FOR PRIMARY CARE PHYSICIANS
A Specialist Referral
That Comes Back to You.
Dr. Shekhani delivers board-certified Physical Medicine and Rehabilitation (PM&R) expertise, rapid diagnostic electrodiagnostic testing (EMG/NCS), and targeted interventional pain management. We provide prompt clinical documentation and immediately return longitudinal patient management directly to your primary care practice.
CLINICAL POSITION & DIAGNOSTIC TRIAGE
The Musculoskeletal Complaint
That Needs an Answer
Primary care physicians encounter complex musculoskeletal pain daily: acute or chronic axial spine disorders, persistent radicular symptoms, post-traumatic joint injuries, and ambiguous soft tissue trauma. Frequently, standard plain radiography provides inconclusive findings, leaving clinicians with the difficult decision of choosing between conservative observation and immediate surgical referral.
Direct-to-surgery referrals often result in prolonged wait times for non-operative candidates, diagnostic ambiguity, and patient frustration. Most presenting conditions demand comprehensive functional localization, electrodiagnostic assessment (EMG/NCS), and targeted interventional pain management before any surgical suite is considered.
Dr. Shekhani serves as the definitive Physical Medicine & Rehabilitation (PM&R) diagnostic bridge. By performing meticulous neuromuscular evaluations, ultrasound-guided diagnostics, and evidence-based restorative protocols, our clinic identifies exact pain generators, initiates restorative non-surgical interventions, and ensures only appropriately triaged surgical candidates advance to orthopedic or neurosurgical care.
PRIMARY CARE REFERRAL PROFILE
Presentations Commonly Referred
These are the complaints most frequently sent to this office from primary care.
Radicular Pain
Persistent cervical or lumbar radiculopathy unresponsive to first-line conservative management. We provide prompt electrodiagnostic testing and targeted interventional pain pathways.
Numbness in Hands
Paresthesias, nocturnal hand waking, and suspected compressive neuropathies such as carpal or cubital tunnel syndrome. Full in-office EMG/NCS studies clarify entrapment level.
Back/Neck Pain
Subacute and chronic axial spine pain with suspected facet arthropathy, discogenic etiology, or stenosis. We assess functional limitations and execute precise interventional relief.
Joint/Soft Tissue
Recalcitrant shoulder, knee, hip, and bursal inflammation refractory to oral anti-inflammatories. Diagnostic ultrasound evaluation and therapeutic infiltration directly restore mobility.
Motor Vehicle/Work Injury
Complex personal injury and workers' compensation cases requiring rigorous objective charting, causality reporting, and rapid specialist evaluation within 24 to 48 hours.
Image-Guided Injection Candidacy
Patients indicated for fluoroscopic epidural steroid injections, facet branch blocks, radiofrequency ablation, or ultrasound-guided peripheral nerve and joint procedures.
OBJECTIVE CLINICAL EVALUATION
Diagnostics and Treatment Performed In-Office
Testing is performed and interpreted by Dr. Shekhani directly, providing prompt and definitive diagnostic clarity without third-party imaging bottlenecks.
EMG / NCS
Electromyography and nerve conduction studies localize radiculopathy, peripheral entrapment, and axon loss. Comprehensive electrodiagnostic reports are generated with actionable clinical summaries.
Diagnostic Ultrasound
High-resolution dynamic musculoskeletal ultrasound visualizes tendon tears, ligament laxity, and joint effusions in real time. Dynamic maneuvers assess tissue displacement during active physiological movement.
Guided Injections
Targeted ultrasound-guided joint, bursa, and perineural injections maximize therapeutic placement accuracy while minimizing procedural discomfort. Targeted therapies support functional recovery and pain modulation.
IME (Independent Medical Exams)
Unbiased, evidence-based evaluations addressing medical causation, maximum medical improvement, and impairment ratings. Structured documentation withstands rigorous medico-legal and administrative scrutiny.
FCE (Functional Capacity)
Standardized physical performance testing quantifies safe work tolerance, lifting limits, and endurance metrics. Objective data establishes defensible return-to-work guidelines and disability determinations.
CLOSED-LOOP REFERRAL PROTOCOL
Findings Return to the
Referring Physician
We operate strictly as an extension of your primary care diagnostic workflow. Every clinical evaluation, diagnostic finding, and specialized treatment plan is thoroughly documented and returned to your office alongside full authorization paperwork, ensuring complete continuity of care.
Medical Home Preservation: We do not absorb primary care patients. Once injury-specific diagnostics and targeted interventions are finalized, patients are guided back to your medical home with comprehensive progress reports.
Findings Documented
Every objective clinical marker, diagnostic scan, and physician note is indexed into a standardized medical record.
Returned to You
Complete specialist interpretations and treatment updates are transmitted directly back to your secure clinical inbox.
Under Two Business Days
Urgent diagnostic findings and acute injury summaries are turned around within 48 hours to expedite primary care decisions.
Three Business Days
Full comprehensive narrative reports with treatment response plans are finalized and routed within three business days.
PRACTICE BOUNDARIES & CLINICAL SCOPE
Scope of This Practice
Our role is strictly defined to support primary care physicians by providing specialized, time-sensitive interventional diagnosis and restorative treatment without altering ongoing longitudinal patient care.
Nonsurgical only
All diagnostic procedures and restorative therapies are strictly non-operative; learn more about our in-office capabilities.
Focused on musculoskeletal and nerve injury
Clinical evaluation concentrates solely on trauma-induced spinal, joint, and radicular pathology; see full referred presentations.
Does not assume primary care management
We do not manage chronic comorbidities or routine health maintenance; review our collaborative position statement.
Coordinates with existing care
All diagnostic findings and visit summaries are promptly routed to your records to maintain seamless continuity of care.
COORDINATED INTAKE PROTOCOLS
Referring a Patient
Select a direct communication channel below to initiate triage, transmit clinical records, or consult with Dr. Shekhani.
1
Call the Office
Direct phone triage connects your clinic immediately to our dedicated referral coordinator for urgent post-trauma evaluations. Routine clinical inquiries receive same-day physician callbacks.
2
Request Records
Access comprehensive post-intervention summaries, fluoroscopic injection logs, and electrodiagnostic reports for mutual patients. All clinical documentation is securely dispatched within 24 hours.
PHYSICIAN BIOGRAPHY & LEADERSHIP
Naseem A. Shekhani, MD
Board-Certified Physical Medicine & Rehabilitation | 30+ Years St. Louis Practice
Dr. Naseem A. Shekhani brings over three decades of clinical leadership in physical medicine and rehabilitation to the St. Louis medical community. Having evaluated and managed more than 15,000 complex trauma, spinal, and musculoskeletal cases across the region, Dr. Shekhani serves as a reliable secondary care partner for primary care physicians requiring decisive diagnostic clarity and targeted rehabilitation protocols.
His practice focuses on objective electrodiagnostic assessments (EMG/NCS), fluoroscopic spinal interventions, and dedicated coordination with referring physicians. Every evaluation yields complete clinical documentation within 48 hours to preserve continuity of care and support seamless medical records integration.
COMPLIANCE & PROTOCOL
Patient Authorization
and Information Handling
All patient medical records, diagnostic imaging files, and consultative correspondence received from referring primary care practices are governed strictly by Title II of the Health Insurance Portability and Accountability Act (HIPAA) and applicable Missouri state confidentiality statutes. Clinical disclosures exchanged through our secure direct portal, encrypted fax network, or integrated EHR gateways are restricted exclusively to treatment coordination, continuity of care, and diagnostic evaluation.
Referring physicians retain continuous access to treatment encounter summaries and formal progress notes following each clinical evaluation. If specialized patient consent documentation or formal Business Associate Agreements (BAA) are required by your compliance department prior to transmission, contact our clinical privacy coordinator directly or review our comprehensive notice below.
EXPEDITED CLINICAL PATHWAY
Refer a Patient
Call the office directly, or submit a referral and staff will contact the patient to schedule.
Direct Physician Line • Comprehensive Consult Notes Sent Within 24-48 Hours