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SpecialtiesDoctors 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.
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.
Rheumatology
Languages spoken
English
Doctor Q&A
304 Answers
4 Agrees
The number of answers this doctor has agreed with.
A 30-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Can't hurt: Body aches can be due to myriads of conditions none of which may have anything to do with the joints. On a symptomatic basis, soaking in warm water, w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 34-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Genetics: Ankylosingvspondylitis is primarily a disease associated with a genetic marker called hl a b27. This is an inherited factor. There have been no other ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
They can: If taken for long periods of time, steroids have several potential side effects including hypertension, diabetes, osteoporosis, hastening cataract for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.7k viewsReviewed >2 years ago
A 51-year-old male asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Impossible to say: The symptoms are very non specific if there is arthritis in the knee it could cause stiffness in the knee and surrounding muscles however there are ma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
2.6k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
There are several: Rheumatoid arthritis is a clinical diagnosis based on symptoms and physical findings. Lab tests that are helpful/confirmatory include a blood count(cb... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 43-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
None: As a routine, antocoagulant medication is not used to treat rheumatoid arthritis.
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Nothing: The role of Folic Acid is to help offset or prevent some of the side effects that may be seen with methrotrexate, specifically the liver effects that ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.6k viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Pain and FUNCTION: As with consideration of any joint replacement the factors involved include pain that cannot be controlled and loss of function. This will depend on a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 48-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Varied ways: There are many types of juvenile arthritis. It can attack the joints with pain and swelling as most likely. There is a form that affects the spine wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 42-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Many things: There are many approaches to treating disk disease and oa. These include rest, use of heeat and ice applications, physical therapy, pain medications, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Possibly nothing: This is a low concentration of ANA and oftentimes has no clinical meaning. It really ddepends on what symptoms and other findings there are. Crampynes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 37-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Related to thyroid : The association between thyroid disease and swelling or puffiness in the hands is common. Often, especially with underactive thyroids, there may be sw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
A diificult answer: Basically uctd involves a collection of symptoms, . Physical findings and lab work that don't neatly fit into a particvualr disease category. These si... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Lupus most likely: You are describing a complex of symptoms and findings consistent with lupus. The positive ana, rash and joint pain gives you a 75% likelihood fo havin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Appear normal: It is very difficult to interpret lab results without knowing the clinical picture of the persone to whom these values are attached however it would s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 35-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Maybe: It is very hard to answer this question in a simple manner. Generally the answer would be no but there are certain conditions, including some serious ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Varied: There are many different treatments for the various pasts of gouty arthritis. For the acute attacks the inflammation can be treated with colchicine, a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6k viewsReviewed >2 years ago
A 30-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Varied: There are many potential effects to taking Prednisone or any steroid medication. They include sweats, increased appetite, weight gain, acne, elevated ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.9k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
ACETAMINOPHEN: The longer answer is "it depends" on the type of arthritis one has. For osteoarthritis or other no -inflammatory forms of disease tylenol (acetaminoph... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 44-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
YES: The new medication that is specific for lupus is benlysta (belimumab). It is given intravenously intially every two weeks for 3 shots then every 4 wee... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Fetal loss: There is a high incidence of spontaneous loss of pregnancy ( miscarriage) with antiphospholipid syndrome. Likely due to clotting within the placental ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 34-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
UNLIKELY: Turf toe usually is a singular event and will heal without long lasting problems. If you injure the toe recurrently there is a chance of arthritis dev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
REST/MEDICATION: The first thing to do is discern why there is inflammation. Is it from overuse or is there a more inflammatory and systemic process going on - i.e. Ea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
6.1k viewsAnswered >2 years ago
A 33-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Dirrent appearance: The typical lyme lesion is referred to as a bulls eye lesion. It typically has central redness with clearing arounbd it and then another red rim furth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 22-year-old male asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Yes you can: The meningitis vaccine is a killed vaccine - no live organisms so it does not pose a threat. Anyone on biologic medication, like the tnf drugs cannot ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 39-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Follow docs advise: Reuters or reactive arthritis so often self limiting and treated with anti inflammatory medications for a period of time it may become more chronic in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 32-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
There are 2 problems: While osteoporosis can cause leg pain it sounds like your pain is due to osteoarthritis with the loss of cartilage - ?Hip or knee. These are 2 separat... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 54-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Unclear: Your symptoms are very non-specific. There are multiple reasons and diagnoses that are seen from a red, flat rash. All of you lab tests were normal ot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsReviewed >2 years ago
A 28-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
It can: The course of psoriasis is quite variable. It may worsen and involve greater areas of the skin or stay the same. There are conditions that may make it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.8k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Anytime: Rheumatoid factor is a protein and may be found under various circumstances. Having a positive rheumatopid factor is not synonamous with having rheuma... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 38-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Most likely lupus: Impossible to say for sure without more details but the arthritis, pleuritis and malar rash are three out of 11 cardinal features of lupus. More infor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 40-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
May be none: Both should only hurt with activity although they will hurt with different motions. Tennis elbow will only hurt if the lateral epicondyle ( the outer ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 22-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
MANY THINGS: The first thing to ask is why she was taking porednisone in the first place. Elevated ESR indicates inflammation, infection or other diseases. There a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 20-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Unlikely: The centromere antibody, especially in high concentration, is fairly specific for crest variant of systemic sclerosis. It may often precede any clinic... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 53-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Yes: The osteoporosis is significant and searches for causes other than just age is needed. Given your young age and advanced osteoporosis aggressive thera... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsAnswered >2 years ago
A 43-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Can help reduce pain: Supartz (hyaluronic acid) is a form of viscosupplementation. There are many chemicals used :synvisc, orthovisc, Hyalgan and others. These are chemical... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.5k viewsReviewed >2 years ago
A 49-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
These are elevated: Values differ in different labs but a value above 15 is usually positive having a mildly elevated rheumatoid factor however does not mean you have ra.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 49-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Western blot: The western blot test is the more sensitive test of blood. Other fluids, like joint fluid can be tested by a procedure called PCR to better determine ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.4k viewsAnswered >2 years ago
A 28-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Vasculitis: While a rare occurrence if a patient has vasculitis - an inflammation of the blood vessels, it could potentially affect the adrenal glands causing adr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.4k viewsAnswered >2 years ago
A 48-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Short term no: On a one time or very short term basis this should not cause any problems it is recommended that one not use more than 3000mg Acetaminophen in any giv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 43-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
See neurologist: While many symptoms can be seen in fibromyalgia these symptoms could potentially indicate more serious neurological problems .Brain or spinal disease... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 37-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Yes: This a form of vasculitis generally sen in younger individuals in their 20s or 30 s with varied symptoms. It generally involves the largest blood vess... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.9k viewsReviewed >2 years ago
A 41-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
See an orthopedist: The causes of knee pain while running are many. You may have damage to cartilage or a meniscus, chronic trauma to the joint, possible stress fracture ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.6k viewsReviewed >2 years ago
A 32-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
None: There are no proven helpful supplements although many people feel better with glucosamine/chondroitin sulfate.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 44-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Possibly: Depending on the extent of either disease and how aggressively they act, they could affect life expectancy.
Created for people with ongoing healthcare needs but benefits everyone.
4.4k viewsReviewed >2 years ago
A 57-year-old male asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Possible: Your symptoms and blood work are most comparable with an acute infection. You should be evaluated medically for any infectious process many other poss... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 46-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Many possibilities: Most likely a local problem due to so, me form of trauma could be a bursitis or tendinitis. See an orthopedist or rheumatologist for help.
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Yes: This is a large dose, higher than recommended and could cause problems with stomach upset bleeding or kidney damage. If done on a one time basis proba... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsReviewed >2 years ago
A 25-year-old female asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Consider a biologica: If you have psoriasis that is not responding to Methotrexate in adequate doses (20-25mg weekly) then you should consider adding a biological medicatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
A 53-year-old male asked:
Dr. Douglas Mundanswered
Rheumatology 48 years experience
Try therapy: The cracking noise is usually not serious but represents the disease and loss of normal smooth motion of muscles ligaments and hits may feel better wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.7k viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
2
Recommendations
598
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Mund is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Mund is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Thank you have been having hives and red flushing have been on predesone 5mg for 2 yrs to control four attacks
HealthTap member
Thank you, your quick reply made me feel good! I'm with rheumatoid arthritis can and vitamins d problem I in chronic
HealthTap member
Thank you, your answer was very helpful! Thank you, I'm seeing my surgeon next week. Just wanted reassurance.
Education & Training
Medical/Graduate school
State University of New York Downstate Medical Center College of Medicine, NY
Graduated 1975MD
Awards
Top Rheumatologist , First Place, New York - Winter
2013
Top Rheumatologist , First Place, New York - Summer
2013
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