Sri V.L.N. Poly Clinic

Anyone who has severe snoring with excessive daytime sleepiness and tiredness or who has been hypertensive or diabetic especially when diagnosed at a relatively young age, should get a sleep study (polysomnogram) done in order to rule out a condition called obstructive sleep apnea. This could be causing the hypertension in many patients with snoring.

What is Musculoskeletal Rehabilitation?

Musculoskeletal Rehabilitation involves maximising your function and potential so that you can return back to the community as soon as possible after any injury.

Who requires Musculoskeletal Rehabilitation?

People with following problems require Musculoskeletal Rehabilitation:

·Acute or chronic musculoskeletal pain

·Post fracture stiffness and reduced function

·Loss of a part of limb

·Chronic arthritis

·Chronic backache

·Repetitive strain injury

·Prolonged bed rest with generalised weakness (deconditioning syndrome)

Who Can Benefit?

Complex MSK Management

The Complex MSK Management specialises in treating patients who have significant functional mobility and movement impairments related to the musculoskeletal system such as, arthritis, osteoporosis, de-conditioning syndrome, post-operative complications and diabetes mellitus with associated neurological and cardiac conditions. Patients receive physical and occupational therapy, balance & gait training and education to improve their level of independence in daily living.

Multiple Trauma Management

Multiple Trauma Management provides rehab to people who have sustained multiple fractures and other injuries e.g. in a motor vehicle accident. The admission criteria are two or more active orthopedic medical conditions, multiple injuries / fractures as a result of trauma, physically ready to participate in the entire rehab process with cognitive ability to learn new activities and follow direction. These patients will be managed by a multi-disciplinary team taking care of post trauma stress disorder, pain management, mobility and activities of daily living. 

Sports Rehab

The Sports Rehab provides comprehensive care to people with shoulder joint and rotator cuff injuries, tennis and golfers elbow, hand injuries, anterior cruciate ligament tears, hamstring and ankle sprains who are engaged in outdoor sports like cricket, football, basketball, volleyball, etc. leading to significant pain, strength, movement & mobility impairments. The latest technology available at the centre - multi-joint dynamometer and gait and motion analysis gives significant input in managing these conditions allowing early return to the sporting activities.

Repetitive Strain Injury (RSI) Management

The RSI Management aims to manage patients who present with chief complaints of neck or back pain or any other cumulative trauma disorders due to overuse. Patients will be evaluated by an inter-disciplinary team and comprehensive rehabilitation activities will be provided with pharmacotherapy, electrotherapy, exercise programmes, ergonomic advice, behaviour and relaxation techniques, trigger point injection procedures and education.

Amputation Management

Amputation Management caters to the need of upper and lower limb amputation due to traumatic, ischemic, diabetic or other conditions. It offers comprehensive programme beginning with pre-amputation counselling, immediate post-operative pain reduction & temporary prosthesis, permanent prosthesis fitting & training and management of late early & late complications. The programme aims to reintegrate the person back into the society.

What is the duration of the Musculoskeletal Rehabilitation programme?

As per patient requirement, the programme duration can vary from 2-12 weeks.

What is Pulmonary Rehabilitation?

Pulmonary Rehabilitation (Rehab) is a medically supervised program that helps to improve the health and well being of people who have pulmonary problems.

Rehab programs include endurance training, chest therapy, education on lung hygiene and healthy living, counseling to reduce stress & trigger factors and smoking cessation thus helping you return to an active and healthy lifestyle.

Who requires Pulmonary Rehabilitation?

People with following diseases require Pulmonary Rehabilitation:

• Chronic Obstructive Pulmonary Disease (COPD)

• Asthma

• Rhinitis

• Sinusitis

• Bronchiectasis

• Lung cancer

• Sarcoidosis

• Chronic bronchitis

• Interstitial lung diseases

• Obesity and Breathing Disorders

• Snoring and Sleep disorders

• Pneumonia

• Pleural Diseases

• Lymphadenopathies

• Respiratory Failure

• Tuberculosis

• Muscular dystrophy

• Combined cardio-pulmonary diseases

What are the facilities for Pulmonary Rehabilitation at SAANS?

SAANS Foundation has a dedicated Pulmonary Rehab facility with separate areas for postural drainage, oxygen therapy and Non Invasive Ventilation, nebulisation and telemetric ECG monitored exercise systems i.e. ergo cycles, stepper and cross trainer; a gymnasium for pre-class warm-up and resistance training classes; Lung function testing labs; and a dedicated area for patient education.

The Pulmonary Rehab team

A multi-disciplinary team consisting of

• Physiatrists (rehab physician)

• Pulmonologists

• Nurses

• Exercise Physiologists

•  Physical and Occupational Therapists

• Psychologists and Wellness Coach

• Nutritionists

What is the duration of the program?

As per patient requirement, the program duration can vary from 4-6 weeks to lifelong.

What can one achieve through this program?

The goal of this program is to prevent and limit the physiological and psychological effects of pulmonary illness and to improve overall cardio-pulmonary status and health. This is accomplished by developing individualized programs of exercise, education and lifestyle modification that are tailored to individual needs and abilities.

Three phase program

Phase I (Initial)

This is an inpatient program which starts at the time of hospitalization. It aims to initiate early mobilization to reduce the effects of de-conditioning. It consists of oxygen therapy, chest wall manipulation, nebulization, postural drainage, breathing exercises and incentive spirometry to improve oxygenation. This is continued with a walking and exercise program at home or till patient return back to the hospital for Phase II.

Phase II (Conditioning Phase)

This consists of a comprehensive program to modify the aggravating factors for lung disease along with endurance training. This consists of chest care, aerobic exercise, stress management, smoking cessation, behavior modification, nutritional advice and patient and family education. The Phase II can begin after stabilization of the early symptoms. This is conducted in the form of group sessions or classes, one session usually last for 60-90 minutes. Frequency is 3-5 times a week to complete a total of about 20 sessions. Initial sessions of aerobic training are conducted with electrocardiographic monitoring. All sessions are physician monitored conducted by trained staff.

Phase III (Maintenance Phase)

This aims to continue the benefits gained by patients during Phase II. It consists of continuation of the aerobic exercise program but at a lesser frequency of 3 times a week at home/in a gymnasium/at a hospital.

Say ‘diabetes’, and you will find a number of people in your circle suffering from the condition. Young generation is no more immune it, and you can certainly blame it on the modern-day lifestyle of excessive sugar intake and a less active routine.

Our desk jobs have made our lives sedentary. Even children are now found to be jostling with diabetes, because of how non-active their lifestyle has become. To top it, the kind of food we consume is unhealthy rather than being healthy and nutritious. All these things are responsible for early onset of this lifestyle disease.

Irrespective of age or gender, diabetes has been affecting people in large numbers, today. In fact, according to the World Health Organization (WHO), it is estimated that India will have 80 million people with diabetes by 2030. Such high prevalence of this disease is quite worrisome.

Diabetes: This villain doesn’t need an invitation

Diabetes is a lifelong condition, that progressively aggravates if not brought under control. It can’t be cured but can just be managed once you are diagnosed with it. And it leads to various other health ailments, like:

• Blindness

• Kidney failure

• Heart failure

• Stroke

• Skin problems

• Fatigue

• High blood pressure

Knowing now the harmful consequences of high sugar levels, it is important that the condition is managed well. While some of you might have already fallen prey to diabetes, there are others who might be mildly diabetic or pre-diabetic. For the latter set of people, it can be managed easily.

What is pre-diabetes?

Pre-diabetes is a warning alarm for diabetes. It happens when your blood sugar level is higher than normal, but not high enough to make you consider as a diabetic. This condition can be managed by eating healthy - reducing intake of too much of carbohydrates, cutting down on junk food and aerated drinks and of course, limiting intake of sugar. In addition to it, you have to stay active and exercise religiously. There are also products available in the market like Setu Sugar Shield that is made with a view to help pre-diabetics.

Setu Sugar Shield is a unique, compact, potent formulation for those concerned about mild diabetic or pre-diabetic condition. It has antioxidants and vitamins (i.e. vitamin C) and mineral (selenium) to support actions of Setu Sugar Shield. It contains ingredients such as Alpha Lipoic Acid, Cinnamon, Chromium and Biotin that help keep elevated sugar levels under control.

So, if you have been diagnosed with pre-diabetes, you now know how to ‘Sugar Shield’ it

The age at which kids learn language and start talking can vary.Knowing what's "normal" and what's not in speech and language development can help parents figure out if there's cause for concern or if their child is right on schedule.