• Medical Specialists
• Physical Medicine and Rehabilitation
• Charles Dillard, MD
• Katrina Lesher, MD
• Jennifer Barboza, CPNP-PC
• How to Refer to Physical Medicine and Rehab

Rehabilitation

The physical medicine and rehabilitation physicians at CHKD are specially trained to provide a wide range of diagnostic, therapeutic and rehabilitative services for infants, children and adolescents.

What We Do

We help patients gain or regain lost skills or capabilities and maximize potential that has been inhibited by developmental delay, disease or accident.

Conditions Managed

• Birth defects
• Brachial plexus injury 
• Brain injury (traumatic, hypotic, isecenic, encephalopathy)
• Cerebral palsy
• Complex regional pain syndrome
• Limb deficiency
• Muscular dystrophy
• Neuromuscular disorder
• Pediatric stroke
• Spasticity
• Spina bifida
• Spinal cord injury both traumatic and non-traumatic
• Torticollis
• Weakness secondary to orthopedic surgery or neurological illness

Services Offered

We tailor each child’s treatment plan according to his or her unique needs. Below are some of the services we provide and some of the procedures or tests we may recommend:

• Evaluation, diagnosis and treatment of rehabilitative medical problems.
• Coordinate and oversee rehabilitative therapies (including physical, occupational and speech therapy)
• Prescribe and monitor orthotics (braces) and prosthetics (artificial limbs) and special equipment such as wheelchairs and stander and bath equipment
• In-hospital consultation for rehabilitative needs
• Inpatient Rehabilitation Unit for acute problems
• Pain management for CRP and musculoskeletal problems
• Spasticity management including oral medications, botulinum toxin injections, Baclofen pump assessment and management, and phenol nerve and motor point blocks

Referral and Insurance Details

Generally, if you have an HMO, you must: 

• Get a referral from your child's' primary care physician before you call to make an appointment for evaluation by one of our specialists.
• Make sure that your referral has not expired. Many are good for only 30 days, so check yours before you come to your appointment. If your referral has expired, call your primary care physician and explain your situation. In most cases, your primary care physician will provide you with a new or extended referral.
• Bring the referral with you to the appointment. If you do not have a referral, or if the referral you have is expired, your HMO will not pay for your appointment.

If you have fee-for-service insurance or a PPO, you do not need a physician's referral to make an appointment with one of our specialists. However, a written order from a physician is required to refer a patient for physical and/or occupational therapy.

We offer in-depth information about insurance in our billing and insurance section.

Appointments

Appointment times vary by day; please call our office to schedule an appointment at (757) 668-9915. If you need to send a fax, our number is (757) 668-8569.