PM&R Musculoskeletal and Chronic Pain Programs

Program Lead: Dr. Noorshina Virani

Musculoskeletal physiatry continues to grow in Calgary. We welcomed Dr. Rebecca Iwanicki and Dr. Jennifer Litzenberger, who have interests in general PMR, MSK and electrodiagnostic medicine.  Both received Royal College Specialty Certification in 2019. They have joined the expanding team at Kinesis Medical Centre, which now has 10 physiatrists in community practice. Kinesis physicians continue to collaborate and run interdisciplinary clinics with neurosurgery, plastic surgery and with senior physiatrist residents. These clinics include:

  • Spine Triage and Assessment Clinic (STAC) at FMC (four days per week)
  • Hand Clinic at PLC
  • Senior Resident Clinic at FMC

Research 

AM Smith, PA Alford, M Aubry, B Benson, A Black, A Brooks, C Burke, R D’Arcy, D Dodick, M Eaves, C Eickhoff, K Erredge, K Farrell, J Finnoff, DD Fraser, C Giza, RM Greenwald, M Hanzel, B Hoshizaki, J Huston, J Jorgenson, M Joyner, D Krause, N LaVoi, M Leaf, J Leddy, J Leopold, K Margarucci, S Margulies, J Mihalik, T Munce, A Oeur, S Podein, C Prideaux, WO Roberts, F Shen, D Soma, M Tabrum, MB Stuart, J Wethe, JR Whitehead, D Wiese-Bjornstal, MJ Stuart.  Proceedings from the Ice Hockey Summit III: Action on Concussion. Exercise Medicine 2019; 3:1: https://doi.org/10.26644/em.2019.001.

Debert CT, Stilling J, Wang M, Sajobi TT, Kowalski K, Benson BW, Yeates KO, Dukelow SP. Athletes with a history of multiple sport-related concussions may be at risk of mild cognitive impairment on the Montreal Cognitive Assessment (MOCA). Canadian Journal of Neurological Sciences 2019; 46(3):311-318.

Mang CS, Whitten TA, Cosh MS, Scott SH, Wiley JP, Debert CT, Dukelow SP, Benson BW. Robotic assessment of motor, sensory and cognitive function in acute sport-related concussion and recovery. J Neurotrauma 2018. http://doi.org/10.1089/neu.2017.5587.

Mang CS, Whitten TA, Cosh MS, Scott SH, Wiley JP, Debert CT, Dukelow SP and Benson BW.  Test-retest reliability of the KINARM end-point robot for assessment of sensory, motor and neurocognitive function in young adult athletes. PLoS One 2018; 13, e0196205.

Whitten TA, Mang CS, Cosh MS, Scott SH, Dukelow SP, Benson BW. Spatial working memory performance following acute sport-related concussion: A novel robotic assessment task. J of Concussion 2018. https://doi.org/10.1177/2059700218797818.

Benson BW, Leclerc S, Richards D, McCluskey P, McCormack R, Wilkinson M, Kolb J. Sport-Related Concussion Guidelines for Canadian National and National Development High-Performance Athletes. Canadian Olympic and Paralympic Sport Institute Network, 2018. 

Peer-reviewed conference poster presentations:

Mang CS, Whitten TA, Cosh MS, Scott SH, Dukelow SP, Benson BW. Assessment of postural movements while performing a rapid bimanual motor task after sport-related concussion. SPIN 2018. Montreal. Oct. 31, 2018.

Education

Several learners, locally and from abroad, including medical students, residents and graduate physicians, are eager to participate in neuromusculoskeletal clinical educational opportunities through the AHS Chronic Pain Centre and Kinesis Medical Centre. 

Kinesis has expanded those opportunities to include 10 medical students and 46 residents from various disciplines, including PMR, rheumatology, geriatrics, family medicine and internal medicine.

Invited conference podium presentations

Benson BW, Keynote Plenary. New Concussion Guidelines. 4th Annual MSK Pearls Course, Alberta Medical Association (AMA) Section of Sports Medicine. Red Deer, Alberta. March 9, 2018. 

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, 626 patients are on the NMSK wait list as of Sept. 30, 2019. An additional 124 patients are on the pelvic and headache team waitlists. NMSK physicians assessed 595 new patients in the reporting period, while pelvic and headache teams assessed 125 and 75 new patients respectively.

Average wait time until the first patient-physician visit to the NMSK team, has reduced by six months since the year prior, and is now approximately 14 months. Wait times for the other teams have also reduced.  The wait time for patients to see a physician on the pelvic team is now 5.1 months and on the headache team is 10.8 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 include psychiatry residents, medical students (locally and across Canada), as well as CME observers, graduate family physicians and foreign trained graduates. As such, the centre is full of learners every clinic day of the year. 

Members 

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

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

(Updated December 2019)