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The Rosomoff Comprehensive Pain and Rehabilitation Center

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The Rosomoff Comprehensive Pain and Rehabilitation Center

5100 N.E. 2nd Avenue

Miami Beach, FL  33137  (305-532-7246)

 

website:  www.rosomoffpaincenter.com

 

Contacts:  Hubert Rosomoff, MD,  Rick Compton

 The CPRC was founded in 1975, and is a University-based program located in a community hospital. The center's rehab team includes more than 90 specialists who work full-time for the program. A typical course of treatment lasts 28 days.  This pain center treated about 500 people in 1998, and had approximately 1,100 patient visits last year.  The inpatient/outpatient mix is estimated to be 44%/56%, and consists primarily of back pain patients.  A Senior Citizens program is also available.

This program has been featured on CBS, NBC, the New York Times, Life, People, Prevention, and American Health magazines, and the monthly newsletter of the AARP.

This center specializes in treating back pain patients, but has treated other types of chronic pain as well, including: neck and whiplash injuries, neurological pain, and headaches. The CPRC team utilizes specialists in the following disciplines:

* neurological surgery             * physical therapy

* orthopedics                          * biofeedback

* family medicine                     * ergonomics

* psychiatry                            * vocational rehabilitation

* psychology                           * job simulation

* occupational therapy              * rehabilitation nursing

The Center’s inpatient program lasts, on average, two weeks with a transfer to the comprehensive outpatient program or home depending on progress. However, the length of program varies depending upon medical, behavioral, and financial determinations.

The Inpatient Program

The inpatient program is designed for persons with acute or chronic intractable pain whose level of function, productivity and life style is moderately to severely impaired.

The Center aims to physically recondition and restore the patient to the optimal level of function to include full range of motion, acceptable strength requirements, decreased pain level and functional tolerances. Among other things, it also seeks to reduce or eliminate the use of addictive pain medications and educate the patient to use alternative methods to alleviate pain.

 Services provided by the inpatient program include:

  • Physical Therapy.

  • Occupational Therapy.

  • Movement Therapy.

  • Muscle Re-education.

  • Motor Dysfunction Evaluation / Treatment.

  • Vocational Counseling - Rehabilitation, Placement.

  • Job Analysis, Job Simulation, and Work Fitness.

  • Primary Counselor (Doctoral level Psychologists) - 24 hour availability.

  • Individual Counseling.

  • Group Counseling.

  • Family - Individual and Group Counseling.

  • Stress Management.

  • Biofeedback and Relaxation Techniques.

  • Coping Strategies.

  • Educational Lectures (all disciplines).

  • Rehabilitation Engineering / Ergonomics.

  • Ergonomic Job Analysis.

  • Functional Electric Stimulation.

  • Case Management.

  • Detoxification.

  • Crisis Intervention.

The inpatient program treats the following conditions:

Musculo-skeletal diseases

  • Myofascial pain syndrome (fibrositis, fibromyalgia)

  • Cumulative or repetitive trauma (Carpal Tunnel Syndrome)

  • Cervical pain (strain, whiplash)

  • Temporomandibular joint disease (TMJ)

  • Back pain (sprain, strain)

  • Herniated disc and radiculopathy

  • Degenerative disease of the spine (stenosis, osteoarthritis, acquired spondylolisthesis, deg. arthritis - other)

  • Post-surgical rehabilitation

  • Geriatric rehabilitation

  • Chronic fatigue syndrome

  • Osteoporosis

  • Atrophy - disuse, non-use

  • Maladaptive gait

  • Knee, shoulder, elbow pain and limited range of motion

  • Sports injuries

  • Peripheral nerve injuries

  • Head pain

  • Other neuromuscular problems

  • Regional complex pain disorders or reflex sympathetic dystrophy (RSD)

      Problems not controlled with traditional medical approaches, in which pain has become chronic and intractable or interferes with function or quality of life.

  • Headache

  • Abdominal

  • Pelvic

  • Cancer

  • Neurological

Psychiatric Sequelae Related to Pain

  • Anxiety

  • Depression

  • Drug dependence due to pain (detoxification)

  • Alcohol abuse

  • Personality disorder

  • Suicidal ideation related to pain

The Outpatient Program

The center offers many of the same services at the outpatient level. The estimated length of the program is two to four weeks, depending on need or progress. Length of program varies depending upon medical, behavioral, and financial determinations.

Philosophy and Approaches of CPRC's Medical Director..  Hubert L. Rosomoff, MD is the Medical Director, and Renee Steele Rosomoff, RN is the Program’s Director. Their basic philosophy is that bedrest is never recommended for their patients. They believe that it takes 2 months of activation to return a person to normal after only 3 weeks of bedrest. At this center, aggressive therapy and exercise are used as soon as possible.

According to the CPRC, doctors have traditionally treated back pain with heat, bedrest, muscle relaxants and painkillers. When the pain persists, many people have surgery, but often still remain in pain. According to Dr. Rosomoff, contrary to popular belief, herniated discs or pinched nerves per se are not the main cause of the pain, although they may cause weakness, numbness or reflex changes. However, at least 80% of low back pain patients have no neurologic abnormalities.

The pain, he believes, is caused by injury and weakening of the muscles, tendons, and ligaments supporting the spine. Torn or pulled muscles tighten as they mend, especially with too much rest. The tissues around the joints then become so contracted that they cannot function normally.

These muscles then send messages to the brain which signal pain. Dr. Rosomoff concludes that more than 90% of all back pain can be traced to myofascial syndrome. Most doctors overlook this diagnosis and fail to treat myofascial pain syndromes.

* page last updated 01/14/2008

 

Cleveland Clinic | Johns Hopkins | Mayo Clinic | Mensana | Norman Marcus | Pain Control of Georgia

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