There are only a few hundred pediatric physiatrists in the United States. “But when they find us, patients’ and families’ faces light up as they say, ‘I’ve been asking for this my whole life,’” says Hannah Aura Shoval, MD, Chief of Pediatric Physiatry.
“Physiatrists are physicians specializing in neuromusculoskeletal medicine, and we work on improving function and quality of life,” explains Dr. Shoval, who joined Goryeb Children’s Hospital this spring. She is board-certified in physiatry, pediatric rehabilitation medicine and brain injury medicine by the American Board of Physical Medicine and Rehabilitation.
A pediatric physiatrist “works with kids to develop milestones — helping them stand, walk, use their arms for activities and speak,” she says. “Where we really shine is with kids who have an underlying neurological disorder that affects their muscles and bones. In particular, we are specialists in cerebral palsy and brain injuries, which can affect multiple systems and make daily activities difficult. A physiatrist teases out what problems are caused by muscle, bone, and nerve, and then uses this information to diagnose the cause of the problem and to prescribe treatments. We work to treat the child as a whole, frequently coordinating care with other specialties."
Dr. Shoval’s examination will include a detailed history and physical exam to fully understand your concerns and may include X-rays, MRI scans and other tests. Treatment could involve a combination of medications, specific exercises, therapies, braces, wheelchairs or walkers and injections.
Dr. Shoval has extensive experience treating cerebral palsy, the leading cause of motor problems in children, and has published research on treatments for it. “There is so much we can do for these kids. I especially love preventing common bone, skin, or nerve problems in children with cerebral palsy, so that they never become an issue in the first place,” she says. “There are very few people who can do the injections that allow these kids to keep functioning and be pain-free.”
Dr. Shoval is a leader in adaptive sports for kids, which are all about “finding ways people can participate,” she says. “It can be life-changing. We come up with adaptations so kids can ride a bike or play a sport, and we try to continually push them to be their best. That’s our goal in physiatry: to allow children to reach their full potential.”