The Department of Orthpaedic Surgery faculty includes four physiatrists who have an interest in diagnosis and non-operative management of a variety of musculoskeletal disorders. Clinicians on this service have an outpatient-based practice with clinics devoted to the diagnosis and treatment of acute and chronic injuries of the musculoskeletal system. Fluoroscopically guided injections of the lumbar spine, hip and shoulder are frequently utilized as both a diagnostic tool and pain management technique. The service also includes electrodiagnostic testing (electromyography and nerve conduction studies) for a wide variety of peripheral nerve injuries.

The physiatry service's expertise provides a multidisciplinary approach to orthopaedic treatment for patients of the overall practice. 

Faculty members include:
Heidi Prather, DO (Chief of service)
Devyani Hunt, MD
Adam LaBore, MD
John Metzler, MD

Patients are seen at the Center for Advanced Medicine at Barnes-Jewish Hospital and at our Outpatient Orthopedic Center located in Chesterfield, MO. Referrals are seen from a large geographic region and encompass a wide variety of pathology.

The focus of the resident's participation is on the initial evaluation of the patient and the formulation of a diagnostic and treatment plan. The rotation typically occurs during the PGY-1 year and provides an opportunity to develop and refine musculoskeletal examination skills. One on one interaction with the physiatry faculty also allows the opportunity for discussion of the appropriate ordering and interpretation of radiologic and other diagnostic studies. Residents also receive instruction in prescription of physical therapy, bracing, and orthotics. Exposure is also given to fluoroscopically guided injection procedures and to electrodiagnostic studies with an emphasis on the basics of interpretation.

Clinical research is focused on outcomes for a variety of treatment interventions. Areas of study include the role of vertebroplasty in managing pain from pathologic compression fracture and examining the role of epidural steroid injections in the management of radicular pain.