Physical Medicine and Rehabilitation in Dominican Republic

Physical medicine and rehabilitation (PM&R), also called physiatry, is a medical specialty that aims to enhance and restore the functional ability to a person who has been disabled as a result of an injury, disease, or disorder. The main goal is to help patients become as functional and pain-free as possible, as well as to help them enjoy their lives as fully as possible.

A physician who has completed training in physiatry is known as a physiatrist. They will assess and assure that their patients are medically stable to participate in therapies. A variety of disorders and diseases can be managed by physiatrists, particularly conditions of the joints, muscles, bones, and central or peripheral nervous system that affect a person’s ability to function. However, many physiatrists also specialize. While physiatrists do not perform surgery, they are qualified to perform numerous diagnostic tests and treatments. Some of the most common procedures they can do are as follows:

• Physical examinations
• Imaging studies
• Therapeutic exercise
• Nerve conduction studies (NCS)
• Electromyography (EMG)
• Peripheral joint injections
• Fluoroscopy guided procedures
• Musculoskeletal ultrasound
• Trigger point injections
• Spasticity management
• Interventional spinal therapeutics.

In some cases, physiatrists may also perform acupuncture, platelet-rich plasma injections, prolotherapy, and autologous stem cell treatments. They can also prescribe specific exercise programs, as well as assistive and adaptive equipment, such as prescribing proper orthoses. They are trained to lead and coordinate care with the rehabilitation team, including, but not limited to, physical therapy, recreational therapy, occupational therapy, internal medicine, and psychiatry. 

How Long Should I Stay in Dominican Republic?

Since the treatment plan is designed specifically for the individual needs of the patient, the length of stay in Dominican Republic can be different for each person. For some diseases and disorders, such as stroke and chronic pain, a two to four weeks stay may be needed. During your stay, you may need to see your physiatrist 5 to 6 days a week at most. 

What's the Expected Recovery Time?

There is usually no recovery time after you finish your treatment program, though you may be asked to gradually increase your activity level over time. However, this can be different depending on the condition, injury, disease, or disorder you have. Your physiatrist will give you a detailed recovery timeline, including when you can return to your normal routine.

What Aftercare is Required?

You will most likely be given specific instructions on how to care for yourself, speed up your recovery process, and avoid further complications. If you are given an exercise program to carry out at home, make sure to do this as directed. For some diseases or disorders, regular checkups may be needed. You can usually choose to do the checkups with your local doctor in your home country if you prefer.

What's the Success Rate?

Due to the comprehensive nature of their training and the broad spectrum of conditions treated, physiatrists can design and adapt to new technologies. This means that, with continuous research and advancement of physical medicine and rehabilitation, the treatment program is now safer and more successful than ever.

Are there Alternatives?

The alternatives to physical medicine and rehabilitation depend on your disorder, disease, or injury. In most cases, there is no other alternative than to see a physiatrist to help you recover. However, for some conditions, such as back pain, you may be able to see other medical professionals, such as chiropractors. Still, ensure you consult with your doctor beforehand.

Physical Medicine and Rehabilitation in and around Dominican Republic

About the Dominican Republic

The Dominican Republic can be found on the island of Hispaniola and is a part of the island group, the Great Antilles. The nation has diverse natural environments and land features. Characterized by rugged mountains on one side and the other side consist of low lying valleys and coastal plains. It is the world’s leading producer of professional baseball players. It is also home to the highest mountain, Pico Duarte, and the largest lake, Lago Enriquillo in the Caribbean Region.

In recent times, the Dominican Republic has become popular with medical tourists. Tourists, particularly from the United States, visit the country for Plastic and Reconstructive surgeries, especially for Breast Augmentation procedure. About 25,000 to 30,000 patients visit the Dominican Republic yearly for various medical treatments. The most sought-after services are general, Plastic and cosmetic surgeries, dental procedures, weight-loss, oncology, and orthopedic treatments.

Most medical service providers are situated around the capital city Santa Domingo and Santiago. The medical establishments offer competitive healthcare services with highly-qualified and internationally-trained surgeons. The following clinics can be found in Santa Domingo: Dr. Rafael E. Estevez - Plastic, Reconstructive, and Aesthetic Surgeon, Dr. Gustavo Almanzar Plastic Surgery Clinic, Alba Reyes Skin, and Hair Transplant Institute and Dr. Ivan Strachan Bariatric Clinic.

Popular Parts of Dominican Republic

The Dominican Republic is an unmatched destination with amazing natural sceneries, intriguing history, and diverse culture. It offers ecotourism adventures in splendid national parks, mountain ranges, beaches, and rivers.

Top attractions of the Dominican Republic:

• Santa Domingo – The capital city is where Christopher Columbus first set foot in the Americas. It is home to century-old buildings, most of which function as restaurants, shops, quaint hotels, and museums. Zona Colonial is the historic central area of Santa Domingo. It is the oldest European settlement and a UNESCO World Heritage Site.  
• Punta Cana –Is a premier resort destination, bordering the Caribbean Sea and the Atlantic Ocean. It offers about 20 miles of white sandy beaches. The Bavaro Beach area and Punta Cana together form the Coconut Coast, an area of luxurious resorts. It is famous for water activities such as zip-lining, kayaking, windsurfing, and sailing.
• Samara Province –Is a city overlooking the Samana Bay. Its unique feature is the breeding point for thousands of humpback whales during their mating season in winter.
• Parque Nacional Del Este – Meaning the ‘Eastern National Park’, is one of the largest marine parks in the Caribbean. It also has an offshore coral reef system. Divers can watch a multitude of marine life within its waters. It is also home to hundreds of different species of birds, tropical forests and beaches.
• Lago Enriquillo – The massive hypersaline lake lies 140 feet below the sea level. You will see a large population of American crocodiles as well as pink flamingos, and various other bird species and you will even find iguanas at the entrance of the lake.
• El Limon Waterfalls – Being the tallest falls of the country, it is perfect for hiking and horseback riding through the rugged and steep mountain trail. The hike gives you a stunning view of the Caribbean landscape. The crystal-clear natural pool at its foot is a perfect place to cool off and relax.
• Kite Beach, Cabarete –Is a unique beach, about 20 minutes on foot from the main Cabarete Beach. Kiteboarders fill the otherwise quiet beach in the afternoons when the wind picks up.

Jarabacoa, Sosua, La Romana, Las Aguilas, and Puerto Plata & Playa Dorada are several other popular tourist spots in the Dominican Republic.

Weather and Climate in the Dominican Republic

The Dominican Republic has a tropical weather climate, and constant temperature throughout the year, with average yearly temperature, is around 77°F.

The hottest and humid period is from May to October. The mild winter season is from December to March. The period between November and April are the moderate seasons.

Rainfall is seasonal. The eastern and southern coasts experience rains between April and October. The northern coast receives rains throughout the year due to the influence of the north-eastern trade winds. The southern region is prone to hurricanes, with most striking in the months of August and September.

Getting Around in the Dominican Republic

The Dominican Republic offers easy access to the rest of the world with a myriad of flight options from North America and Europe. The main ports of entry into the country by air are the international airports in Santa Domingo, Punta Cana, and Puerto Plata. Santiago and Samana airports are other points of entry.

There are many flights from major cities of Canada and the US. The most frequent flights are from New York, Miami, Toronto, and Montreal. JetBlue, the budget airlines, operates flights from North America to Santo Domingo, Santiago, and Puerto Plata.

The Dominican Republic has a well-developed inter-country transport infrastructure with a large network of roads. It has many types of public transportation for moving around within cities such as buses, the metro, carro publicos, guaguas, and the motoconchos.

Carro Publicos are small car-public taxis and have a specific route displayed on their roof. Guaguas are privately-owned minivans and pick up travelers from any point and drop them off close to their desired location. Motoconchos are private motorcycle taxis that have reasonable fares and are ideal for short journeys.

Tourist Visas in the Dominican Republic

Citizens of countries such as the UK, USA, and Canada, and Schengen countries are not required to have a tourist visa to enter the Dominican Republic, under a bilateral agreement between the countries. However, they do need to:

• Carry a tourist card (Tourist cards allow you to stay for 30 days and allow an extension to stay beyond 30 days).
• Have a valid passport not expiring before six months with at least one blank page
• Carry proof of onward and return journeys and sufficient funds.

Nationals of countries like India, Sri Lanka, China, and Russia need to get a tourist visa to travel to the Dominican Republic. The visas are multiple-entry type and are valid for 60 days.

Additional Information

• The Dominican Peso (RD$) is the official currency of the country. As of April 2019, one US Dollar is worth about 51 RD$. Major tourist areas like Punta Cana accept US Dollars.
• You can find many ATMs in Santa Domingo and other popular tourist cities. Dominican Republic banks are members of the Maestro, Citrus, and PLUS networks. Hence, you can use the affiliate credit and debit cards here.
• Spanish is the official and major language of the country. Dominican Spanish forms its dialect. Very few locals understand and speak English.
• 93% of the population follow Roman Catholicism. However, many Dominicans do not go to church on a regular basis.
• Major holidays of the Dominican Republic are religious. While others are non-religious and national holidays. Other than Christmas and Good Friday, the Day of Our Lady of Altagracia (January 21), Corpus Christi (June 17) and the Feast of Our Lady of Mercy (September 24) are the religious holidays. Juan Pablo Duarte (January 26), Independence Day (February 27), and Dominican Restoration Day (August 16) are the national holidays specific to the country.