Thrissur Rheumatology Centre

He has trained at the Royal National Hospital for rheumatic diseases in Bath & Royal Hampshire county hospital, Winchester. He had his bone densitometry training at Andovar war memorial hospital. He has certification in bone densitometry from the International Osteoporosis Foundation (IOF), Switzerland. EULAR certification in Scleroderma, Connective tissue diseases and Musculoskeletal Ultrasound.Rheumatic diseases are collectively called "Vatharogam" in Malayalam colloquially. These diseases can affect the joints, muscles, and bones causing pain, swelling, stiffness, and deformity. They are a range of conditions and include, osteoarthritis (sandhi vatham), Rheumatoid arthritis (ama vatham), gout, psoriatic arthritis (arthritis in patients with the skin disease Psoriasis), Ankylosing spondylitis (inflammatory spine disease), fibromyalgia, connective tissue diseases like systemic lupus erythematosus, sjogrens syndrome, mixed connective tissue disease and scleroderma. Then there are a host of conditions like vasculitis, anti phospholipid syndrome and myopathies. Also is osteoporosis where the bone becomes thin and lead to fracture. Paediatric rheumatology is another area. The department is specialized in the diagnosis and management of the above conditions and also soft tissue rheumatism like carpal tunnel syndrome, various tendinopathies, tenosynovitis and enthesitis. Besides using Disease modifying antirheumatic drugs (DMARDs), the centre is capable of giving Biologics, many of which are coming as infusions and subcutaneous Injection. These drugs are so potent that even in early rheumatoid arthritis it can induce remission in roughly 20% of patients.