FOR PHYSICAL THERAPISTS
When the Plateau
Has a Reason.
Partner with Dr. Shekhani for objective electrodiagnostic evaluations, pinpoint interventional localization, and targeted medical management designed to resolve clinical roadblocks and return patients directly to your rehabilitation protocol.
COLLABORATIVE CLINICAL CARE
Rehabilitation Continues.
The Question Gets Answered.
Physical therapy and Physical Medicine & Rehabilitation (PM&R) share an identical objective: restoring functional mobility and independence. While physical therapists drive active rehabilitation, neuromuscular re-education, and movement mechanics, PM&R applies physician-level diagnostic and interventional tools when recovery reaches an unexpected physiological plateau.
When a patient stalls, reports atypical radicular symptoms, or experiences persistent pain barriers, the issue is rarely therapeutic compliance. It is often an uncharacterized structural obstacle - such as focal nerve entrapment, acute disc pathology, or facet arthropathy - that requires precise electrodiagnostic confirmation or targeted medical intervention before active therapy can progress.
Dr. Shekhani evaluates the patient, isolates the physiological barrier, and immediately returns findings directly to the treating physical therapist. Our role is strictly collaborative and non-disruptive: answering the diagnostic question so you can resume and advance your therapy plan of care with complete clinical clarity.
CLINICAL INDICATIONS
When a Physician Evaluation Is Useful
Direct medical coordination for complex musculoskeletal cases, unexplained functional stalls, and regulatory documentation requirements.
A Plateau Without a Clear Cause
When progress stalls despite adherence to evidence-based physical therapy protocols. A physician evaluation identifies hidden structural barriers, recalcitrant inflammation, or underlying joint pathology requiring targeted medical intervention.
Neurological Signs During Treatment
The emergence of radiating pain, dermatomal sensory deficits, myotomal weakness, or altered reflexes during active therapy. Rapid medical evaluation rules out acute nerve root compromise or severe neuroforaminal stenosis.
Pain Limiting Tolerance for Active Care
Severe pain spikes that prevent patients from completing prescribed therapeutic exercise programs. Targeted medical pain management creates the clinical window necessary for patients to tolerate active strengthening and conditioning.
Objective Measures Needed for the Record
Cases requiring authoritative physician documentation to satisfy insurer audits, workers' compensation guidelines, or legal scrutiny. Physician notes establish formal causality, diagnostic confirmation, and impairment baselines.
Return-to-Work Capacity Questions
When work hardening or job duty clearances demand definitive medical work restrictions. Physician evaluations provide detailed functional limitations and structured return-to-duty milestones aligned with employer expectations.
Direct Access Patients Needing Physician Evaluation
Patients seeking care via direct access who reach statutory physical therapy limits or present with systemic red flags. Timely co-management ensures uninterrupted therapeutic care while establishing comprehensive medical oversight.
COLLABORATIVE PROTOCOL
Treatment That Supports Rehabilitation
Interventional procedures are deployed strictly to facilitate active physical therapy. When severe mechanical pain or acute joint inflammation stalls progress, image-guided injections reduce pain barriers so patients can immediately tolerate progressive physical loading.
We treat interventional medicine as an enabler, not an endpoint. By restoring joint mechanics and lowering neurological inhibition, your patients gain the therapeutic window required to complete their active rehabilitation program.
Targeted Delivery
High-resolution ultrasound and fluoroscopy ensure therapeutic agents reach the exact anatomical lesion while sparing surrounding healthy tissue.
Timing Discussed
We coordinate intervention scheduling directly with your therapy plan to optimize the post-injection pain-relief window for active loading.
Findings Returned
Comprehensive diagnostic imaging reports and procedural response notes are transmitted back to your office within 24 hours.
Nonsurgical First
Our conservative interventional philosophy prioritizes joint preservation and biomechanical restoration prior to any surgical consultation.
ON-SITE CLINICAL SUITE
Diagnostics and Treatment
Performed In-Office
Eliminate referral delays and hospital backlogs. Our dedicated facility provides rapid objective testing, precise image-guided interventions, and immediate clinical documentation to guide physical therapy progression.
Electrodiagnostic Study (EMG/NCS)
Comprehensive nerve conduction and needle electromyography to isolate radiculopathy, peripheral neuropathy, plexopathy, and focal entrapments with electrophysiologic certainty.
Diagnostic MSK Ultrasound
High-resolution dynamic evaluation of soft-tissue pathology, rotator cuff disruption, tendon subluxation, ligamentous sprains, and joint effusions in real-time motion.
Image-Guided Injections
Sub-millimeter needle placement under live ultrasound or fluoroscopic control for bursal, intra-articular, peritendinous, and trigger point anti-inflammatory relief.
Functional Capacity Evaluation (FCE)
Standardized biometric testing measuring material handling, positional tolerance, sustained effort, and physical demand levels for legally defensible return-to-work clearance.
RAPID CLINICAL REPORTING
Findings Return to the
Referring Therapist
Diagnostic precision is only actionable when it directly informs rehabilitation. Our medical team ensures complete diagnostic findings, imaging interpretations, and clinical recommendations are transmitted directly back to your clinic promptly—enabling you to immediately refine your physical therapy plan of care with objective clinical data.
Direct physician-to-therapist communication channels are maintained for every shared patient, eliminating administrative bottlenecks and ensuring complete care continuity.
Findings Documented
Comprehensive objective diagnostic metrics and imaging interpretations are formalized into a structured clinical report immediately following examination.
Returned to You
Direct, secure digital transmission is sent straight to your designated clinical coordinator, fax, or secure EHR portal without delay.
Under Two Business Days
Standard clinical consultation notes, initial diagnostic summaries, and basic procedural records are delivered within 48 business hours.
Three Business Days
Complete multi-modality diagnostic packages including formal radiologist reads are fully finalized and dispatched within 72 hours max.
COLLABORATIVE BOUNDARIES
Scope of This Practice
We operate strictly within diagnostic and interventional medical care to support, never replace or disrupt, your ongoing therapeutic relationship.
Nonsurgical Only
Our practice focuses exclusively on conservative interventions, advanced diagnostics, and non-operative medical treatment pathways.
Does Not Provide Physical Therapy
We do not offer in-house physical therapy, exercise programming, or manual therapy services, ensuring zero competition with your clinic.
Does Not Assume Management of Your Patient
Patients are evaluated for targeted medical clarity and immediately returned to your care to complete their full rehabilitation plan.
Does Not Require Exclusivity
Referrals are accepted on an open, case-by-case basis with zero contractual obligations or exclusive referring agreements required.
REFERRAL PROTOCOLS
Referring a Patient
Streamlined pathways designed for physical therapists, chiropractors, and referring providers to coordinate rapid diagnostic evaluations and patient transfers.
1
Direct Clinical Triage
Connect immediately with our clinical coordination team for urgent patient evaluations and diagnostic consults. We accommodate same-day review for acute post-collision cases requiring immediate intervention.
2
Records & Diagnostics
Request comprehensive electrodiagnostic findings, medical reports, and objective functional notes for mutual patients. All diagnostic documentation is securely transmitted through encrypted HIPAA-compliant pathways.
Patient Authorization and Information Handling
Standard digital submission channels on this site are configured exclusively for initial administrative intake, appointment coordination, and general consultation requests. To maintain rigorous compliance with HIPAA regulations and federal privacy mandates, please do not submit unencrypted Protected Health Information (PHI), diagnostic imaging files, or detailed clinical operative notes through unauthenticated web forms.
All clinical records, post-operative rehabilitation reports, and direct patient evaluations must be transmitted via our secure, encrypted direct EHR integration or verified clinical facsimile line. For full legal parameters regarding our data governance, please Review our Notice of Privacy Practices and HIPAA Protocols.
PHYSICIAN LEADERSHIP & CREDENTIALS
Naseem A. Shekhani, MD
Board-Certified Physiatrist (Physical Medicine & Rehabilitation) serving the greater St. Louis medical community with dedicated clinical practice in Florissant, Missouri.
With over 30 years of specialized musculoskeletal and interventional injury experience, Dr. Shekhani has evaluated and co-managed more than 15,000 personal injury and work-related trauma cases. His collaborative approach ensures seamless alignment with physical therapists across objective electrodiagnostic testing, precise procedural interventions, and clear return-to-function documentation.
- Board-Certified: American Board of Physical Medicine and Rehabilitation (ABPMR)
- 30+ Years of Focused Practice in Complex Musculoskeletal & Nerve Injuries
- Over 15,000 Traumatic Injury & Workers' Compensation Cases Evaluated
- Comprehensive Practice Location in Florissant, MO (St. Louis County)
FAQ BLOCK - CUSTOM CODE
DIRECT CLINICAL ACCESS
Refer a Patient
Streamlined coordination for personal injury cases. Dedicated diagnostic workups, objective documentation, and collaborative co-management for physical therapy partners.