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Pamela A M Mills

Physiatrist (Physical Medicine)

Dr. Pamela Mills is a physiatrist practicing in New Hope, Pennsylvania. Dr. Mills is a medical doctor specializing in physical medicine and rehabilitation. As a physiatrist, Dr. Mills focuses on a patients ability to function, and can treat multiple conditions that affect the brain, nerves, spine, bones, muscles, joints, ligaments and tendons. Dr. Mills can diagnose and treat pain that is a result of injury, disease or a disabling condition. Physiatrists often lead a team of physical therapists, occupational therapists and physicians in a patients treatment or prevention plan.
Pamela A M Mills
  • New Hope, Pennsylvania
  • Queen Margaret college Univesity Edinburgh university Glasgow Royal infirmary aberdeen Royal infirmary
  • Accepting new patients

Is it bad when my heart rate increases when I exercise?

The basic way to calculate your maximum heart rate is to subtract your age from 220. So, if you are aged 45 (just an example), 45 from 220 = 175. This would be the maximum number READ MORE
The basic way to calculate your maximum heart rate is to subtract your age from 220. So, if you are aged 45 (just an example), 45 from 220 = 175. This would be the maximum number of times your heart should beat per minute during exercise. If it is more than that, you should see a cardiologist. In fact, it’s a good idea anyway to be seen by a cardiologist. I have no knowledge of your age. Your heart rate does increase on exercise normally, but using my simple calculations, it will give you an idea.
Do take care.

How can physical therapy benefit my son?

It’s unfortunate I do not know your son's age. Children develop at different stages in growth and development. Physical therapy will help, but you ought to have him checked out READ MORE
It’s unfortunate I do not know your son's age. Children develop at different stages in growth and development. Physical therapy will help, but you ought to have him checked out by his pediatrician. It may be he is just a slow developer, or he may have some underlying problem (i.e., hips, legs, and feet). Does he have an in-toeing walk? In other words, is he pigeon-toed? Have you noticed him limping? Does he play, running, jumping, etc.? Children do not usually complain; if there is a problem, you must be observant. If you can take a video with your phone, it will help the doctor. So, have him run around and watch him walking. Before doing anything else, please have him checked out thoroughly. It is imperative you get this checked now.
Good luck.

What is a "gait analysis"?

It’s a very important examination watching a person walk (gait ). Tells a lot to the expert eye. It shows all sorts of discrepancies such as hip mal alignment back torsions. You READ MORE
It’s a very important examination watching a person walk (gait ). Tells a lot to the expert eye. It shows all sorts of discrepancies such as hip mal alignment back torsions. You would be amazed how much you can learn from the way people walk. I constantly diagnose people when I am out. I can tell if they have scoliosis if they have hip mal alignment knock knees pigeon toed knee problems. Neck problems. Don’t forget this is how we are trained. Gait analysis has become very sophisticated and measurements are taken to help in diagnosis. For example, one leg may be longer than the other. This can put your hip out. Many measurements are computerized. It is a fascinating study of the body for drs who are going into the study of functional anatomy. Many are gait analysis specialists. This all they do. I can tell by the heel wear in ones shoe how your foot strikes the ground. Ground reaction forces come up from the ground first point of contact is your foot if your foot is not stable to absorb the shock of these forces they radiate up the body to the knee the hip and back. Even the jaw. A great number of patients who have knee ,hip ,back problems even jaw problems can be traced to unstable feet when walking. Like I say fascinating. One of my colleagues in Edinburgh was treating a patient with knee problems. The patient was also seeing the orthodontist for jaw problems. When the patients feet were stabilized. The jaw problem was solved I know difficult to believe. But remember the body is all connected. Hope this helps .



What's the difference between a physiatrist and physical therapist?

A physciatrist is a medical doctor. You have to also complete a further 4 year residency after one's medical degree. It’s an Intensive study . Physical therapists or physiotherapist READ MORE
A physciatrist is a medical doctor. You have to also complete a further 4 year residency after one's medical degree. It’s an Intensive study .

Physical therapists or physiotherapist are not medical drs. They work alongside medical drs also. Many are in private practice. I always suggest you get examined by a physciatrist first to establish proper diagnosis and then appropriate treatment plan. Physciatrists also can do much more re pain relief nerve blocks injections. I hope this helps. They are the experts in rehabilitation of the whole body. I was always taught by an old professor of medicine. The body will heel itself if you give it the right environment. Also with the help of the right Practitioner.

What else can I do to help my son's muscular dystrophy?

I am very sorry to hear that. You do not mention your son's age and this disease progresses at different stages. I am sure you know it’s genetic, so therefore getting family members READ MORE
I am very sorry to hear that. You do not mention your son's age and this disease progresses at different stages. I am sure you know it’s genetic, so therefore getting family members tested pre-pregnancy is important. Apologies, as you are probably aware of this. The good news is that life expectancy is getting better and there are new methods of research. All very positive. I am very up to date in this disease as I have looked after lots of children with a team of my respected colleagues. Absolutely, the child needs therapy. It’s important to have this every day. In fact, the physio can show you the exercises to be carried out at home also. I find water therapy the best. You have to have a support team around you, and at different stages of the disease, you will need different specialists. This is how I would help you, but do remember this is my way. You may have these people in your child’s life already, so again, forgive me.

You need to have a pediatric neurologist, physical therapist, occupational therapist, orthopedic physician, clinical nurse specialist, psychiatrist/psychologist, dietician, care coordinator, social worker, and genetic counselor. At later stages, a pulmonologist and a cardiologist. This is the team I work with to improve the quality of life in a child. It is imperative that you surround yourself with the best. You may, if not already, get referred to a social worker to get things in place. You will probably require adjustments to the home, etc. You must get all this in place. In Edinburgh, where I trained, we all work as a team in the children’s hospital to make life easier for the parents and the child. I also would encourage you to get in touch with a group of like-minded parents and join in the research of this disease. Though it’s rare affecting boys more than girls, there are substantial amounts of parents who you should get in touch with to help support you also. I wish you all blessings for the future and it will be bright. I have had some of my children go on to be married and have degreed education.

What can I do for my chronic pain?

Chronic pain, nothing worse. There are a million and one conditions that can cause chronic pain. Firstly, you have to have a head-to-toe examination. My advice is to see a physiatrist. READ MORE
Chronic pain, nothing worse. There are a million and one conditions that can cause chronic pain. Firstly, you have to have a head-to-toe examination. My advice is to see a physiatrist. Secondly, pills only mask the problem. Physical therapy helps keep joints well, but in chronic pain patients, I find they are not inclined to do any exercise due to the pain and lack of energy. Water therapy is the best for you, even getting into a warm bath with epsom salts and doing some leg lifts and arm movements help. With chronic pain, it can be a form of fibromyalgia. Relaxation therapy, yoga, meditation, all can help, but you need a definitive diagnosis. I wish I could help you more, but please have a consultation with a physiatrist.

Can musculoskeletal cancers benefit from physical medicine?

Physiatrist is the other name for physical medicine. They most certainly can treat any patient effectively to alleviate suffering. It is a branch of highly trained physicians who READ MORE
Physiatrist is the other name for physical medicine. They most certainly can treat any patient effectively to alleviate suffering. It is a branch of highly trained physicians who undergo a vigorous 4 years post-graduate residency in this fabulous medical field. They do not do surgery, instead working with the body to heal with some help, of course, from medications, etc. More a holistic healing, but of course using state of the art equipment to alleviate pain. Your friend will do well with the help of these colleagues. Undergoing chemotherapy is debilitating in itself. I wish nothing but love and healing.

Do I need lifelong physiotherapy for sciatica?

My golly. No, not lifelong. I hope not. First, you have to find out the diagnosis. What is causing sciatic pain? I would go to a physiatrist to have a head-to-toe examination find READ MORE
My golly. No, not lifelong. I hope not. First, you have to find out the diagnosis. What is causing sciatic pain? I would go to a physiatrist to have a head-to-toe examination find out the cause and the treatment is simple. Absolutely you will not need lifelong physio. It can be alleviated if you find out the underlying problem. I have treated lots of patients and it can be caused by lots of things. Bad posture, the way you sit, your work maybe, back problems, hip problems, even jaw problems. Something is pressing on your sciatic nerve. Find out the cause. All will be well.

Can physical therapy help my mom?

It’s abnormal after surgery to have limited mobility, etc. I would go to a physiatrist to have an examination and then a treatment plan. Physio is good for her to get the correct READ MORE
It’s abnormal after surgery to have limited mobility, etc. I would go to a physiatrist to have an examination and then a treatment plan. Physio is good for her to get the correct exercises, but getting a medical doctor to make sure all is okay post-surgery.
I hope this helps.

Are topical sprays good for sprains?

Yes, topical sprays are good short-term. There are some good ones out there. I am particularly cautious about sprains as many doctors think they are nothing to worry about. I am READ MORE
Yes, topical sprays are good short-term. There are some good ones out there. I am particularly cautious about sprains as many doctors think they are nothing to worry about. I am still the old school. RICE: Rest, ice, compression, and elevation. Sprays help ease the pain, but should not be used so you can do more as in the long run it takes time to heal 4-6 weeks, in some cases 8-12. Do not overdo activity.
Hope this helps.

I have severe back pain at the bottom of my spine. Do you think a surgery might be required?

Poor you. Well, surgery should always be the last resort. How long have you had the pain? What do you think started it? Is it worse sitting, standing, or lying down? It could be READ MORE
Poor you. Well, surgery should always be the last resort. How long have you had the pain? What do you think started it? Is it worse sitting, standing, or lying down? It could be coccyx. You may even have a fracture (tail bone). Did you fall? How old are you? I would see a physiatrist or sports medicine doctor. Keep away from surgeons. You must understand surgeons are trained to cut, not to rehabilitate, just cut. Please get a diagnosis first, then it is simple to get a treatment plan. Pills will only mask the problem. Sports medicine doctor is also okay. But get checked out to find out why you are in pain. Baths with Epsom salts may help, and anti-inflammatory cream. I use natural with peppermint oil and plant extracts. Very effective, no side effects, but please get a diagnosis.

What's physical therapy like for kids?

It would and should be fun and give a positive experience. Do try and find a pediatric physio to help her.

Why do I have sharp abdominal pain when I run?

I have seen this a lot and here is what I believe to be the cause in simplistic form. Breathing too shallow. If you have too much fluid in your stomach you can’t take large READ MORE
I have seen this a lot and here is what I believe to be the cause in simplistic form. Breathing too shallow. If you have too much fluid in your stomach you can’t take large breaths.
It can be associated with something you ate or drank before workout. Breathing too shallow.
So if you get a pain in running slow down and walk put your hand on your belly and breathe deeply. If you are breathing from your lower lungs your tummy should rise and fall I have never seen anything sinister ,but if it continues then get checked out by a physciatrist or sports medicine dr. Check to see what you are eating it can be a digestive issue. I had a patient who ate bananas and got abdominal pain. But eating apples he was fine. Listen to your body. How are your bowels ? Let me know if I can help you further

Is my constant body pain for real?

Of course it’s not in your head. Bad husband for saying such a horrible thing to you. There is nothing worse than pain. Why do you think men do not have babies? When did the pain READ MORE
Of course it’s not in your head. Bad husband for saying such a horrible thing to you. There is nothing worse than pain. Why do you think men do not have babies? When did the pain start? Does something make it worse or better? Does it prevent you from sleeping? You need to get checked out by a physiatrist from head to toe. No point in suffering, get a proper diagnosis, and certainly it is not in your head. I have been in medicine over 40 years and women do not complain of pain if it’s not real. There has to be something making you feel bad. A little consideration from your husband might go a long way in some empathy for you. Take care.

What should I be doing for tennis elbow?

Poor you. Such a painful injury. Thousands of athletes suffer from this condition. Well, of course, it is not my job to recommend products or companies. I have no association with READ MORE
Poor you. Such a painful injury. Thousands of athletes suffer from this condition. Well, of course, it is not my job to recommend products or companies. I have no association with anyone and am certainly not in the business to promote companies. However, you have no insurance. I know some people have used kingbrand.com. Just check it out. You need to rest the elbow and it should be strapped or wrapped. Ice compresses to the area. It can take 6-12 months to heal. Stopping any exercise that may have caused it is imperative. It is of course an overuse Injury. You will know best what has started it. Surgery is not something you ought to even consider. I am off the old school RICE: Rest. Ice. Compression. Elevation. And patience. Lots of patience.

My son has awful shoulder pain. How can I help him?

So, firstly, because X-rays do not show anything, that’s good, but does not help your son. Obviously he is not feeling well. Children do not usually want to stay put unless there READ MORE
So, firstly, because X-rays do not show anything, that’s good, but does not help your son. Obviously he is not feeling well. Children do not usually want to stay put unless there is a problem. If as you say he loves baseball, it makes sense he would want to get back to playing as soon as he can. Children often suffer growth plate injuries. If your child is overusing the upper part (humerus). Actually, throwing a baseball is very common. It can be that he is scared to throw the ball again due to the pain that might come back. Children develop at different stages in their bone growth.

I would take your son to a physiatrist to check out the mobility of his shoulder, as certain movements might be worse than others. Check all this; a treatment plan can then be put in place. Physiatrists are medical doctors who help heal the body without surgery. He will be fine, but listen to him if he says it’s painful. I am old school where we did not rely on tests, X-rays, etc. We did a proper head-to-toe check and listened to the child. Two hands and ears are still the best equipment a doctor can possess.

Hugs for a happy child.

How can I treat my neck pain?

Neck pain can be so painful it sounds as if your posture is contributing to the problem. Especially sitting at a computer, which can cause neck spasms all to do with how you are READ MORE
Neck pain can be so painful it sounds as if your posture is contributing to the problem. Especially sitting at a computer, which can cause neck spasms all to do with how you are sitting, etc. Stretching is important and changing your position; I often recommend a neck brace to hold your neck in position which actually takes of the stress in your neck muscles Many of my colleagues would not recommend neck braces, but if you use it only when working it can help. This is not using the brace all the time. I would like you to go to a physiatrist or a sports physical therapist for an assessment. It may be you have some cervical disc problem in your neck. Osteoarthritis or just simply your posture at work sitting at a computer, which causes your neck muscles undue strain. I am not a chemical girl, but you could take some anti-inflammatory; it’s always best to have it checked. A physical therapist can show you some excellent stretches. Also, some people go to chiropractors; I recommend osteopaths. You may need an X-ray to ascertain the condition of your cervical anatomy. Always best to err on the cautious side. When you get up in the morning, simply stretch, turn your neck towards your left side as far as possible. Then, do the same looking to your right side. See how far you can move, then look downwards and then upwards. If you get stuck in any of these positions, please see someone.
Good luck and take care. Remember, you only have one body. Look after what you have.

Can I go on a treadmill or go cycling with back pain?

It depends as exercise can make back pain worse. Why are you getting stiffness in your back? There has to be reason it. It can be as simple as you pulled a muscle, overdid something READ MORE
It depends as exercise can make back pain worse. Why are you getting stiffness in your back? There has to be reason it. It can be as simple as you pulled a muscle, overdid something you are not used to. In any event, it is not normal. My suggestion is first try stretches such as yoga, but you should be checked out. Perhaps a physical therapist to see your range of motion and when you get the pain or discomfort. Do not go to a doctor who brushes it off and gives you pain pills or anti-inflammatory medications. Have your back assessed by a physiatrist or physiotherapist first. It is not normal to have problems in your back. Check it out before doing any exercise as I said it can make it worse.

What is the solution for a calcaneal spur?

These spurs occur due to abnormal pressure, usually from a shoe. More common in females due to the shoes we wear. Do not have it removed surgically as, usually, unless you get READ MORE
These spurs occur due to abnormal pressure, usually from a shoe. More common in females due to the shoes we wear. Do not have it removed surgically as, usually, unless you get the proper diagnosis and/or change your foot wear, it will recur. I recommend you protect your heel with a fleecy web protection. Podiatrists do this. Or a heel cut out so that the back of the shoe is not pressing directly on your heel. It is quite easily solved. Do not have it removed surgically. I stress this again.

Effects of a spinal cord injury?

Golly, not very nice. You do not say where the Injury is in the spinal cord. There are normally two types: one is complete, the other incomplete. However, I do not want to alarm READ MORE
Golly, not very nice. You do not say where the Injury is in the spinal cord. There are normally two types: one is complete, the other incomplete. However, I do not want to alarm you. These injuries can take a long time to heal The first year is the hardest.

Did he bruise the spinal cord? Does he have paralysis? Has he had an MRI to find out the type of spinal cord injury he has? The sooner treatment is implemented, the better. The location of his injury will determine his prognosis and his mental health is a huge part of getting him to feel better. Often, patients suffer from depression, so emotional support is key.
Physical therapy is very important and sometimes steroid injections to reduce inflammation. Stem cells are used in Europe and some clinics are involved in the US, but this treatment is still being studied. These cells have the ability to regenerate damaged tissue. I would have the family look into this treatment. There are a number of sports medicine clinics doing this treatment. However, in the US, it is not covered through insurance. Other forms of treatment are spinal laser therapy and shock wave therapy. It is a long haul unfortunately, and getting his team of doctors to ascertain the best treatment plan is very important.