XXI · THE FORUM ON HORSEBACK · Online consultation

Online PM&R Consultation

Selected follow-up, rehabilitation planning and second-opinion consultations for patients in Peshawar and across Pakistan.

What telemedicine can help with

A video consultation can be useful when records, symptoms, progress and rehabilitation goals can be reviewed without an immediate hands-on examination.

Follow-up

Review progress, treatment response and rehabilitation goals after a prior assessment.

Second opinion

Discuss reports and current options while understanding that diagnosis may remain provisional.

Rehabilitation planning

Review home programme, pacing, equipment and coordination needs.

Travel planning

Determine whether an in-person Islamabad visit may be useful for examination, EMG/NCS or a procedure.

When an in-person visit is better

Telemedicine cannot reproduce a complete neurological or musculoskeletal examination and cannot perform EMG/NCS, ultrasound or a procedure. New weakness, a diagnostic uncertainty requiring physical examination, or a possible urgent condition should be assessed locally or in person.

Online consultation is not an emergency service. Sudden weakness, chest pain, breathing difficulty, loss of bladder or bowel control, major trauma or other severe symptoms require urgent local care.

Before the video consultation

  1. Send or organise relevant reports, imaging summaries and prescriptions.
  2. Prepare a current medicine and allergy list.
  3. Write down the main problem, timeline and three questions you most want answered.
  4. Use a quiet, private space with reliable internet and enough room to demonstrate movement if requested.
  5. Have a family member present when communication, mobility or care planning requires support.

Frequently asked questions

Can patients from Peshawar book an online consultation?

Selected patients from Peshawar and elsewhere in Pakistan may request telemedicine. Suitability depends on the problem and whether a physical examination is necessary.

Can EMG/NCS be done online?

No. EMG/NCS is a hands-on diagnostic test and requires an in-person appointment.

Can medicine be prescribed after a video visit?

Any prescription decision depends on the clinical information, applicable rules and whether remote assessment is adequate. Some problems require local examination or investigation first.

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