Patient care

The Department of Physical Medicine and Rehabilitation currently provides medical directorship to two adult inpatient rehabilitation units, one adult subacute rehabilitation unit and two pediatric rehabilitation units, outpatient rehabilitation care at three locations, interventional care and pain management at two locations, sports and musculoskeletal medicine at two locations, diagnostic ultrasound at three locations, electrodiagnostic services at four outpatient locations, neuropsychological testing at two outpatient sites, and rehabilitation consultation at four nursing homes. In addition, the Rehabilitation Research and Training Center provides workplace support to increase employment of people with disabilities.

Clinical programs

Amputee rehabilitation

The department provides comprehensive inpatient and outpatient amputee rehabilitation and care at VCU Health and the Hunter Holmes McGuire VA Medical Center. We strive to maximize the quality of life of persons with amputation through the use of rehabilitation services. Our programs emphasize the enhancement of quality of life by improving functional independence, increasing participation in social activities, preventing further injury and by education in health maintenance.

Services
  • Pre-prosthetic care and education
  • Prosthetic evaluation and prescription
Location(s)
Brain injury medicine

The department provides comprehensive inpatient and outpatient brain injury rehabilitation and care at VCU Health and the Hunter Holmes McGuire VA Medical Center. We strive to maximize the quality of life of persons with brain injury through the use of rehabilitation services. Our programs emphasize the enhancement of quality of life by improving functional independence, increasing participation in social activities, preventing further injury and providing education in health maintenance.

VCU’s Brain Injury Program and Richmond VAMC’s Polytrauma Program provide care in a self-contained unit which treats both adult and adolescent patients with traumatic brain injuries stemming from accidents such as falls, gunshot wounds, assaults or car accidents. Our highly specialized staff also treats those with non-traumatic injuries from causes such as aneurysms, hemorrhages or brain tumors. Both brain injury programs are proud be a federally designated Model System of Care for persons with brain injuries. Our Brain Injury Rehab Program is an intensive program focused on functional assessment, therapeutic intervention, community reintegration and long-term clinical follow-up.

Information about VCU’s TBI Model System

Services
  • Medical management of persons with brain injury
  • Mobility and self-care retraining
  • Cognitive therapies
  • Psychological services for adjustment
Location(s)
  • VCU Health
    • Outpatient Care – Ambulatory Care Center – (804) 828-4097
    • Inpatient Care – North Hospital – (804) 828-0861
  • Hunter Holmes McGuire VA Medical Center
    • Outpatient care – Polytrauma Network Site – (804) 675-5576
    • Inpatient care – Polytrauma Rehabilitation Center – (804) 675-6548
General rehabilitation

The department provides comprehensive inpatient and outpatient rehabilitation and care at VCU Health and the Hunter Holmes McGuire VA Medical Center for persons with stroke, orthopedic disorders, industrial injuries, rheumatologic disorders, cardiac disease and neurologic disorders. We strive to maximize the quality of life of these persons through the use of rehabilitation services. Our programs emphasize the enhancement of quality of life by improving functional independence, increasing participation in social activities, preventing further injury and by education in health maintenance.

Services
  • Medical management of an individual's impairment
  • Mobility and self-care retraining
  • Individualized therapy programs
  • Psychological services for adjustment
Location(s)
  • VCU Health
    • Outpatient care – Ambulatory Care Center – (804) 828-4097
    • Inpatient care – North Hospital – (804) 828-0861
Neuropsychology and rehabilitation psychology

The department provides neuropsychology and rehabilitation psychology services at VCU Health and the Hunter Holmes McGuire VA Medical Center for adults and children (ages 6 and greater) with TBI, stroke, brain tumors, spinal cord injury, learning disabilities, dementia and other neurological disorders. We strive to maximize the quality of life of these persons through the use of a full spectrum of treatment, treatment planning, consultation and referral services.

Our mission is threefold:

  1. Arrange and provide treatment based on a thorough evaluation of patient’s unique needs and goals.
  2. Provide individuals, families and professionals support and educational information about neurological conditions.
  3. Improve care and advance the understanding of neurological disorders through research.
Services
  • Supportive individual psychotherapy
  • Family support, counseling and education
  • Marital therapy
  • Behavior management
  • Stress management and relaxation
  • Academic disability documentation
  • Academic planning, counseling and consultation
  • Vocational planning and re-entry
Location(s)
Interventional spinal care

The department provides comprehensive outpatient interventional spine care at VCU Health and the Hunter Holmes McGuire VA Medical Center. We strive to maximize the quality of life of persons with pain through the use of interventional procedures and rehabilitation planning. Our programs emphasize the enhancement of quality of life by improving functional independence, increasing participation in social activities, preventing further injury and by education in health maintenance.

Interventional spine care represents the culmination of evidence-based and knowledge-based medicine to accurately diagnose and optimally treat spinal disorders and injury. The Interventional Spine Care program encompasses original spine research, efficient clinical dispensation of spine medicine and fellowship-level training.

Patients are evaluated at the VCU Spine Center or the Hunter Holmes McGuire VA Medical Center’s Interventional Pain Clinic where they are enrolled in a comprehensive diagnostic and therapeutic algorithm to rapidly improve their level of function and properly address their spine condition. The Spine Center and Interventional Pain Clinic faculty are experienced in spine and pain medicine and routinely present as faculty at local, national and international conferences and symposia.

Services
  • Comprehensive diagnostic evaluations
  • Therapeutic spinal interventions
  • Multidisciplinary focus
Location(s)
Parkinson's rehabilitation

The department provides comprehensive inpatient and outpatient Parkinson’s disease rehabilitation and care at VCU Health and the Hunter Holmes McGuire VA Medical Center. We strive to maximize the quality of life of persons with Parkinson’s disease through the use of rehabilitation services. Our programs emphasize the enhancement of quality of life by improving functional independence, increasing participation in social activities, preventing further injury and by education in health maintenance.

In 2001, the Veterans Health Administration created six national Parkinson’s Disease Research, Education and Clinical Centers (PADRECC) in an effort to improve care for veterans suffering from Parkinson’s disease and to pursue a cure for this condition. The centers are located in five other cities in addition to Richmond, Virginia. The PADRECC offers a variety of patient care services, allowing veterans access to innovative strategies and treatment interventions to improve functional ability and life satisfaction as well as opportunities to participate in cutting-edge research intended to lead to more effective treatments and ultimately a cure for Parkinson’s disease. In collaboration with VCU, participation in PADRECC clinical research is also available to non-veterans with Parkinson’s disease. PADRECC services include, but are not limited to, multidisciplinary assessment and treatment, clinical trials, physician consultation, medical management, surgical interventions, neuropsychological services, physical and occupational therapy, speech therapy, nursing services, telemedicine, caregiver resources, educational materials, community education programs, patient and family programs, and support groups and programs to educate medical professionals.

Services
  • Comprehensive evaluations for movement disorders
  • Surgical treatment with deep brain stimulation
  • Support groups
  • Education
Location(s)
Pediatric rehabilitation

The department provides comprehensive outpatient pediatric rehabilitation and care at Children’s Hospital of Richmond at VCU. We strive to maximize the quality of life of children with activity limitations through the use of rehabilitation services. Our programs emphasize the enhancement of quality of life by improving functional independence, increasing participation in social activities, preventing further injury and by education in health maintenance.

CHoR is a specialty pediatric facility and provides services that center on the diagnosis and treatment of various medical conditions, including developmental disabilities, feeding disorders, chronic illness, recent injuries, orthopedic problems, neurological disorders and associated behavioral disorders. The department provides specialty clinics in concussion and TBI care, cerebral palsy, muscular dystrophy, spasticity, spina bifida, spinal cord injury and many other rehabilitation specific diagnoses.

Services
  • Specialty medical evaluation and treatment
  • Social work services
  • Interdisciplinary approach
Polytrauma care

The department provides comprehensive inpatient and outpatient polytrauma rehabilitation and care at the Hunter Holmes McGuire VA Medical Center. We strive to maximize the quality of life of persons with polytraumatic injuries through the use of rehabilitation services. Our programs emphasize the enhancement of quality of life by improving functional independence, increasing participation in social activities, preventing further injury and by education in health maintenance.

In 1993, the Veterans Health Administration and Department of Defense established four centers of excellence for TBI within the VHA, including the Richmond VAMC, and three sites within the DoD. In 2003, these four lead VHA centers were re-designated as Polytrauma Rehabilitation Centers to care for those with severe combat wounds (a fifth site was added in 2010). Since 2005, these centers have expanded from intensive inpatient rehabilitation centers and include the entire continuum of rehabilitation care for those with TBI. This includes a program dedicated to those with disorders of consciousness (Emerging Consciousness Program), a program to promote successful community re-entry (Polytrauma Transition Rehabilitation Program), a program to provide a vocational rehabilitation experience (Servicemember Transitional Advanced Rehabilitation), a TBI outpatient team (Polytrauma Network Site), a lead Regional Amputee Center and a lead Assistive Technology program.

Services
  • Medical management of persons with polytrauma
  • Mobility and self-care retraining
  • Cognitive therapies
  • Psychological services for adjustment
Location(s)
Spinal cord medicine

The department provides comprehensive inpatient and outpatient spinal cord injury rehabilitation and care at VCU Health and the Hunter Holmes McGuire VA Medical Center. We strive to maximize the quality of life of persons with SCI and disorders through the use of rehabilitation services. Our programs emphasize the enhancement of quality of life by improving functional independence, increasing participation in social activities, preventing further injury and by education in health maintenance.

SCI rehabilitation is an intensive interdisciplinary program utilizing the expertise of SCI-trained physicians, physical therapists, occupational therapists, recreation therapists, speech and language pathologists, social workers, rehabilitation psychologists, rehabilitation nursing, wound care specialists, and dieticians along with a comprehensive group of consultants.

Services
  • Medical management of persons with SCI
  • Mobility and self-care retraining
  • Individualized therapy programs
  • Psychological services for adjustment
Location(s)
  • VCU Health
    • Outpatient care – Ambulatory Care Center – (804) 828-4097
    • Inpatient care – North Hospital – (804) 828-0861
  • Hunter Holmes McGuire VA Medical Center
    • Outpatient care – Spinal Cord Injury and Disorders Service – (804) 675-5128
    • Inpatient care – Spinal Cord Injury and Disorders Outpatient Clinic – (804) 675-5000 ext. 3380 or ext. 3389
The Gerry Bertier #42 Foundation

The Gerry Bertier #42 Foundation is a 501(c)(3) nonprofit that supports the VCU Spinal Cord Injury Rehabilitation and Research Center. The foundation’s goal is to raise awareness and support for SCI patients, therapists and doctors at VCU with a commitment to improve hope, function and quality of life.

Sports medicine

The department provides comprehensive outpatient sports medicine at VCU Health. We strive to maximize the quality of life of persons with sports-related injuries through the use of rehabilitation services. Our programs emphasize the enhancement of quality of life by improving functional independence, increasing participation in sports activities, preventing further injury and by education in health maintenance.

Services
  • Medical evaluation and management of sports-related injuries
  • Surgical intervention
  • Individualized therapy programs
Location(s)
  • VCU Health
    • VCU Sports Medicine Clinic – (804) 828-0713
  • VCU Health
    • Neuroscience, Orthopedic & Wellness (NOW) Center - (804) 360-4669
Workplace support

The department’s Rehabilitation Research and Training Center on Workplace Supports works closely with business associations and corporate partners to analyze barriers to employment, policymakers and state governments to develop innovative service delivery systems and people with disabilities and rehabilitation service providers to determine the best practices for increasing the employment of people with disabilities.

Services
  • Employment planning
  • Vocational assessment
  • Job development
  • Customized employment
  • On-the-job training and support
  • Work incentives counseling
  • Recruitment and retention support
  • Education and technical assistance
Location(s)