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OCPBC Newsletter
| February 2012
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Spot light Doctor of the month
Charles W. Graubert, M.D. Physical Medicine & Rehabilitation, EMG/NCV, Acupuncture
Dr. Charles Graubert is a south Florida "native", born and raised in Miami. He attended college at the University of Pennsylvania, and then returned to Miami for medical school at the University of Miami. He received his Physical Medicine & Rehabilitation Residency training at the University of Texas Southwestern Medical Center/Parkland Memorial Hospital in Dallas, Texas.
Dr. Graubert has been in private practice at Orthopedic Center since August, 1994. As a Physiatrist (Physical Medicine and Rehabilitation physician), he specializes in the rehabilitation of patients with diseases affecting the musculoskeletal and neurological systems. This includes minor problems such as sprains and strains, and more severe injuries including strokes, traumatic brain injuries, and spinal cord injuries. As a musculoskeletal pain specialist, Dr. Graubert treats arthritic and painful shoulders, hips, and knees. He also treats neck and back pain secondary to strains, arthritis, disc herniations, and radiculopathy (nerve root injuries). Dr. Graubert has been specially trained to perform Electrodiagnostic studies to aid in the diagnosis of injuries and problems to muscle and nerve. Dr. Graubert has also received training in Acupuncture to assist with pain management. The doctor's approach first focuses on proper diagnosis, followed by treatment with a combination of either medications, injections, and physical or occupational therapy. Dr. Graubert can also order braces and assistive devices such as walkers and canes to decrease pain and ultimately improve function. He does NOT perform surgery. |
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What is a Physiatrist?
Physiatrists, or rehabilitation physicians, are nerve, muscle, and bone experts who treat injuries or illnesses that affect how you move.
Rehabilitation physicians are medical doctors who have completed training in the medical specialty of physical medicine and rehabilitation (PM&R). Specifically, rehabilitation physicians:
- Diagnose and treat pain
- Restore maximum function lost through injury, illness or disabling conditions
- Treat the whole person, not just the problem area
- Lead a team of medical professionals
- Provide non-surgical treatments
- Explain your medical problems and treatment/prevention plan
The job of a rehabilitation physician is to treat any disability resulting from disease or injury, from sore shoulders to spinal cord injuries. The focus is on the development of a comprehensive program for putting the pieces of a person's life back together after injury or disease - without surgery.
Rehabilitation physicians take the time needed to accurately pinpoint the source of an ailment. They then design a treatment plan that can be carried out by the patients themselves or with the help of the rehabilitation physician's medical team. This medical team might include other physicians and health professionals, such as neurologists, orthopedic surgeons, and physical therapists. By providing an appropriate treatment plan, rehabilitation physicians help patients stay as active as possible at any age. Their broad medical expertise allows them to treat disabling conditions throughout a person's lifetime.
Click here for more information.
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ACUPUNCTURE: WHAT IS IT?
Acupuncture is a method of encouraging the body to promote natural healing and to improve functioning. This is done by inserting needles and applying heat or electrical stimulation at very precise acupuncture points.
HOW DOES ACUPUNCTURE WORK?
The classical Chinese explanation is that channels of energy run in regular patterns through the body and over its surface. These energy channels, called meridians, are like rivers flowing through the body to irrigate and nourish the tissues. An obstruction in the movement of these energy rivers is like a dam that backs up in others.
The meridians can be influenced by needling the acupuncture points; the acupuncture needles unblock the obstructions at the dams, and reestablish the regular flow through the meridians. Acupuncture treatments can therefore help the body's internal organs to correct imbalances in their digestion, absorption, and energy production activities, and in the circulation of their energy through the meridians.
The modern scientific explanation is that needling the acupuncture points stimulates the nervous system to release chemicals in the muscles, spinal cord, and brain. These chemicals will either change the experience of pain, or they will trigger the release of other chemicals and hormones which influence the body's own internal regulating system.
The improved energy and biochemical balance produced by acupuncture results in stimulating the body's natural healing abilities, and in promoting physical and emotional well-being.
WHAT IS MEDICAL ACUPUNCTURE?
IS IT DIFFERENT FROM ORDINARY ACUPUNCTURE?
Acupuncture is a very old medical art, and there are many approaches to learning and practicing it. Medical acupuncture is the term used to describe acupuncture performed by a doctor trained and licensed in Western medicine who has also had thorough training in acupuncture as a specialty practice. Such a doctor can use one or the other approach, or a combination of both as the need arises, to treat an illness.
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What is EMG/NCV
EMG/NCV (Electromyography/Nerve Conduction Velocity)
Underlying Problem Requiring an EMG/NCV:
EMG (electromyography) is a test used to measure the electrical activity of a patient's muscles. NCV (nerve conduction velocity), on the other hand, measures the intensity and the speed of the electrical signals that travel along the nerves, in addition to the reaction time for a response to these signals. Patients who require an EMG/NCV generally need a diagnosis relating to some sort of neuromuscular disorder. They help find the cause of a variety of conditions relating to muscles, such as paralysis, pain, spasms, and weakness. Results can also help to pinpoint the location of the problem, whether it is in the muscles themselves or is originating from the spinal cord or nerves.
EMG/NCV Procedure:EMG/NCV is performed by a Physiatrist. He or she is not only capable of conducting the test but can also interpret the results once the results have been obtained. The doctor will ask the patient to sit or lie down, depending on the area being tested. In the case of an EMG, a tiny needle will be inserted into a muscle in order to stimulate and measure electrical activity. An NCV will require two electrodes to be placed on the skin, and measurements will be taken as an electrical current travels the nerve between them.
There is little to no recovery time required after an EMG/NCV. At most, a patient may feel some tingling as a result of the electrical current introduced during the test, but this will not generally outlast the appointment. The patient can typically |
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Contact Us
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4801 South Congress Avenue
Lake Worth, FL 33461
Phone:
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Boynton Beach, FL 33437
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