
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation ( in short called as PMR, also known as PHYSIATRY/ Rehabilitation medicine) is a medico-surgical specialty, which aims at comprehensive, goal based, quantified rehabilitation of the patients to make them as maximally independent as possible despite their disabilities.
The department is a one stop destination for all the rehabilitation needs be it medical, surgical or therapeutic needs. The department imparts a holistic approach for the rehabilitation through a team lead by the Rehabilitation expert, who is also called the Physiatrist- a doctor specialised in Physical Medicine and Rehabilitation, physiotherapist, occupational therapist, prosthetic and orthotics, speech therapist and psychologist. The physiatrist is the first point of contact who formulates achievable goals with the team to make the patient maximally independent.
The facilities can be divided broadly into
Structured rehabilitation- where goal based, practical, neuro rehabilitation, orthopedic rehabilitation, cardio vascular rehabilitation takes place.
Rehabilitation surgeries/ deformity surgeries – pressure ulcer surgeries, pediatric and adult orthopedic and soft tissue deformities, cerebral palsy surgeries followed by rehabilitation till maximum independence
Interventional pain management- non surgical management of all kinds of pain by medical therapeutic and advanced interventional pain management with x-ray and ultrasound guided injection techniques in association with the Pain medicine department. Cutting edge Prolotherapy including regenerative medicine are also practiced in the department.
The patients need not go to different specialties for the commonly occurring complications like pressure ulcers, bladder problems, orthopedic complications. The physiatrist is trained to impart surgical and medical interventions for the complications in the same department. Although expert interdisciplinary references will be sought after when necessary.
The patient has to consult a single department for all the rehabilitation needs.
Services
- Clinical Elements in the department-
- Medical and Surgical Management
- Pain Management
- Physiotherapy
- Occupational Therapy
- Social Work
- Community Based Rehabilitation
The Department offers all of the following elements of the rehabilitation process
Treatment of all routine medical problems encountered by disabled individuals is carried out by the department. Operations are performed for the surgical management of pressure sores and for correction of deformities
Management of all types of pain with physical modalities, therapies as well as interventional pain management procedures
A variety of physical modalities like heat, sound, light, and electricity are used to
alleviate pain and improve functioning.
Occupational therapy is concerned with enhancing a disabled person’s
functioning through training in specific activities and skills.
The ultimate aim of rehabilitation is to enable the disabled person to be a productive
individual within society. This action extends beyond the walls of the hospital to ensure that vocational
rehabilitation takes place.
Community Based Rehabilitation aims at changing the
environment, enabling patients to find methods to modify available infrastructure for easier access
and helping them to meet other special needs they will encounter while living in their community.
Outpatient services, In-patient services, Special Clinics, Outreach program
- Stroke
- Traumatic brain injury
- Hypoxic brain injury
- Spinal cord injury
- Hemophilia
- Sports related injuries
- Work related injuries
- Musculoskeletal injuries
- Musculoskeletal pai
- pressure ulcer management
- Cerebral palsy
- Arms and legs deformities like CTEV, bow legs, malunited bones
- Deformity correction in long standing contractures
- Developmental delay
- Cerebral palsy
- Spina bifida
- Muscular dystrophy
- Pediatric traumas
- Post Encephalitis sequelae
Rehabilitation-oriented interventional procedures for:
- Spasticity management
- Pain management (shoulder, back, long-standing pain, headache, any pain)
- Ultrasound guided injections
- Peripheral joint injections
- Orthotic and Prosthetic unit for customized splints and artificial limbs.
- Comprehensive treatment for Diabetic Foot including ulcer management, pressure relieving devices for foot ulcers, customised footwear and patient education.