Outpatient Clinical Services
Workers’
Compensation Injury Clinics
– Kevin Komes, MD, and
all other PM&R Specialists
Workers compensation patients are cared for through the Missouri Occupational Injury Center (MOIC). Dr. Komes provides evaluation and treatment of occupational injury claims including spine and upper and lower extremities injuries. Electrodiagnostics (EMG/NCS) are also available. Specialists are also available for catastrophic claims including Dr. Acuff for spinal cord injury, Dr. Burris for amputees and Dr. Crooks for traumatic brain injury. Interventional pain management services with Dr. Ebby Varghese can also be scheduled through MOIC. The Workers' Compensation team is on hand to provide support to patients, insurance providers, adjusters, case managers, and employers.
They can be reached at (573) 884-MOIC or (573) 884-6642.
Interventional Pain Medicine Clinic
– Ebby Varghese, MD
The Interventional Pain Medicine clinic provides the latest and most innovative techniques to relieve pain. Dr. Varghese will provide your patient a treatment plan tailored to his or her needs. Some of the most common treatments he provides include nerve block therapy, epidural steroid injections, peripheral nerve blocks, sympathetic nerve blocks, facet blocks, radiofrequency ablation, sphenopalatine blocks, vertebroplasty, neuromodulation, medication management, psychological support, patient education, and physical therapy/occupational
therapy referral. To consult with Dr. Varghese or to refer a patient, please call
(573) 884-7100.
Osteoporosis Rehabilitation Clinic
– Katherine Edwards, MD, Ebby Varghese, MD
The Osteoporosis Rehabilitation clinic offers comprehensive rehabilitation to strengthen and help protect patients suffering from osteoporosis. Interventional treatment plans are specifically tailored for each individual patient in cooperation with the UMHS Women's Health team.
Osteopathic Manipulative Treatment Clinic
– Christopher Wolf, DO
The Osteopathic Manipulative Treatment clinic offers a non-invasive alternative for musculoskeletal dysfunction. Treatment is provided for patients with sports injuries, sprains/strains, myofascial pain, tendonosos/tendonitis, headaches, back pain, rib pain, mild scoliosis, foot pain, pregnancy related back pain, and other musculoskeletal injuries. Treatment techniques are specifically tailored to the comfort level for each individual patient.
EMG
Clinic
– Robert Conway, MD, Kevin Komes, MD
Physiatrists experienced in evaluating neuromuscular disorders
perform electromyography (EMG) and nerve conduction studies
(NCS or NCV). These studies are helpful in evaluating nerve entrapments such as carpal tunnel syndrome, radiculopathy, plexopathy, peripheral neuropathy, neuromuscular junction disorders, myopathy, or motor neuron disease.
Stroke
Clinic
– Joseph Burris, MD
Comprehensive and interdisciplinary evaluation and management
of patients who have suffered stroke is the focus of the
Stroke Clinic. Services include neuropharmacology, therapy
recommendations for speech, occupational and physical therapy,
neuropsychological evaluation, community integration and
vocational rehabilitation, and driving evaluation and training.
A separate clinic is offered for comprehensive evaluation
and treatment of spasticity related to stroke.
Spinal
Cord Injury Clinic
– Michael Acuff, MD
Evaluation and care, including therapy recommendations and
pharmacological management, for patients with paraplegia,
tetraplegia and other spinal cord injury syndromes, is the
focus of the Spinal Cord Injury Clinic.
Traumatic
Brain Injury Clinic
– Christopher Wolf, DO, Carol Crooks, MD, Katherine Edwards, MD
The Traumatic Brain Injury (TBI) clinic is a comprehensive
Brain Dysfunction Clinic. Diagnostic categories include:
TBI, hypoxia/anoxia encephalopathy, metabolic encephalopathy,
brain aneurysm, and viral encephalopathy. Patients with
memory and cognitive problems secondary to the diagnosis
listed are evaluated. The clinic provides evaluation and
arrangement for further testing, if indicated. Recommendations
can be made for neuropsychological testing, driving evaluations
for the cognitively impaired, physical therapy, occupational
therapy, and speech and language therapy. The aggressive
management of behavior and cognitive problems resulting
from these injuries are employed, using current recommendations
for Neuropharmacology/Neurotransmitter treatment. Arrangements
are made for appropriate psychological and psychiatric interventions.
Prosthetic
and Orthotic Clinic
– Joseph Burris, MD
This clinic provides evaluation and post-operative management
for amputee patients. This is an interdisciplinary clinic
attended by a PM&R physician, orthotic and prosthetic
specialists and physical therapists.
Spasticity
Clinic
– Rez Farid, MD (Joseph Burris, MD - Stroke Spasticity)
Evaluation and treatment of patients with spasticity/pain
using implantable intrathecal pumps is the focus of the
Spasticity Clinic. Long-term care and follow-up of these
patients is provided, including medication adjustment and
pump refills.
Stroke
Spasticity Clinic
– Joseph Burris, MD
This clinic focuses specifically on the evaluation and treatment
of spasticity related to stroke. Specific issues related
to this unique patient population are addressed, with comprehensive
treatment ranging from therapy interventions, orthotic management,
oral medications, and botulinum toxin injections.
Bariatric
Clinic
– Michael Acuff, MD
Evaluation and care of patients during the preoperative
phases of gastric bypass surgery.
Pediatric
Cerebral Palsy Clinic
– Rez Farid, MD, Jane Anne Emerson, MD
This clinic is an interdisciplinary clinic, serving patients
with cerebral palsy, attended by a PM&R physician, a
pediatric orthopaedic Surgeon and a pediatrician specializing
in pediatric development and neurology. The clinic also
provides patients with consultations from dieticians, social
services, occupational therapy, physical therapy, speech
therapy, orthotics and prosthetics and seating and mobility
specialists.
Muscular
Dystrophy Clinic (MDA Clinic)
– Jane Anne Emerson, MD
Offered in association with the Muscular Dystrophy Association,
this interdisciplinary clinic – attended by adult
and pediatric neurologists – evaluates and manages
patients’ muscular dystrophy related care. Consultation
with PM&R physicians, physical therapists and speech
therapists address the patient’s needs for therapy,
splints, braces, and wheel chairs. MDA’s muscular
dystrophy coordinator is in attendance and provides additional
support and advice to patients and their families. The MDA Clinic is located in the Neurology Clinic at the University Physician's Medical Building.
Musculoskeletal
Clinic
– Robert Conway, MD, Kevin Komes, MD
The clinic is staffed by physiatrists experienced in evaluating
and treating a variety of acute and chronic musculoskeletal
conditions, including radiculopathy, tendonitis, bursitis,
arthritis, nerve entrapments, soft tissue injuries and other
disorders. In the clinic we restore function which has possibly
been impaired by acute pain, sports injuries, orthopedic
problems, and/or rheumatologic problems. The problems often
manifest themselves with abnormal gait patterns, pain with
movement, altered movements, or abnormal postures.
Outreach
Clinic Locations
– Boonville, Missouri
Please call (573) 882-0008
for inpatient consults
or (573) 884-0033 for clinic appointments and outpatient
consults. |
