Doctor insights on:
Rheumatology is a field of study in which a person concentrates on the causes, effects, and treatments of auto-immune disorders, in which a person's own immune system is abnormal and damaging the person's body. Diseases include rheumatoid arthritis (adult & juvenile), lupus (SLE), scleroderma, etc... A doctor of this ...Read more
Rheumatic Disease : The study of rheumatic diseases which include arthritis, bursitis, tendonitis, soft tissue diseases, immunologic diseases, osteoporosis, back pain, rheumatoid arthritis, systemic lupus erythematosus, connective tissue diseases to name a few. There are over 100-150 rheumatic diseases. ...Read more
Medical work up : You should expect a history, physical and maybe lab tests depending on your signs and symptoms. ...Read more
See details: The same thing that happens at any doctor appointment. A history, physical exam, explanation of diagnostic considerations and discussion of treatment options and what tests need to be done. ...Read more
Questions: A lot of questions. Tons and tons. Very nit-picky questions. Often the same question asked in different ways. Then a detailed physical exam. After that, you may or may not have some lab work or x-rays. ...Read more
Why rheumatology now @50 yrs? Very disabilitating very little function, yet SSI won'nt approve me, why?
If : If you have severe arthritis with obvious joint deformities, loss of motion and poor function but have been denied social security disability, I suggest that you obtain an attorney who specializes in appeals for this type fo denial. You can find names in the yellow pages or by contacting the local bar association. ...Read more
A rheumatologist is an internist or pediatrician who received further training in the diagnosis (detection) and treatment of musculoskeletal disease and systemic autoimmune conditions commonly referred to as rheumatic diseases. These diseases can affect the joints, muscles, and bones causing pain, swelling, stiffness, and deformity.
-- American College of Rheumatology ...Read more
Not a disease: Rheumatology is a field of of study in medicine, not a disease. It is the study of musculoskeletal disease and systemic autoimmune conditions commonly referred to as rheumatic diseases. These diseases can affect the joints, muscles, and bones causing pain, swelling, stiffness, and deformity. ...Read more
Little!: You have essentially two specialities that cover the fields. I trained in a division of clinical immunology and rheuamtology. Most of the non-structural diseases I treat involve the immune system. Allergist/immunologists will overlap, but the major focus is allergy and asthma than rheumatic issues. ...Read more
Several!: First, as a rheumatologist, I trained in two medical schools in programs called "clinical immunology and rheumatology." rheumatologists deal with autoimmune diseases. But they usually do not deal with allergies, either food or inhaled. They do not skin test. That being said, most allergist are also well-trained in immunology, and there is some overlap in treating patients with immune diseases. ...Read more
Is there a medical team or institution that is uniquely specialized in working out complicated diagnoses unfamiliar to most doctors that involve endocrinology, rheumatology, and possibly other areas?
Academic center: You may be looking for an academic center. UT Southwestern has good specialty departments. ...Read more
Thkx Dr FRIEDLAND.dad raised it with Rheuma who said he not thought of churg struass a said god spot, was suppos 2 be seen for marfans, refused by GP?
Two not similar: These 2 diagnoses are not similar but both can be evaluated by the Rheumatologist. I don't know the remainder of the details ...Read more
My rheuma said I might have ild, I have sle as well. What meds is better: benlysta (belimumab) or cytoxan?
I have high CRP 90 and sed rate 100 and iron in the blood 1, 6 I have pain in all of my body tests in rheuma and gastro ok what is wrong with me?
Inflammation!: A CRP of 90, must be mg/liter, which is very high. More important than fibrinogen elevation, the cause for high sed rates, or esr. This is the test that should be followed. Ferritin is moot, since it to is an acute phase reactant. You have serous inflammation. At your age arthritis, or autoimmune disease is likely. Polymyalgia rheumatica would be first. See someone in rheumatology. ...Read more
Hi, it seems like scleroderma. I have dysmotility of esophagus and les 3mmhg but rheuma. Said no scleroderma and my doctor disagree all tests negative?
Left scapula & intermittent chest pain for 2 yrs. Had injections, PT, ACDF surgery. Seen Ortho & Rheuma docs w/no help. Tired of constant pain. Ideas?
Tendinitis both wrists? Type for living. Tried year of physio,6mo off work, now hands free computing. No improvement. Chronic pain 6yr+.MRI, rheuma,emg -ve.
What does EMG show?: I would get an EMG and NCV to see whether the diagnosis could be CTS though when it's pure pain like this one tends to think of more orthopedic or rheumatological issues BUT... I'd still get the EMG to see what it shows. Be happy to consult privately as well to think of other things as well? www.healthtap.com/drsaghafi My Key Code is: PDXFNR if asked to use. ...Read more
My father(55)has excessive left leg pain on pressure and when moving followed by back pain. History of rheuma and coccyx "spike". What to do?
The back pain can be caused by muscle strain, spinal stenosis, ruptured disc, nerve impingement ... The treatment depends on the cause of the pain.
It seems like your father might have nerve impingement.
I recommend him seeking help from a pain management doctor or orthopedic doctor. He might benefit from a comprehensive evaluation and treatment. ...Read more
My rheuma factor came 77kU/L and anti ccp is 26U/L. I also have increased TSH, hernia in lumbar region, also weekly migraine attacks. Plz advice.
Pain in both shoulder joints and fingers. What can I do so it will go away? Doctor said it's not rheuma, no blood tests except CRP which was normal
Unlikely: It is unlikely that you have a rheumatic condition but it can happen. I would first try working with a physical therapist or sports trainer to begin a strength training program (gently, slowly). Combine that with yoga or stretching. Give it 8 weeks and see if symptoms improve. If not, consider seeing a rheumatologist for further evaluation. ...Read more
Chronic wrists pain 6yr+ Normal xray, EMG,MRI, Rheuma blood test. Cortisone shot, rest, no effect. Physio, osteo, no effect. What else could be cause?
Tendinitis: Do you work with your hands (carpentry, typing, writing, yard work?) If so, you likely have tendinitis, not arthritis. Tendinitis rarely, if ever, causes a lab abnormality (so EMG, MRI, etc will be negative). The cortisone shot should provide temporary relief, but it depends on where the shot was given in relation to the tendon causing the problem. Give it rest, alternate heat & cold, see a Rheuma ...Read more
Stiff person syndrome diagnosis in 21yo w/rigid lower limb, acquired scoliosis & oligoclonal bands in csf. Is anti-gad and seronegative. Could a rheuma help?
Maybe: If they treated such cases before. High dose benzodiazepines may help. Also consider neurologist. ...Read more
What is the difference between orthopaedic and rheumatology doctors. Which would I need for severe osteo and ddd? Caused by ooph& meds?
I was recently diagnosed with possible polymyalgia rheumatica. How could I have gotten it at my age?! (Age 38). Seeking second opinion w/ Rheumatology
Correct: This is an autoimmune illness and a rheumatologist is the correct choice ...Read more
Part1: for board certified rheumatologists: do you think it is ok for doctors who do not specialize in rheumatology to advise early and newly
Yes : Their initial evaluation will help decide if the patient needs to see a rheumatologist. This will facilitate early referral to the rheumatologist. ...Read more