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Dr. Paul Rosen

Pediatric Rheumatology
male

Locations

DigitalPediatricRheumatology.com

My office hours

Wednesday: 6:00am - 10pm
Show more

About

Bio

Dr. Paul Rosen has been practicing pediatric rheumatology since 2003. He is a Professor of Pediatrics at West Virginia University and is the first pediatric rheumatologist in the history of the State of West Virginia. He has taught pediatric rheumatology at three medical schools. He was named “One of the First 100 Innovators” by the U.S. Federal Government Agency for Healthcare Research and Quality (AHRQ). He is a 3-time TEDx speaker. He was named a thought leader in patient engagement by NEJM Catalyst. He has appeared on Sirius XM on the Business of Health Care show. He holds a Masters of Public Health degree from Harvard University and a Masters of Medical Management degree from Carnegie Mellon University. Learn more about Dr. Rosen at DigitalPediatricRheumatology.com

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.

Pediatric Rheumatology

Licenses

United States: Delaware, New York

Languages spoken

English

Doctor Q&A

60 Answers
0 Agrees
The number of answers this doctor has agreed with.
A 22-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Neck pain: Pain that is severe and burning that affects muscles and joints can be seen with pain amplification syndromes. These are conditions where excessive n... Read More
A 59-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Toe color changes: The toes and feet could change color and get swollen due to a condition called acrocyanosis which is not dangerous , but can get worse in the cold or ... Read More
A 30-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
OT/PT: Occupational treats the upper extremities (shoulders, neck, elbows, wrists, fingers). Physical therapy treats the lower extremities (hips, knees, a... Read More
A 32-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
JIA as an adult: JIA is defined as having arthritis starting before the age of 16 years. If you have JIA, the arthritis can either continue into adulthood or go into ... Read More
A 38-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
JA-treatments: Treatments include physical therapy to keep the joints moving and prevent stiffness, NSAIDs to treat pain, and medications that lower the immune s... Read More
A 24-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Juvenile arthritis: The most common symptom is stiffness in a joint. The stiffness can be worse after rest (after waking up in the morning, after a nap, or a long car r... Read More
A 28-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Jra treatment: Methotrexate and biologic is considered best practice in pediatrics when more than one agent is needed for aggressive treatment.
A 41-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Joint stiffness: In general arthritis causes stiffness in the joints. Typically, it is worse after not moving around. So in the morning, the stiffness can be worse. ... Read More
A 27-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Naproxen side effect: A side effect of naproxen is irritation of the stomach (gastritis). One option is to stop the naproxen and try a different NSAID or to add an acid r... Read More
A 36-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
ANA: ANA is not a good measure of disease flare ups. Sedimentation rate and CRP are blood tests that can go up with increases in inflammation in the body.
A 31-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
JRA/Vitamin D: While taking calcium and vitamin d can counteract the side effect of osteoporosis from taking prednisione, vitamin d would not be used to treat the in... Read More
A 27-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Naming: JIA and JRA are the same thing. JRA is an older term, juvenile rheumatoid arthritis. JIA is the current term, juvenile idiopathic arthritis. The na... Read More
A 28-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
JiA treatment: For multi-drug therapy for jia, Methotrexate is more commonly paired with biologic medication. For methotrexate, watch for mouth sores and nausea. Bl... Read More
A 24-year-old male asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
CRP blood test: Elevated CRP could represent inflammation in any part of the body including the brain.
A 24-year-old male asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Pain after healing: Sometimes pain from a nerve sensitivity can develop after an injury even though the bone is healed. If the orthopedist feels the bone is healed, you m... Read More
A 28-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
JIA/financial help: Jia is considered a chronic condition with the potential for future disability if it is a severe case. It can take years for joint damage to occur. ... Read More
A 21-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Inflammation: Autoimmune arthritis is when the body attacks the joint lining and causes pain, swelling, and stiffness. There are other forms of arthritis, such as ... Read More
A 27-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Other conditions: JIA causes joint pain and swelling. Other conditions that can cause joint pain and swelling include Lyme disease, lupus, and vasculitis. Pain syndr... Read More
A 27-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
JIA/ SSI: Yes, a child with JIA can receive SSI. A social worker can help with paper work
A 25-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
JRA is different: Juvenile arthritis is different than the adult form of rheumatoid arthritis. There are different types of juvenile arthritis. The type of juvenile a... Read More
A 53-year-old male asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Neck/back arthritis: Arthritis and stiffness can be helped with an exercise/stretching program. A physical therapist can give you a good home exercise regimen to strength... Read More
A male asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Migraine: Migraines are severe headaches that can cause sensitivity to light and sound. Some people also have nausea and vomiting. They typically are very disr... Read More
A 18-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Back pain: You may want to get your back checked by an orthopedist. If they find no structural problem, than it may be a muscular pain that could be treated wit... Read More
A 25-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Hypermobility: Yes, if you have hypermobility in some joints, than you could have hypermobility in others. People are typically hypermobile in their fingers, wrists... Read More
A 38-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Baby with JIA: If your child has joint swelling in multiple joints for greater than 6 weeks, than the most likely diagnosis is JIA. Other things to consider would b... Read More
A 23-year-old male asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Post Strep arthritis: A few weeks after having a Strep infection, the immune system can be triggered to attack the joints and/or heart. When this happens, one can suffer t... Read More
A 28-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
MTX and weight: Weight gain is not a common side effect of methotrexate. A more common side effect of MTX is nausea.
A 28-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Kid autoimmune Rx: There are medications that overlap for the treatment of children with lupus vs. Jia. Both are autoimmune conditions and treatment is based on treat... Read More
A 24-year-old male asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Fever and headache: With a fever, the first thing to consider would be a possible infection. Autoimmune diseases are typically considered once an infection or other cond... Read More
A 34-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Hip pain: You should probably start with a full hip examination and x-ray with an orthopedist.
A 18-year-old male asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
MTX and alcohol: You only have one liver and the recommendation is to not drink alcohol while taking MTX. Your liver has to metabolize the methotrexate and we do not ... Read More
A 29-year-old male asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Sleep and anxiety: Anxiety can cause insomnia and disrupted sleep. You should see your primary care provider or behavioral health specialist for an evaluation. Other re... Read More
A 20-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Medications: Acetaminophen or Ibuprofen can be used to control fever. If the fever is recurring, than Acetaminophen can be used every 4 hours and Ibuprofen can be... Read More
A 41-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Endoscopy: Typically, an endoscopy is done as a scheduled test with a GI specialist in an endoscopy suite or operating room type of environment.
A 35-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Psoriatic arthritis: The combination of psoriasis and arthritis on examination would indicate psoriatic arthritis. There is no blood test for it. In addition, arthritis ... Read More
A 27-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
JIA and sonogram: An MRI with contrast may be a better test to detect joint inflammation if the physical exam and the sonogram are normal.
A 27-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
HSP/JIA: It would be unexpected for a child with HSP to develop JIA. You can get a recurrence of HSP within 2 years, but the joint issues related to HSP are s... Read More
A 41-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Juvenile arthritis s: Symptoms are persistent joint swelling. Joint stiffness worse when getting out of bed and after inactivity. Feeling better with movement. If the pa... Read More
A 27-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Follow-up visits: In general, every 3 months is a good schedule to follow. If the disease is active, than more frequent visits would be better and if the disease is in... Read More
A 32-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Iritis: The rheumatologist should perform a thorough physical exam looking at your skin, joints, muscle strength, and check your heart, lungs, and abdomen, lo... Read More
A 29-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Back pain: Back pain in a child should be investigated. There can be arthritis of the sacro-iliac joints which can cause back pain. Other causes of back pain... Read More
A 40-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Weight gain/ steroid: Prednisone not only increases your appetite but it also makes you retain salt and water which adds weight. In addition it redistributes the fat in yo... Read More
A 27-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
First rheum visit: Typically a rheumatology visit consists of being asked your medical history and then a complete physical exam. Th erheuamtologist will want to check ... Read More
A 29-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Muscle ache/vaccine: Three months seem to be an excessive period of time for muscle aches. It sounds like you need a check up with your doctor to check muscle strength an... Read More
A 37-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Hand color changes: There can be different causes for this such as raynauds or acrocyanosis. Raynauds is caused by blood vessel spasm and can be treated with medication. ... Read More
A 31-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
JA- teen diagnosis: The diagnosis is made when there has been arthritis in the joints for greater than 6 weeks. Children may have normal blood work such as a normal ANA ... Read More
A 42-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Joint pain and JA: Juvenile arthritis is defined as a child under 16 years old who has arthritis for greater than 6 weeks. Arthritis is diagnosis by physical exam demon... Read More
A 28-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
JIA/SLE symptoms: The most common symptoms of jia include joint stiffnesss and joint swelling. In lupus, joints and other organs can be affected such as the skin, kidn... Read More
A 35-year-old member asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Flare: It may depend on the cause of the flare. A viral infection can irritate the joints for 1-2 weeks. Other flares can last a few days.
A 32-year-old female asked:
Dr. Paul Rosen
Specializes in Pediatric Rheumatology
Iritis/ACE level: Iritis can be caused by autoimmune diseases. One condition, sarcoidosis, causes iritis and can feature an elevated ace level in the blood. Sarcoid ... Read More

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

2
Recommendations
29
Thank you notes
HealthTap member
Mar 31, 2015
Dr. Rosen is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Rosen is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! wish there was a way to eliminate borrelia.lots fals negatives.thanks
HealthTap member
Thank you, your answer was very helpful! Thank you sir
HealthTap member
Your answer made me feel good! Thanks :) Gracias :)

Education & Training

Medical/Graduate school

University at Buffalo, The State University of New York School of Medicine & Biomedical Sciences
Graduated 1997MD

Medical/Graduate school

Harvard School of Public Health
MD

Residency

Mount Sinai Hospital

Residency

Mount Sinai Hospital

Residency

Cincinnati Children's
Completed 2003

Awards

First 100 Innovators Award from United States Agency for Healthcare Quality and Research
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less