Diagnosis is a large part of the practice of physiatry, and a good history and physical exam are crucial to the diagnosis. If we focus on a single organ system, I may miss the diagnosis completely. In order to make an accurate diagnosis in pain one has to listen to the patient. Believe the Patient I recently discovered some interesting statistics about pain sufferers in the state of Maryland. Sixty-six percent of Maryland households have someone who suffers pain on a monthly basis and 45% of Maryland households have someone who suffers pain on a daily basis. Seventy-eight percent were never referred to a pain specialist and 65% were not aware that there is such a thing as a pain specialist. Many had been told by their doctors that pain is part of growing old. Treat the Cause:Spend time trying to figure out why the patient is hurting. Re-Educate the Muscles:Unlike a broken bone that fixed stays fixed, a herniated disc usually occurs because of some imbalance between the musculature.
Dr. Brian Kahan, DO is a pain medicine doctor who practices in Annapolis, MD. He is 52 years old and has been practicing for 26 years. Dr. Kahan is affiliated with Anne Arundel Medical Center.