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Physiatry and Sports Medicine

Meet the Doctors

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Dr. Katherine Nanos

M.D., FRCPC

Physical Medicine and Rehabilitation, Practicing in Sports Medicine

Dr. Katherine Nanos is a Physiatrist with a focus in Sports Medicine. Dr. Nanos had the great fortune of being trained in musculoskeletal ultrasound and orthobiologics by international leaders and pioneers in these fields. These concepts, techniques and their applications now play an important role in her practice of Musculoskeletal Sports Medicine.

Dr. Nanos has a special interest in the use of ultrasound guided procedures and orthobiologics, to aid in the management of common joint and tendon issues including:

  • Osteoarthritis
  • Bursitis
  • Tendinopathy/tenosynovitis
  • Plantar fasciitis
  • Aspiration/fenestration of cysts

Dr. Nanos also performs pre-surgical diagnostic injections (e.g. hip joint), capsular distention/hydrodilatation procedures for adhesive capsulitis, and certain nerve hydrodissections (e.g. median nerve at the carpal tunnel).  Depending on the diagnosis and the patient’s preference, corticosteroid, hyaluronic acid, or platelet rich plasma (PRP) may be used. A referral from your family physician or other medical specialist is required to see Dr. Nanos.

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Dr. Emily Tam

M.D,, FRCPC

Physical Medicine and Rehabilitation (Physiatry), Practicing in Sports Medicine

At Strive, Dr. Emily Tam is a Physiatrist with a focus in Musculoskeletal and Sports Medicine. She sees a variety of patients with general rehabilitation, musculoskeletal, and stroke rehabilitation issues at her clinics and recognizes the importance of working closely with a rehabilitation team. Her primary clinical practice area is musculoskeletal/sports medicine, and she has a diverse interest and experience in sports injuries of all levels and ages. A referral to Dr. Tam from your family doctor is highly recommended, and in some circumstance this requirement can be waived to accommodate walk in patients.

 

At Strive, we work as a team. Your Strive Physiatrist will work with the other members of your health care team to help meet your needs and achieve your goals.

What is Sports Medicine

 

The field of Sports Medicine focuses on the prevention, diagnosis, treatment of sports injuries and musculoskeletal conditions. Physicians who have a speciality in the area of Sports Medicine are skilled in the assessment and diagnosis of sports injuries. Whether your condition requires a referral for diagnostic testing, a prescription for medication, a referral to a specialist or surgeon or to provide a recommendation for treatment options, your Strive Sports Medicine Physician is here to help.

What is a Physiatrist?

Rehab doctors or, Physiatrists are physicians who specialize in Physical Medicine and Rehabilitation (PM&R), a medical specialty that evaluates and manages patients whose functional abilities have been affected/impaired.

The impairments may result from injuries or conditions, such as musculoskeletal disorders, arthritis, after surgery, neuromuscular disorders, etc. A physiatrist can help to improve a person’s functional capabilities by medical treatment and organizing and integrating a program of rehabilitation therapy that often includes physiotherapy.

Physiatrists usually work closely with rheumatologists, neurologists, and orthopedic/spine surgeons.

Respectively, Physiatrists focus on non-inflammatory muscle, joint, and other musculoskeletal conditions, with the capacity to evaluate any neurological contributions and more complex musculoskeletal conditions.

Physiatrists also focus on rehabilitation aspects (e.g.: optimising function) for those with neurological conditions, such as peripheral nerve injuries (e.g.: carpal tunnel syndrome) and pinched nerves (e.g.: in the neck and low back), particularly those who do not require surgery, and those who would benefit from rehabilitation after surgery.

What is Orthobiologics?

Regenerative medicine is an exciting and growing area of that is working on developing evidence-based standards of care to treat injured or torn muscles, tendons, ligaments  and joint pain from degenerative diseases such as osteoarthritis using biological agents.

 

Platelet Rich Plasma also know as PRP, can be useful in improving the healing of chronically pain tendons and joints that have not responded to more conservative treatment options. Platelets are a component of blood that contain growth factor and they are necessary to create a healing response. In joints with degenerative conditions such as osteoarthritis or long standing tendon injuries, this process has been delayed or altogether halted.

 

To create PRP, a patient’s own blood is drawn and spun in a centrifuge to separate it into its components. The platelets are separated and then injected, using ultrasound guidance, into the injured tendon or joint.  The goal is to help re-ignite the healing process and create a healthier environment with a joint.

 

To optimize the outcomes, patients are encouraged to continue with a rehabilitation program to address the other contributing factors to their condition.

What to learn more about the field of
regenerative medicine and orthobiologics?

Click here to read the post

Check out this post from the Mayo Clinic’s Expert Alert on Perspectives on Regenerative Medicine

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Prefer to listen? The first 30 minutes is an overview of orthobiologics and its indications.