Physical Medicine and Rehabilitation in Santo Domingo

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 Santo Domingo?

Since the treatment plan is designed specifically for the individual needs of the patient, the length of stay in Santo Domingo 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 Santo Domingo

About Santo Domingo

Santo Domingo, the capital of the Dominican Republic and is the most modern and largest metropolis in the Caribbean. The city is the cultural, political, financial, industrial, and commercial center of the Dominican Republic. Founded by Bartholomew Columbus in 1496, Santo Domingo is the oldest styled European City in the Americas. The city has everything that will make any visit worthwhile, from large shopping malls, historical architecture, seaside resorts, to a vibrant nightlife.

Over the last several years, medical tourism in Santo Domingo has been growing steadily. The city contributed to the Dominican Republic’s medical tourism average income of US$265.0 million in 2018. The most popular procedures in Santo Domingo are cosmetic and plastic surgery, dental surgery, cardiology, and heart surgery. Santo Domingo has everything a medical tourist could ask for, including:

• Hospitals and wellness centers governed by international standards.
• The doctors and paramedical staff are well-qualified and studied in the best medical schools from the U.S. and Europe.
• Cost-effective medical treatments with modern technology.
• A wide range of medical treatments to choose from.
• Fast, immediate care without waiting lists.
• The ideal climate and environment for recovery.

Popular Areas in Santo Domingo

Located in the heart of the Caribbean, Santo Domingo has a rich historical and cultural heritage. The Colonial City, a UNESCO World Heritage Site, will amaze tourists with its beautiful architecture and rich history. The neighborhood consists of colonial buildings turned into shops, hotels, museums, and cafés. History fans can enjoy the oldest standing cathedral in the Western hemisphere: Catedral Primada de América.

Mercado Modelo is shopping heaven on Avenida Mella on the outskirts of Colonial City. Tourists will find an indoor maze of small shops offering local crafts, treats, and specialties.

Tourists who want to indulge in nature can go to Jardín Botánico Nacional de Santo Domingo as the gardens are filled with native plants and offer an excellent insight into the natural flora of Santo Domingo, the largest botanical gardens in the Caribbean. The botanical gardens are also home to hundreds of different kinds of orchids.

Santo Domingo has many wonderful beaches since the city’s waterside stretches along the Caribbean Sea. Tourists can go to Playa Najayo or Playa Juan Dolio for picturesque views or enjoy the sparkling blue water. The sunsets are particularly breathtaking.

Weather and Climate in Santo Domingo

The city enjoys a tropical climate that sees warm and humid weather all year long. The wet season (rainy season) starts from May to November, the average temperature on the wet season is around 22 - 31°C with the humidity slightly higher.

December to April is the best time to visit Santo Domingo since it is the dry season. The average temperature ranges between 19°C to 29°C. Showers may occur but they usually do not last long. Tourists should avoid traveling to Santo Domingo during Hurricane Season which runs from August to October.

Getting Around in Santo Domingo

There are two airports in Santo Domingo. The main airport is Las Américas International Airport (also known as Santo Domingo Airport), located Punta Caucedo and Boca Chica, 32km east of the city. This airport has international connections from North America, South America, and Central America to Europe. The airport serves many major airlines such as Delta, Emirates, and American Airlines. Las Américas International Airport also serves budget airlines such as JetBlue. La Isabela International Airport primarily serves domestic flights and some international flights to other Caribbean Islands. The airport is the major hub for Dominican airlines that operates small aircraft.

To get into the city from the airports, tourists can choose taxi, airport shuttle, public bus, shared van, or car rental. Traveling by taxi can get a bit more expensive although it is a good transportation option. The cost to Colonial City from Las Américas International Airport is around US$40. The cheaper option is to ride the public bus (Guagua), the buses depart to Parque Enriquillo in the city center and to Boca Chica.

Getting around in Santo Domingo is fairly easy. To get the most of Colonial City, walking is the best way since they offer plenty of pedestrian attractions, but walking along streets outside Colonial City can be quite challenging.

Taxis in Santo Domingo don’t use meters, tourists have to agree on the fare in advance. The standard fare is around RD$250. It is best not to take any unmarked taxi because it could be dangerous. Tourists usually need to call a dispatcher to have a taxi sent to their location, most businesses and hotels will gladly call a taxi for tourists and this is the safest option.

Tourists can take Públicos, minivans that follow a predetermined route but stops wherever someone flags them down. The fare usual fare is RD$25. Tourists can also take the Santo Domingo Metro, rides cost around RD$15, a contactless card can be purchased to use the metro.

Buses are also available from 6.30 am to 9.30 pm and cost around RD$25, the bus stops are marked with a sign and a word parade which means stop, the routes tend to follow major streets.

Tourists Visas in Santo Domingo

Dominic Republic exempts nationals from 107 countries including the US, Canada, most South American countries, the European Union, and several other countries from Asia and Africa from obtaining a tourist visa. A passport valid for at least six months is required to enter the country.

Visitors need to apply for a tourist card that can be obtained at the Dominican Consulates or directly upon arrival at the airports in the Dominican Republic. The tourist card costs US$10 and is valid for 30 days. Tourists who want to extend their visit will have to go to the offices of Direccion General de Migracion and pay for an extension.

Additional Information

1. Local Currency: The local currency in Santo Domingo is the Dominican Peso (RD$). US$ 1 is equivalent to RD$47. The notes are printed in a variety of colors although some colors are very similar to each other.
2. Money & Payments: ATMs can be found across Santo Domingo. The best and safest way to obtain Dominican pesos is by ATMs. Credit and debit cards (mostly Visa and MasterCard) are accepted in cities, but some business adds a surcharge for credit card purchases. Tipping is generally not expected as 10% to 20% is mostly added to the total bill. Tourists should tip tour guides.
3. Local Language: The Dominican Republic is a Multilanguage nation. However, Spanish is the official language. Other commonly spoken languages in Santo Domingo are Dominican Spanish, Haitian Creole, and Samana English. English is not widely spoken but there are English speaking staff and guides within the tourist areas.
4. Local Culture and Religion: Roman Catholic Christianity is the major religion in Santo Domingo. Other religions including Protestant Christianity, Judaism, and Buddhism are also freely practiced.
5. Public Holidays: Santo Domingo celebrates Christian holidays such as Good Friday and Christmas Day. The city hosts a carnival at the end of February and the beginning of March, the international book fair is in April, as well as a merengue festival in July.