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Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation Physician Many patients—and even some healthcare providers—are not familiar with the role of a physiatrist. Physical Medicine and Rehabilitation (PM&R) is a medical specialty focused on restoring function, reducing pain, and improving quality of life through non-surgical, evidence-based care. A physiatrist is uniquely trained to evaluate how injury, illness, or chronic conditions affect movement and daily f

Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation Physician Gait speed (how fast a person walks) is one of the most powerful and underutilized measures in clinical medicine. Often referred to as the “sixth vital sign,” gait speed provides insight into mobility, fall risk, functional independence, and overall health. Whether a patient is recovering at home, attending outpatient therapy, or residing in a skilled nursing or assisted living facility, gait spee

Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation Physician Introduction Chronic wounds such as pressure injuries, diabetic ulcers, and non-healing surgical wounds often require evaluation by a specialist. At Michigan Rehab Consultant, PC, we provide advanced wound care in Clinton Township and home-based services throughout Macomb, Oakland, and Wayne County. Not all wound care is the same. Many patients receive standard wound care such as dressings, topical

Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation Physician Introduction Peripheral neuropathy is a common condition that can cause numbness, tingling, burning pain, weakness, and balance problems, often beginning in the feet and lower legs. At Michigan Rehab Consultant, PC, we provide comprehensive evaluation and treatment for neuropathy in Clinton Township, with home-based services available throughout Macomb, Oakland, and Wayne County for patients with m

Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation Physician In clinical practice, many patients with chronic pain continue to struggle despite seeing multiple specialists. While pain is often the presenting complaint, the true issue for many patients is declining mobility, loss of independence, and reduced participation in daily activities. This is where Physical Medicine & Rehabilitation (PM&R;) plays a distinct and essential role. What Is a Physiatrist? A

Understanding Evidence-Based Approaches to Diagnosis and Treatment By Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation Physician Low back pain is one of the most common reasons people seek medical care. Nearly everyone experiences it at some point, and for many individuals symptoms improve with time and conservative treatment. However, when back pain persists, worsens, or begins affecting daily function, evaluation by a specialist may be appropriate. Under

By Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation Physician Knee pain is one of the most common musculoskeletal complaints among adults and a frequent reason for medical visits. For many patients, knee pain can interfere with walking, exercise, and everyday activities. Although surgery is sometimes necessary for severe joint disease or structural injury, many patients benefit from non-surgical treatments. These may include physical therapy, activity modi

An Evidence-Based, Rehabilitation-Centered Approach By Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation Physician Chronic migraine is one of the most disabling neurologic conditions worldwide. Although migraine is often perceived as simply a severe headache, it is a complex neurobiological disorder involving altered pain processing, trigeminovascular activation, and changes in central nervous system sensitivity. Many patients with chronic migraine continue

By Dr. Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation In daily clinical practice, many patients with chronic pain struggle to meaningfully participate in rehabilitation due to weight-related mechanical and metabolic limitations. While GLP-1 receptor agonists are most often discussed in the context of diabetes and obesity management, they raise an important rehabilitation-focused question: Can GLP-1–based therapies indirectly improve chronic pain and mobi

By Dr. Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation Many people living with chronic pain are surprised to learn that inflammation does not only come from injury or arthritis—it is also influenced by lifestyle factors, including nutrition. As a physiatrist, my focus is helping patients move better, function better, and live with less pain. While injections, physical therapy, and medications are important tools, nutrition plays a meaningful supporting ro

Weight affects how we move, how we feel, and how much pain our joints carry every day. As a physiatrist, my focus is restoring function, helping patients walk farther, move with less pain, and stay independent longer. Over time, it became clear that for many patients with chronic back, hip, knee, and ankle pain, excess weight was not just a risk factor, it was a primary driver of pain and mobility loss. This is why physician-guided weight loss, including the use of GLP-1 rec

By Dr. Juliet Gaisey, MD Board-Certified Physical Medicine & Rehabilitation Chronic and non-healing wounds – such as pressure injuries, diabetic foot ulcers, venous stasis ulcers, and complex post-surgical wounds – are rarely caused by skin breakdown alone. They are most often the result of mobility impairment, pressure exposure, neurologic deficits, vascular disease, pain, and chronic medical conditions. This article is written for home health agencies, skilled nursing facil

Author: Juliet Gaisey, MD Published by Michigan Rehab Consultant, PC Living with chronic pain can be physically exhausting and...

Michigan Rehab Consultant, PC is a leading home health physiatry practice offering specialized rehabilitation services in Macomb,...

Physiatry, also known as physical medicine and rehabilitation, is a medical specialty that focuses on restoring function for patients...