CARE & TREATMENT IN NEW YORK AND NEW JERSEY
Pain, weakness, numbness, limited mobility, and musculoskeletal injuries can interfere with your ability to work, exercise, and perform everyday activities. At New York and New Jersey Spine and Orthopedics, our Physical Medicine and Rehabilitation physicians provide specialized nonsurgical care focused on identifying the cause of your symptoms, improving function, managing pain, and helping you return to the activities that matter to you.
Also known as physiatrists, Physical Medicine and Rehabilitation (PM&R) physicians specialize in diagnosing and managing conditions affecting the muscles, bones, joints, nerves, and spine. Our physicians evaluate both adults and children and develop individualized treatment plans based on each patient’s condition, symptoms, functional limitations, and goals.
Physical Medicine and Rehabilitation takes a comprehensive approach to conditions that affect movement and function. Rather than focusing on a single symptom, our PM&R physicians evaluate how problems involving the spine, nerves, muscles, and joints may be contributing to pain or limitations in everyday activities.
Our physicians are highly specialized in outpatient nonsurgical care and provide general physiatric management for a wide range of neurological and musculoskeletal conditions.
Our approach to PM&R care includes:
Dr. Demetrios Mikelis provides Physical Medicine and Rehabilitation care for patients with musculoskeletal, neurological, and spine-related conditions.
His approach focuses on comprehensive evaluation, accurate diagnosis, nonsurgical medical management, and improving the patient’s ability to function in everyday life.
As part of the multidisciplinary team at New York and New Jersey Spine and Orthopedics, Dr. Mikelis can evaluate patients experiencing pain, weakness, numbness, functional limitations, or other symptoms related to injuries and disorders of the musculoskeletal and nervous systems.
Dr. Ramon Vallarino, Jr. provides specialized Physical Medicine and Rehabilitation care with an emphasis on the nonsurgical evaluation and management of musculoskeletal and neurological conditions.
Through detailed clinical and functional evaluation, he works to identify the underlying cause of a patient’s symptoms and develop an individualized treatment plan focused on pain management, mobility, function, and recovery.
As part of our integrated spine and orthopedic team, Dr. Vallarino helps patients navigate nonsurgical treatment and rehabilitation while coordinating additional specialty care when appropriate.
Physical Medicine and Rehabilitation can play an important role in diagnosing and managing conditions involving the spine, joints, muscles, peripheral nerves, and other structures of the musculoskeletal system.
Our PM&R physicians evaluate patients with a wide range of symptoms and conditions, including:
Neck and back pain can result from problems involving the muscles, joints, discs, nerves, or other structures of the spine. A physiatric evaluation can help identify the likely source of symptoms and determine an appropriate nonsurgical treatment strategy.
Conditions and symptoms evaluated include:
When spinal nerves or peripheral nerves become irritated, compressed, or injured, symptoms may extend beyond the neck or back.
Our PM&R physicians evaluate symptoms including:
A detailed physical examination combined with electrodiagnostic testing, when appropriate, can help determine whether symptoms are related to a nerve, muscle, or spinal condition.
Musculoskeletal pain may affect the muscles, tendons, ligaments, joints, and surrounding soft tissues. Symptoms may develop gradually from repetitive activity or occur suddenly following an injury.
Our physicians evaluate and manage:
Treatment is individualized according to the patient’s diagnosis, symptoms, physical demands, and functional goals.
Sports and exercise injuries can affect athletes and active individuals of all ages. PM&R can help evaluate the injury, determine how it is affecting movement and function, and establish an appropriate nonsurgical treatment and rehabilitation plan.
Our physicians evaluate musculoskeletal and nerve-related symptoms resulting from sports and recreational activities, including pain, weakness, reduced mobility, and difficulty returning to activity.
The goal is not simply to reduce symptoms, but to help patients safely work toward restoring function and returning to the activities they enjoy.
Workplace injuries can affect the neck, back, joints, muscles, and nerves and may limit a person’s ability to perform normal occupational activities.
Our PM&R physicians have experience evaluating and managing Workers’ Compensation injuries, including musculoskeletal and neurological conditions resulting from workplace accidents, repetitive activities, lifting injuries, and other occupational demands.
A comprehensive evaluation can help document functional limitations, identify the structures contributing to symptoms, and guide appropriate treatment and rehabilitation.
Car accidents can result in injuries involving the spine, muscles, joints, and nerves. Some symptoms develop immediately, while others may become more noticeable in the days following an accident.
Our PM&R physicians evaluate patients with No-Fault motor vehicle accident injuries, including neck and back pain, musculoskeletal injuries, radicular symptoms, weakness, numbness, and other functional problems.
The goal is to establish an accurate diagnosis and develop an appropriate treatment plan based on the patient’s injuries and symptoms.
Symptoms such as numbness, tingling, weakness, radiating pain, or unexplained muscle problems may be associated with an injury or disorder involving the nerves or muscles.
Our Physical Medicine and Rehabilitation physicians provide electrodiagnostic evaluation, which may include electromyography (EMG) and nerve conduction studies (NCS) when medically appropriate.
These tests evaluate the electrical activity and function of nerves and muscles and may help physicians distinguish between different causes of neurological symptoms.
Electrodiagnostic testing may be useful when evaluating conditions such as:
Results from the examination and diagnostic testing can help guide further treatment and determine whether additional specialty evaluation is needed.
Local musculoskeletal injections may be incorporated into a nonsurgical treatment plan when appropriate.
Depending on the patient’s diagnosis, symptoms, and examination findings, injections may be considered as part of the management of certain painful musculoskeletal conditions.
Injection treatment is not appropriate for every patient. Our physicians first perform a comprehensive evaluation to determine the source of symptoms and whether an injection should be considered as part of the overall treatment plan.
For certain conditions, an orthotic or prosthetic device may help support mobility, alignment, stability, or function.
Our Physical Medicine and Rehabilitation physicians can evaluate a patient’s functional needs and prescribe appropriate orthotics or prosthetics when medically indicated.
The goal is to select a device based on the patient’s specific condition, anatomy, mobility requirements, and functional needs rather than taking a one-size-fits-all approach.
Physical Medicine and Rehabilitation is centered on function—how well you can move, work, participate in activities, and perform everyday tasks.
During an evaluation, our physicians consider not only where you are experiencing pain, but also how the condition affects your mobility, strength, endurance, independence, and quality of life.
Treatment goals may include:
Treatment recommendations are individualized according to the patient’s diagnosis and specific functional goals.
A PM&R physician may be appropriate when pain, weakness, numbness, or an injury is interfering with your ability to move or function normally, particularly when you are seeking a nonsurgical approach to care.
Consider scheduling an evaluation if you experience:
A comprehensive physiatric evaluation can help determine the likely cause of your symptoms and identify appropriate next steps.
One of the advantages of receiving Physical Medicine and Rehabilitation care at New York and New Jersey Spine and Orthopedics is access to multiple specialties within the same practice.
Many spine and orthopedic conditions can be treated without surgery. Our PM&R physicians can help diagnose the condition, manage nonsurgical treatment, evaluate function, and coordinate rehabilitation.
When additional treatment is appropriate, patients have access to specialists in areas such as:
This multidisciplinary approach allows treatment to evolve according to the patient’s progress and individual needs.
If conservative treatment is appropriate, the focus can remain on nonsurgical care. If a patient’s condition requires additional intervention or surgical evaluation, care can be coordinated with the appropriate specialist.
Our Physical Medicine and Rehabilitation physicians have experience evaluating patients injured in motor vehicle accidents and workplace accidents, including patients receiving care through New York No-Fault insurance and Workers’ Compensation.
Their experience includes the evaluation of musculoskeletal and neurological injuries, functional assessment, medical management, electrodiagnostic evaluation when appropriate, and ongoing physiatric care.
Our physicians also have experience with the medical and documentation requirements associated with these cases, including providing medical testimony when required.
Regardless of how an injury occurred, the primary focus remains on accurately evaluating the patient’s condition and providing appropriate medical care based on individual needs.
At New York and New Jersey Spine and Orthopedics, Physical Medicine and Rehabilitation is part of a broader approach to spine, orthopedic, musculoskeletal, and neurological care.
Our PM&R services include:
Our goal is to understand what is causing your symptoms and develop a treatment plan focused on improving function, mobility, and quality of life.
If neck pain, back pain, joint pain, weakness, numbness, sciatica, or a musculoskeletal injury is affecting your ability to work, move, exercise, or perform everyday activities, schedule an evaluation with a Physical Medicine and Rehabilitation physician at New York and New Jersey Spine and Orthopedics.
Our PM&R physicians provide specialized nonsurgical evaluation and treatment for neurological and musculoskeletal conditions, sports injuries, work-related injuries, and motor vehicle accident injuries.
With locations throughout New York and New Jersey, our multidisciplinary team can help determine the source of your symptoms and develop an individualized treatment and rehabilitation plan.
Call today to schedule an appointment:
New York: (516) 355-0111
New Jersey: (551) 550-PAIN
