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Physical Medicine & Rehabilitation Highlights
01
Neurological rehabilitation (stroke, spinal cord injury, brain injury, movement and neuromuscular disorders)
02
Postsurgical spine rehabilitation after lumbar, cervical, thoracic, and spinaltumour procedures
03
Orthopaedic & Sports Rehabilitation includes early postoperative rehabilitation and customised programs to allow safe return to work, daily activities, and competitive sports.
04
Chronic pain interventions with structured therapy and imageguided procedures
05
Cancer rehabilitation (fatigue, weakness, neuropathy, lymphoedema, postsurgical decline), cancer pain management.
06
Pulmonary rehabilitation (postCovid19 sequelae, COPD, postICU weakness, presurgical conditioning)
About the Speciality
Physical Medicine & Rehabilitation (PMR), also known as physiatry, is a medical specialty that focuses on restoring function, independence, and quality of life after illness, injury, or surgery. It treats impairments of the neuromusculoskeletal, cardiovascular, and pulmonary systems, coordinating care across physicians, physiotherapists, occupational therapists, speech and swallowing therapists, pain specialists, and other disciplines to maximise physical, psychological, social, and vocational function. At Medanta Noida, the PMR department is led by a PMR specialist with interventional pain fellowship training, offering doctorled, paincentred rehabilitation . Our goal is to restore your function , reduce your pain , and empower you to live independently while minimising caregiver burden.
Treatments
Team approach and compassionate care for holistic heart health.
01
Chronic Pain Management
Multimodal pain care combining pharmacological optimisation, structured physiotherapy, psychological pain-coping strategies, and image-guided interventional procedures - including epidural steroid injections, facet joint blocks, peripheral nerve blocks, and trigger point procedures - targeting the underlying pain generators rather than masking symptoms.
02
Neurorehabilitation
Structured recovery programmes for stroke, traumatic brain injury, spinal cord injury, and progressive neurological disorders - integrating task-specific motor retraining, gait rehabilitation, balance training, cognitive retraining, and spasticity management with botulinum toxin or oral antispasmodics, coordinated with neurology throughout.
03
Geriatric Rehabilitation
Geriatric rehabilitation is an approach focused on helping senior citizens regain
functional independence and improve their quality of life. Our tailored rehab
programmes include gait improvement, fall prevention, fatigue and anxiety
management, and bone and muscle pain management.
The PMR (Physical Medicine and Rehabilitation) specialist will help you understand your health condition, optimize your medication intake, and design goal-oriented, time-bound rehab programmes.
Additionally, physical therapy focuses on strength, endurance, and mobility training.
The overall program focuses on helping patients relearn daily self-care tasks and
maximize their independence in day-to-day activities.
04
Pulmonary Rehabilitation
Pulmonary rehabilitation supports patients with postCovid19 pulmonary sequelae,
COPD and chronic bronchitis, postICU or post ventilation weakness, and those preparing for lung surgery.
The PMR specialist assesses dyspnoea, oxygen requirement, exercise tolerance, and
functional limitations, coordinating with respiratory medicine and pulmonary function
tests.
Physiotherapy includes breathing exercises, cough technique training, chest
physiotherapy, graded aerobic training (treadmill, cycle), and upper limb conditioning; postural and core training helps improve lung expansion and reduce accessory muscle overuse.
Patients receive home exercise programmes, with the goals of improved exercise
capacity, reduced breathlessness, and better day to day function.
05
Cancer Rehabilitation
Cancer rehabilitation targets functional decline due to chemotherapy, radiotherapy,
immunotherapy, or surgery, cancer related fatigue and weakness, postmastectomy/lymphadenectomy lymphoedema, chemotherapyinduced peripheral
neuropathy, and postabdominal or pelvicsurgery weakness.
The PMR specialist evaluates fatigue, pain, balance, strength, and mobility, screens
for neuropathy and respiratory compromise, and coordinates with oncology and
surgical teams.
Physiotherapy includes safe, graded aerobic and strength training, balance and gait
training, fallprevention strategies, and lymphoedemaspecific exercises; occupational
therapy provides energyconservation techniques, homesafety modifications, and
workreintegration support.
The goals are improved endurance, strength, and independence, along with better
quality of life during and after treatment.
06
Chronic Pain Interventions
The department manages chronic back and neck pain, sciatica and radicular pain,
postsurgical pain syndromes (failedback, postlaminectomy), osteoarthritisrelated joint
pain, and neuropathic pain.
A PMR specialist with interventional pain fellowship, takes a detailed history of
location, radiation, triggers, and impact on sleep, mood, and work, performs
neurological and musculoskeletal examination, and coordinates with neurology,
orthopaedics, and rheumatology as needed.
The plan combines physiotherapy (core, postural, jointstability exercises; graded
activity; gait and ergonomic training), occupational therapy (workstation
modification, activitypacing, energy conservation), and psychological support for
coping, anxiety–depression screening, and stress reduction, along with nutrition and
general health guidance.
Image guided interventions include ultrasound/Carmguided facet joint and
sacroiliacjoint injections, epidural/transforaminal steroid injections, peripheral nerve blocks, triggerpoint injections, Regenerative therapy ( PRP,GFCs,Dextrose prolotherpay) and intraarticular injections for arthritic joints, aiming for significant pain reduction, improved function, reduced opioid use, and better quality of life.
07
Orthopaedic &Sports Rehabilitation
Orthopaedic and sports rehabilitation focuses on restoring strength, mobility, and
confidence after musculoskeletal injuries, fractures, joint surgeries (knee, hip,
shoulder, ankle), and sportsrelated strains, sprains, tendinopathies, and ligament
injuries.
The PMRled programme includes early postoperative mobilisation, progressive
strengthening, jointstability and proprioception training, gait and functional
reeducation, and sportspecific drills to allow safe return to work, daily activities, and competitive sports.
Physiotherapy emphasises manual therapy, targeted exercises, core and
neuromuscular control, and biomechanical correction, while psychological support
and education help prevent reinjury and promote longterm musculoskeletal health.
08
PostSurgical Spine Rehabilitation
This service supports patients after lumbar fusion or decompression, cervical spine
surgery (disc, stenosis, instability), thoracic spine procedures, and spinaltumour
surgery.
The PMR specialist assesses pain, neurological status, spinal stability, posture, and functional limitations, reviewing surgical reports and imaging.
In the early (inhospital) phase, care focuses on safe mobilisation, bedtochair transfers,
sitting tolerance, postural education, and gentle core and paraspinal activation; in the
midphase (outpatient), it shifts to graduated core strengthening, postural reeducation,
flexibility, gait reeducation, and balance training; the late phase addresses work or
sportspecific training, liftingtechnique correction, loadmanagement coaching,
ergonomic advice, weight control, and activity pacing, with the goals of
paincontrolled return to activities, work, and sports and improved spinal control and
endurance.
