FOR CHIROPRACTORS
Your Patient Stays
Your Patient.
Dr. Naseem Shekhani is a board-certified physician offering expert diagnostic evaluations and co-management partnerships that protect and preserve your referring clinical relationship.
COLLABORATIVE CLINICAL CARE
Co-Management,
Not a Handoff
STL Injury Specialist operates as an extension of your clinical practice, not a destination that replaces it. When an acute trauma or complex personal injury patient presents with diagnostic ambiguity, neurological red flags, or stagnant functional recovery, our role is to provide precise physician-level evaluation, advanced imaging oversight, and targeted interventional pain management while keeping your treatment plan at the center of the patient's care.
Conservative chiropractic care and structured physical rehabilitation remain the foundational drivers of long-term biomechanical restoration. Our diagnostic consultations and image-guided procedures are engineered solely to identify hidden pain generators, reduce acute inflammatory barriers, and substantiate medical-legal necessity. We do not assume primary case management or redirect the patient away from active therapy.
Following every diagnostic assessment or interventional procedure, detailed clinical findings, objective imaging reports, and recommended therapeutic clearances are transmitted promptly back to your office. Patients return to your care with clear diagnostic validation, stabilized symptomatology, and an unobstructed pathway to complete their rehabilitative protocol.
DIAGNOSTIC COLLABORATION
Clinical Situations Where
This Is Useful
Targeted physician evaluations, objective diagnostic confirmation, and interventional support to augment your ongoing active conservative care plan.
Radicular & Neurological Deficits
Progressive dermatomal sensory loss, motor weakness, or diminished deep tendon reflexes requiring objective electrodiagnostic (EMG/NCS) evaluation or rapid nerve root decompression triage.
Plateaued or Non-Progressing Cases
Patients experiencing persistent clinical stagnation after 4 to 6 weeks of dedicated conservative care, requiring differential diagnostic re-evaluation to unlock further rehab progress.
Suspected Disc Pathology
Extrusion, annular tear, or severe discogenic pain requiring advanced high-field MRI authorization, precise anatomical correlation, and formal diagnostic grading.
Joint & Facet Diagnostic Uncertainty
Ambiguity between facet arthropathy, SI joint dysfunction, and myofascial triggers that requires targeted diagnostic nerve blocks to isolate the primary pain generator.
Image-Guided Interventions
Severe acute inflammation inhibiting therapy tolerance, where fluoroscopy or ultrasound-guided injections create a pain-controlled window for therapy re-engagement.
Medicolegal & Objective Documentation
Complex personal injury, auto collision, or workers' comp claims where rigorous physician causation analysis and detailed diagnostic impairment reports protect the patient.
SPECIALIZED CLINICAL SUITE
Diagnostics and Treatment
Performed In-Office
Advanced neurodiagnostic and interventional pain management modalities administered on-site with rapid turnaround reporting for referring providers.
EMG / NCS Studies
Comprehensive needle electromyography and nerve conduction studies to localize radiculopathy, peripheral neuropathy, and plexopathy with electrodiagnostic precision.
Diagnostic Ultrasound
High-resolution musculoskeletal ultrasound for dynamic real-time evaluation of tendon tears, ligamentous laxity, joint effusion, and soft tissue entrapment.
Image-Guided Injections
Targeted ultrasound and fluoroscopy-assisted epidural steroid, facet joint, sacroiliac, and major peripheral joint injections for therapeutic relief.
Functional Capacity (FCE)
Objective, standardized functional testing and biomechanical quantification for workers' comp, disability determination, and return-to-work clearance.
CLOSED-LOOP COMMUNICATION
Findings Return to the
Referring Provider
Our collaborative framework ensures you maintain clinical leadership of your patient. We provide rigorous, specialist-level electrodiagnostic and musculoskeletal reporting that integrates directly into your ongoing treatment plan without patient retention or care disruption.
Every consultation results in actionable, objective documentation transmitted securely within 24 to 48 hours of evaluation, equipping you with the precise anatomical evidence required for clinical progression and medicolegal clarity.
24 to 48-Hour Report Turnaround
Comprehensive typed consultation reports and electrodiagnostic findings are securely faxed or emailed to your office within two business days.
Raw Waveform & Objective Data
Full EMG/NCS waveform traces, latency values, and amplitude metrics are included to substantiate clinical pathology for legal and insurance documentation.
Care Continuity & Patient Return
Patients are explicitly directed back to your clinic for their ongoing rehabilitation protocol immediately following diagnostic completion.
Direct Physician-to-Physician Consult
Dr. Shekhani is directly accessible by phone for peer-to-peer case debriefs, diagnostic correlation, or urgent clinical questions.
PRACTICE BOUNDARIES & PROTOCOL
Scope of This Practice
A transparent clinical collaboration model designed to assist referring chiropractors and physical therapists without displacing patient care.
Nonsurgical Interventional Care Only
Clinical services are focused solely on specialized diagnostic consultations and interventional pain management procedures without surgical intervention.
Does Not Provide Manual Therapy
This practice does not perform chiropractic adjustments, physical rehabilitation, or soft tissue therapies, preserving your direct treatment relationship.
Does Not Assume Primary Case Management
The referring clinician retains overall case direction while diagnostic findings and interventional notes are returned directly to guide ongoing care.
Does Not Require Exclusivity
Referral relationships operate on a collegial, patient-specific basis without contractual mandates, volume quotas, or referral exclusivity.
COLLABORATIVE CARE PATHWAYS
Referring a Patient
Choose the referral method that fits your clinical workflow. We ensure expedited consults, shared medical documentation, and coordinated treatment plans.
1
Direct Provider Phone Call
Speak directly with our clinical intake coordinator or Dr. Shekhani for immediate physician-to-physician consultations on acute trauma and surgical-candidate cases.
2
Records & Imaging Request
Request comprehensive electrodiagnostic records, IME reports, or post-evaluation findings directly through our secure records liaison portal for ongoing co-management.
PHYSICIAN LEADERSHIP & EXPERIENCE
Naseem A. Shekhani, MD
Dr. Naseem A. Shekhani is a board-certified physician specializing in Physical Medicine and Rehabilitation (PM&R) with more than 30 years of clinical leadership in managing complex musculoskeletal trauma and personal injury cases. Over his career, Dr. Shekhani has evaluated and treated over 15,000 injury patients across the Greater St. Louis region, delivering precise diagnostic clarity, objective impairment evaluations, and co-managed rehabilitation oversight.
Dedicated to seamless interdisciplinary collaboration, Dr. Shekhani partners directly with referring chiropractors, physical therapists, and medical specialists to validate clinical findings, provide advanced interventional pain management when indicated, and secure defensible medical documentation for ongoing patient recovery.
DIRECT PHYSICIAN PARTNERSHIP
Refer a Patient
Fast-track your clinical injury referrals with direct physician-level communication, prompt diagnostic reporting, and full co-management alignment.
Same-day physician consultations available for acute trauma • Complete records returned within 24-48 hours