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Department of Physical Medicine & Rehabilitation Website

Patient Information

Introduction

Services in PMR

Medical Services

Outpatient Timetable 

Inpatients:

Admissions

Investigations,

Operations & procedures

 

Entrance to PMR with steps to front and slope to left
Entrance to Physical Medicine &
Rehabilitation, PMR, Outpatient Dept
& Physiotherapy gyms in the hospital

Occupational Therapy 

Physiotherapy

Speech Therapy

Prosthetics & Orthotics

Gait Lab

Social Work

Vocational Rehabilitation 

Links

Contact Information

Introduction

This page is aimed at summarising the help available to people with disabilities and their families within the Physical Medicine and rehabilitation (PMR) department.

The PMR department is able to help people with various types of disability, these include:

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Services in PMR

The Physical Medicine and rehabilitation (PMR) department has several healthcare workers within it. These include doctors (medical services), nurses, occupational therapists (OTs), physiotherapists (physios), prosthetists and orthotists (P & O), social workers and speech therapists. A brief description of what each of these health care workers can do for patients and where they can be found is described below. The information is similar to that in the other pages but we have tried to bring together all the practical information in this one page for people who may want to come to PMR. If there is other information that would be useful please contact us.

All the PMR web pages are colour coded with different colours for different aspects of the services provided, these colours have been used below. A more detailed description is given in the linked web pages.

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Medical Services

A doctor must assess all patients before they can be seen by any of the other healthcare workers within PMR. The doctors are trained to treat a wide range of disabilities. patients will be assessed and any necessary investigations ordered. Treatments will include medicines and drugs, therapy, operations, home exercise programmes and changes in lifestyle. patients can be assessed by a doctor in Physical Medicine and rehabilitation by making a Physical Medicine and Rehabilitation Outpatient appointment.

Dr Suranjan Bhattarcharji was head of PMR till mid-2007 when he was appointed Director of CMC hospital. This means he is doing no clinical work, no outpatients or operations until 2012. We congratulate him on being appointed to this prestigious job, but will miss him in PMR.

Outpatient (OP) Clinics

The consultant outpatient timetable for PMR is shown below. Registration is between 8am and 11am. PMR outpatients are held in the PMR dept opposite the new A block (private wards) and opposite the OT/Haematology building. There is a ramp and steps to get into the building

Monday:

Drs George Tharion, Henry Prakash, Jacob George*

Tuesday:

Drs Ashish Macaden, Judy John, Raji

Thursday:

Drs George Tharion, Henry Prakash, Jacob George*

Friday:

Drs Ashish Macaden, Judy John, Raji

* on study leave

Joint/Specialist Clinics

The PMR department also runs several joint clinics. These clinics bring together specialists from other parts of the hospital. These specialists see the appropriate patients with the PMR doctors and together they plan the patients care. The joint clinics are held in the PMR Outpatient department (except Development Paediatrics) and are detailed below. Patients must be referred from either the PMR OPD or the other specialist medical service that is part of the joint clinic. All patients wishing to be seen must register before 11am that day.

The clinics are shown to the right. Click on the clinic link you want to see.

Amputee clinics: 

Initially Multidisciplinary clinics for people with Amputations were held twice a week in the Prosthetics and Orthotics Laboratory in the rehabilitation Institute. These clinics were only for people referred there for, or who already have, an International Committee for the Red Cross (ICRC) limb. New patients are assessed for International Committee for the Red Cross limbs and patients with limbs are reviewed so that repairs and adjustments to the limb can be planned (many being done on the same day).

This service has now been extended and an Amputee clinic has also been started in the PMR outpatients in the hospital, where patients are seen immediately after their amputation to help people get back on their feet as soon as possible and to supply appropriate Prostheses ( artificial legs). This clinic offer comprehensive care by a team of Doctors, Engineers, Prosthetists, a Physiotherapist and an Occupational therapist.

Brain Injury Clinic

A new trans-disciplinary "Brain Injury Clinic" for people who have a recent traumatic brain injury was started in January 2006 2pm on Wednesday afternoons (192 patients seen in the first 4 months). Traumatic brain injury can happen ofter a car/scooter/bike accident, a fall or any other accident.

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Children with Disabilities clinic:

PMR Developmental Paediatrics clinic is on a Tuesday afternoon. Children with disabilities are reviewed at the clinic with their parents and a multidisciplinary team including doctors, occupational therapists, physiotherapists and speech therapists. The clinic is held in the Developmental Paediatric clinic.

Community clinics:

Community Hospital and Development (CHAD). provides a community orientation rehabilitation programme where OT's work with people in the villages served by CHAD. If further management is need ed then patients can be seen by PMR doctors with the CHAD staff in the weekly disability clinic every Thursday in the base Community Hospital in Bagayam.

Close to the college site there is the C.S.I. Cerebral Palsy Centre, Sainathapuram which provides residential and day schooling for children with physical and mental disabilities. PMR doctors visit them regularly for detailed evaluation of the children and for treatment planning with other professionals.

Geriatric clinic: for older people

A Geriatric clinic providing care for elderly people was been started in 2003-4 PMR doctors along with General Medicine. As people get older many different problems can arise and dealing with the results of this is best dealt with by a specialist team. This clinic there for e offers a comprehensive assessment by a team consisting of medical personnel, nursing staff, an Occupational therapist and a Physiotherapist.

Haemophilia clinic:

The Haematology – Orthopaedics I – PMR clinic is held every Thursday at 2.30p.m. This clinic is mainly for people with Haemophilia who have had bleeds into their joints or muscles.

Nerve & Muscles Clinic:

The Neuromuscular Clinic is also been held regularly on Thursday afternoons at 4.00p.m. patients come to the clinic from PMR or Neurology services. The clinic is designed to help with the diagnosis and multidisciplinary care of patients with neuromuscular diseases such as Muscular Dystrophy, Spinal Muscular Atrophy and Freidrich´s Ataxia.

Orthopaedics II – PMR Clinic:

The Tuesday afternoon Orthopaedics II – PMR Clinic aims to combine the expertise from Orthopaedics and Rehabilitation for complex orthopaedic problems.

Pain clinic:

Some types of pain can be very resistant to treatment. The Pain clinic is one of the newer joint clinics and is held every Friday at 4pm with the Departments of Anaesthesia, clinical Pharmacology, PMR, Psychiatry and Radiotherapy. many different approaches to pain can be used including medicines, physical treatments such as heat, ultrasound and TENS, plus local injections.

For more information about the doctors see: Medical Services.

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Inpatients:

Inpatients are cared for on the main hospital campus and the Rehabilitation Institute. Patients are assessed in the Physical Medicine and Rehabilitation Outpatient Department to determine the best treatment for their needs and admissions are arranged there. Some patients are assessed in casualty/Accident & Emergency Dept but usually are put onto the waiting list for admission, except if urgent admission is required and a bed is available. For more information about the rehab Institute see: Rehab Institute

The completion of the rehab institute extension means we have more beds. However there is sometimes a wait for both private and general beds and patients will need to go on the waiting list. If you would like to help with funding the new extension or providing care for poor patients - please see our page on New Horizons

Arrangements for Admission

If inpatient care is planned from the outpatient assessment then it is important that the following arrangements are made:

Admission to the hospital can only be arranged if the above 3 conditions are met. The cost and duration of a patients stay in the hospital can be estimated at the time of assessment prior to admission but many things can change this, including complications that may arise during the inpatient stay.

It is important that a patient completes their period of rehabilitation. The long waiting list means it is not usually possible to admit a patient again if they have not completed the initial period of rehabilitation.

If you are unable to come, kindly in form us so that we can cancel your reservation and allot the bed to some other patient.

Tests and Investigations:

Most tests will be done by another department in the hospital but some tests/investigations are done by the staff of PMR. These include

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Operations and Procedures:

Some operations and treatments commonly needed by people with disabilities are conducted by the staff of PMR. These include

A short explanation of most of these is given here: Tests, Investigations and Operations.

Writing is a skill needed
for education and
many work places -
patients relearn how
to write in OT:

Photo of a hand with a splint to hold a pen writing

This patient, who is paralysed
from the neck down, is
practicing his writing in OT.

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Girl balanced on a yellow big ball with physio behind supporting her.

A Young girl learning to
balance using a
balance ball in physiotherapy.

photo of long leg splint with metal side struts and plastic foot and ankle support

Calliper that can be made
in Prosthetics & Orthotics,
the plastic lower half
makes it lighter than
other calipers.

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Gentleman sat crossed legged under tree with artificial limb on

An ICRC plastic leg
is light weight & can
allow people to sit cross legged.

4 graphs in the picture with link to larger copy

A tracing from the 
Movement Analysis Laboratory.
Age: 7 Diagnosis: Cerebral Palsy

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Occupational Therapy

Occupational therapy, OT, aims to improve the quality of life of people with disabilities despite their disabilities, but within their capabilities.The therapists can help people to learn, or re-learn, selfcare skills such as dressing and washing, plus skills used for education and economic gain such as writing or skills specific to employment. Occupational Therapy aims to re-integrate people into their community as an asset and not a liability. Often a programme is given that needs to be followed at home. people can be assessed for Occupational Therapy by seeing a doctor in the Physical Medicine and Rehabilitation Outpatient Department who will then refer them if appropriate to do so. For more on OT see: Occupational Therapy.

Speech and Language Therapy 

The Speech and Language Therapy helps adults and children with communication problems for example slurred speech or word finding problems in children with cerebral palsy or adults following a stroke, and also swallowing problems in adults and children. Often a programme is given that needs to be followed at home.

People can be assessed for Speech and Language Therapy by seeing a doctor in the Physical Medicine and Rehabilitation Outpatient Department who will then refer them if appropriate to do so. For more information see: Speech Therapy.

PhysioTherapy

Physiotherapy is able to help many people including those with musculoskeletal pain using different treatments to reduce the pain. Physio can also help people with various for ms of disability by helping them to balance, strengthen their muscles and they can help some people to walk. people can be assessed for Physiotherapy by seeing a doctor in the Physical Medicine and Rehabilitation Outpatient Department who will then refer them if appropriate to do so. For more information see: PhysioTherapy

Prosthetics & Orthotics

Prosthetics and orthotic (P & O) services make artificial limbs, splints, calipers, crutches, walking sticks, and special shoes for people with disabilities. Calipers/splints are devices most comm only attached to the limbs to help people to do things or to reduce pain or immobilise the limb. The main workshop is in the hospital campus underneath the PMR OPD. It can be reached by stairs or a lift. There is also a Research laboratory in the rehabilitation Institute.

People can be assessed for prosthetics and orthotics by seeing a doctor in the Physical Medicine and Rehabilitation Outpatient Department. For more information see: P & O.

Movement Analysis Laboratory / Gait Lab

The Movement Analysis Laboratory (MAL), engineers are able to adapt some electronic devices to allow people with disabilities to use them. For example, if a computer mouse is difficult for some one with weak hands to use, then they can alter the mouse to make the buttons easier to use. The study of how people walk, gait analysis, is also done here and a few patients will benefit from this test. people can be considered for a referral to the MAL, also called the gait lab, by seeing a doctor in the Physical Medicine and Rehabilitation Outpatient Department. For more information see: Gait Lab

Social Work

There are two social workers working in the rehabilitation Institute. They undertake a wide range of activities including helping people to think about employment options, economic assistance for poor patients, visiting people at home, and arranging the Mela. For more information see: Social Work

Vocational rehabilitation

The Vocational rehabilitation of the severely disabled (VRSD) project is undertaken with support from the Mary Verghese Trust. Residential Tailoring and Bicycle repair courses are offered. An initial assessment can be undertaken by the doctors in the Physical Medicine and Rehabilitation Outpatient Department, further assessment of suitability is then undertaken by the multidisciplinary team in the rehabilitation Institute. For more information see: Vocational Rehab

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General Hospital Information

Booking Appointments etc

Details of how you can book an appointment, times and places for different tests, where the cash counters are etc can be found here: CMC Hospital Information.

Cost of PMR Inpatient Services

The cost of inpatient services can be found here: PMR inpatient service tariff.

Job Opportunities in PMR

Vacancies arise within the PMR department at regular intervals. Medical, OT, Physio, speech therapy, orthotics and prosthetic posts and internships are all handled by the principal's Office. Contact details below.

Links

Links to the rest of the PMR web pages are in the column to the left. Hover over (mouse over / move the mouse over) the titles and see more information about the page - double click on the page you want.

Contact Us

How to Book Appointments and Register

You can phone, post or visit the hospital to book an appointment. See PMR Contacts for full details

Appointments and Registering by Phone

You can get most telephone extensions inside the hospital without the operators,

New and returning patients may phone the Appointments Call Center any day, at the time shown below.
Please note:You need to PAY by CREDIT CARD when you book the appointment by phone. All credit cards with the VISA emblem are now accepted.

Day Time Telephone

Monday - Friday

7 am to 9.30 pm

0416 228 8000

Saturday

7 am to 7 pm

Sunday

10am to 2pm

Coming Back to CMC - Book Online

Patients coming back to CMC with a CMC hospital number can book appointments online. Payment is by credit card or the CHRIS card (CMC cash card).

Page: http://clin.cmcvellore.ac.in/index.asp#new

Job and internship enquiries

Enquiries about working as a doctor, therapist or nurse and internship enquires: please contact the principal's Office:

Email: princi@cmcvellore.ac.in

PMR Patient Enquiries

Patient care enquiries for PMR: please contact Dr. Debbie Skeil:

Email:

PMR Office Phones & Postal Addresses

The code for India is +91, the Vellore area code is (0)416. Simply dial 228 then the extension you need.
If you need operator assistance then dial 228 4000.

PMR Office

Extension

Physical Medicine and Rehabilitation
Christian Medical College, Vellore. 632004. India

2158

Eg Ringing Physical Medicine and Rehabilitation office from India:

0 416 228 2158

More detailed contact information can be found at Contact Us


We hope this information is accurate. If you have any information that may be useful or see any mistakes, please let us know.

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Last Edited Sept 2010

Department of Physical Medicine & Rehabilitation Website