychology.
- Recommendations for return to school.
rehabilitation consult visit:
- Plan for approximately one hour for this visit
- Review of medical history and current problems or symptoms with PM&R nurse
- In depth neurologic and musculoskeletal evaluation by pediatric PM&R physician
- Recommendations for imaging, lab work, medication management if indicated
- Possible referral to physical therapy, occupational therapy, speech therapy, orthotist for bracing, and consideration of equipment such as wheelchairs, medical strollers, walkers, etc.
- Instructions for follow up
spasticity/botulinum toxin evaluation visit:
- Plan for approximately one hour for this visit
- Review of medical history and current problems or symptoms with PM&R nurse
- In depth neurologic and musculoskeletal evaluation by pediatric PM&R physician
- Review of indications, contraindications, risks and benefits of botulinum toxin injections
- Discussion of other available spasticity management treatment options including stretching, therapy, medications, and bracing.
- Development of a botulinum toxin injection plan if indicated
- Explanation of obtaining insurance authorization of botulinum toxin injections
- Planning for future visit of botulinum toxin injections
botulinum toxin injection procedure visit:
- Plan for approximately 30 minutes for this visit
- Wear comfortable loose clothing so appropriate body part can be exposed for injection
- Bring favorite toy, blanket, or tablet to decrease anxiety and help patient relax during this visit
- Skin will be prepped with alcohol and numbed with “cold spray” if desired prior to injections into each muscle
- Your child will be able to move and be comforted immediately after injections are completed (similar to a vaccine).
- Your child may resume activity that day with no aggressive stretching.
