Dr. Sheeja Francis

Rheumatology
Ann Arbor, MI
22 years experience female

Locations

Office

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Directions

Office

Ann Arbor, MI

About

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.

Rheumatology

Languages spoken

English

Doctor Q&A

72 Answers
35 Agrees
The number of answers this doctor has agreed with.
A 30-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Psudeogout: Pseudogout causes inflammation in joints similar to gout. Gout is caused by deposition of uric acid crystals in joints, whereas, pseudogout is caused... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Complexion: Good to improve complexion, even tone.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Depends: Depends on the cause for bone loss. If due to most common reasons such as osteopenia or osteoporosis, treatment can restore bone loss.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
No: Djd is another term for osteoarthritis. Would consider other causes such as fibromyalgia etc. Best to be evaluated by your primary care doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 66-year-old male asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Not sure: Picture would help. Possibilities coming to mind include gouty tophus, calcium deposits (calcinosis) or pus (due to infection, although this would u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Not usually: Not usually. Some medications used to treat psoriasis should not be used during pregnancy. Would discuss with your dermatologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Not sure: Best way to treat fibromyalgia is with improving sleep quality and regular aerobic exercise. There is evidence that regular practice of taichi can be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Not good: Trampoline exercises are not good if you already have problems with the knees. Any exercise that increases pressure on these joints should be reduced... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Low: Low gluten or gluten free diet can possibly reduce inflammation and prevent ra.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Musculoskeletal: Description is most concering for musculoskeletal issues such as pulled muscle etc. Would consider change in routine exercise etc. However, would re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 61-year-old male asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Ct or mri: Should have further investigation with ct or MRI of brain. Talk to your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Tapering: Intensity of side effects related to Prednisolone can vary based on the dose used. If you feel current symptoms are related to the steroid use, you s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Possible: Chronic stress can lead to multiple medical problems. Would recommend yoga and meditation as ways to help reduce stress. Adequate sleep, healthy die... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Should be okay: There is some evidence that coenzyme q10 can provide some cardiovascular protection. Also good for muscle health in patients taking statins to lower ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Change: Possibly related to early osteoarthritis. Weight loss will slow progression of oa of knees and help with pain. Would recommend switching to exercise... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
A: A majority of fibromyalgia patients also have sleep apnea.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Inflammation: "itis" of any kind is a general term for inflammation. Arthritis stands classically for inflammation in a joint. Inflammation can be caused by multi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Possible: Possible. It would be best to contact your doctor to confirm tapering instruction. Also want to make sure abdominal pain is not due to an unrelated ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 71-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Steroid injection: Steroid injections into the bursa can help with trochanteric bursistis. Physical therapy may also help. Recommend seeing your doctor to confirm diag... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Possible: There are multiple reasons for muscle pain, including dehydration, over activitiy and numerous others... Best to discuss the pain with your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Usually not: Can cause severe pain and swelling limiting activities leading to other complications.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Injection, colchicin: Colchicine is a specific anti-inflammatory drug that can help in attacks of gout and pseudogout. Nsaids can also help. Depending on severity, aspira... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Definitely: You should see a doctor to be evaluated for arthritis or other problems in the joint. These are all treatable.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Swimming, bicycling: If you have knee arthritis, you should avoid exercises such as running, which places too much pressure on this joint. Exercises gentle on the knees i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Not okay!: Should avoid alochol throughout pregnancy due to continued risk to fetus.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Regulary: Regularly exercise, keep a well-balanced, healthy diet, and have a low anxiety and happy lifestyle.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Yes: Can be cured with correction of sleep, regular aerobic exercise, stress reduction. Taichi regularly can help significantly. Sleep quality and quanti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Knee swelling: Your child may be noticing swelling in her knee. This could be a sign of arthritis. Children often do not report pain and swelling is a more common ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Complicated: Lupus is a difficult diagnosis to make. It would be hard to diagnose yourself with lupus. It may be best to see a rheumatologist if you are concerne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Oh yes!: There are several medications that can help with ra. With appropriate treatment an RA patient should be able to live a normal life. Best to start by... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Depends: If only dry eyes and dry mouth, would recommend only treatment of symptoms. If there is extraglandular manifestations (such as inflammatory arthritis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 50-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Subcutaneous form: Shortage is only for injectable form. Oral mtx still available.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old male asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Depends: Depends on what the pain is from. Best to see a rheumatologist.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Xrays: You should see your doctor. Xrays or other testing maybe needed. Your doctor may also be able to tell you what is wrong just with an examination as ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Undifferentiated CTD: Clinical presenation can be classified as an undifferentiated connective tissue disease (uctd). Likely not primary sjogren's since lip biopsy (usuall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Rheumatologist: It would be best for the patient to see a rheumatologist. Lupus is not an easy diagnosis to make.
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Muscle strengthening: For hypermobile joints, muscle strengthening around the affected joints are crucial. You may want to have physical therapy to obtain guidance on spec... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
No: Chronic poor sleep can lead to many health problems including fibromyalgia.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Arthritis : Arthritis is a type of joint damage. Other types of pathology in joints could be related to the tendons, ligaments or cartilage. It is best to be se... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Possibly: Accupuncture is relatively safe and can help with reducing pain. However, for fibromyalgia, adequate sleep and regular aerobic exercise are most impo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Osteoarthritis: Most commonly degenerative disc disease related to osteoarthritis. A small percentage of patients can have back arthritis related to inflammation as ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Rule out infection: Would recommend having urine testing to rule out infection first.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Mind: Mind and body: positive attitude towards yourself and others can help you age more gracefully.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Clarify diagnosis: Out of the diagnoses mentioned, fibromyalgia is most prevalent and increasingly recognized. Fibromyalgia is a central pain syndrome that causes diffu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Very treatable: Lupus is a very treatable disease and does not have to necessarily reduce life expectancy or quality of life. People with lupus should be followed by... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Most: If diagnosis is accurate, most patients should go into remission within 6 months. Due to availability of many great medications to treat ra, this dia... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Depends: Could be any number of causes. It is best to see your primary care for evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old male asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Weight loss: Bicycling is a good form of exercise for those with knee oa. It is also important to strengthen the quadriceps. However, weight loss is the only way... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Fibromyalgia: Fibromyalgia is pain related to hypersensitivity of nerve endings between muscle and fat.
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old member asked:
Dr. Sheeja Francis
Rheumatology 22 years experience
Colchicine: For acute attacks of gout, best treatment is colchicine. Nsaids such as Indocin (indomethacin) can also help. Allopurinol is a medication used to tr... 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.

2
Recommendations
347
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Francis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Francis is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This made me feel good. Thanks! . I'm of avg weight (130, 5' 3", 67 yr old female). Knowing that keeping weight down helps this is good to know. Wish there was something for the stiffness & loss if d...Read More
HealthTap member
Thanks for your quick reply! Thanks Doctor but my question was, is cycling EVERYDAY too much?
HealthTap member
Thanks for your quick reply! Thanks, I have an appointment for an mri tomorrow.

Education & Training

Medical/Graduate school

St. George's University School of Medicine, Grenada
Graduated 2001MD

Awards

Top Rheumatologist , First Place, Ann Arbor, MI - Winter
2013
HealthTap Doctor Mom
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