Interestingly, both polio and physiatry (pronounced fizz ee at'try) came to the forefront during the first half of the 20th century. In fact, physiatrists who are doctors that specialize in physical medicine and rehabilitation (PM&R) largely entered the specialty due to the polio epidemics when there was a large need for rehabilitation specialists. The other historical movement that encouraged the development of PM&R was the returning World War II veterans who came home injured
. Although the specialty of PM&R was really just starting during the polio epidemics, physiatrists were an integral part of many polio survivors initial treatment. Since that time, physiatrists have been keenly involved in polio related issues and in fact this is part of their post medical school training during their residency which lasts for four years.
Demonstrating competence in treating Post Polio Syndrome is part of the skills necessary to become a board certified physiatrist.
Not surprisingly, choosing a physiatrist is a good place to start when looking for a medical specialist who understands Post Polio Syndrome. Although not all physiatrists have pursued an interest in Post Polio Syndrome, many have.
Physiatrists may be found in many practice settings and the easiest way to find one in your area is to call the American Academy of PM&R at (312) 464-9700. Another good way to find a physiatrist in your area is to call the Polio Connection of America at (718) 835-5536 or your local Post Polio Support group.
Physiatrists who practice in academic settings and who are affiliated with a major teaching hospital, generally have access to other experts who can provide polio related care. These experts include physical and occupational therapists, speech and language pathologists, orthotists (brace makers), nurses, social workers, psychologists, pulmonoligsts, etc.
Some physiatrists are the directors of polio centers which have many or most of these specialists on site. Generally large polio centers are found in metropolitan cities and sometimes they offer 2-5 day clinics for out of town patients.
Unfortunately, many polio survivors have been treated by doctors who do not fully understand the complexity of polio related issues. There are, however, excellent resources which are improving rapidly for polio survivors to access in terms of their medical care.
A physiatrist, particularly a physiatrist associated with a large teaching hospital and who runs a polio center in a major metropolitan city, is the best place to start when trying to find expert medical care for Post Polio Syndrome.
Julie Silver, M.D., Medical Director, Spaulding Neighborhood Center at Framingham, MA. Instructor, Harvard Medical School, Department of Physical Medicine and Rehabilitation