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Dr. Nisha Manek

Rheumatology
Kingman, AZ
female

Locations

Integrative Medicine Santa Cruz

About

Bio

I am originally born and raised in Kenya and where my extended family still live. My medical training was in Glasgow, Scotland and thereafter, I trained in internal medicine in London, UK. I am a Fellow of the Royal College of Physicians of the UK. My career has also taken me to Stanford University for Rheumatology training and then to the Mayo Clinic in Minnesota. I am deeply interested in complementary and integrative medicine as many therapeutics which are not considered conventional can assist people with chronic conditions such as arthritis.

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, Gujarati, Swahili

Doctor Q&A

63 Answers
98 Agrees
The number of answers this doctor has agreed with.
A 43-year-old member asked:
Dr. Nisha Manek
Specializes in Rheumatology
Plaquenil (hydroxychloroquine): Hydroxychloroquine, an anti-malarial, is used to treat RA and SLE. Although called "immune-suppresive" it does not have a powerful effect on the immun... Read More
A male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Carpal Tunnel: Carpal tunnel syndrome has tingling and numbness in the thumb and index, middle or ring fingers, but not the little finger. This sensation often occur... Read More
A 43-year-old member asked:
Dr. Nisha Manek
Specializes in Rheumatology
Halobetasol: Halobetasol is a topical steroid and probably only effective for cutaneous (skin) related Sarcoidosis. There are many skin manifestations like erythem... Read More
A 26-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Psoriasis: Paras: There are many treatments for psoriasis. It is difficult to be comprehensive on Health-Tap. Some topical options: Vitamin D analogue - Calcipot... Read More
A female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Sudden Mid-back pain: Mita: this is an elderly lady with sudden back pain and from your description, it is without trauma. She needs to see a physician for a back exam. Ost... Read More
A 44-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Diclofenac and Aleve (naproxen): Dear Jessi: Diclofenac is in the NSAIDs class of anti-inflammtory drugs and Aleve (Naproxen) is also a NSAID. The risk for side effects with NSAIDs i... Read More
A 22-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Swollen Joints: Hi Cory: Symmetrical (both hands) swollen joints for 3 months sounds suspicious for arthritis. An ANA test screens for connective tissue diseases (lup... Read More
A 39-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Baclofen: Hi: the more common side effects of baclofen include drowsiness, feeling of weakness, dizziness, fatigue, headache, insomnia, nausea, increased urinat... Read More
A 37-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Ignore: A person does not need to have psoriatic skin disease to have psoriatic arthritis.
A 21-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Lateral knee release: Dear Bhagya: After a lateral retinaculum release your surgeon and physical therapy team will assess your healing progress and give you the right advi... Read More
A 30-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Chest pain in Lupus: Dear Lupi: Chest pain in a patient with lupus could be from the lungs or the heart. For example, Inflammation of the lung lining is called pleurisy wh... Read More
A 41-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Fibromyalgia ?Germs: No, Fibromyalgia is not shown to be secondary to infection. Fibromyalgia is chronic and can have relapses and good days on a frequent basis. But ther... Read More
A member asked:
Dr. Nisha Manek
Specializes in Rheumatology
IgA Nephropathy: Jack: IgA nephropathy is inflammation of kidneys where immunoglobulin IgA deposits in the renal system - patients experience hematuria - blood in urin... Read More
A 28-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Golfers Elbow: Hi Adam: Since your symptoms are mild, it is worthwhile trying a brace or sleeve during your game. About half of people who try a brace for the medial... Read More
A 40-year-old member asked:
Dr. Nisha Manek
Specializes in Rheumatology
Sweetsop & arthritis: There are many plant based remedies for joint pain including the popular Turmeric + black pepper. My quick research did not give a distinct mechanism ... Read More
A 39-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Acute Gout: Sodium bicarbonate, (sodium bicarbonate) once it enters the stomach, turns into water and a carbon dioxide gas. The pH of blood is unaffected. Therefo... Read More
A 19-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Weakness, dizziness: Hi Alec: You've had symptoms for several months. Did you have an infection prior to these symptoms starting? I am assuming the MRI was the spine (or b... Read More
A 37-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Ignore: The Am College of Rheumatology guidelines recommend exercise + using joints as first line Rx for OA.
A 53-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Psoriatic arthritis: Hi Sharon, Psoriatic arthritis is under the umbrella of spondylo-arthritis. This group of arthritis has a genetic test for Human Leukocyte Antigen B27... Read More
A 35-year-old member asked:
Dr. Nisha Manek
Specializes in Rheumatology
Controlling RA: Do you have RA? Work with your physician. The current paradigm is treating to target, that is, we can achieve remission of joint inflammation and limi... Read More
A 37-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Ignore: Psoriatic arthritis is assoc. with heart disease. Make sure your bp and lipids are normal.
A 27-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
SLE and pregnancy: Hi Brenda: The prognosis for mother + child is best when SLE has been quiescent for 6 months prior to conception. There is a risk that the second preg... Read More
A member asked:
Dr. Nisha Manek
Specializes in Rheumatology
Hepato-splenomegaly: Hi Keith: an enlarged liver and spleen (also called, hepatosplenomegaly) has many potential causes. Broadly: infections and cancers. For someone in In... Read More
A 56-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Controlling RA: Dear Chitra: Fortunately there is much you and your physician can do to control RA. The current paradigm is treating to target, that is, we can achiev... Read More
A 45-year-old member asked:
Dr. Nisha Manek
Specializes in Rheumatology
Unilateral knee pain: If one knee is affected, often osteoarthritis is the problem. Meniscal injuries and tendinitis can co-exist (which can present with "giving way" of th... Read More
A 37-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Ignore: Avoid UV exposure as it can activate lupus activity; wear sunscreen min. SPF 30, and a hat outdooors.
A 30-year-old member asked:
Dr. Nisha Manek
Specializes in Rheumatology
RA: No! Not contagious at all.
A 25-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Retroflexed Odontoid: Symptoms are many: Chronic Headaches, neck and facial pain. Since the odontoid points toward the spine instead of straight up, it can lead to brain-st... Read More
A 30-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Juvenile arthritis: Dear Haylee: joint stiffness, pain can vary daily in kids. Does your daughter has obvious swollen joints? Non-steroidals are the main-stay of pain m... Read More
A 52-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
IgE Levels: Dear Albert: It is difficult to address your question accurately. IgE is checked if allergy is suspected. However, the amount of IgE doesn't necessari... Read More
A 29-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Immunology tests: Normal / abnormal ranges of anti-sm and anti-RNP depend on the laboratory used and technique (like ELISA). Analyze results according to guidelines of ... Read More
A 30-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Humira (adalimumab) Injection: Dear Kirsty: It sounds like some of the liquid medication (humira (adalimumab)) ran down your hand. This is not dangerous. Review your injection tech... Read More
A 41-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Patellar Tracking: Your description sounds like patellar tracking disorder. The kneecap (patella) shifts out of place as the leg bends or straightens. The kneecap shifts... Read More
A 35-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Playing the piano: Hi Maria: Piano can look effortless but improper hand, and arm position can be associated with hand and arm pain. The common injuries include tendon ... Read More
A 16-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Gabapentin and SLE: Dear Gabriele: Some of the major side effects of gabapentin include: dizziness, fatigue, nausea, blurred vision; headache; dry mouth; and loss of b... Read More
A 69-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Back pain: Hi Lilly: There are many questions that a physician will have regarding back pain that will guide treatment options. If you have osteoarthritis, the... Read More
A 46-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Cervical Myelopathy: Michael: Myelopathy refers to loss of function & weakness in arms and legs, both sides, from compression of the spinal cord within the neck. Radic... Read More
A 17-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
SLE: Dear Gabrielle, a cough and painful chest (you mention ribs), makes me concerned. Pleurisy (inflammation of the lining of the lung) can be a feature ... Read More
A 18-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Scalp Tingling: Probably nothing to worry about. But do have your scalp checked to make sure no infections (tinea). A dermatologist would be a good physician to see a... Read More
A 37-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Ignore: Annual vaccinations are recommended for people with RA; get your flu and pneumonia shots.
A 37-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Ignore: Smoking constricts blood vessels worsening Raynaud's Disease. Best treatment? Stop smoking.
A 33-year-old member asked:
Dr. Nisha Manek
Specializes in Rheumatology
Erythromelalgia: Difficult to answer the question on HealthTap. Make sure you've been investigated for underlying or assoc. conditions like raynaud's disease, or blood... Read More
A 32-year-old member asked:
Dr. Nisha Manek
Specializes in Rheumatology
Joint Hypermobility: Dear Antri, I think what you are referring to with the term "double joints" is hypermobility, or hyperflexibility. Hypermobility means that you can mo... Read More
A 32-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Strained back: Michael: strained muscles usually heal with time (few days to 2-3 weeks). Initially, get some pain relief with acetaminophen (tylenol), and start phys... Read More
A 20-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Blurry vision: Dear Noelle: Headaches with blurry vision make me wonder about inflammation in your eyes (like Uveitis). Eye diseases can present with headaches. But... Read More
A 25-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Blue Sclera: Hi Amber: Inflammation, scleritis, can lead to blue sclera. Diseases such as rheumatoid arthritis are associated with scleritis (and eye disease can v... Read More
A 33-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
EMG Test: Renee: Your doctor has ordered electromyography (EMG) and nerve conduction velocity (NCV) testing to evaluate the electrical activity of muscles and n... Read More
A 46-year-old female asked:
Dr. Nisha Manek
Specializes in Rheumatology
Guttate psoriasis: Janet: guttate psoriasis can come on due to infections like streptococcal infections, or medications like beta blockers (blood pressure med); so be su... Read More
A 51-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Hip Bursitis: Hi: there are 2 types of hip bursitis. 1) Trochanteric bursitis on the outer aspect of the hip, 2) Ischial Bursitis on the sitting bone area (buttocks... Read More
A 37-year-old male asked:
Dr. Nisha Manek
Specializes in Rheumatology
Ignore: Being overweight is a risk factor developing Knee OA and also for progressive Dz. Lose weight (pool).

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

63
Thank you notes
HealthTap member
This was very helpful. Thanks! Thank you for clarifying that!! I appear to have psoriatic arthritis but have tested negative for HLA B27
HealthTap member
Thank you, your answer was very helpful! Fam doc thought I had a virus in Jan. My neuro had me get mri of brain
HealthTap member
Your answer was very helpful! Thanks :) thank you. I will go and get out checked out.

Education & Training

Medical/Graduate school

University of Glasgow Faculty of Medicine, Scotland
Graduated 1992MD

Residency

LOMA LINDA UNIVERSITY MEDICAL CENTER

Affiliations

ACP
FRCP
American College Of Rheumatology
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