Would you expect most Physical Therapists to be familiar with Chiari/syringomyelia, or not?
CJH: I think most therapists should have a theoretical understanding of the problem but experience in this area based on treatment of past patients or similar problems can be very valuable, especially when setting patient goals. Since therapists deal on a regular basis with restoring some of the impairments related to Chiari I think most would be able to provide good care and help the patient overcome any physical limitations that stem from Chiari/syringomyelia. Do you think patients should go to a specific type of facility, such as hospital based, or do you think a general PT practice is ok? CJH: Depends on the severity of symptoms. If neurological symptoms are a predominate issue then a specific facility that treats [these types of] patients may be needed. If chronic pain is present then a visit to a chronic pain center may be your best bet. However if symptoms are more related to orthopedic issues (ie decreased strength in upper extremity, lower extremity, etc.) then a good outpatie
