Outpatient Physical Medicine and Rehabilitation

Our team consists of physiatrists, exercise physiologists, occupational and physical therapists as well as speech language pathologists who care for patients with a wide array of medical conditions resulting from injury, disease and surgery. 

The Physical Medicine and Rehabilitation Department at Greenwich Hospital offers specialized treatment at three convenient outpatient locations in the Greenwich/Stamford area. Our team of highly skilled professionals will complete a thorough evaluation and will develop an individualized treatment plan to address your challenges. Our treatments are one-on-one with a licensed professional and often include a combination of manual therapy, therapeutic exercise and modalities. 

Outpatient Physiatry

Physiatrists specialize in non-surgical medicine to maximize a patient’s level of function, quality of life and assist the patient in adapting to his or her limitations resulting from disease, condition, disorder or injury. A physiatrist should be consulted when pain, weakness, or disability is preventing a patient from achieving an independent lifestyle. To maximize function, physiatrists use a comprehensive approach and a variety of techniques including:

  • Medications
  • Injections
  • Acupuncture
  • Modalities
  • Therapeutic exercise
  • Prosthetics / orthotics
  • Cognitive therapy and adaptive devices

Physiatrists facilitate physiologic adaptation to disability to prevent lifelong complications or future deterioration secondary to disabling conditions. The goal of the physiatrist is to provide non-surgical medical care in order to maximize a patient’s physical, biological, psychological, social, and vocational potential.

Outpatient Physical Therapy

Physical therapists (PTs) treat patients of all ages with various diagnoses including, but not limited to:

  • Arthritis
  • Balance and vestibular disorders
  • Gait disorders
  • Headaches/ TMJ
  • Knee, ankle, foot disorders
  • Neck, back and joint pain
  • Nerve impingements
  • Orthopedic pediatric disorders
  • Post-concussion syndrome
  • Spinal fusions
  • Stroke
  • Tendon / ligament repair
  • Total joint replacements
  • Upper extremity trauma
  • Women’s health: pregnancy / pre and post-natal care
PTs treat the full spectrum of gait, balance, musculoskeletal, post-surgical, neurological and pain dysfunctions. PTs work in collaboration with your doctors and other medical providers to deliver a comprehensive approach to maximizing functional outcomes. A PT performs a thorough evaluation reviewing the bio-mechanical aspects of the entire body. The results from the evaluation as well as personal goals will determine the individualized plan of care. 

Outpatient Occupational Therapy

Occupational therapists (OTs) provide treatment to patients with orthopedic, neurological, developmental, vascular, lymphatic, myofascial and pediatric disorders. Much of the time, OTs work collectively with the interdisciplinary team to help patient’s reach their goals of maximal independence in the home, workplace, school and community. OTs may also provide or fabricate splints for patients. OTs educate and provide resources on adaptive devices and modifications that can increase a patient’s independence and quality of life.

Pediatric Occupational Therapy

OTs treat children of all ages with various diagnoses including, but not limited to: 

  • Autism spectrum disorders
  • Sensory disorders
  • Torticollis
  • Chromosomal disorders
  • Orthopedic injuries / disorders
  • Neurological injuries / disorders
  • Other developmental delays

OTs work closely and holistically with children and their families toward maximum independence and quality of life in the home, school, and work environments. 

Lymphedema Therapy

OTs provide treatment for patients with both primary and secondary lymphedema.  Patients with lymphedema of the face, neck, trunk, and extremities, chronic venous insufficiency, traumatic edema and post-surgical edema may benefit from this treatment. Treatment typically consists of manual lymph drainage (MLD) and complete decongestive therapy (CDT). OTs work with patients and their families/caregivers to instruct on self-management following the CDT protocol and fitting the patient for a compression garment for night and/or day time use.

Certified Hand Therapy (CHT)

Certified hand therapists (CHTs) specialize in the treatment of individuals with injuries or diagnoses regarding the hand or upper extremity. CHTs effectively rehabilitate patients both post-operative and non-operative. CHTs will fabricate and provide splints appropriate to their patients’ needs. Therapists interact closely with doctors and other team members to provide quality care working toward functional goals. CHTs help patients return to their productive meaningful lifestyles in the work place, school, home and/or the community.

Outpatient Speech Language Pathology

Speech language pathologists (SLPs) work to prevent, assess, diagnose, and treat:

  • Cognitive communication
  • Feeding difficulties in infants, children and adults
  • Language disorders
  • Neurologic disorders
  • Social communication
  • Speech disorders
  • Speech sound disorders
  • Swallowing disorders
  • Voice disorders

SLPs at Greenwich Hospital are trained to complete advanced instrumental swallow studies to assist with the diagnosis and management of swallowing disorders. Currently the instrumental study known as Modified Barium Swallow (MBS) is used on an outpatient basis at Greenwich Hospital.