tag:blogger.com,1999:blog-1409654012894521112Wed, 02 Oct 2024 20:39:54 +0000PhysiotherapyRSIArthritisDentistWMSDDFTFrozen shoulderIDAINMTManual therapyMobilizationMyofascial painMyotherapyShoulder painSmart Health CareTrigger pointshttp://smarthealthcare.blogspot.com/noreply@blogger.com (Grinto Davy Chirakekkaren)Blogger22125tag:blogger.com,1999:blog-1409654012894521112.post-6335134622822777678Sat, 03 Jan 2009 04:54:00 +00002009-01-03T10:28:38.211+05:30<span class="Apple-style-span" style="font-size: x-large;">SMART HEALTH CARE</span><div><span class="Apple-style-span" style="font-size: x-large;">WISH YOU ALL A HAPPY NEW YEAR</span><div><span class="Apple-style-span" style="font-size: 24px;"><br /></span></div><div><span class="Apple-style-span" style="font-size: 24px;"><br /></span></div></div><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2009/01/happy-new-year.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-2922009215659869423Fri, 11 Jul 2008 04:34:00 +00002008-07-11T10:04:11.247+05:30<br /><div xmlns='http://www.w3.org/1999/xhtml'><br /><p><a href='http://media.shozu.com/cache/portal/media/107a5c9/16777408'><img src='http://media.shozu.com/cache/portal/media/107a5c9/16777408_journal'/></a><br/><p align='right'><a target='_blank' href='http://www.shozu.com/portal/?utm_source=upload&amp;utm_medium=graphic&amp;utm_campaign=upload_graphic/'><img border='0' alt='Posted by ShoZu' src='http://www.shozu.com/resources/messages/logo_blog.gif'/></a></p></p><br /></div><br /><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2008/07/peace-of-mind-we-get-it-from-beach.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-1987456794363169329Fri, 11 Jul 2008 04:30:00 +00002008-07-11T10:00:44.183+05:30<br /><div xmlns='http://www.w3.org/1999/xhtml'><br /><p><a href='http://media.shozu.com/cache/portal/media/107a5c9/16777418'><img src='http://media.shozu.com/cache/portal/media/107a5c9/16777418_journal'/></a><br/>Fisher men are busy with their duty. But that is a cool theme for me<p align='right'><a target='_blank' href='http://www.shozu.com/portal/?utm_source=upload&amp;utm_medium=graphic&amp;utm_campaign=upload_graphic/'><img border='0' alt='Posted by ShoZu' src='http://www.shozu.com/resources/messages/logo_blog.gif'/></a></p></p><br /></div><br /><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2008/07/cheenavala.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-5132680309444780888Fri, 11 Jul 2008 04:30:00 +00002008-07-11T10:00:43.568+05:30<br /><div xmlns='http://www.w3.org/1999/xhtml'><br /><p><a href='http://media.shozu.com/cache/portal/media/107a5c9/16777422'><img src='http://media.shozu.com/cache/portal/media/107a5c9/16777422_journal'/></a><br/>There huts for their customers<p align='right'><a target='_blank' href='http://www.shozu.com/portal/?utm_source=upload&amp;utm_medium=graphic&amp;utm_campaign=upload_graphic/'><img border='0' alt='Posted by ShoZu' src='http://www.shozu.com/resources/messages/logo_blog.gif'/></a></p></p><br /></div><br /><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2008/07/umbrella-hut.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-7023214555752137113Fri, 11 Jul 2008 04:30:00 +00002008-07-11T10:00:43.347+05:30<br /><div xmlns='http://www.w3.org/1999/xhtml'><br /><p><a href='http://media.shozu.com/cache/portal/media/107a5c9/16777420'><img src='http://media.shozu.com/cache/portal/media/107a5c9/16777420_journal'/></a><br/>Well arranged seats in beach side park.<p align='right'><a target='_blank' href='http://www.shozu.com/portal/?utm_source=upload&amp;utm_medium=graphic&amp;utm_campaign=upload_graphic/'><img border='0' alt='Posted by ShoZu' src='http://www.shozu.com/resources/messages/logo_blog.gif'/></a></p></p><br /></div><br /><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2008/07/mushroom-seats.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-166572222392633913Fri, 11 Jul 2008 04:30:00 +00002008-07-11T10:00:34.105+05:30<br /><div xmlns='http://www.w3.org/1999/xhtml'><br /><p><a href='http://media.shozu.com/cache/portal/media/107a5c9/16777416'><img src='http://media.shozu.com/cache/portal/media/107a5c9/16777416_journal'/></a><br/>I made a black &amp; white work for this photo for a different view for sea.<p align='right'><a target='_blank' href='http://www.shozu.com/portal/?utm_source=upload&amp;utm_medium=graphic&amp;utm_campaign=upload_graphic/'><img border='0' alt='Posted by ShoZu' src='http://www.shozu.com/resources/messages/logo_blog.gif'/></a></p></p><br /></div><br /><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2008/07/old-light-house.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-1867241087161212619Fri, 11 Jul 2008 04:30:00 +00002008-07-11T10:00:33.445+05:30<br /><div xmlns='http://www.w3.org/1999/xhtml'><br /><p><a href='http://media.shozu.com/cache/portal/media/107a5c9/16777410'><img src='http://media.shozu.com/cache/portal/media/107a5c9/16777410_journal'/></a><br/>This is the scene from fort kochi.<p align='right'><a target='_blank' href='http://www.shozu.com/portal/?utm_source=upload&amp;utm_medium=graphic&amp;utm_campaign=upload_graphic/'><img border='0' alt='Posted by ShoZu' src='http://www.shozu.com/resources/messages/logo_blog.gif'/></a></p></p><br /></div><br /><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2008/07/ship.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-2872653741097922461Fri, 11 Jul 2008 04:30:00 +00002008-07-11T10:00:33.163+05:30<br /><div xmlns='http://www.w3.org/1999/xhtml'><br /><p><a href='http://media.shozu.com/cache/portal/media/107a5c9/16777408'><img src='http://media.shozu.com/cache/portal/media/107a5c9/16777408_journal'/></a><br/><p align='right'><a target='_blank' href='http://www.shozu.com/portal/?utm_source=upload&amp;utm_medium=graphic&amp;utm_campaign=upload_graphic/'><img border='0' alt='Posted by ShoZu' src='http://www.shozu.com/resources/messages/logo_blog.gif'/></a></p></p><br /></div><br /><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2008/07/05072008874.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-6763290442118786690Wed, 25 Jun 2008 09:43:00 +00002008-06-25T15:13:13.228+05:30<br /><div xmlns='http://www.w3.org/1999/xhtml'><br /><p><a href='http://media.shozu.com/cache/portal/media/107a5c9/16777225'><img src='http://media.shozu.com/cache/portal/media/107a5c9/16777225_journal'/></a><br/><p align='right'><a target='_blank' href='http://www.shozu.com/portal/?utm_source=upload&amp;utm_medium=graphic&amp;utm_campaign=upload_graphic/'><img border='0' alt='Posted by ShoZu' src='http://www.shozu.com/resources/messages/logo_blog.gif'/></a></p></p><br /></div><br /><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2008/06/21062008847.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-61230840619366326Sat, 17 May 2008 05:02:00 +00002008-05-17T10:32:35.197+05:30<a href="http://my.nimbuzz.com/grintodavy"><img src="http://static.nimbuzz.com/widgets/ext-images/Nimbuzz-Widget-Button-orange.gif"></a><img style="visibility:hidden;width:0px;height:0px;" border=0 width=0 height=0 src="http://counters.gigya.com/wildfire/CIMP/bHQ9MTIxMTAwMDQxMjAxOSZwdD*xMjExMDAwNTQ4MDE1JnA9MTY5OTYxJmQ9Jm49YmxvZ2dlciZnPTE=.jpg" /><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2008/05/smarthealthcare.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-7131809421143884891Fri, 11 Apr 2008 10:58:00 +00002008-04-11T16:28:01.446+05:30<br /> <div xmlns='http://www.w3.org/1999/xhtml'><br /> <p>We conduct a RSI awareness program at a leading software company in info park , cochin. Also we done a survey to low the prevalance of rsi in that company. The result was shocking. 85% Employees suffering from neck pain , back pain , and other upper limb symptoms. Interesting factor is that these employees have only 1 to 2 years of work experience !!!<br/><br/><p style='font-size: small'>Sent from my phone using <a href='http://www.trutap.com'>trutap</a></p></p><br /> </div><br /> <div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2008/04/rsi-in-software-professionals.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-7478204235731369758Fri, 21 Dec 2007 17:53:00 +00002007-12-21T23:39:12.850+05:30ArthritisDFTManual therapyMobilizationMyotherapyPhysiotherapy2 months back one patient came to our department with severe pain , swelling and restricted ankle movements. He is unable to walk without support. He is a lecturer and medically diagnosed with psoriatic arthritis. Disease started 2 years back and his ankle problem started one year back. All other joints are normal. ROM of his both ankle joint is nearly zero. <br />Most of the ortho specialists advised arthrodesis (surgical fusion of the joint). But he went for a second opinion and consulted with a physician and he directed him to our department for physiotherapy.<br /><br />We started with hotpacks, then we slowly started mobilization of the joint in classic way. But it was very painful to him. So we applied Mulligan's movement with mobilization for 10mts, followed by myotherapy, deep friction technique over the ankle joint, Ultra sound therapy to reduce swelling. After 2 session we got dramatic result. On second day he has got 25% movement of his ankle joint and swelling reduced to 50%. We continued the same treatment plan and applied crepe bandage after treatment. After 10 days there is 90% reduction in the frequency of pain, swelling disappered and ROM become near normal. He is able to walk without support but mild limping was present... Then we strated some conditioning exercises for leg muscles first with very minimal resistance and progressed with moderate resistace, by the time we continued the mobilization and myotherapy for 10 more days. <br /><br />Now he is able to walk without support, gait near normal and ankle movemts are 100%!!<br />Mobilizations , myotherapy and exercises worked in this condition....<div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/12/mobilizations-myotherapy-works.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-2470835361382920639Wed, 19 Dec 2007 06:15:00 +00002007-12-19T12:02:06.472+05:30Frozen shoulderINMTMyofascial painPhysiotherapyShoulder painTrigger pointsOne of our patient comes with left shoulder pain and stiffness. He is having this problem 6 months back and he consulted many <span class="blsp-spelling-error" id="SPELLING_ERROR_0">orthopaedicians</span> and took lot of analgesics. Professionally he is a martial art tutor. The pain started gradually and decreased range of motion slowly. Now he has 110 degree of shoulder <span class="blsp-spelling-error" id="SPELLING_ERROR_1">flexion</span> and 100 degree abduction and 50% <span class="blsp-spelling-corrected" id="SPELLING_ERROR_2">movement</span> loss of rotations. All <span class="blsp-spelling-error" id="SPELLING_ERROR_3">orthopaedicians</span> diagnosed as frozen shoulder , but during the movement of his shoulder the restriction or end point feels rubbery or elastic <span class="blsp-spelling-corrected" id="SPELLING_ERROR_4">end feel</span>.<br /><br />He came 4 days back in our clinic for physiotherapy <span class="blsp-spelling-corrected" id="SPELLING_ERROR_5">services</span>. On first day, our <span class="blsp-spelling-corrected" id="SPELLING_ERROR_6">treatment</span> protocol is same as that of frozen shoulder but we feel the <span class="blsp-spelling-corrected" id="SPELLING_ERROR_7">end feel</span>... so we changed the treatment protocol... we reassessed patient that <span class="blsp-spelling-corrected" id="SPELLING_ERROR_8">find out</span> trigger points over <span class="blsp-spelling-error" id="SPELLING_ERROR_9">subscapularis</span>, and tightness of <span class="blsp-spelling-error" id="SPELLING_ERROR_10">latissmus</span> <span class="blsp-spelling-error" id="SPELLING_ERROR_11">dorsi</span> muscles.<br /><br />So we applied <span class="blsp-spelling-error" id="SPELLING_ERROR_12">myofascial</span> therapy, <span class="blsp-spelling-error" id="SPELLING_ERROR_13">neuro</span> muscular therapy and trigger point therapy for the particular muscle groups along with usual mobilization (mulligan techniques) and exercises... on third day there is 80% decrease in pain and 85% increase in range of motion...<br /><br /><span class="blsp-spelling-error" id="SPELLING_ERROR_14">Subscapularis</span> is a <span class="blsp-spelling-error" id="SPELLING_ERROR_15">rotator</span> cuff muscle whose<span class="blsp-spelling-error" id="SPELLING_ERROR_16"></span> job is to stabilize the humeral head and seat it deeply into the <span class="blsp-spelling-error" id="SPELLING_ERROR_17">glenoid</span> <span class="blsp-spelling-error" id="SPELLING_ERROR_18">fosa</span>. It is the powerful medial <span class="blsp-spelling-error" id="SPELLING_ERROR_19">rotator</span> of the humerus. Problems over <span class="blsp-spelling-error" id="SPELLING_ERROR_20">subscapularis</span> produces loss of lateral rotation and abduction <span class="blsp-spelling-corrected" id="SPELLING_ERROR_21">movement</span>..that mimics the frozen shoulder syndrome.<br /><br />A through knowledge about the muscles and their function is most useful when treating this type of disorders..where <span class="blsp-spelling-corrected" id="SPELLING_ERROR_22">traditional</span> physiotherapy fails..............<div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/12/is-it-frozen-shoulder.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)1tag:blogger.com,1999:blog-1409654012894521112.post-5599998970219185023Wed, 19 Dec 2007 05:50:00 +00002008-11-13T11:46:29.415+05:30DentistIDAPhysiotherapyRSIWMSD<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhzxeDtVG4oYc911WPwcAop6ma5q5lzRmNrxfcZRuhqBaSCCoezPboBezHtSUS2knKVtJ2nBQE0oYV2u3l-MfmKNLARY6aZ2uN-JaD_qv2PlwiAeu0P4sEqPmBAXTCg7IK47eYzBgVsOz6X/s1600-h/DSC07002.JPG"><img style="margin: 0pt 10px 10px 0pt; float: left; cursor: pointer;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhzxeDtVG4oYc911WPwcAop6ma5q5lzRmNrxfcZRuhqBaSCCoezPboBezHtSUS2knKVtJ2nBQE0oYV2u3l-MfmKNLARY6aZ2uN-JaD_qv2PlwiAeu0P4sEqPmBAXTCg7IK47eYzBgVsOz6X/s200/DSC07002.JPG" alt="" id="BLOGGER_PHOTO_ID_5145561261685713858" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgrugUB3V_gzXfOFKLm2pRQU2bZEg2Qt_WqmhV8vCfAyytTpJwK5h0yPqohb8GXbCdK3nyclKNZxVmDyVebsNH3SciiAf1SwIZzl9QcUS1ZXhGg5QN81SobbS1zGOvNkqfEkfT-snsqXBf0/s1600-h/DSC06994.JPG"><img style="margin: 0pt 10px 10px 0pt; float: left; cursor: pointer;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgrugUB3V_gzXfOFKLm2pRQU2bZEg2Qt_WqmhV8vCfAyytTpJwK5h0yPqohb8GXbCdK3nyclKNZxVmDyVebsNH3SciiAf1SwIZzl9QcUS1ZXhGg5QN81SobbS1zGOvNkqfEkfT-snsqXBf0/s200/DSC06994.JPG" alt="" id="BLOGGER_PHOTO_ID_5145558762014747570" border="0" /></a><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/12/more-snaps-from-ida-talk.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-5933941726223336939Tue, 18 Dec 2007 06:33:00 +00002008-11-13T11:46:29.705+05:30<a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjYeBxYd70IFW14mJe7-oiH2CU7nlzESfNjOn804mLAsUxuS4Sk1iwP0eKVu2_FWcwf_TfI-LH4Vlz7DKlAUm6y1cTh9M0uvnoGO8KcoophOdumHiBRAfzh92gX9kl8edrUr-iyCYA8L-05/s1600-h/DSC06992.JPG"><img style="margin: 0pt 10px 10px 0pt; float: left; cursor: pointer;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjYeBxYd70IFW14mJe7-oiH2CU7nlzESfNjOn804mLAsUxuS4Sk1iwP0eKVu2_FWcwf_TfI-LH4Vlz7DKlAUm6y1cTh9M0uvnoGO8KcoophOdumHiBRAfzh92gX9kl8edrUr-iyCYA8L-05/s200/DSC06992.JPG" alt="" id="BLOGGER_PHOTO_ID_5145207094387518370" border="0" /></a><br /><a onblur="try {parent.deselectBloggerImageGracefully();} catch(e) {}" href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-W5YmgjPa13VqCag8gfmeHXWyZCtIBItDcnmZcZ-GzJLWvKZfIdwQQ4nUuUNE-tlbPr9zkIf1S84_j_ppOQXZld-EJ2fqY2U6cHR5B5nDbX-8MlBuu3u7K8iHOE_e6WW9aniIXSghy3zQ/s1600-h/DSC06990.JPG"><img style="margin: 0pt 10px 10px 0pt; float: left; cursor: pointer;" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg-W5YmgjPa13VqCag8gfmeHXWyZCtIBItDcnmZcZ-GzJLWvKZfIdwQQ4nUuUNE-tlbPr9zkIf1S84_j_ppOQXZld-EJ2fqY2U6cHR5B5nDbX-8MlBuu3u7K8iHOE_e6WW9aniIXSghy3zQ/s200/DSC06990.JPG" alt="" id="BLOGGER_PHOTO_ID_5145205685638245266" border="0" /></a><br />On 15th December , Indian Dental Association- Thrissur Branch (award winning IDA Branch in Kerala, India) on their annual meeting, organized a talk on Work related Musculoskeletal Disorders and Ergonomics in Dentistry.. Talk given by Dr.Grinto Davy Chirakekkaren (PT) on behalf of SMART Healthcare - Centre for musculoskeletal Disorders and Rehabilitation. The response was tremendous and most of the Dentists attended in the conference had met with one of the MSDs during their professional life.<div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/12/talk-on-work-related-musculoskeletal.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-3800819537180546296Thu, 13 Dec 2007 11:56:00 +00002007-12-13T18:11:01.589+05:30DentistRSIWMSDWork related <span class="blsp-spelling-error" id="SPELLING_ERROR_0">musculo skeletal</span> disorders are very common in dentists due to the type of work and posture during their time of work.Recent surveys shows that 40-60% dentists are affected with work related <span class="blsp-spelling-error" id="SPELLING_ERROR_1">musculo skeletal</span> disorders. The most common affected sites are neck, shoulder, hand, wrist and back. The <span class="blsp-spelling-error" id="SPELLING_ERROR_2">disorders</span> <span class="blsp-spelling-error" id="SPELLING_ERROR_3">around</span> neck and shoulder are<br />1.<span class="blsp-spelling-error" id="SPELLING_ERROR_4">myofascial</span> pain syndrome<br />2.cervical <span class="blsp-spelling-error" id="SPELLING_ERROR_5">spondylosis</span><br />3.<span class="blsp-spelling-error" id="SPELLING_ERROR_6">Rotator</span> cuff injuries<br />4.Thoracic outlet syndrome etc..<br />The disorders affecting forearm,hand and wrist are<br />1.DeQuervains disease<p:colorscheme colors="#2B5481,#FFFFFF,#003366,#E5FFFF,#009999,#336699,#00CCFF,#FFCC00"> </p:colorscheme> <br />2.Carpal Tunnel syndrome<br />3.Tennis Elbow<br />4.<span class="blsp-spelling-error" id="SPELLING_ERROR_8">Guyon's</span> disease<br />5.Trigger finger<br />The disorders affecting back are<br />1.Lumbar <span class="blsp-spelling-error" id="SPELLING_ERROR_9">spondylosis</span><br />2.Low back pain<br />3.Sciatica<br />4.Herniated disc<br /><br /><span class="blsp-spelling-error" id="SPELLING_ERROR_10"></span><span class="blsp-spelling-error" id="SPELLING_ERROR_11">M</span> pain and trigger points are common and most of the time they <span class="blsp-spelling-error" id="SPELLING_ERROR_12">mis</span>diagnosed simply as Cervical <span class="blsp-spelling-error" id="SPELLING_ERROR_13">spondylosis</span> and Carpal Tunnel Syndrome. So a through clinical examination is needed for <span class="blsp-spelling-error" id="SPELLING_ERROR_14">every</span> patient before starting the physio program.<div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/12/work-related-musculoskeletal-disorders.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-4531862243435993505Thu, 29 Nov 2007 17:13:00 +00002007-11-29T22:51:24.928+05:30<div style="text-align: justify;"><span style="font-size:100%;"><span style="font-family: verdana;">Smart Health Care ..A leading centre for musculoskeletal disorders and rehabilitation... introduces special protocol for Rehabilitation for Arthritic patients, who were suffering from joint pain, joint stiffness and even bed ridden. This specialized protocol mainly based on exercise therapy have greater relief for these patients in addition to the modern drug management. So this combination therapy including drugs and physical therapy produces more effective results especially on patient's functional activity. </span></span><br /></div><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/11/smart-protocol-for-arthritis.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-4302840781191570748Tue, 02 Oct 2007 06:21:00 +00002007-10-03T23:36:39.131+05:30RSISmart health care , found out that most of the college students are suffering from <a href="http://smartrsi.blogspot.com/">RSI - Repetative strain injury</a>. They complained neck pain, upper back pain, arm pain after prolonged sitting and writing. Analgesics have no effect on treating this problem <div><br /></div><div>Smart Health Care introduce a protocol , include myotherapy, trigger point therapy, and INMT- integerated neuro muscular inhibition techniques, positional release technique, active release techniques etc... 90% students recovered dramatically... asdvised them some stretching exercises and correct positioning during prolonged sitting and writing.</div><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/10/rsi-students.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)2tag:blogger.com,1999:blog-1409654012894521112.post-4073878352532819271Sun, 30 Sep 2007 04:24:00 +00002007-10-03T23:37:09.226+05:30Arthritis<span class="Apple-style-span"><span class="Apple-style-span" style="COLOR: rgb(255,255,0)">At </span><span class="Apple-style-span" style="font-size:x-large;"><span class="Apple-style-span" style="COLOR: rgb(255,255,0)"><span class="Apple-style-span" style="FONT-WEIGHT: bold">Smart Health Care</span></span></span><span class="Apple-style-span" style="COLOR: rgb(255,255,0)"> , our researches shows that , patients with Arthritis (joint pain) of any type, our treatment protocol, includes myotherapy, mobilization ,stretching and specific active exercises produces greater results instead of conventional physiotherapy methods like wax bath and exercises.</span></span> <div><span class="Apple-style-span"><span class="Apple-style-span" style="COLOR: rgb(255,255,0)">move smart....work smart....</span></span></div><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/09/arthritis-at-smart.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-858257002942310203Sat, 29 Sep 2007 19:53:00 +00002007-10-03T23:37:44.286+05:30Smart Health Care<span class="Apple-style-span" style="font-size:x-large;"><a href="http://smarthealthcare.in/">Smart Health Care</a> ...</span><br />A centre for Musculo skeletal Disorders &amp; Rehabilitation<br /><br />Smart Health Care is formed after a long researches and discussions , and focus on people with <a href="http://smartrsi.blogspot.com/">RSI(Repitative strain injuries )</a> musculoskeletal disorders, and sports injuries.<br />Our services include<br /><a href="http://smartrsi.blogspot.com/">Inhouse RSI clinics ,</a><br />Ergonomic / work station evaluation for corporate companies,<br />Onsite sports physiotherapy<br />Antenatal &amp; postnatal fitness program for women<br />Lecture - Early intervention in childhood disabilities<br /><br />Contact<br />Smart Health Care<br />IInd Floor, Thoppil Institute of Science &amp; Technology<br />Near Malayala Manorama<br />Ikkanda Warrior Road<br />Thrissur -1<br />Kerala<br />India<br /><br />Phone : 9447125330<div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/09/smart-health-care.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-7566197112721806382Sat, 29 Sep 2007 19:24:00 +00002008-11-13T11:46:29.904+05:30<a href="http://www.blogger.com/smarthealthcare.in"><img id="BLOGGER_PHOTO_ID_5115710487293962546" style="FLOAT: left; MARGIN: 0px 10px 10px 0px; CURSOR: hand" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQuli5RqgUkXhyAFSv06DvyEg_b2iiz9ReseKgykdEco6FFW8FdnSmsA5J9kKD6DtEGzWZgooKCRR90ZB2eV4nbBj0lbL0F0EQTyEvsAQnJmpMThgayASebva4oWfPKGZdGtiSgx5qyQWj/s320/24082007499.jpg" border="0" /></a><br /><a href="http://www.blogger.com/smarthealthcare.in"><img id="BLOGGER_PHOTO_ID_5115710500178864450" style="FLOAT: left; MARGIN: 0px 10px 10px 0px; CURSOR: hand" alt="" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhVDwbAgx4BdYj6UKJTy2aDWqhgA9YcnWXWY3gKXUuDAer6rYM6xU9C0k1gBscP-QYL9Mme6rIkiGcnH4bvuJWVDBR5IpntGPouKp4wcl3G9G2tGuG3GAu6IM5rAKJaukwWeB4y4r6AGSbs/s320/14082007478.jpg" border="0" /></a><br /><div></div><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/09/blog-post.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0tag:blogger.com,1999:blog-1409654012894521112.post-1393467778578565596Sat, 29 Sep 2007 18:47:00 +00002007-10-04T00:03:53.049+05:30Physiotherapy<a href="http://smarthealthcare.in/"><span style="color:#ffffcc;">Smart Health Care</span></a><span style="color:#ffffcc;">, A centre for Musculoskeletal Disorders and Rehabilation ..started in Thrissur city, Kerala, India , after a long reserch and discussions. This clinic manily for RSI (Repitative strain injuries), Ergonomic consultancy, Joint pain, Sport injuries rehabilitation, Early intervention for childhood disabilities, Antenatal and postnatal fitness program.<br /><br />SMART stands for<br /><br /><span style="font-size:130%;">S - soft tissue &amp; sports injuries</span><br /><br /><span style="font-size:130%;">M- Manipulations &amp; Myotherapy</span><br /><br /><span style="font-size:130%;">A- Arthritic pain</span><br /><br /><span style="font-size:130%;">R- RSI &amp; Rehabilitation</span><br /><br /><span style="font-size:130%;">T- Trigger point therapy</span><br /><br /><br /><br /><span style="font-size:130%;">The main services we offer are :</span><br /><br /><span style="font-size:130%;"><strong>1. Inhouse corporate RSI clinic</strong></span><br /><br /><span style="font-size:130%;"><strong>2.Inhouse Ergonomic / work evaluation</strong></span><br /><br /><span style="font-size:130%;"><strong>3.Onsite Antenatal &amp; Fitness program</strong></span><br /><br /><span style="font-size:130%;"><strong>4.Early intervention for childhood disabilities - lecture</strong></span><br /><br /><span style="font-size:130%;"><strong>5.Onsite sports physiotherapy</strong></span><br /><br /><strong></strong><br /><br />Conditions we treat in our clinic<br /><br /><strong><span style="font-size:130%;">1.Musculoskeletal disorders &amp; rehabilitation</span></strong><br /><br /><strong><span style="font-size:130%;">2.Movement disorders &amp; rehabilitation</span></strong><br /><br /><strong><span style="font-size:130%;">3.Neurological rehabilitation</span></strong><br /><br /><strong><span style="font-size:130%;">4.Rehabilitation of childhood disabilities</span></strong><br /><br /><strong><span style="font-size:130%;">5.Geriatric care</span></strong><br /><br /><strong><span style="font-size:130%;">6.Sports injury rehabilitation</span></strong><br /><br /><strong><span style="font-size:130%;">7.Womens health</span></strong><br /><br /><br /><br />Techniques we used :<br /><br /><strong>1.Myotherapy - Trigger point therapy, Myofacial release</strong><br /><br /><strong>2.Manipulations &amp; mobilizations - mulligan, maitland, McKenzie ...</strong><br /><br /><strong>3.Positional release Technique , Active release Technique</strong><br /><br /><strong>4.Craniosacral therapy</strong><br /><br /><strong>5.Neuro developmental therapy</strong><br /><br /><strong>6.INMIT : Integrated neuro muscular inhibition techniques</strong><br /><br /><strong>7.Exercises : Injury specific exercises</strong><br /><br /><strong>8.Taping techniques _ Sports taping , Postural taping</strong><br /><br /><strong>9.Electrotherapy</strong><br /><br /><strong></strong><br /><br /><strong>Our team</strong><br /><br /><strong>Dr.Grinto Davy Chirakekkaren ,SRP, MIAP, FOR (ortho rehabilitation)</strong><br /><br /><strong>Dr.Jithesh V Nair MIAP Ergonomics (Sweden),FOR, FSS (Sports science)</strong><br /><br /><strong>Dr.Biju CM MIAP, BDT (Neurodevelopmental Therapy)</strong><br /><br /><strong>Dr.Ophiya Francis BPT</strong><br /><br /><strong></strong><br /><br /><strong>Our Panel of Advisors</strong><br /><br /><strong>Dr.Ram Mohan MS Ortho</strong><br /><br /><strong>Dr.Sreekumar MD</strong><br /><br /><strong>Dr.George Varghese MS Ortho, Sports medicine</strong><br /><br /><strong></strong><br /><br /><strong></strong><br /><br /><strong>Contact Us</strong><br /><br /><strong>Smart Health Care</strong><br /><br /><strong>IInd floor, Thoppil Institution for science &amp; Technology</strong><br /><br /><strong>Near Malayala Manorama</strong><br /><br /><strong>Ikkanda Warrior Road</strong><br /><br /><strong>Thrissur - I</strong><br /><br /><strong>Kerala , India</strong><br /><br /><strong>Phone : 9447125330</strong><br /><br /><strong><span style="color:#000066;"></span></strong></span><div class="blogger-post-footer">SMART HEALTH CARE centre for musculoskeletal disorders and rehabilitation www.smarthealthcare.in</div>http://smarthealthcare.blogspot.com/2007/09/smart-healthcare.htmlnoreply@blogger.com (Grinto Davy Chirakekkaren)0