Is it Frozen Shoulder?

One of our patient comes with left shoulder pain and stiffness. He is having this problem 6 months back and he consulted many orthopaedicians 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 flexion and 100 degree abduction and 50% movement loss of rotations. All orthopaedicians diagnosed as frozen shoulder , but during the movement of his shoulder the restriction or end point feels rubbery or elastic end feel.

He came 4 days back in our clinic for physiotherapy services. On first day, our treatment protocol is same as that of frozen shoulder but we feel the end feel... so we changed the treatment protocol... we reassessed patient that find out trigger points over subscapularis, and tightness of latissmus dorsi muscles.

So we applied myofascial therapy, neuro 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...

Subscapularis is a rotator cuff muscle whose job is to stabilize the humeral head and seat it deeply into the glenoid fosa. It is the powerful medial rotator of the humerus. Problems over subscapularis produces loss of lateral rotation and abduction movement..that mimics the frozen shoulder syndrome.

A through knowledge about the muscles and their function is most useful when treating this type of disorders..where traditional physiotherapy fails..............

More snaps from IDA Talk

Talk on Work related musculoskeletal disorders in Dentistry

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.

Work related musculoskeletal disorders in dentists

Work related musculo skeletal 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 musculo skeletal disorders. The most common affected sites are neck, shoulder, hand, wrist and back. The disorders around neck and shoulder are
1.myofascial pain syndrome
2.cervical spondylosis
3.Rotator cuff injuries
4.Thoracic outlet syndrome etc..
The disorders affecting forearm,hand and wrist are
1.DeQuervains disease
2.Carpal Tunnel syndrome
3.Tennis Elbow
4.Guyon's disease
5.Trigger finger
The disorders affecting back are
1.Lumbar spondylosis
2.Low back pain
3.Sciatica
4.Herniated disc

M pain and trigger points are common and most of the time they misdiagnosed simply as Cervical spondylosis and Carpal Tunnel Syndrome. So a through clinical examination is needed for every patient before starting the physio program.

Smart Protocol for Arthritis

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.

RSI & Students

Smart health care , found out that most of the college students are suffering from RSI - Repetative strain injury. They complained neck pain, upper back pain, arm pain after prolonged sitting and writing. Analgesics have no effect on treating this problem

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.

Arthritis at Smart

At Smart Health Care , 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.

move smart....work smart....

Smart Health Care ...
A centre for Musculo skeletal Disorders & Rehabilitation

Smart Health Care is formed after a long researches and discussions , and focus on people with RSI(Repitative strain injuries ) musculoskeletal disorders, and sports injuries.
Our services include
Inhouse RSI clinics ,
Ergonomic / work station evaluation for corporate companies,
Onsite sports physiotherapy
Antenatal & postnatal fitness program for women
Lecture - Early intervention in childhood disabilities

Contact
Smart Health Care
IInd Floor, Thoppil Institute of Science & Technology
Near Malayala Manorama
Ikkanda Warrior Road
Thrissur -1
Kerala
India

Phone : 9447125330

Smart Healthcare

Smart Health Care, 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.

SMART stands for

S - soft tissue & sports injuries

M- Manipulations & Myotherapy

A- Arthritic pain

R- RSI & Rehabilitation

T- Trigger point therapy



The main services we offer are :

1. Inhouse corporate RSI clinic

2.Inhouse Ergonomic / work evaluation

3.Onsite Antenatal & Fitness program

4.Early intervention for childhood disabilities - lecture

5.Onsite sports physiotherapy



Conditions we treat in our clinic

1.Musculoskeletal disorders & rehabilitation

2.Movement disorders & rehabilitation

3.Neurological rehabilitation

4.Rehabilitation of childhood disabilities

5.Geriatric care

6.Sports injury rehabilitation

7.Womens health



Techniques we used :

1.Myotherapy - Trigger point therapy, Myofacial release

2.Manipulations & mobilizations - mulligan, maitland, McKenzie ...

3.Positional release Technique , Active release Technique

4.Craniosacral therapy

5.Neuro developmental therapy

6.INMIT : Integrated neuro muscular inhibition techniques

7.Exercises : Injury specific exercises

8.Taping techniques _ Sports taping , Postural taping

9.Electrotherapy



Our team

Dr.Grinto Davy Chirakekkaren ,SRP, MIAP, FOR (ortho rehabilitation)

Dr.Jithesh V Nair MIAP Ergonomics (Sweden),FOR, FSS (Sports science)

Dr.Biju CM MIAP, BDT (Neurodevelopmental Therapy)

Dr.Ophiya Francis BPT



Our Panel of Advisors

Dr.Ram Mohan MS Ortho

Dr.Sreekumar MD

Dr.George Varghese MS Ortho, Sports medicine





Contact Us

Smart Health Care

IInd floor, Thoppil Institution for science & Technology

Near Malayala Manorama

Ikkanda Warrior Road

Thrissur - I

Kerala , India

Phone : 9447125330