Physical Medicine and Rehabilitation

Doctors who specialize in physical medicine and rehabilitation -- also known as physiatry -- help children and adults regain function and improve their quality of life. Whether you want to move more comfortably, explore non-surgical treatment options, or restore your independence, Duke Health physiatrists will evaluate your needs and recommend a personalized treatment plan that helps you achieve your goals.

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When to See a Physiatrist

While physiatrists can help with functional impairment at any point, they are often seen in cases of:

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How Physiatrists Diagnose Your Condition

Comprehensive Physical Exam

A thorough physical exam is the cornerstone of the diagnostic process in physiatry. Your doctor will carefully inspect you visually; check your range of motion, strength, and sensation; and evaluate how your body moves through special tests.

Ultrasound

This is a safe, painless, and non-invasive imaging test that uses high-frequency sound waves rather than radiation to create real-time pictures of structures inside your body. Some physiatrists use this test as part of their exam to assess your tendons, muscles, or joints for possible injuries. They can also use this technique to help guide injections for treatment of multiple conditions.

Nerve Conduction Studies and Electromyograms (EMG)

Nerve conduction studies use small electrical stimulations on your skin to measure how quickly and efficiently signals travel through your nerves. These tests identify potential nerve damage and assess muscle function. During an EMG, a very thin needle is used to record electrical activity in your muscles, helping your doctor locate and diagnose nerve and muscle abnormalities.

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Duke Health offers locations throughout the Triangle. Find one near you.

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Physiatry Treatments

Physiatry treatments help you meet your goals. You and your physiatrist will make decisions together about what treatments work best for you.

Injections and Oral Medications

Medication is injected to numb certain nerves and block pain signals. Steroid injections can relieve pain caused by inflamed nerves. Botulinum toxin injections, trigger point injections, and joint injections may also be prescribed, as well as oral medications. Tools such as X-ray, ultrasound, and biofeedback help your physiatrist target your treatment.

Assistive Equipment

You may benefit from specialized equipment designed to support mobility and daily life. Your Duke team will help you find and fit the right tools, including braces, orthotics, prosthetics, wheelchairs, walkers, canes, and adaptive utensils.

Collaborative Therapies

Physiatrists frequently partner with other Duke specialists to optimize your recovery. You may be referred to physical therapists, occupational therapists, speech therapists, and chiropractors to build strength, improve range of motion and pain, practice everyday tasks, and improve communication, swallowing, and cognition. Depending on your needs, they may also incorporate aquatic therapy and psychological counseling.

Advanced Management Options

If you have severe or chronic pain and discomfort, your physiatrist may offer a therapy such as:

  • Acupuncture: Ultra-thin needles are gently placed at specific points on your body. This stimulates your body's natural healing process, reduces muscle tension, and helps block chronic pain signals without the use of medication.
     
  • Spinal Cord Stimulation: Electrodes are implanted on your spinal cord, and a generator is implanted under the skin on the abdomen or buttocks. The generator sends electrical impulses that travel through the electrodes to block pain signals.
     
  • Peripheral Nerve Stimulation (PNS): Small electrodes are placed next to a peripheral nerve (outside your brain or spinal cord) and connected to a generator just under your skin. The generator sends mild electrical pulses to block pain signals before they reach your brain.

Best Orthopaedic Hospital in North Carolina

Where you receive your care matters. Duke University Hospital is proud of our team and the exceptional care they provide. They are why our orthopaedics program is nationally ranked and the highest-ranked program in North Carolina, according to U.S. News & World Report for 2025–2026.

Why Choose Duke

The Advantages of a Top-Tier Medical Center

Being seen at a medical center ensures that all of your health conditions are taken into account and that a full spectrum of treatments is available to optimize your care. For example, we can provide injections that will help physical and occupational therapy be more effective. And if you have a medical condition that renders a certain type of therapy inappropriate, we have the resources and expertise to pursue other avenues of treatment to help you achieve your optimal function and quality of life.

Your Care Benefits from Collaborative Teams

You aren't just seeing one doctor; you are gaining a dedicated team. Our physiatrists work closely with other Duke specialists, such as orthopaedic surgeons, neurosurgeons, neurologists, urologists, chiropractors, physical therapists, occupational therapists, speech therapists, dietitians, and psychologists. Together, we develop a comprehensive treatment plan that treats the whole person—not just the symptoms.

This page was medically reviewed on 04/17/2026 by
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