People in Broward County whose prime quality of life is diminished on account of once more ache can now see specialists from thought of considered one of Miami’s prime spine services – with out having to make the drive to Miami. Consistent with Ronald Barton Tolchin, M.D., medical director of the Spine Coronary heart at Miami Neuroscience Institute, Spine Coronary heart physicians for the time being are seeing victims at Baptist Effectively being’s new wellness and medical difficult in Plantation.
A sort of specialists is Justin Thottam, D.O., an interventional spine physiatrist with Miami Neuroscience Institute who focuses on bodily remedy and rehabilitation. As a physiatrist, Dr. Thottam designs full, patient-centered treatment plans that help maximize victims’ independence in actions of every day dwelling and improve their prime quality of life.
Consistent with the American Academy of Bodily Medicine and Rehabilitation (AAPM&R), a physiatrist objectives to “enhance and restore the helpful potential of victims with bodily impairments or disabilities affecting the thoughts, spinal wire, nerves, bones, joints, ligaments, muscular tissues and tendons.”
For Dr. Thottam, physiatry is an entire specialty, as he often evaluates numerous victims who present with musculoskeletal, neurological, rheumatological and completely different points. The vast majority of his victims, he says, come to him seeking discount from once more ache, neck ache, joint ache, arthritis or one other form of musculoskeletal points.
There moreover tends to be numerous overlap with completely completely different circumstances and indicators, Dr. Thottam says, which is why it’s so important to take care of the complete affected particular person – not merely the precise physique half that’s inflicting a problem. “You’d be amazed how an issue with one part of your physique can also manifest in several areas – the whole thing is interconnected. As a physiatrist, I’ve found that taking a holistic technique to the affected particular person’s nicely being often leads to greater outcomes.”
Dr. Thottam says he sees numerous victims with spine-related pathologies. “Typically it’s neck ache, which could radiate down the arm, or usually it’s low once more ache which could radiate down the nerves into the legs – a scenario commonly known as sciatica.”
An entire evaluation permits for an right prognosis and a treatment plan tailored to the affected particular person, primarily based on Dr. Thottam. “The 1st step, however, is to find out what’s inflicting the ache. Is it nerve, joint or musculoskeletal?”
Primarily based totally on a affected particular person’s medical historic previous and analysis of their ache – combined with an evaluation of their energy, reflexes and range of motion – Dr. Thottam can usually inform immediately which nerve is being irritated and, subsequently, what part of the spine is affected.
“As quickly as we confirm your prognosis, we develop a treatment plan that can embrace bodily treatment, medicines and/or ache injections,” says Dr. Thottam. “If surgical process is required, we’re in a position to refer victims each to Miami Neuroscience Institute in Miami or Marcus Neuroscience Institute in Boca Raton.” Every of those facilities are part of Baptist Effectively being, he says, and are staffed by the realm’s prime neurosurgeons. “Plus, your digital medical doc is offered to your surgical group, because you’ve already been seen by us and in addition you’re a part of our Baptist Effectively being ecosystem.”
Any type of once more ache that hasn’t resolved after three or four days must be talked about collectively along with your most important care physician or with a physiatrist, advises Dr. Thottam. One in all many advantages of seeing a specialist at Baptist Effectively being’s Plantation facility, he says, is that so many alternative nicely being care suppliers are moreover on the market there, all beneath one roof.
“If we might like diagnostic imaging, paying homage to an X-ray or MRI, we’re in a position to get it carried out shortly, correct proper right here,” Dr. Thottam says. “If we advocate bodily treatment, you’ll be able to try this proper right here, and if an injection is required, I can do the method proper right here in our Ambulatory Surgical process Coronary heart. From the affected particular person’s perspective, that’s an precise consolation – notably in the event you occur to reside in Broward. And, if I ever have a precedence or need one different opinion, I respect the reality that I can merely search the recommendation of with my colleagues. All of our most important service traces at Baptist Effectively being are proper right here in Plantation.”
What if it’s an emergency? Dr. Thottam says a quick self-evaluation may assist determine if emergency care might be relevant.
“Are you experiencing weak spot of the arms or legs? Lack of administration of your bladder or bowels? Incapability to urinate? Numbness or tingling on the inside of your thigh? Any type of stability or falling factors?” These, he says, are often indicators of 1 factor further crucial, paying homage to compression of the spinal wire. “For indicators paying homage to these, we advocate that you just search quick care at our Spine Coronary heart proper right here in Plantation or an emergency room,” Dr. Thottam advises.
Research further in regards to the new facility proper right here, and look to Helpful useful resource for upcoming posts on a variety of the completely different specialties and suppliers on the market at Baptist Effectively being in Plantation.
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