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Doctor insights on: Rheuma Medication

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Dr. Thomas Namey
606 doctors shared insights

Rheumatology (Definition)

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


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What exactly is rheumatology?

What exactly is rheumatology?

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

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Who deals with rheumatology?

Who deals with rheumatology?

Rheumatologist: Rheumatologists are doctors who study and treat autoimmune and mechanical diseases of joints, connective tissue, and muscle. Rheumatology is the study of these diseases. ...Read more

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What to expect at my first rheumatology appointment?

What to expect at my first rheumatology appointment?

Medical work up : You should expect a history, physical and maybe lab tests depending on your signs and symptoms. ...Read more

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What typically happens at a rheumatology appointment?

What typically happens at a rheumatology appointment?

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

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What does a rheumatology consultation typically involve?

What does a rheumatology consultation typically involve?

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

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What should I expect for my first rheumatology appointment?

Thorough work-up: Workup for arthritis requires taking thorough history, careful physical examination, and sophisticated laboratory and imaging workup. ...Read more

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Why rheumatology now @50 yrs? Very disabilitating very little function, yet SSI won'nt approve me, why?

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

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What is rheumatology specialist?

What is rheumatology specialist?

Definition: 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

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What is the treatment for rheumatology?

What is the treatment for rheumatology?

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

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What is the difference between immunology vs rheumatology?

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

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What is the difference between the specialties immunology and rheumatology?

What is the difference between the specialties immunology and rheumatology?

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

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My ANA is 7.93 is that to high do I need to see a rheumatology's. Thank you?

My ANA is 7.93 is that to high do I need to see a rheumatology's. Thank you?

Yes : You should see a rheumatologist for your joint pains and dry eyes. Ana is a screening test so it is used in conjunction with your exam. Ana can be elevated for a variety of reasons and is not necessarily a sign of rheumatic disease. ...Read more

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Just got a blood testdone and my rheumatology serology count was 25... What does that mean?

Unclear: It is unclear what rheum test was 25---was a rheumatoid factor?. Please update and let us know. Thanks. ...Read more

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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?

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

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My rheuma said I might have ild, I have sle as well. What meds is better: benlysta (belimumab) or cytoxan?

My rheuma said I might have ild, I have sle as well. What meds is better: benlysta (belimumab) or cytoxan?

For: Active sle Benlysta (belimumab) targets disease well and has lesser toxic profile. This drug though is no recc. For type 4 nephritis, where Cytoxan would help. ...Read more

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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?

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

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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?

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?

Your question is?: You have not asked a question. Esophageal issues by themselves do not make a diagnosis of scleroderma. Your rheumatologist is correct unless you have other issues consistent with scleroderma. ...Read more

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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?

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?

Pain: Likely your pain is neuropathic due to nerve root irritation-see a competent neurologist to confirm this suspicion, management may be difficult. Good Luck ...Read more

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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.

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

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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?

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?

Back pain: 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

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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.

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.

See a Rheumatologist: You need to see a rheumatologist to determine if you meet the case definition for rheumatoid arthritis and then see your regular doctor to help you determine what should be done with your thyroid. Your migraines may be affected by your thyroid issues. ...Read more

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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

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

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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?

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

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What is the difference between orthopaedic and rheumatology doctors. Which would I need for severe osteo and ddd? Caused by ooph& meds?

They overlap: Rheumatologist a are trained in internal medicine to diagnose and treat arthritis and multi system disease. Orthopedist an are surgeon trained in diagnosis and treatment of bone and joint disease. They often overlap.in this case either specialty would be fine ...Read more

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Part1: for board certified rheumatologists: do you think it is ok for doctors who do not specialize in rheumatology to advise early and newly

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

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