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Our Services

  • Physical Medicine & Rehabilitation

Opioids in Chronic Spine Pain

Dr. Michael Kenosh, Director of Rehabilitation Services at Rutland Regional Medical Center, presents his perspective in treating chronic pain with pain medications in the opioid class of narcotics.

Physical Medicine

If you are struggling with chronic pain or the effects of a chronic condition or injury, the physical medicine team at Rutland Regional can help.

Physical medicine focuses on your overall well-being and helps alleviate pain and improve your physical function through a variety of nonsurgical methods, such as acupuncture, manipulation, therapeutic exercise and injections.

Conditions We Treat

Our skilled and caring physical medicine specialists, also called physiatrists, are board certified to care for injuries and illnesses that affect your nerves, muscles and bones. We help you improve your strength and mobility after life-altering events such as surgery, illness, injury or diagnosis of a chronic condition. We treat a range of conditions, including:

  • Chronic pain, such as musculoskeletal and spinal pain
  • Traumatic brain injuries and concussions
  • Spinal cord injuries
  • Orthopaedic injuries
  • Neurological conditions, such as multiple sclerosis, stroke and neuropathy

Physical Medicine Services

Our specialists believe that individualized, collaborative care is the most effective way to help improve your ability to move and your quality of life. After conducting a thorough evaluation of your condition, we will work closely with you and your other medical providers – such as the specialists at the Vermont Orthopaedic Clinic – to develop a treatment plan that meets your needs.

Our physical medicine specialists lead a team of nurses and therapists who use a wide range of conservative methods to provide comprehensive, nonsurgical treatment, including:

  • Epidural steroid injections in all spinal regions
  • Trigger point, joint and peripheral joint injections
  • Facet joint injections, medial branch blockade and spinal radiofrequency ablation
  • Sacroiliac joint injection and radiofrequency ablation
  • Acupuncture
  • Osteopathic manipulation therapy (OMT)
  • Medications
  • Therapeutic exercise
  • Assistive devices or adaptive equipment
  • Custom-fitted orthotics
  • Prosthetic prescription

Shared Medical Appointments

As part of our commitment to efficient, advanced and supportive care, our physical medicine specialists offer the option of shared medical appointments (SMA). We bring between six and 15 patients with similar conditions together for group treatments to reduce wait times and improve access to care – all in a comfortable, relaxed and supportive environment.

During an SMA, you and several other patients will spend 90 minutes with Dr. Michael Kenosh and a team of healthcare providers. A typical SMA will include:

  • In-depth discussion of treatment options
  • Review and explanation of test results
  • Medication prescriptions or refills
  • Discussion of medication side effects
  • Arrangement of tests and procedures
  • Private individual exams, as needed
  • Question-and-answer session

To protect your privacy, each SMA patient will be asked to sign a confidentiality agreement that prohibits the sharing of sensitive personal information. Although more than 80 percent of former SMA patients say that they would participate in SMA again, you have the option of participating in traditional one-on-one office visits if you prefer.

RUTLAND REGIONAL MEDICAL CENTER160 Allen Street, Rutland, VT 05701802.775.7111

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