Liza R Maniquis-Smigel MDLiza R Maniquis-Smigel MD of Hilo Hawaii, specializes in PHYSCIAL MEDICINE and REHABILITATION , also known as PHYSIATRY, an unusual medical field that focuses on illness from the patient’s perspective to help them improve their quality of life. She practices patient centered medicine; ensuring that each patient receives care, comfort and safety in terms of pain, and assists in their psychological and vocational issues as well.

Being a dancer and a medical doctor, her interest in physiatry started with her desire to treat performing artists and athletes, as she can talk their language and understand their psychological makeup and their drive to return to their sports or profession, despite pain and injuries. After completing a four year PM&R residency program at the University of Illinois Hospital in Chicago, she pursued Musculoskeletal and Performing Arts Medicine fellowship program at University of Texas-Houston, under the mentorship of the internationally known physiatrist, dancer and musician, Dr. Rebecca Clearman. With her, she learned the importance of having a holistic approach in the treatment of physical injuries.

At Hawaii Orthopedics, Inc in Hilo, she worked closely with orthopedic surgeons, spine surgeons, podiatrists and physical therapy on site, appreciating their different perspectives and exchanging ideas for treatments of chronic pain and musculoskeletal and neurological injuries.

In 2002, Dr. Smigel opened her own private practice in Hilo, and in 2007 she opened her practice in Honolulu.

Since completion of fellowship, she worked in several group practices. As an associate at Gulf States Rehabilitation, Inc, in New Orleans, she continued to grow in her skills, working closely with several physiatrists, doing inpatient and outpatient rehab and caring for very complex cases in spinal cord, brain injury, post strokes and other neurological and musculoskeletal conditions, including workers’ compensation and motor vehicle injuries.

At Hawaii Orthopedics, Inc in Hilo, she worked closely with orthopedic surgeons, spine surgeons, podiatrists and physical therapy on site, appreciating their different perspectives and exchanging ideas for treatments of chronic pain and musculoskeletal and neurological injuries.

Dr Smigel has a special interest in nonsurgical approaches in the treatment of musculoskeletal injuries and chronic pain. She incorporates traditional medical intervention, evaluating and correcting improper biomechanics with physical therapy, manual therapy, community based exercises such as Pilates and Yoga. Prescribing appropriate oral analgesic pain medications, mainstream interventional pain procedures, alternative, and at times, controversial procedures, such as prolotherapy and Neural Prolotherapy, for treating chronic pain.

She has volunteered her time for several medical missions to the Philippines, Honduras and Mexico, and has served as a prolotherapy instructor with the Hackett-Hemwall Foundation for the past several years.

Dr Smigel is an expert in diagnosing neurological conditions with nerve conduction velocity studies and electromyelogram.

She is a Fellow of the American Academy of Physical Medicine and Rehabilitation, the Physiatric Association of Spine, Sports and Occupational Rehabilitation, the American Academy of Orthopedic Medicine and of the American Academy of Electrodiagnostic and Neuromuscular Medicine.

Specialty & Clinical Interests

  • Physiatrist:Pediatric Rehabilitation Medicine

Education & Medical Training

St Joseph Hospital
Residency, Internal Medicine, 1991–1991

University of the East College of Medicine
Class of 1988

Board Status

American Board of Surgery
Certified in Surgery

WI State Medical License
Active through 2013

Hospital Affiliation

  • Hilo Medical Center