Back Pain Clinic - Adults and Children, Palakkad, Kerala
Happy to announce that the Spine Clinic for Children and Adults will be functioning on all days except Thursday at Palakkad District Cooperative Hospital & Research Centre, Palakkad, Kerala.
This will cater to all variety of Spine diseases in Children and Adults.
Common diseases like Disc Problems, Infections of Spine ( Septic Spondylitis ) , Tuberculous Spondylitis, Scoliosis, Spina Bifida are treated here.
I am available for consultation on all days except Thursday from 10am to 4:30 pm. Please contact Palakkad District Cooperative Hospital for details and appointment.
My Clinic restart has been delayed due to Covid situation and we have noted that children with fractures are having difficulty getting consult for emergencies.
A speciality Fracture clinic for Children run by Dr. Easwar TR is operating at Malabar Hospital Palakkad.
Treatment is provided for all types of children’s bone problems, sports injuries and fractures. The service is available around the clock in association with Orthopedic doctors at Malabar Hospital, Palakkad.
For Emergencies and Appointments please contact Malabar Hospital for appointments.
Children’s fracture clinic for bone and joint problems, fractures, sports injuries at Malabar Hospital Palakkad Kerala by Children’s Bone Specialist Dr Easwar TR
On #WorldCPDay this year, amid the pandemic, we’ve managed to launch a new rehabilitation facility in association with Karunya MVRC, Palakkad, Kerala, India ( @Karunyamvrc on Twitter )
Kerala State loves Sports, and specially loves Football. We married care for children with Cerebral Palsy and Sports, to setup a one of a kind Adaptive Sports Environment where children would be trained with Physiotherapist’s support by well known Sports Coaches.
Paediatric Orthopaedic Surgeon’s service is also available to assess these children and triage then into various categories from where they can be rehabilitated.
Our Cerebral Palsy Adaptive Sports Team
Ms. Valarmathi- Physiotherapist
Mrs. Valarmathi- Senior Special Educator
Mr. Ravindran – Retd SI and Kerala, Police state and national team Football coach
Ms. Dhanya Ravi- Change Maker, mentor, PwD, National Award winner in the Role Model Category under Empowerment of People with Disability
Mr. Anudarsan – Director , Karunya Medical and Vocational Rehabilitation Center
Adaptive Sports is a special type of Sports training given to children with special needs by adapting the requirements of sports to the specific difficulty the child faces.
This would often involve some change in rules, some Assistive device support, fall prevention and a completely tailored coaching system to enable the child to play effectively.
Why Adaptive Sports ?
Well known rehabilitation method for Cerebral Palsy is Physiotherapy. Often times children find repeated therapy sessions boring, painful at times and many fall out of care. We’ve seen this happen over the years.
Also, there are several limitations to traditional physiotherapy approach when given as a single rehabilitation modality.
Sports training allows much the same benefits of improved strength, coordination and improvement in function that we get out of Physiotherapy but also improves the quality of Physiotherapy session as the child is a willing participant because of the interest in sports.
What are the special challenges in setting up Adaptive Sports in India ?
Coaching for Adaptive Sports is a patient art and the skill is much in dearth. The Sports coach has to tailor his or her expectation to the unique medical issues of the child and training method is customised accordingly.
Often these children have profound muscle weakness, spasticity ( unusual tightness of the muscles ), contracture, ataxia ( issues with body balance ) and inability to selectively more a body part. These result in delayed improvement a ability to perform in Sports activity. These children need care and support of their team to get ahead.
The coach has to be understanding of all these aspects and train the child.
What have we launched in Palakkad ?
Details about our effort to train children in Adaptive Sports here :
Great program on #rare #genetic #disease at #iccons covering #neurogenetic disorders and it’s genetic basis.
Dr. Anitha PhD, Convenor of the CME on Rare Genetic Diseases speaking at the InaugurationHandbook of Genetics by Dr. Anitha – book release
My talk of Cerebral Palsy and Genetic trends
I will be speaking on #cerebralpalsy and genetic trends this noon. Cerebral Palsy , while not under rare diseases does have some very interesting new genetic trends emerging which promises positivity in the care of these children.
Future Skeletal Dysplasia Clinic
I will also be interacting with doyens in field of Genetics in India and Paediatricians with experience in rare diseases to setup a rare Disease clinic at ICCONS that caters to Skeletal Dysplasia like Achondroplasia, Pseudo-Achondroplasia, Hypochondroplasia, SpondyloEpiphyseal Dysplasia etc..
Many of these disease are rare with rare mutations. Setting up a clinic with many specialists is very important to cater to this group comprehensively.
Today we take baby steps in this directions.
CME Programme for Rare Genetic Diseases
Dr. Anitha’s Book on Handbook of Medical Genetics
Dr. Anitha with her excellent resource book Handbook of Medical Genetics
Extremely happy to announce that we will be inaugurating our new comprehensive Spine & Pediatric Ortho Therapy centre at Palakkad.
Please find the invitation attached.
The rehab centre is fully equipped for Spine rehab, Pediatric Orthopedic rehabilitation with special focus of Pediatric Sports Injuries, Cerebral Palsy and Spine disorders.
Please find attached below the invitation for the event tomorrow, 04/01/2020 along with the services available there.
Malayalam Invitation Note and Brochures
Paediatric Orthopedic and Spine Clinic Announcement
Disability Day programmes we are organising at #ICCONS, #Shoranur, #Kerala
We are covering all levels and types of disabilities with medical camps, parent awareness and other community programmes designed to raise awareness, promote inclusiveness and improve accessibility to services.
This year we have an elaborate programme with Pediatric Orthopedic disability, Cerebral Palsy, Autism, Hearing Disability, Genetic Disorders all included in the programme. Please find details below and do share among your groups.
Programme
Attaching the brochure below this with programme details.
International Day for Persons of Disability 2019 International Day for Persons of Disability 2019
Time and Place
Institute for Communicative and Cognitive Neurosciences , Shoranur , Palakkad
October 6th we will join the world at ICCONS, Shoranur , Kerala in celebrating #WorldCerebralPalsy day.
What we are lining up this month ..
We are starting the programme by joining the #GoGree4CP movement to dedicate ourselves to the care of #CerebralPalsy affect children.
We will be lighting up the entire building in green for the entire month and put prominent placards, posters and banners in local language of Malayalam and English to spread awareness about CerebralPalsy among general public.
Lined up after that is our free medical camps in both Paediatric Oethopaedics and Paediatric Neurology and Developmental Paediatrics along with cultural activities, parents education seminars, assistive technology programmes, research on Cerebral Palsy, Counselling for parents and other events.
We have dotted the events across this October to keep the awareness and dedication alive.
Attaching below is a poster and a banner of our medical camp and GoGreen4CP initiative.
Clubfoot Care Team at Palakkad District Cooperative Hospital, Palakkad, Kerala, India
I am happy to announce that we successfully organised a Clubfoot Parental Awareness and Caregiving Programme at the Palakkad District Co-operative Hospital, Palakkad, Kerala on August 31st, 2019. This was done to organise parents into a self support group and to provide parents the necessary group counselling on Ponseti Method of Clubfoot treatment.
We have been organising World Clubfoot Day programmes, Free Medical Camps of Clubfoot and assiting children from underprivileged backgrounds get Ponseti standard of care Clubfoot along with CTEV Foot Abduction Orthosis via our charity trust https://mitratrust.org. We also described out #ArztForACause art and painting fundraiser which is undertaken originally to raise funds for children with Cerebral Palsy and now extended to children with Pediatric Orthopaedic Deformities.
The programme was well attended and was co-ordinated with our Obsterician colleague and all the staff nurses who are part of the Clubfoot Care team who counselled the young mothers on Breast Feeding, Child Nutrition, Clubfoot, Braces and Ponseti Exercises.
We were pleasantly surprised at the turnout on the day as it was organised in short notice. This programme will be followed up more such programmes on Clubfoot ( sometimes called CTEV : Congenital Talipes Equino Varus ) for Staff Nurses and train them in Ponseti Care .
Attaching below are the pictures from the event.
Clubfoot Parental Caregiving Seminar Poster - August 31st,2019 at Palakkad, Kerala
Clubfoot - First and Last Plaster casts
Clubfoot Care Team at Palakkad District Cooperative Hospital, Palakkad, Kerala, India
The Clubfoot Care Team of the Palakkad District Cooperative Hospital, Palakkad
Clubfoot Parental Caregiving Advise - Presentation using Reveal.js and Emacs
Parental Clubfoot Caregiving Semiar with Dr. Mini, Obstetrician
Let's Talk about Clubfoot Braces - advising the parents about good clubfoot bracing
Parental Clubfoot Caregiving Semiar with Dr. Mini, Obstetrician. This was organised with the Clubfoot Clinic, Palakkad, Kerala, India at Palakkad District Cooperative Hospital
Let's Talk about Clubfoot Braces - advising the parents about good clubfoot bracing
Clubfoot #Art for my upcoming project among #Clubfoot #children in #Kerala
#DigitalArt
@wacom
one tablet
@childortho
@GlobalClubfoot
Clubfoot Parental Caregiving Seminar at Palakkad Cooperative Hospital Clubfoot Clinic
#Clubfoot guide and interactive session for patents at #Palakkad Cooperative Hospital is being organized on August 31st.
The program includes a lecture by me on Clubfoot for parents and a interaction with our Clubfoot Care Team , Orthosis Check, Doubts about casting, checking recurrence of deformity and general clarification on Clubfoot care.
Parents will have an opportunity to interact with other parents exchange their experience about treatment, the issues and build a support community.
Attaching the Program details below. Please call the number for registration.
Clubfoot Parental Caregiving Interactive Session at Palakkad, Kerala
Cerebral Palsy is such a difficult disease to handle and treat for the health care professionals.
The treatment process needs to take the parents and family members along so that these children get optimal care. It’s important to reinforce on the parents and lift their morale throughout the course of long and arduous treatment.
I routinely arrange seminars and medical camps and arrange public events in association with groups serving these children to help them and keep caregiver morale high. It’s a fight, a relentless fight against Cerebral Palsy.
It never ceases to amaze and move me that the mother , however humble or rich , illiterate or well educated, they may be cares for the child and stays with child through thick and thin.
Wacom One CTL and MyPaint on Linux works like it’s a match made in heaven.
My Digital Art on a mother caring for her child with Cerebral Palsy – Drawn using Wacom One CTL 472 and MyPaint Open Source Software.
This painting is part of the #ArztForACause fundraiser for children with Cerebral Palsy , Autism and Movement Disorders
She literally is the guiding light of the treatment, showing the way and proving that she’s the true representative of the all giving , ever loving Divine Mother
A Mother leading and lighting the way of care for her child with Cerebral Palsy – Digital #Art
We at the Palakkad Orthopaedic Club are organising a free medical camp on August 04th, 2019 to mark the celebrations of National Bone and Joint Day in 2019. We will be holding the medical camp at IMA Hall, Palakkad, Kerala on August 4th from 9.30 am – 02.00pm.
Dr. Tajan, President Palakkad Orthopaedic Club and Dr. V G Ponnirajan, Secretary, Palakkad Orthopaedic Club have been hard at work along with the other members of the local orthopaedic fraternity to organise this event.
We will be participating in this medical camp and are expecting a large turnout for the event. Brochures, Posters and Press release has been done and event has been publicised in the social media well so that maximum number of the deserving public can be reached.
Those seen at the camp and found eligible, free surgeries can be conducted at District Hospital and other local private hospital after screening. This ensures that the benefits of the event truly go to the deserving.
Please find below the poster for the event.
Bone and Joint Day Celebrations among Orthopaedic Surgeons, Palakkad, Kerala. We are organising a free medical camp
So happy that we’ve had a very successful #PediatricOrthopedic and #CerebralPalsy #Medical camp today at #Palakkad, #Kerala. This is one of a kind medical camp, parent education drive and cross speciality clinic that we’ve been hosting at Palakkad since 2014.
This is the 6th year of my setting up Paediatric Orthopaedic clinic here at Palakkad Cooperative Hospital, Kerala and patient awareness of the problem of Cerebral Palsy, ClubFoot has increased tremendously over these years.
Sevabharathi volunteers were as usual wonderful and committed. None of this would have been possible if not for the commitment of Biju Bhasker and his team of LifeCare Physiotherapy Centre at Palakkad, Kerala. He has been the main organising force behind this over the years.
Today we had a Pediatric Neurologist Dr. Velmurugan and Pediatric Gastroenterologist Dr. Jaganandan join us for the camp. Both specialists are from Coimbatore. It was so nice of them to take time out and join our efforts.
With God’s grace we’ve been able to consistently raise the standard and tune the camp to make it more cross specialist so that patients can consult multiple specialists in the same visit. We try with every camp to make it better. I was discussing with Udayasankar CN of Sevabharathi, Palakkad that next camp should be much better in many ways.
I could identify some children who will require surgical procedure, plaster casts, Botox injections which could be funded, if approved, via the planned free surgery program at Palakkad for the #Bone and #Joint Day of #IndianOrthopaedicAssociation in the first week of August.
Heel Bone Calcaneal Osteomyelitis in New Born Child
Pavlik Harness for DDH hip needs to be fitted properly
Application of Hip Spica under anesthesia in DDH
As planned we will be conducting the free #CerebralPalsy and #PaediatricOrthopaedic medical camp this month on 21st at Palakkad, Kerala. It will be held at Life Care Physiotherapy Clinic, Fort Maidan, Palak kar, Kerala.I will be examining children with orthopedic problems, limb deformities, birth deformities like #ClubFoot, Cerebral Palsy and Spine disorders like #Scoliosis.
Cerebral Palsy
Like last time this camp will be conducted in association with #SevaBharathi who will provide logistic support. A big thanks the people and volunteers of SevaBharathi who’ve been associated with this since last 3 years.The medical camp this time is further expanded to include Paediatric Neurologist, Paediatric Gastroenterologist who will also be participating.Attaching the poster for the event below.Please do share and spread the word.Thank you.Dr. Easwar TR.Paediatric Orthopaedic Surgeon
The small town of #Palakkad #Kerala state may be one of the biggest contributors to #Indian #Athletics. It’s a town predominantly know for its large expanse of rice fields and farming community. In the past athletes like Valsamma, PT Usha have trained here and succeeded. Recently PU Chitra bought laurels to this small town. Many children here look upon these heroes as they train daily.
Recently Palakkad got it’s own first synthetic athletic track and provided a field where young athletes could be groomed better. Several promising athletes are in training in this otherwise rustic, tucked away place. Athletes who’ve successfully represented India at the Asian and Olympic level belong here and have trained here.
Most of these athletes use what is locally available in terms of facilities, gears, coaches to train themselves. The fact that until recently they didn’t even have a change room where they could change themselves into or out of the sports gear after coming from their schools or colleges speaks volumes of the lack of a system in place. Many are from very humble backgrounds. Driven by the need to succeed, as it’s very often the only glimmer of hope from poverty.
Things are changing though. Changing rapidly. As I train and interact with these children while setting up my Sports Injury Clinic here, I realise a renewed vigour in children, coaches and parents where they are unafraid to take up their needs with local authorities and get it done.
With more training facilities promised and the track and field itself being in the process of a long overdue upkeep and upgrade as I type this, it is certain that with children in #India taking to #Sports early and training intensively , #Pediatric #SportsInjuries will become more common. Though there is difference in the pattern of these injuries from those in the west, nonetheless, these required specialised care.
Just in last week I have examined and treated children with old hamstring tears who’ve not rehabilitated well, old ankle injuries with pain, back pain due to stress and renal calculi as a result of training in summer heat with very poor hydration. None of these children received adequate on field or off field medical attention. All of them were not aware of the type of injury they are having and its potential for causing premature career collapse.
I have realised that along with adequate sports injury prevention counselling, these children require counselling for sports nutrition and diet tailored to the sports they are participating. It is sad that while these could be given, not many maybe able to afford such a nutrition on daily basis. Mr. Haridas the coach of the Olympic Athletic Club here at Palakkad is so kind. Everyday he brings these kids mangoes from his farm. It’s little things like these that bind the coaches, parents and kids together and goes beyond simple trainer-trainee contract. The fact that he does this training free of charge is really something laudable.
This is the story of sports in India….
We need better facilities, coaching , gears but most importantly these children need better nutrition. They also need better awareness of injuries as they push themselves to greater heights.
Had a great start to the #Pediatric #Sports #Injury Clinic at Rajiv Gandhi Co-Operative Hospital, #Palakkad #Kerala.
It was inaugurated as a combined event conducted by the Olympic Athletic Club of Palakkad and Palakkad District Cooperative Hospital, Palakkad. The event was organized at the Athletic Track at Government Medical College Palakkad on 15th May 2019.
It was attended by Mr Haridas the coach of the Olympic Athletic Club , Mr. Ashraf the Vice President of the Cooperative Hospital Palakkad, Sports Council of India-Palakkad dignitaries , Athletes who have participated in Olympics, Asian, Special Olympics or National Games.
The Pediatric Orthopedic and Sports Injury team from Palakkad comprising of Senior Orthopedic Surgeon Dr. Ravi G Nair, Pediatric Orthopaedic Surgeon Dr. Easwar T.R (myself !) , Dr. Nishanth V.S (Orthopedic Surgeon Fellowship trained in Arthroscopic Surgery ) and Physiotherapists Mr. Biju Bhaskar and Mr. Sivadas were present.
#Olympic, Asian, Special Olympic and National Game stars were a special attraction in the event, needless to say. Athelete stars Sree Shankar, Gokul, Abdul Rahman, Vishu Priya were honored for their achievements.
There is wonderful potential in the district and great coaching going on.
Had an excellent integration with the sports champions and kids there. It is wonderful that these athletes from very humble background are able to achieve so much from simple facilities provided to them. Gokul a Special Olympics Star and medal winner come from such a humble family that it is so awe inspiring.
The parents, coaches and athletes thought it was a wonderful initiative to set up this clinic. These children did not have such treatment facilities here at Palakkad till now and after injury have to travel long distances to other cities to get treated. The treatment is also very expensive in bigger cities.
Importance if #InjuryPrevention, early rehabilitation, sports specific physiotherapy and the difference of pediatric sports injuries from other types of injuries were counselled to these children. Impirtance of early injury detection, injury prevention and rehabilitation we’re stressed up on.
Children like Aniruddhan V (Roller Skater) who’s hard at practice with his cast on after fracturing his wrist is an inspiration to everyone. His father , Advocate Vinod , gave the introductory talk and introduced all the young athlete stars to the crowd and doctors. This was followed by talk by the other distinguished guests, athletes and Doctors.
We will be plunging into further activities soon to get the rehabilitation centre equipped for these pediatric athletes and organising camps, talks ….
Watch this space.
Meanwhile enjoy the scenes of the event ..
Dr. Easwar TR , Pediatric Orthopedic Surgeon speaking at the event
Mr. Ashraf ,Vice President Co-operative Hospital at the inauguration
Dr Ravi G Nair , Senior Orthopedic Surgeon, speaking at the event
Anirudhan V, Roller Skater National Junior Champion prospect ~ an inspiration !
Am writing below the inspiring story of Anirudhan V, studying in the 5th class at Bhavans Vidya Mandir, Chithali, Palakkad, Kerala.
He is the son of Advocate S. Vinod and Advocate M. Deepa of Kuzhalmannam, a sub-urb of Palakkad in Kerala State.
Aniruddhan with his father. His latest fracture a minor blow in his quest
How I met Aniruddhan and his father
He came in to my Outpatient clinic, brought by a common friend who’s son is also a roller skater. Aniruddhan suffered a fall while practicing and had fractured his right wrist. With a competitive sports time away from tracks and practice is time somebody else could spend to improve and get ahead of you. I advised his father that since the fracture could be immobilised in a cast with artificial material giving it some strength that a regular plaster of paris would, he could get back to practice with his cast on the same day. We could always do weekly check-ups to see whether the cast is becoming loose or if the fracture is moving and alter treatment plans accordingly. Aniruddhan’s dedication is so much that he jumped at the idea. His father, who has been encouraging him also advised him to do the same.
This simple act of dedication and ability to tolerate an adverse event inspired me to ask more about him. What I heard from his father about him merited a small story. I cannot divulge many of his early struggles because of patient confidentiality, but what ever his father found non-sensitive I am sharing with the world to inspire other kids (and parents) who dream. Hopefully it would make them dream bigger and reach higher.
His story, a simple inspiration
His story of how he overcame hurdles in his early education and learning difficulty by complete dedication to his sports and earned peer recognition is wonderful to hear. Not only did it help him achieve laurels in sports it also helped him overcome his difficulty in learning and progress there too. I suppose sports does that to people. With intense training in balance, coordination, fitness, struggle against odds, facing the exhilaration of success and depths of failure character builds.
Doubtlessly.
Tough Life of practice, dedication to sports and education
Aniruddhan is now 11 years, in 6th class has been religiously getting up at 3 am every morning for the past 4 years. His father accompanies him to Coimbatore, a nearby town about one and half hour by road, where there are facilities for roller skating practice. After practicing for 2 hours he returns at 8 am and then does his full days school and then in the evening does his road practice on Roller Skates.
It is no wonder then that Anirrudh is a National Level Skater and deserves every bit of encouragement he can get. He sustained an unfortunate accident and fractured his wrist last week. Aniruddhan has a cast on him now, but his spirit has not been dampened. I have recommended to practice roller skating with his cast on !
Aniruddhan’s story has just begun. He is at the Junior National level now with mile of hard training struggle ahead of him to get ahead of the tough competition. However, if what I have seen is the attitude he keeps then his success is sure, in time.
He has now moved to inline skates and is entering the world of elder children with some tough competition ahead of him. I am sure that with his dedication to the sport and will to practice in spite of odds he will shine through and bring laurels to his loved ones and country !
The story of Aniruddhan is one among the many who have come out of all odds and made it to the top. Watch this space for more inspiring stories of child athletes, their battle against sports injuries towards victory.
This April I’d be starting my #Clubfoot clinic as part of the Pediatric Orthopedic Clinic at Sri Ramakrishna Ashrama Charitable Hospital, #Thiruvananthapuram, Kerala.
This hospital caters to poor patients in the city and a cost effective Clubfoot Clinic will add to the existing services run here.
Last month I had started my Paediatric Orthopaedic Clinic there officially and we plan to step up the services for Cerebral Palsy, Pediatric Sports Injuries and Pediatric Limb Deformities in coming months as more ancillary services are commissioned here.
Clubfoot Clinic at Thiruvanathapuram,KeralaPediatric Orthopedic & Cerebral Palsy Clinic at Thiruvanathapuram,Kerala
Do pass the news around to people who may benefit. Our main focus would be to keep it state of the art and cost effective.
Overtime we will add features to the clinic and ancillary services . Watch this space !!
After many years of work we finally have a #PediatricNeurologist ( Dr.Velmurugan, Hope Neuro Centre , Coimbatore ) (geared towards #DevelopmentalNeurology), Occupational Therapists, #Pediatrician (Dr. Lakshmi, Coimbatore), #Psychiatrist(Dr. Sajal), #Psychologist joining our team to treat Developmental Neurological issues in Children and Cerebral Palsy.
This is the first day of two day free medical camp. First day is dedicated to the neurological issues in children like #Autism, #Seizure disorders and second day for #PediatricOrthopedic Diseases, Limb Deformities like #ClubFoot and #CerebralPalsy.
This was in organised in association with #Sevabharathi who has been most kind in donating money, arranging volunteers etc.. The premises itself is a Lifecare Physiotherapy clinic of Biju Bhasker at #Palakkad, #Kerala.
Most kind have been Sevabharathi, it’s volunteers and Dr. Sreeram Sankar without whom this wouldn’t be possible. When me and Mr.Biju approached them with the idea 2 years ago they had a kind heart to go ahead and help us with much needed sponsorship and man power.
Watch this space. The next event would be bigger and better !!
Recently gave an interview to a popular news channel in #Kerala in #Malayalam.
The topic was “Common Children’s Orthopedic Disorders and Cerebral Palsy”.
It’s is in an interview format with patients who are interested phoning in the channel to discuss some of their doubts about these disease conditions.
The idea was to take up and discuss the most common children’s bone diseases that parents would need guidance on like Bow Legs, Knock Knees, Club Foot, TB infection of Bones, Perthes Disease of hip, Cerebral Palsy and interact with patients who may phone in.
I have great pleasure to announce that along with the launch of a Cerebral Palsy Clinic at Sri Ramakrishna Ashrama Charitable Hospital , Thiruvananthapuram, Kerala I am also starting an exclusive Pediatric Orthopedic Clinic.
This will cater to children suffering with bone and joint disorders, congenital deformities like Club Foot, Flat foot, Knock Knees and Bow legs among many others. Treatment advise for Spine problems in children like spina bifida, congenital and idiopathic scoliosis are also offered.
I am hereby attaching a video clip showing the many clinical conditions for which services are being offered here.
This hospital being a charitable one caters to the poor and these services would be of benefit to many.
Kindly share among your friends so that people are aware of the new service.
Dr. Easwar TR Pediatric Orthopedic & Spine Surgeon
