Dr. Angus Worthing

Internal Medicine
Washington, DC
20 years experience male

Locations

Office

Washington, DC

Address

2021 K Street NW, Suite 300, Washington, DC
Directions

Practice website

Insurances accepted

Aetna Life Insurance Company

CareFirst Blue Cross Blue Shield

United HealthCare Insurance Company

Cigna

About

Bio

Private practice rheumatologist, voted a best doctor by Washingtonian Magazine. Clinical Assistant Professor of Medicine (Rheumatology) at Georgetown University, active in national rheumatology issues through American College of Rheumatology.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Internal Medicine

Languages spoken

English

Doctor Q&A

129 Answers
136 Agrees
The number of answers this doctor has agreed with.
A 48-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
No: These conditions are painless, unless they lead to a bone fracture (commonly in the middle of the back vertebrae, or after a fall on the wrist, hip, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Multiple options: Ask your doctor to examine your neck and to see about other medications, physical therapy, heat, massage, or other modalities. If RA is causing your n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Ask your doctor: In general, non-steroidal anti-inflammatories ("nsaids" like ibuprofen, naproxen) are common treatments for sle joint pains. Prednisone is helpful in ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Avoid overweight: Staying close to ideal body weight is the only way we can prevent degenerative arthritis. Foot arthritis could probably be prevented by avoiding shoes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Many: Weight gain, adrenal insufficiency (body can't make cortisol, drug needs to be tapered not stopped suddenly), increased risk of infection, cataracts, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
1 in 10,000s: Yearly, 1 in 10s of thousands of people get sle.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Get checked: Could be wear and tear arthritis but also could be inflammation from bursitis, gout, infection (lyme disease), or others. Have a doctor examine it.
Created for people with ongoing healthcare needs but benefits everyone.
A 17-year-old male asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Depends on type: Most commonly, "steroids" are glucocorticoids like prednisone. They cause s/es in proportion to dose & duration. They include weight gain, high blood ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Prevention: Gout can be prevented by lowering uric acid below 6. You can do this by avoiding purines in foods like red meat and alcohol. Also, exercise. Also, add... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Mild: Cancer is unlikely. Data suggest that only risk of non-melanoma skin cancer is slightly increased from remicade (infliximab). Most common side effects... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
If gout occurs: Uric acid does not damage joints. But, if it gets too concentrated (>6 in blood test) it forms crystals that the body can "notice" and this triggers r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Almost always: Joints are almost always swollen, or red or warm. Also, pain comes quick, reaching max pain within 1 to 2 days.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Days: Gout flares resolve in several days. The overall disease tends to bring flares more frequently unless uric acid levels are lowered.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Many possibilities: Could be fibromyalgia, especially if long-term. If new, she should be examined and possibly have blood tests.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Yes: There is a simple blood test for lupus called an "ana" (for antinuclear antibody). It is positive, or detectable, in about 20% of healthy people, so i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Ice: Ice improves pain from gout attacks, in contrast to the pain from other kinds of inflammatory arthritis like rheumatoid arthritis and psoriatic arthri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Taper, plan, quit: Set a quit date. Cut down to 10 cigarettes a day or lower by then. Anticipate triggers that will make you crave smoking (being with other smokers, dri... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
4 kinds: Degeneration (osteoarthritis) or injuries, autoimmune disease like rheumatoid arthritis and psoriatic arthritis, infections like lyme and parvovirus, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Many possibilities: A nerve may be pinched in the back by a disc or arthritis, or in the groin (by heavy belts or by being overweight), or other cause. Ask your doctor f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Higher dose aspirin: Higher doses do not elevate uric acid the way the low dose does. Ask your doctor if this is appropriate for you.
Created for people with ongoing healthcare needs but benefits everyone.
A 69-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Many possibilities: The description isn't enough to be conclusive but these symptoms could be from bursitis, arthritis, meniscus year, or sprain/strain. See your doctor f... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 71-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Not from atacand (candesartan): Atacand does not cause bone loss. Osteoporosis can be caused by other medicines (prednisone, anti-seizure meds, possibly antacids). Treatment typicall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
With medicine: Gout is "curable" by medication which works up to 90% of the time to lower uric acid, but the medicines must be taken long term. New data suggests tha... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Which one?: Daily Forteo injections are fairly safe but can cause high calcium and dizziness. (risk of bone tumor is likely nil.) twice yearly Prolia has a small ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
A few natural ones: For acute flares, cherry juice and an ice pack are good natural cures. For long term prevention to lower uric acid, vitamin c is good, adding low fat ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Inflammed crystals: Gout is caused by excess storage of uric acid. If if gets too concentrated (>6 in blood tests) it forms crystals that the body can "notice" and this t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Rapid inflammation: The unique thing about gout is that it usually starts very quickly (reaching maximum pain within 1 day) and at first hits one joint, usually the big t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Lower uric acid: Medicines & diet to lower the uric acid below 6mg/dl. The lower the better.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
May help: A study recently showed it to relieve hand pain from oa, but it would not reverse or stop the arthritis process.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Less screens : Cut out computer and tv before bed. Also no large meals. Try hot bath. Exercise early in the day. See your doctor if you have problems including dayti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Insert, weight loss: Reduce the load borne by those toe joints by trying an arch support insert, staying with shoes that have a wide enough toe box, and try to be as close... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Not ideal: If you need to start allopurinol, the ideal time is after a gout flare has fully resolved. For me, the golden rule of Allopurinol is not to change the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Why?: I have, for gout and other kinds of arthritis. The drug can cause side effects more than other nsaids so it should be used cautiously. A rheumatologis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Gout of big toe: Podagra is the medical name for sudden onset of pain, redness, swelling, and heat in a big toe caused by gout. It usually reaches maximum pain within ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Overweight, others: A study published this week suggests that the increase in gout over the last 5 years is due to the increase in overweight in the us. High uric acid fo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Yes: Colchicine can reduce pain during flares, and can be used to prevent flares while starting a medicine to lower uric acid, the chemical that causes gou... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
4 kinds of arthritis: Degeneration (osteoarthritis) or in a 22 yr-old more likely injuries, autoimmune disease like rheumatoid arthritis and psoriatic arthritis, infections... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Lower uric acid: Gout is nearly always curable with medications which lower uric acid. They need to be prescribed carefully in order to prevent flares while starting. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Depends on uric acid: The frequency of gout flares is proportional to the concentration of uric acid in the blood test. If uric acid is 10, gout will surely return within a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Sleep, exercise, med: One's doctor is the best person to ask individual advice, but in general fibromyalgia is treated by optimizing restful sleep, a graded exercise progra... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Immune suppression: Css can be treated by medications that suppress the immune system. Prednisone is most helpful initially. Based on what organ is affected, another agen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Don't smoke: The only thing you can control to lower your risk of RA is to avoid smoking.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Possibly: Getting regular exercise is the best way to keep joints working well and back muscles in shape and pain-free. If swelling is present or back pain shoo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Multiple ways: Two ways to diagnose gout: simply having a history and physical possibly with xray and blood test, or this plus a needle aspiration of fluid extracted... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Could be arthritis: The big toe is a common site of degenerative arthritis but could also be from sprain/strain, mechanical or alignment problems. Ask your doctor. Also, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Meds, prevention: All people with systemic lupus should take Plaquenil (hydroxychloroquine) unless allergic. It helps control flares & prevent organ damage. Also nsaids... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Clot + blood test: Antiphospholipid syndrome is caused by a reaction between the immune system and a person's tissues which forms a blood clot in either an artery or vei... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Exercise: Moving joints helps blood flow there and reduce pain. Exercise and weight loss help slow damage and reduce pain in oa of weight bearing joints and pre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Other way around: Hyperuricemia causes gout. It is caused by change in production or excretion of urate. Body produces more urate from foods, diseases (psoriasis, cance... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Angus Worthing
Internal Medicine 20 years experience
Yes: All people with systemic lupus should take Plaquenil (hydroxychloroquine) unless allergic. It helps control flares & prevent organ damage. Also nsaids... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
479
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Worthing is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Worthing is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Jan 16, 2012
Dr. WorthIng explaIned what others In my cIty could not.
HealthTap member
Thank you Dr. WorthIng. I have been dealIng wIth paIn for 6 months. My rIght arm has swelled to the poInt It was 3 Inches bIgger than my left. I have been through physIcal therapy and my arms are weak...Read More
HealthTap member
thank you so much, this helped. iI had been dx with fibro as well and the rhume did treat for ra on and off for a few months. might decide to go back to another onwe soon. thanks for clearing up my co...Read More
HealthTap member
thank you for answering my question. I have a rhuemo doc who I regularly see so I will ask her about that. thanks again!

Education & Training

Medical/Graduate school

University of Minnesota Medical School, MN
Graduated 2003MD

Awards

Alpha Omega Alpha medical honors society
HealthTap ClubMD

Affiliations

Arthritis & Rheumatism Accociates, PC
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