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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

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

Medically directed rehabilitation programs for Adults
  • Stroke
  • Traumatic brain injury
  • Hypoxic brain injury
  • Spinal cord injury
  • Hemophilia
  • Sports related injuries
  • Work related injuries
  • Musculoskeletal injuries
  • Musculoskeletal pai
Surgical procedures for
  • pressure ulcer management
  • Cerebral palsy
  • Arms and legs deformities like CTEV, bow legs, malunited bones
  • Deformity correction in long standing contractures
Medically directed rehabilitation programs for childhood disabilities like:
  • 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.

DOCTORS

Dr.Nehal

Consultant for Structured Rehabilitation, Deformity Surgeries and Pain management

Dr.Steven Dias

Consultant Anaesthesiologist & Pain Physician

Dr Sanjay Altekar

Consultant Gastroenterologist, Hepatologist and Endoscopist

Dr.Nehal

Qualification

MBBS, DNB Physical medicine and rehabilitation

Membership

  1. Member of the Indian Association of Physical Medicine and Rehabilitation (IAPMR)
  2. Member of the Association of DNB doctors
  3. Associated with CURE INDIA- INTERNATIONAL, NGO for Awareness and treatment of club foot
  4. Associated actively with IACP (Indian Academy of Cerebral Palsy)

Finished MBBS from 2008 batch of Dr B R Ambedkar Medical College, Bengaluru.
Later acquired experience from reputed oncosurgery and pulmonary medicine departments in Bengaluru.
Post-graduation DNB in Physical Medicine and Rehabilitation from Swami Vivekanand National Institute of Rehabilitation Training and Research, Odisha, comprising of Structured Rehabilitation, Deformity/ Rehabilitation Surgeries & Interventional Pain Management.
Post Doctoral Certification in CTEV from CURE INDIA, INTERNATIONAL.
Currently pursuing EULAR certification in Rheumatology.
Practicing as a consultant in Old Goa, Vasco and Valpoi

  • Tuberculosis in elderly: The Indian perspective
    http://dx.doi.org/10.18203/2349-3933.ijam20183133
  • Effective counseling: A major challenge of tuberculosis control program in tackling the dual disease burden of tobacco consumption among tuberculosis Patients in India. 
    http://dx.doi.org/10.4103/ijrc.ijrc_39_19
  • Effect of Late Onset Stroke Rehabilitation on Medical Morbidities and Functional Recovery: A Single Center Observational Study
    Waiting for acceptance
  • A Study of Characteristics of the chronic wound treated by Negative Pressure Wound Therapy Yet to publish
  1. One of the 12 young doctors from India to be selected for the JENESYS (Japan-East Asia Network of Exchange for Students and Youths) meeting in 2019 in Japan.
  2. Award for the presentation of ‘observation in the impact of delayed initiation of stroke rehabilitation on functional outcomes and medical complications’ at the IAPMR national conference- 2021
  3. Presentation of the medical poster on ‘rare cases of cervical spinal cord injury with a similar clinical picture at the National Conference of IAPMR in 2019
  4. Awarded for the presentations at the state conference in 2018, 2019, and 2020- on various topics like internuclear ophthalmoplegia- variants, Spinal cord injury- recent updates, and Pressure injury- evidence-based views on classification, dressing materials, and surgeries.
  5. The first doctor in goa specializing in Physical Medicine and Rehabilitation
  6. Faculty of the multi-disciplinary workshop on Diabetic Foot Ulcers organized by the IMA, Goa State.

Dr.Steven Dias

Qualification

M.B.B.S. (BOM), M.D. (ANAES)

Languages Spoken

Hindi,English,Konkani,Portuguese

Membership

  • ISCCM- Indian society of Critical care medicine.
  • Indian society of Anaesthesiology
Dr Steven completed his MBBS and Md Aneasthesiology from GMC, Bambolim in 1986. He worked as a consultant Anaesthetist at IPHB. From 1992 he visited multiple hospitals as Consultant Anaesthesiologist. After 2014 he started his practice as Consultant Anaesthesiologist at Healthway Hospitals

Dr Sanjay Altekar

Qualification

MBBS, DCH, DNB ( Paediatrics) DNB ( Gastroenterology), MNAMS ( Gastroenterology)

Membership

Member of IMA, Goa branch

Dr Sanjay Altekar, Consultant Gastroenterologist, has been trained at the prestigious Seth GS Medical College, Bangalore & KEM Hospital, Mumbai in 2006 . He has worked at KEM Hospital as a lecturer in the Department of Gastroenterology. He has also been the Research Officer / lecturer In TN Medical college and BYL Nair Hospital, Mumbai
and Research Officer/ Lecturer Seth GS Medical College & KEM Hospital, Mumbai
Besides endoscopic procedures, he has vast experience in the management of various types of liver diseases. He has performed more than 15,000 endoscopic procedures in the last decade. 2007 onwards he has been Consultant Gastroenterologist, hepatologist and Endoscopist at several hospital in Goa including, Apollo, SMRC, Redkar, RG Stone, Vision and Healthway Hospitals.

2003 – Awarded ISG- JBCPL Poster session Award for the poster, Profile of Portal Hypertension in Children, Chennai
West zone finalist at National level of IAP quiz 92-93