Patients with many medical conditions will have related issues such as difficulty walking, difficulty self-care, low mood and impact on their social and vocational life. Rehabilitation medicine is a speciality that aims to treat the medical conditions and address the above issues from a multidisciplinary professional expertise. Rehabilitation assists people in improving their general health and lead a healthy lifestyle.
The common patients I see are following a stroke, brain injury, spinal cord injury, limb amputation, bone fractures needing rehabilitation, multiple sclerosis, post-polio syndrome, and Parkinson disease, frail elderly and also those following a prolonged hospital admission needing rehabilitation.
Geriatric Rehabilitation: Assessment and management of common illness and injuries in older people from a multidisciplinary view such as Alzheimer’s dementia, mild cognitive impairment, parkinson disease, osteoporosis, frailty and recurrent falls.
Orthopaedic Rehabilitation: Assessment and management after a fall and fracture, post elective joint replacement and spinal surgery, osteoarthritis and rheumatoid arthritis.
Neurological Rehabilitation: Rehabilitation after stroke, traumatic brain injury and patients with neurological conditions such as Guillain-Barre syndrome, post-polio syndrome, multiple sclerosis, motor neuron disease etc. with a focus to prevent and treat medical complications and maintain their function.
Spasticity Management: Multidisciplinary spasticity management including botulinum toxin injections.
Amputee Rehabilitation: Pain and mood management post amputation, preparing the stump residuum for prosthetic fitting, prosthetic prescription and gait training.
Spinal Cord Injury: Management of bowel and bladder dysfunction, spasticity, pressure injuries, acute and chronic pain, autonomic dysreflexia and sexual dysfunction.
Reconditioning: Rehabilitation programme to improve function after a prolonged hospital admission relating to acute medical or surgical issues
Cancer Rehabilitation: Time efficient multidisciplinary interventions with consideration of prognosis to maintain physical and cognitive function, to prevent medical complications and to improve quality of life.
Cardio-Pulmonary Rehabilitation: Rehabilitation after a cardiac event such as myocardial infarction, post bypass graft surgery, valve replacement surgery or after an exacerbation of chronic airway lung disease to improve their endurance, maintain the function and improve quality of life.
Chronic Pain Management: Conditions such as post stroke neuropathic pain, chronic lower back pain, phantom pain, complex regional pain syndrome (CRPS) etc. from a multidisciplinary treatment team.