PM&R Musculoskeletal and Chronic Pain Programs

Program Lead: Dr. Noorshina Virani

Musculoskeletal (MSK) Program

Musculoskeletal Physiatry continues to grow in Calgary. We welcomed Dr. Andrew Malawski, who has interests in general PMR, MSK and electrodiagnostic medicine, as well as ultrasound guided interventions. Dr. Malawski graduated from residency at the Cumming School of Medicine and has joined the expanding community practice at Kinesis Medical Centre. 

We also welcome to Calgary Dr. Ranita Manocha, who completed her PMR residency at University of Western Ontario. As part of her residency, in the Clinician Investigator Program, Dr. Manocha completed an MSc in Medical Biophysics at the Hand and Upper Limb Centre at St. Joseph’s hospital. She has recently started a Bracing Clinic at the Foothills Medical Centre, focusing on complex upper and lower extremity bracing needs.

Additionally, Dr. Maryana Apel has retired this year after 20 years in community practice; continuing to do some part-time, non-insured work to fulfill her retirement.

Four physiatrists from Kinesis Medical Centre continue to provide non-surgical neuromusculoskeletal expertise to the FMC Spine Triage Assessment Clinic. This joint venture with neurosurgery has a wait list of approximately six to 12 months.

Research 

Motyka P, Chiu D, Dukelow S, Huang C, Laplante L, Tulsi V, Raugust J. Prevalence of musculoskeletal disorders in patients referred for electrodiagnostic studies: a prospective observational study. Canadian Association of Physical Medicine and Rehabilitation 66nd Annual Scientific Meeting. May 29-June 2, 2018. Poster Presentation. 

Gerschman T, Raugust J, et al. Evaluating Levels of Activity and Health-Related Quality of Life in a Pilot Cohort of Youth Athletes with Juvenile Idiopathic Arthritis. Poster Presentation. 2017 Pediatric Rheumatology Symposium. Houston, TX. May 17-20, 2017. Arthritis Rheum. 2017;69:S4.

Education

Several learners, locally and from abroad, including medical students, residents and graduate physicians are eager to participate in clinical educational opportunities through the AHS Chronic Pain Centre, Kinesis Medical Centre and through Interventional Physiatry with Dr. Arun Gupta’s Regenerative Medical Centre at EFW Radiology. 

Kinesis has expanded those opportunities to including residents from Rheumatology and Geriatrics in addition to Family Medicine (18) and PMR (6), as well as 11 medical students.

Raugust J. Pediatric Sports Medicine. Canadian Physical Therapy Association. December 1, 2017. Online Podium Presentation. 

Tulsi V. Neck Pain: Approach for the Family Doctor. 42nd Annual Family Practice and Update Course. University of Calgary. November 2017. Podium Presentation. 

Chronic Pain Program

There are three streams of patient delivery at the AHS Chronic Pain Centre (AHS CPC) in Calgary, including the neuromusculoskeletal (NMSK), pelvic and headache teams. Currently 787 patients are on the NMSK wait list as of Sept. 26, 2018. An additional 144 patients are on the pelvic and headache team waitlists. NMSK physicians assessed 566 new patients in the reporting period, while pelvic and headache teams assessed 123 and 122 new patients respectively. Average wait time until the first patient-physician visit to the NMSK team is approximately 20 months. The wait times for patients to see a physician on the pelvic team is 7.3 months and on the headache team is 14.6 months. This does not include visits to lectures, groups or other Allied Health providers, which may occur prior to the first physician visit. 

The CPC is a mandatory rotation for Family Medicine and Physiatry residents. Additional learners may include Psychiatry residents, medical students (local and interprovincial), as well as CME observers, (graduate family physicians) and foreign trained graduates. 

Members 

AHS Chronic Pain Centre (AHS CPC): Dr. Nwamara Dike, Dr. Noorshina Virani

Performing Arts Medicine (PAM):  Dr. Arun Gupta

Community Practitioners: Dr. Maryana Apel, Dr. Darren Chiu, Dr. David Flaschner, Dr. George Francis, Dr. Tony Giantomaso, Dr. Arun Gupta, Dr. Chris Huang, Dr. Les LaPlante, Dr. Daniel LeBlond, Dr. Serge Mrkobrada, Dr. David Nabeta, Dr. Daniela Porter, Dr. Paul Reglin, Dr. Jordan Raugust, Dr. Vishal Tulsi, Dr. Andrew Malawski

(Updated Dec. 2018)