Critical Illness Myopathy / ICU-Acquired Weakness

What to Expect from Your Rehabilitation Program

Early Multidisciplinary assessment

Your recovery begins with a comprehensive evaluation by a team of physicians, therapists, nurses, and specialists. We assess your muscle strength, respiratory function, and mobility to create a rehabilitation plan tailored to your condition and goals.

Supportive and Preventive Care

Reducing risk factors

Factors such as limiting the use of certain medications when appropriate or vitamin deficiencies are identified, managing these effectively can help slow progression

Treating infections and Complications

Proactive treatment prevents further nerve or muscle damage

Managing blood sugar levels

Ensuring proper nutrition to support healing and strength

Early Rehabilitation and Mobilization

Gentle movement and range-of-motion

Exercises are introduced early to preserve muscle function

Strength-based Therapy Modulation

Walking, balance training, and functional tasks that support daily independence are added to your recovery plan

Respiratory Exercise & Weaning Support

Rebuilding Lung strength

Breathing exercises help rebuild respiratory muscle strength and support ventilator weaning

Specialized therapies

Additional therapies may be used to improve lung function and endurance

Ongoing Monitoring & Personalized Support

Your care team track you closely

Your progress and adjust your therapy plan as needed

Recovery timelines vary

Some patients make steady improvements over weeks and others progress over a longer period

Why This Approach Matters

While CIM and ICU-acquired weakness may not be immediately reversible, early and targeted rehabilitation can significantly reduce complications, improve muscle function, and restore independence. With a coordinated and compassionate approach, we help you regain control and confidence as you recover.

Start your recovery with expert care

Our Rehabilitation program supports patients with:

Progressive strength & endurance training
Contracture prevention & range-of-motion maintenance
Respiratory muscle strengthening & breathing support
Functional mobility training (bed mobility → transfers → walking)
Nutritional support & metabolic care
Psychological support for coping with prolonged illness

Our Comprehensive Approach

We provide a structured environment that helps patients rebuild physical strength, cognitive function, and emotional resilience. We use an interdisciplinary model built on collaboration and innovation.

PM&R Physicians

Physical and Occupational Therapists

Speech-Language Pathologists

Neuro-psychologists

Rehab
Nurses

Case
Managers

Why Choose RVA PMR

Experienced Physicians

Our board-certified physiatrists lead each patient’s care plan, ensuring medical oversight, consistency, and the highest standards of rehabilitation.

State-of-the-Art Technology

Our board-certified physiatrists lead each patient’s care plan, ensuring medical oversight, consistency, and the highest standards of rehabilitation.

Personalized Care Plans

We tailor every treatment program to the individual—focusing on specific goals like improved mobility, communication, independence, or quality of life.

Interdisciplinary Team Approach

Our collaborative team includes physical, occupational, and speech therapists, rehabilitation nurses, case managers, and support staff—all working together to support you.

Patient FAQs

Looking to save time before your visit? Our patient resources section includes downloadable forms, instructions, and informational PDFs to help you prepare for your appointment. Whether you need new patient paperwork, insurance guidance, or therapy instructions, everything you need is just a click away.

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Where does RVA PMR practice?

RVA PMR currently provides services at Encompass Health Richmond and Encompass Health Petersburg. We are expanding into additional facilities, so please check back for updates as we continue to grow.

Do I need a referral from my primary care doctor?

Most of our patients come to us following an acute hospital stay. However, we also admit patients directly from the community. If you are coming from home, a referral from a physician or other qualified provider is required.

Are your services covered by insurance, Medicare, or Medicaid?

Yes. Our services are covered by all major insurance providers, including Medicare and Medicaid.

How do I request my medical records?

Medical records must be requested through the facility where you are receiving care. If you are at an Encompass Health hospital, please contact their Health Information Management Specialist (HIMS) coordinator for assistance.

What should I bring to a Rehabilitation Hospital?

Please bring comfortable clothing suitable for exercise and daily activities, along with supportive sneakers or athletic shoes. Since you may be with us for several weeks, we recommend bringing enough clothing for the duration of your stay.

What Our Patients Are Saying

“I came to RVA PMR after a traumatic brain injury. I couldn’t walk, speak clearly, or even focus. Six months later, I’m back to work and more independent than I ever thought possible.”

A serious car accident left me with unbearable pain and very limited mobility. I couldn’t imagine returning to my normal life. With this team’s help, I made progress week after week until I could walk and even return to work. Dr. Dena truly saved my life, and I will always be grateful.

Following spinal surgery, I struggled to complete even the simplest daily tasks. I felt defeated, but the rehab program here was structured, supportive, and personalized for me. Little by little, I regained strength and confidence. Today, I can take care of myself and feel hopeful about the future again.

After my brain injury, I had trouble speaking, concentrating, and even remembering basic things. It was frightening and discouraging. The physiatrist and team worked patiently with me, helping me rebuild both skills and confidence. I feel like myself again, and my family sees the progress every day.

My stroke left me weak on one side and completely dependent on others. The therapy here gave me both hope and results. Casey helped me through everything, she was the best nurse practitioner I’ve ever worked with. Thanks to her guidance and compassion, I can walk, cook, and live independently again.

After a motorcycle crash, I didn’t think I would ever recover. I felt broken both physically and mentally. The team’s dedication and persistence pushed me to keep trying, even when I wanted to give up. Today, I’ve regained strength, mobility, and the confidence to return to my normal life.

I never thought I’d be able to cook, dress, or drive again after my accident. The team here proved me wrong. They supported me at every step, celebrated my small victories, and pushed me toward big ones. I’m back to living independently, and I’ll always credit them for giving me back my life.

After losing part of my leg, I was overwhelmed and unsure of how to move forward. The compassion and expertise I received made all the difference. They taught me how to adapt, regain strength, and most importantly, live with confidence. I couldn’t have asked for a better team on this journey.

My traumatic brain injury changed everything about my life. I struggled with memory, balance, and even basic communication. This team gave me the tools to heal, adapt, and thrive. Their support has been nothing short of life-changing, and I’m finally able to return to the activities I love.

Recovering from multiple fractures was one of the hardest things I’ve ever faced. Every day felt like a mountain to climb. The physiatry team created a plan tailored to me, and Carrie, my nurse practitioner, went above and beyond to make sure I had the support I needed. Thanks to them, I’m stronger than ever.

I came here after a serious fall that left me unable to walk on my own. The progress I’ve made is incredible. Dr. Dena explained every step and made sure I understood my treatment. His confidence gave me the strength to believe in myself again.

Multiple sclerosis left me exhausted and struggling with daily tasks. I didn’t think I could improve, but Casey showed me otherwise. She took the time to explain what was happening to my body and gave me strategies to manage my condition. She truly cares, and it shows.

A motorcycle crash left me unable to work and in constant pain. I had nearly given up hope until I came here. Dr. Dena tailored my rehab and checked in on my progress often. Without his expertise, I wouldn’t have the strength or mobility I have today.

After finishing chemotherapy, I was drained and could barely get through a day without collapsing in exhaustion. Carrie was the steady voice I needed through recovery. She encouraged me to rebuild my strength slowly and never lose hope. Her kindness and determination gave me the courage to keep fighting. I’m healthier, stronger, and finally seeing life beyond cancer again.

Recovering from multiple fractures was daunting. The physiatry team was relentless in their support, and Dr. Dena took the time to really understand my goals. Today, I’m walking without assistance and getting back to work, something I never thought possible.

After my stroke, I felt like a burden on my family. This program changed everything. Casey’s encouragement and practical advice gave me both the tools and confidence to reclaim my independence. I owe my recovery to her dedication and care.

I went through months of rehabilitation after my spinal cord injury. It was overwhelming, but Carrie always went above and beyond. She checked in, listened when I was discouraged, and made sure I had the right exercises to keep moving forward. She made me believe in myself again.

Parkinson’s disease made everyday tasks frustrating and difficult. Dr. Dena and his team worked with me patiently, creating a plan that improved my strength, balance, and confidence. I feel more in control of my life and my future now.

My traumatic brain injury left me struggling with simple conversations and memory lapses. Casey never treated me like a patient with limitations, she treated me like a person with potential. Her encouragement has been life-changing.

After major back surgery, I was told recovery would be slow and difficult. With this team’s help, it was challenging but successful. Carrie especially made sure I had what I needed every step of the way. Her kindness and determination made all the difference.