Programs & Services
The Rehabilitation Institute of Washington, PLLC is a multidisciplinary rehabilitation center for individuals with musculoskeletal injuries, acute or chronic pain, and functional limitations or disability.
Our experienced team of physicians, psychologists, physical and occupational therapists, and vocational rehabilitation counselors works with patients to help them return to healthy and functional lifestyles by addressing physical limitations, pain, emotional distress and vocational problems.
The Pain Management Program is an interdisciplinary rehabilitation program for injured workers and others with disabling low back, neck, shoulder, or other musculoskeletal or neuropathic chronic pain including chronic regional pain syndrome (CRPS). The functional restoration program includes medical management, reduction of excessive or harmful medications, comprehensive physical conditioning, psychological and cognitive behavioral therapy for depression or other emotional distress, and vocational counseling. Read More »
The Work Hardening Program is an intensive, individualized, job specific program of activity for work injuries with the goal of safe return to work. The functional restoration program uses real or simulated work tasks and graded conditioning exercises to improve fitness and tolerance for work. Read More »
The Work Conditioning Program treats disability related to chronic pain. Treatment improves strength, endurance and flexibility and safe body mechanics to safely return to work. Read More »
A Physical Capacity Evaluation (PCE) is an assessment of a person’s ability to perform work activities in a clinical setting. The PCE can be used to determine a patient’s physical capacity level, evaluate individual job analyses, determine the need for specific work restrictions and/or guide treatment recommendations. Read More »
Neuropsychological testing in both English and Spanish samples a range of cognitive skills such as attention, memory, executive function and academic skills through the administration of standardized psychological tests. Evaluations are appropriate for those with traumatic brain injury, other neurological injury or disease, or to clarify ability to benefit from vocational retraining. Assessment is also done for pilots when required by the FAA and HIMS certified CogScreen-AE evaluations are also performed. Read More »
The Brain Injury Rehabilitation Program is a comprehensive interdisciplinary program for those with post-acute traumatic brain injury or other acquired neurocognitive impairments. The goals of treatment are to improve physical health and fitness, psychological well-being, coping and compensatory strategies, social and leisure activities and capacity for returning to work and/or to other functional activities.
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Pain psychologists at RIW provide evaluations and/or treatment for persons with chronic pain who may also experience depression, anxiety, pain-related fear, avoidance of activity, family or marital discord, anger, or other emotional distress, who are overusing alcohol or medications or other substances, who have limited incentives or motivation for recovery, or who are not coping optimally with chronic pain. Read More »
The physical medicine and rehabilitation physicians at RIW offer consultations to identify barriers to recovery, such as opioid or other medication overuse, psychological distress or need for more active rehabilitation, and to recommend appropriate treatment directions for persons with chronic pain and disability when recovery is stalled. Read More »
Electrodiagnosis - nerve conduction studies and needle electromyography (EMG) - can help in the diagnosis of carpal tunnel syndrome, ulnar neuropathy at the wrist and elbow, spinal nerve compression or radiculopathy, peripheral neuropathy, Lou Gehrig’s disease, or other types of nerve entrapment, injury or disease, or diseases of muscles. Electrodiagnosis can help evaluate problems of pain, weakness or numbness.
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Therapists provide outpatient therapies including gait training, work injury rehabilitation, work conditioning, work hardening, and pain management. Therapies at RIW involve active treatment to improve flexibility, strength, cardiovascular fitness, general health, posture, body mechanics and the ability to safely engage in an active and healthy lifestyle.
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Complex Regional Pain Syndrome (CRPS) is treated by a team including rehabilitation physician, pain psychologist, physical and occupational therapists, and vocational rehabilitation counselor. Treatment may include graded motor imagery, mirror box therapy, desensitization, active rehabilitation, medication management, regional anesthesia (blocks or epidural catheter), psychological coping skill, education and vocational counseling.
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Low back pain (LBP) is the most common cause of disability in working age adults. Spinal surgery, injections, medications and other pain treatments are not always successful and may produce negative side effects. At RIW, we use an active rehabilitation approach to restore health, fitness and function. We also teach cognitive behavioral coping skills for pain, sleep and emotional distress and provide education about pain management and appropriate medication use. Read More »
For those unable to commute to treatment due to distance or health reasons, apartments are available at the clinic (usually at no cost to the patient with a work injury).
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