About (ANRC) Adithyaa Neuromusculoskeletal Rehabilitation Centre

Welcome to ADITHYAA Neuromuscloskeletal Rehabilitation Center- www.anrc-uk.com

Adithyaa is a one of its kind Neuromusculaskeletel Rehabilitation centre Specializing in the prevention, assessment, treatment of Repetitive Strain Injuries (RSI) other Musculoskeletal Disorders (MSD) and Childhood Disabilities through and Interdisciplinary approach.

Specialised in chronic pain management
Work Related Musculoskeletal Disorders (WRMSD’s) or Repetitive Strain Injury (RSI)

Musculoskeletal Disorders (MSD’s) are injury or disorder of muscles, nerves, tendons, joints, cartilage, or spinal discs. Not caused by slips, trips, falls, motor vehicle accidents, or other accidents. MSDs are considered work-related when the work activities and work conditions significantly contribute to their development or exacerbation but are not the sole determinant of causation (World Health Organization, 1985).

Home visits are available for Stroke,Spinal core injury MS etc..
RSI- repetitive stress or strain Injuries
Thorasic Outlet Syndrome
Myofacial Pain Syndrome
Cerebral Palsy
Patello femoral pain syndrome
Multiple sclerosis
Fibromyalgia
Low Back pain
Upperback pain
Neck pain
Reflex sympathetic Dystrophy
Back pack injuries
Postural injuries

My training, work experience and any achievement

Praveen Thachappilly Jayasimhan



Praveen TJ BPT, D.Yt, D.Ac.(Reg; HPC, IAP )
Senior Chartered Physiotherapist and Ergonomist.
Director -Adithyaa Neuromusculoskeletal Rehabilitation Centre LTD. United Kingdom,Peterborough

I am working as a Senior Physiotherapist and Ergonomist and having 5 years of experience in the field of physiotherapy mainly chronic pain management, ergonomics and childhood disabilities.
Special Training: •Training in OCRA and MAPO Methods of Ergonomic Workplace Analysis from its inventors Prof. Daniela Colombini and Dr. Natale Battevi (EPM, Milano, Italy) in 2008
•Training in Strain Index and Modified NIOSH Lifting Equation by its inventor Prof. Arun Garg (Univ. of Wisconsin, USA) in 2009
•Training workshops on Manual Therapy, Myotherapy, Fitness, Ergonomics, Musculoskeletal Disorders
•Diploma in Acupuncture (D.Ac) from Indian Acupuncture Training Centre
•Diploma in Yoga Therapy from Institute of Spiritual, Cultural & Holistic Health Science Centre, Mangalore


Memberships: •Charted Society of Physiotherapist.
•Indian Association Physiotherapist (http://www.physiotherapyindia.org)
•Indian Society of Ergonomics (http://www.ise.org.in/)
•HPC -United Kingdom Reg no.PH97964

Special interests:- Rehabilitation of Musculoskeletal Disorders, e.g., Myofascial Pain and Dysfunction, Repetitive Strain Injuries (RSI or Computer Related Injuries), Spinal Disorders (Neck and Back Pain), Patellofemoral Pain Syndrome, Sports Injuries, Chronic Pain Conditions like Complex Regional Pain Syndrome, Fibromyalgia and Arthritis, Stroke management, Geriatrics. Rehabilitation of CP, Spinabifida, Back pack injuries & postural problems in children, delayed milestones poliomyelitis etc..

Further Information

Work Related Musculoskeletal Disorders (WRMSD’s) or Repetitive Strain Injury (RSI)

Musculoskeletal Disorders (MSD’s) are injury or disorder of muscles, nerves, tendons, joints, cartilage, or spinal discs. Not caused by slips, trips, falls, motor vehicle accidents, or other accidents. MSDs are considered work-related when the work activities and work conditions significantly contribute to their development or exacerbation but are not the sole determinant of causation (World Health Organization, 1985).

Causes

• Prolonged repetitive, forceful, or awkward hand movements
•"Static loading" or holding a posture.
•Poor conditioning of the heart and lungs, and poor muscle endurance
•Direct mechanical pressure on tissues
•Cold work environment
•poorly fitting furniture
•Basic inadequacies of workstation design
•Work organizational and psychosocial issues
High Risk Groups •Computer Users
•Musicians
•Health Professionals: Surgeons, Dentists, Nurses,
•Massage Therapists
•Laboratory workers
•Teachers
•Manual Labourers, Assembly Line Workers
•Check out clerks
•Hair dressers
•Butchers
•Sports Persons
•Children
•Housewives

Early Warning signs and Symptoms
1. Discomfort, fatigue or pain.
2. Swelling, redness, coldness or warmth.
3. "Catching" or "snapping" with movement.
4. Loss of grip strength, heaviness or clumsiness of the hand.
5. Stiffness.
6. Burning, numbness, tingling.
7. Visual strain.
8. The injury accumulates slowly leading to difficulty in day-to day activities such as shaking hands, opening doors, holding newspapers, using a comb, or even holding a teacup.

Stages of WRMSD’s
Severity Stage of RSI Recovery period
Stage 1: Mild 2- 4 Weeks
Stage 2: Moderate 1 – 3 Months
Stage 3: Severe 3- 6 Months
Stage 4: Complicated ≥ 6 Months

Classification of WRMSD’s
The WRMSD’s are classified in to two broad categories; 1) Specific and 2) Non-Specific (Patient presents with pain, discomfort or functional impairment but no specific diagnosis or pathology can be ascertained).
Specific WRMSD’s

1. Tendon-related conditions
2. Nerve-related conditions
3. Circulatory/vascular conditions
4. Joint-related conditions

Non-Specific WRMSD’s

1. Myofascial pain syndrome (MPS)
2. Fibromyalgia syndrome (FMS)
3. Complex regional pain syndrome (CRPS)

Recent Advances in the Management of WRMSD’s

It can be treated completely with a Skilled Hands on Manual Therapy Approach for Release of Muscle & fascia, along Joints, Nerves and other Soft tissue techniques. The effect of this technique proved by researches and the studies were published in indexed journals. This treatment has been given in four phases:

PHASE I (Severe Discomfort): Trigger Point Therapy (TPT) (Ischemic compression, PRT, INIT), Myofascial release (MFR), Relaxation & Breathing technique and Stretching exercises.

PHASE II (Moderate Discomfort): Soft- tissue (TPT & MFR), Nerves & Joints Mobilization, Self- Stretching exercises, Alexander Technique, Yoga and Cognitive Behavioural Therapy.

PHASE III (Mild Discomfort): Stretching exercises, Progressive Strengthening Exercises, Postural Retraining, Body Mechanics and Ergonomics Training.

PHASE IV (Maintenance): Further Strength Training, Aerobic conditioning and Yoga Therapy.

"The potential for a quick and complete recovery is enhanced, if the patient seeks competent medical interventions like manual Physical Therapy with Ergonomic Workplace Analysis at an early stage."

Testimonial

"Thank you for the best treatment which I have received from you .I have suffered a lot pain of my shoulders, neck and middle of back for ten years .I had eight seccions .that was very helpfull .And I am doing exercises every day .my pain has gone.that was great .thank you very much again !"

Liru Wu.

"After suffering with back problems for several months I came across Praveen as a recommendation from the General Manager at Longueville Court Care Home, who was aware of his profession as a physiotherapist.

Praveen has been working with me since I first expressed my concerns to him regarding my back. He has always made me feel comfortable and treated me with care and respect. He is a professional man who takes pride in his work and is prepared to go the extra mile to help anyone.

Following several lifestyle changes work at the advise of Praveen and Neuromusculoskeletal sessions with him, I have seen a vast improvement in my condition which is constantly improving. I have every faith that with continued support by phone, visit, continued sessions and advice my condition will fade enabling me to lead a normal and healthy life.

I would recommend Praveen to anyone who has any condition affecting their lifestyle and I know that their feedback would reflect mine."

Melissa Obradovic

"Actually I went to Praveen with severe neck pain and shoulder pain. I attended six sessions of treatment. From the second session onwards I felt some sort of relief. Now it is much reduced and also I am doing exercises taught by Praveen. I could work comfortably now. Thanks Praveen!! "


Uma,wipro bangalore.India.

" Praveen was my senior in RECOUP, Bangalore. During the period I served in RECOUP I found Dr Praveen as a very dedicated Physio with great expertise in patient treatment, a very good teacher as well as a person with excellent PR skills. I wish him all the best ahead. regards Dr Pallavika, Consultant Physiotherapist, Bangalore" February 9, 2011."

Dr. Pallavika Barthakur ( PT )

"Mr Praveen TJ, is a very good and calm person. He is very dedicated to his work. He will always be ready to teach his juniors, If given a chance he will prove his best." February 2, 2011


M.Rajendran Rajendran

"As A teacher I know Praveen very well, he is Intelligent, Sincere and assent to any Institution where is works for, I wish him all success in life." February 6, 2011

Assistant Professor & Senior Physiotherapist, City College of Physiotherapy affiliated to Rajiv Gandhi University of Health Sciences (colleague)

Ramakrishnan Kalpathy Sundaram

"I found Praveen to be quite hardworking which helped him to grow up in the organisation quite quickly. He has successfully carried out all the assignments given to him. He is an excellent therapist and I wish him all the luck in his future endeavours...." January 24, 2011.

Manager Marketing and HR, RECOUP Neuromusculoskeletal Rehabilitation Centre (colleague)

Karuna Haveri

"Praveen was sincere guy, working with team spirit all the time and treat all the patients with care." January 21, 2011.

consultant in Ergonomics, Physiotherapy & Business Development Manager, Recoup Neurmuscular Rehabilitation Centre (colleague)

Jaba Prabu Abraham

"After I was diagnosed with fibromyalgia, I needed daily physiotherapy. Praveen was my physiotherapist for the most part of my treatment, His knowledge of various techniques including myotherapy, trigger point therapy, muscle energy techniques and taping is impressive. Therapy sessions with him helped me regain my confidence and allowed me get back to a daily workout regime. Without his help I would not have been able to get back to a normal life so fast. It was great having him as a therapist and a friend during those tough days." April 25, 2011.

Iqbal Kaur