- Osteoporosis
- ArthritisIn addition to advanced age, risk factors include prior pelvic fracture, low body weight, long-term steroid use, smoking, and alcohol intake. Additional risk factors include a history of pelvic radiation, Paget’s disease, rheumatoid arthritis, multiple myeloma, chronic kidney disease, diabetes, osteoporosis, vitamin D deficiency, and prolonged immobilization.
- CryotherapyBecause rotator cuff tendinopathy is associated with overuse, it is important to undergo relative rest from aggravating activities including the avoidance of repetitive overhead motions. Modalities such as topical ice and heat can help temporarily improve chronic shoulder pain. Cryotherapy is additionally helpful in reducing acute swelling and inflammation as well as relieving pain, however, some research shows that
- Primary CareBalance can be evaluated by a qualified medical provider such as a primary care provider, specialist, or physical therapist. A medical evaluation may include an assessment of brain, eye, cardiovascular, vestibular, spine, peripheral nerve, and musculoskeletal health and function.
- Internal Medicine
- Diabetes Care
- HypothyroidismIn addition, metabolic disorders associated with leg cramping include diabetes, hypoglycemia, alcoholism, and hypothyroidism. Finally, multiple medications are implicated with this symptom including diuretics, intravenous iron, raloxifene, estrogen hormone therapy, and certain inhalers used in COPD.
- UltrasoundFirst, a small sample of your blood is taken and concentrated in a centrifuge machine in a two-step process that eliminates red blood cells and neutrophils. The remaining plasma portion contains a high concentration (8 times that of whole blood) of platelets, rich in growth factors, which is then injected directly into an injured area using ultrasound or fluoroscopic image guidance.
- MRIMRI of the cervical spine is the gold standard imaging study to evaluate for spinal stenosis and myelopathy; an area of increased signal within the spinal cord can reveal where there is damage.
- X-Rays
- Computed TomographyPhysiatrists take the necessary time to accurately pinpoint the source of a problem. Their specific diagnostic tools include a detailed medical history and a complete musculoskeletal and neurological examination. Rehabilitation physicians are also trained in the interpretation of imaging studies such as X-rays, MRIs, and CT scans. Finally, physiatrists perform electrodiagnostic testing (nerve conduction studies and EMG) to help diagnose certain nerve and muscle disorders. Once a correct pain generator is identified, a specific treatment plan can then be developed. This comprehensive program may include individually tailored physical therapy programs, interventional procedures such as fluoroscopically guided spine procedures and ultrasound guided joint and tendon injections, and when necessary, non-opiate medication management.
- Sciatica
- WhiplashPatients with asymptomatic cervical stenosis can continue to live their lives and enjoy their hobbies, but should avoid activities with high risk of fall and trauma to the neck such as heavy lifting, vigorous neck movement, and action sports. Another precaution is to adjust the headrest in vehicles to a position at the level of the head in vehicles to avoid whiplash.
- Pinched NerveSymptoms of rotator cuff tendinopathy include pain typically localized to the outer upper arm with difficulty raising the arm overhead and performing activities of daily living such as brushing hair or putting on a shirt. Pain is also typically significant with lying on the shoulder at night. A physical exam of the shoulder is essential in diagnosing pain from the rotator cuff. This includes observation for muscle atrophy and abnormal scapular position or movement; palpation for areas of tenderness; passive and active range of motion; tests of rotator cuff strength; and impingement tests designed to put temporary stress on the rotator cuff tendons in certain positions. A thorough exam also includes an evaluation of the cervical spine and neurological exam because the neck can cause referred pain to the shoulder such as with a cervical radiculopathy or “pinched nerve.”
- Cyst
- Sports MedicinePRP works best for localized musculoskeletal conditions that cause pain or loss of function. It can be used to treat both acute sports injuries as well as chronic degenerative processes like osteoarthritis. PRP may allow you to avoid surgery or more aggressive treatments. It is not recommended, however, for patients with certain conditions like active infections, cancer, or platelet dysfunction disorders. During your consultation, your doctor will take a full medical history and perform a physical exam to determine if you are a good candidate for PRP therapy. Based on your specific injury and circumstances, they can advise you on whether PRP is likely to help relieve your pain and improve function.
- Physical TherapyAt the core of Physiatry lies a philosophy deeply rooted in patient-centered care. As a physiatrist, I believe that each patient is unique, with their own distinct goals, needs, and aspirations. My approach extends beyond simply treating symptoms; I strive to focus on the whole person and identify the underlying diagnosis. By comprehensively evaluating the impact of injury, illness, or disability on a patient’s physical, emotional, and social functioning, I will develop personalized treatment plans that incorporate a wide range of modalities, such as physical therapy, assistive devices, medication management, and therapeutic interventions. Ultimately, my aim is to optimize function and enhance quality of life, and I look forward to collaborating with my patients to help them thrive!
- Occupational Therapy
- Tennis Elbow"I met Dr Hatch for the first time yesterday for tennis elbow. I have been trying everything without success. He listened to me but then went the extra mile many don't. He sent me home with a sample to try, explained in detail why I'm in pain and several of my options. Then he stepped away. To find out, he went next door to the physical therapist office to see if they could get me in for a quick appt. Then he walked me over for a proper introduction. Jessica was just what I needed. I feel I'm on a productive path for recovery and pain management, at last. Thank you Dr Hatch. "
- Shoulder Pain
- Neck Pain
- Back Pain
- Aquatic TherapyEarly mobilization with weight bearing as tolerated, physical therapy, or aquatic therapy is helpful to maintain muscle mass and strength. Some patients with severe pain on ambulation may require an assistive device, for mobility. Typically with the above approach, clinical healing occurs over six to eight weeks.
- Manual TherapyPhysical therapy is the primary treatment for rotator cuff tendinopathy. A therapy prescription includes manual therapy as well as exercises targeting shoulder mobility and rotator cuff strengthening. Eccentric strengthening, muscle contraction during the lengthening of a muscle, is particularly helpful in the rehabilitation of tendinopathy. In addition, exercises that focus on restoring scapular mobility and strengthening scapular stabilizing muscles also reduce stress through the shoulder and improve pain, mobility, strength, and function.
- Orthotics and Prosthetic Therapy