Eastern Idaho Sports Spine & Rehab Center is a Physiatrist center in Idaho Falls Idaho. Dr. Vlach is board certified in Physical Medicine & Rehabilitation and Sports Medicine (Physiatry). What is unique about a physiatric perspective? Exercise. Some pain doctors have a bias in their training towards pills or shots. In rehabilitation medicine exercise is frequently the starting (and finishing) point for any intervention. Exercise is the sustainable fix that can empower people to address their own issues. Internists prescribe medications for blood pressure. We prescribe exercise (and a few other things).