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  1. #1
    Senior Member iskumbro's Avatar
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    neurologist and physiatrist

    Can I just ask for an advise of which two doctors could help me more during check-ups and more knowledgeable with sci problems?

    I am having spasticity problems and I am getting confused whom to believe from my doctors because most of the time my neurologist would not agree with the medications given by my physiatrist.

    Again, with regards to bladder problems, I think the neurologist would have more edge over the physiatrist.

    I guess they should complement each other but I dont think they agree most of the time.

  2. #2
    You're right in the physiatrist knowing more about dealing with spasms than the neurologist.

    For bladder problems, though, I would use a urologist, or even a physiatrist with knowledge in neurogenic bladder, over a neurologist.
    _____________

  3. #3
    Quote Originally Posted by marmalady
    For bladder problems, though, I would use a urologist, or even a physiatrist with knowledge in neurogenic bladder, over a Neurologist.
    The key word there is "knowledge." Make sure your doctors are knowledgeable and have significant experience with patients with SCI and neurogenic bladders. I also agree - first choice would be the knowledgeable Urologist.
    Good luck,
    Carl

  4. #4
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    They're hard to find. My son went looking for docs (PCP & urologist) with SCI experience- most said they "would have no pronlems treating an SCI"- but have had really very few (if any) SCI patients. The neuros at the rehab hospital are reluctant to give out references, or names- why?
    Bob B
    SCI - Parent

  5. #5
    Hit up a neuro urologist for your urinary health. She/he will know about SCI/neurologic concerns.

  6. #6
    Here is my bias:

    Neurologists are experts in making a diagnosis of a problem, but most are not interested in long term management, and few have any experience or training in rehabilitation or management of chronic SCI. An exception might be one who also has board certification in Spinal Cord Medicine. Most of my clients never see a neurologist.

    A physiatrist is trained in both rehabilitation and management of long term chronic disability. Some specialize in SCI, others do not, so you have to ask. Again, additional board certification in Spinal Cord Medicine is a good indicator of this interest and expertise. They will not only be very knowledgeable about SCI rehab, but long term needs such as spasticcity management, equipment needs, complications such as HO, bladder care, annual evaluations, skin care, etc., etc. A good physiatrist will also be able to refer you when needed to good urologist, neurosurgeons, orthopedists, plastic surgeons and other specialists you may need.

    A neurologic urologist should be a partner with your physiatrist in your bladder management. Ideally they should discuss options with you jointly, and plan for interventions jointly as well.

    (KLD)

  7. #7
    Senior Member iskumbro's Avatar
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    thanks for all the explanations. very enlightening especially that of a neurologic uro. Happy Easter

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