#bestrheumatologistinpune

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Rheumatic Diseases

Rheumatic diseases are inflammation in the connecting or supporting body parts, mostly the joints, but sometimes the tendons, ligaments, bones, and muscles. These diseases later may also result in improper functioning of the body parts. It is believed that rheumatic diseases are caused by a combination of genes and environmental factors. Gene and environment play a huge role in the cause of this disease amongst people. Studies have shown that women are more susceptible to it. According to the latest study around 5.4 million adults in the U.S which is about 25 % of its the population suffers from arthritis it is also said that by 2040 about 26 % of the U.S population aged 18 years and above that is 78 million would be diagnosed with arthritis.

Symptoms of Rheumatic Disease:

· Pain

· Swelling

· Tenderness

· Stiffness, especially in the morning

· Pain in the neck, spine, or back

· Eye inflammation or infections

 If any such symptoms are observed one should definitely consider visiting a Best Rheumatologist in Pune. As the line of treatment is different than any other disease and the doctors will be able to come up with proper diagnosis and treatment which would provide better relief.

  Types of Rheumatic Diseases

 1.     Rheumatoid arthritis

A kind of arthritis in which the immune system attacks a soft tissue that lines the joint also called synovium which later results in inflammation.

 2. Osteoarthritis

Arthritis which affects and destroys cartilage, the soft tissue that cushions the ends of bones between the joints

 3. Fibromyalgia

A chronic condition marked by tender points and pain throughout the musculoskeletal system

 4. Lupus

An autoimmune disorder causing inflammation in various body parts.

 5. Gout

A type of arthritis that is developed when crystals of uric acid are deposited in joints i.e. toe.

 6. Juvenile idiopathic arthritis

The most common form of arthritis in children, which may be accompanied by fevers and rashes

  7. Psoriatic arthritis

A type of arthritis affecting the fingers and toes and skin disease psoriasis. Polymyositis, which can affect the entire body

 8. Ankylosing spondylitis

Is spondylitis which affects the hips, shoulders, knees, and spine.

 9. Scleroderma

An autoimmune disease that causes thickening and tightening of the skin. It also causes inflammation and scarring in various other body parts.

 One cannot control every situation that comes but one can definitely control your attitude and how to deal with it. And that is definitely where our power lies.

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Best Rheumatologist in Bangalore | Dr. Yogesh Singh

looking for a Rheumatologist in Bangalore? Dr.Yogesh Singh is the Best Rheumatologist in Bangalore with vast experience in Rheumatology.Book Appointment Now.

Dr. Yogesh Singh is a Consultant Rheumatologist and Immunologist. He currently heads the department of rheumatology at Manipal hospital. More than 15 years of experience makes him, specialized in the field of autoimmunity and rheumatology. He has done MD (Internal Medicine) from the Kasturba Medical College, Manipal university. Kasturba Medical College has been ranked amog the top medical schools in India. is one of the top medical schoolsDr. Singh has done DM (Clinical Immunology) from Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGI),Lucknow.

SGPGI is one of the premier medical institutes of India. SGPGI provides one of the best training program for rheumatology and immunology in the world. The faculty at department of Immunology, SGPGI is world-renowned and training under them provides an excellent opportunity for learning. SGPGI caters to a population, which is larger than Europe. Training at SGPGI provides exposure to a wide variety of rheumatic conditions and provides a very invaluable experience in diagnosis and treatment of rheumatic diseases.

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Who is a Rheumatologist?

Rheumatologists are physicians who are specifically trained to diagnose and treat over 100 types of arthritis and various related disorders that affect the body’s bones, joints, muscles, and connective tissue. Common examples are rheumatoid arthritis, osteoarthritis, lupus, ankylosing spondylitis and gout.

Rheumatic conditions are mostly chronic, which means the conditions persist over long periods, often lifetime, not necessary symptoms may be present. Rheumatic disorders affect a large amount of the population around the world.

Why See a Rheumatologist?

A patient usually consults a rheumatologist when one needs:

An accurate diagnosis for chronic symptoms affecting the musculoskeletal system

      2. Expertise in devising pain relief and treatment plans for a rheumatologic condition

Rheumatologists have the depth and breadth of experience necessary to accurately diagnose and treat a large type of conditions. A patient can then receive an early diagnosis and begin suitable treatments before developing joint damage.

Diagnosis may be challenging:

Rheumatologic disorders are often difficult to diagnose because symptoms may come and go or mimic other conditions. For instance,

rheumatoid arthritis, reactive arthritis, lupus and fibromyalgia can exhibit similar symptoms. The sooner a patient receives an accurate diagnosis, the better effective medical treatment and pain relief can begin.

Early treatment may facilitate long-term wellness:

Getting treatment early within the disease process helps a patient return to normal activities as soon as possible. Early treatment is additionally important for two more reasons:

Some rheumatic conditions are more respond well to treatment in their early stages.

Early treatment can minimize the long-term, cumulative damage that’s sometimes caused by chronic rheumatic conditions

.For example, among people that are diagnosed with rheumatoid arthritis but don’t receive treatment within the first 2 to three years, 20 to 30% experience a permanent disability that forestalls them from working.

Do Patients with Osteoarthritis Need a Rheumatologist?

A large number of populations is affected by osteoarthritis and is one of the foremost commonly treated and extensively researched medical conditions within the world.What’s Osteoarthritis?

A person who has osteoarthritis may seek treatment from a rheumatologist, a medical care doctor, a physiatrist, an orthopedist, or a mix of these. Additionally, the patient could also be referred to as a physical or occupational therapist.What sort of health care professional an

Osteoarthritis

patient should see depends on many factors, including the patient’s personal preferences, access and proximity to worry, and whether or not there are additional medical problems which will complicate diagnosis and treatment.

Rheumatologists typically play one amongst two roles in patient care:

A rheumatologist may serve as the patient’s primary medical doctor, providing therapy and coordinating to take care of the patient. 

A consultant rheumatologist may work in accordance with a patient to diagnose a condition and recommend a tailored treatment plan which will be implemented by the patient and his or her primary care doctor.

The second option is the most typical. In these cases a primary care provider oversees a patient’s care, and also the patient may revisit the rheumatologist once a year for monitoring or when the treatment plan has to be adjusted.

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How Ones Bone and Joints Change With Age

With age, various changes naturally occur in our body. we've more wrinkles, grey hair appears. All of those are external changes. However, many people aren't aware that ageing also affects our skeletal system. Our bones and joints also change with age. Here we discuss what happens to our skeleton , and what must be done to take care of the health of our bones and joints.

HOW DO OUR BONES CHANGE?

Throughout life, our bones are constantly changing. The body naturally gets obviate the “aged” bone tissue and replaces it with a replacement one. While we are young, bone tissue is replaced much faster than lost. Therefore, bones at a young age are much denser and stronger. Peak bone mass in most of the people is about 30 years old.

When the bone mass reaches its peak value for a time, approximately as about new bone tissue is created within the body because it is lost, however, after about 40 years of age, bone formation processes begin to lag. Bones as a results of this become thinner and weaker, gradually increasing the chance of osteoporosis.

Osteoporosis is a disease characterized by progressive bone loss. Osteoporotic bones are structurally different from normal. In women after menopause, bone loss accelerates.

HOW DO OUR JOINTS CHANGE?

Our joints have a active structures that change with age. The decrease in water content, as well as natural wear and tear, gradually destroys articular cartilage – one among the foremost important components necessary for the normal functioning of the joint.

The articular cartilage covers the articular surfaces of the bones and ensures their free sliding relative to one other, absorbing some of the loads on the joint. A disease characterized by wear of the articular cartilage is termed osteoarthrosis.

Some problems related to age-related changes within the joints are often avoided. one among the issues that always accompany ageing, but which isn't its natural component, is low physical activity. As we grow old , we move less. It must be understood that the less we move, the less mobile our joints become. beside joints, muscles also suffer – they become weaker. People leading an energetic lifestyle despite old age have healthier bones and joints.

IS IT POSSIBLE to turn BACK THE CLOCK?

Everyone is ageing, but there are many various things you can do to keep your bones and joints in good shape, delaying the appearance of problems or perhaps preventing them. Try these tips:

Ask your rheumatologist in Pune what medications may affect your bones. Many drugs enhance bone loss, like long-term use of anticonvulsants, some drugs used to treat cancer, anti-inflammatory drugs from the corticosteroid group used to treat arthritis and lots of other diseases, like asthma , Crohn’s disease, lupus.

Exercise regularly:

Physical activity not only allows you to take care of the mobility of your joints, it minimizes bone loss, and also supports muscular tonus and strength, thereby helping to stop falls.

Vitamins:

Eat enough calcium and vitamin D with food. These nutritional supplements are essential for normal bone function. The doctor will tell you how many you require. If you're unsure that you simply are getting enough of them with food, ask your arthritis specialist in Pune to offer them to you.

Weight:

Maintain a healthy weight. Being overweight may be a reason behind joint overload and results in accelerated wear of bones and joints, increasing the chance of osteoarthritis.

Considering all these factors Dr. Nilesh Patil - Best Rheumatologist in Pune always suggest his patients to follow a healthy lifestyle by exercising regularly, eating a healthy diet and maintain their weight.

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Lower Back Paint and Its Causes & Symptoms

Low back pain means pain within the lower back. The pain is because of injury to the vertebrae, intervertebral disc, ligament, or muscle in this area. it's estimated that 90% of the population will sometime suffer from an episode of low back pain. it's the foremost frequent reason behind incapacity for work in people under 45 years aged. Low back pain is so frequent because of the erect position of the individual that it makes the spine and particularly the lower back support more weight, explains the Best Rheumatologist in Pune.

Lower Back Paint and Its Causes & Symptoms

Causes.

The causes are multiple and may be divided into causes of mechanical origin and inflammatory causes. The causes of mechanical origin are far more frequent and consist alterations within the mechanics and statics of the structures that form the lumbar spine. Among them, lumbar osteoarthritis (it is that the most frequent explanation for low back pain), osteoporosis, an atrophic lumbar musculature (weak) or scoliosis (alteration of the traditional curvatures of the spine, causing a lateral deviation) stands out first. The causes of inflammatory origin are those because of inflammation of the spine. the foremost frequent disease is ankylosing spondylitis. Other rare causes are infections and tumors. Factors that aggravate low back pain are excessive sedentary lifestyle, inadequate postures, weight bearing, and obesity, explains the Consultant Rheumatologist in Pune.

Symptoms.

The most common low back pain is one that worsens when standing for an extended time or when prolonged incorrect postures are maintained. When lying in bed the pain usually disappears. If the pain appears at rest or nighttime, it's probably because of inflammation of the spine. This last kind of pain is far less frequent and should be studied by the best doctor for rheumatology in Pune since it are often a sign of spondylitis (especially in young men). there's also usually a sense of stiffness within the back and decreased mobility, especially when bending over.

Low back pain are often acute (lasts but 6 weeks and responds well to treatment) or chronic (lasts quite 6 weeks and is difficult to treat). If low back pain radiates to the leg below the knee it's called lumbar sciatica or sciatica. Tingling usually occurs and sometimes a sense of lack of strength within the leg. Sciatica is typically due, in younger people, to a herniated disc, slipped disc, rupture" ruptured intervertebral disc (the intervertebral disc shifts and compresses the closest nerve root), and in older people, spinal osteoarthritis (vertebral impingement and bone formation). new (osteophytes) that compresses the nerve root).

Diagnosis:

The diagnosis is easy and is established in line with the characteristics of the pain and also the rheumatological examination. If the pain lasts over three weeks, an x-ray of the spine is performed. If any neurological (sciatic) complications would require surgery , other complementary tests are performed, like magnetic resonance imaging or computerized tomography (CT).

Treatment:

75% of patients with acute low back pain reply to treatment and improve in a duration lesser than four weeks. The goals are to reduce pain and restore spinal function for work and way of life. Rest, drugs (pain relievers, anti-inflammatories, muscle relaxants) and physical therapy (local heat, massages) are the mainstays of the treatment of acute low back pain. Chronic low back pain is way harder to treat, and requires multidisciplinary treatment by specialized health personnel (back school). Only 10% of patients with acute low back pain develop chronic low back pain.

Once the acute episode has been treated, to avoid relapses (one out of 4 patients with acute low back pain suffers) it's essential to correct postural habits during sleep, standing, sitting, driving vehicles, work place, within the weight load.

It is important to not remain sitting or standing doing a similar activity during prolonged episodes. you've got to change your posture and activity frequently to avoid anyjoint pain.

It is essential to perform regular stretching and strengthening exercises for the abdominal and back muscles, also as performing regular trunk and hip flexibility exercises. And appropriate weight must be achieved and maintained, suggests the rheumatoid arthritis specialist in Pune.

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Gout and Uric Acid - Causes, Symptoms & Treatment

Gout and uric acid

Many cells in our body are destroyed. And that's where boats are made. Uric acid is formed from the dissolution of such chronic cells. High levels of uric acid cause crystals to form in the joints. Such crystals cause sudden swelling in the evening and pain like scorpion bites. Swelling of the joints due to crystals means gout. The only increase in uric acid means bathing in gout in such a scenario it is advised to consultant rheumatologist in Pune.

Gout and Uric Acid

Causes:

Increasing longevity, changing lifestyles and eating habits are the reasons for this. In women, estrogen secretes the hormone uric acid. Decreased estrogen after menstruation can lead to increased uric acid and gout attacks. Some foods increase uric acid. Meat and fish, beer and alcohol, as well as soft drinks are important. Aspirin and diuretics, as well as some cancer drugs, increase uric acid.

Symptoms:

Toe joint characteristic Sudden pain at night on a cold day. Extremely severe pain. Within a few hours, the joints become swollen, red and hot, which is called a gout attack. About 2/3 of these people get attacked again throughout the year. Some patients have recurrent seizures every 4-6 weeks. Patients may experience swelling of the knee, ankle, groin, and elbow. More than one joint can swell. During repeated attacks, the crystals remain in the joint and continue to damage the joints, as well as other parts of the joint. Uric acid can damage the kidneys. They can also become a nuisance to the crystals.

Treatment:

Gout is not completely recoverable. It has to be controlled with regular medication. When gout causes sudden joint swelling, use colchicine or painkillers. Nowadays steroids are also used for this. Only when uric acid is less than 6mg in gout do the rheumatoid arthritis dissolve. Even if the uric acid level in the blood is less than 6 mg, the uric acid test should be taken every 6 months.

Dr. Nilesh Jaywant Patil is the best rheumatologist in Pune, who is the best doctor for rheumatology in Pune and rheumatoid arthritis specialist in Pune.

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OSTEOARTHRITIS

Osteoarthritis is a post-forties disease that causes osteoarthritis in the elderly. It is more likely to occur as you get older. Osteoarthritis is an arthritis caused by wear and tear of the joints.Rheumatoid arthritis is more likely to occur in joints that require a lifetime of hard work.

Symptoms:

Symptoms include joint pain, occasional tingling sensation, slight swelling, and wheezing. This pain increases after work or after exercise, and decreases with rest. As the esophagus worsens, it loosens and bends suddenly as it walks. Therefore, the joint gets stuck and cannot move at all. If you sit in one place for a long time, it becomes difficult to take steps when you get up. Such joints also hurt at night and become stiff in the morning. The sore joint is naturally used less. This weakens the surrounding nerves and makes the joint worse. Sandhya has a liquid like wangana inside. Viscosity and viscosity are its properties. Pain does not move properly. This can sometimes lead to injury and swelling inside the joints. Swelling increases the amount of fluid in the joints. Fluid viscosity decreases, ligaments are stretched, muscles tighten, and pain persists.

Diagnosis:

Men and women may have a sore knee, and on examination they may find that the diagnosis of rheumatoid arthritis is confirmed. Understanding the severity of arthritis in xray examination.

Treatment:

There is no facility in our body to rebuild the worn chairs. Reducing pain and improving joint function are the main goals of osteoarthritis. Massage, acupuncture, etc. provide temporary relief. If steroid injections are given in the joints, the pain lasts for 3-4 months, there is no danger in it. However, no more than 3 injections can be given in a year.

As the viscosity of the fluid in the joints decreased, new lubricants were added to it, leading to the idea that the joints would improve, leading to expensive visco supplements. Its use is seen in some patients.

If it hurts a lot and the joint hurts, then knee surgery should be done with operation, for which the weight should be controlled.

Dr. Nilesh Patil - Rheumatologist Doctors in Pune

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Ankylosing Spondilitis - Stiff Lumbar Pain

Stiff lumbar pain is Ankylosing Spondilitis. It is a disease of the immune system. The exact cause is not known. Ankylosing means sticking to each other and spondylitis means swelling of the vertebrae. Swelling of the tendons and ligaments where the vertebrae are attached to the vertebrae.

Dosage and Type:

Although the exact cause is not known, a genetic factor called HLA B27 is found in 90% of patients. If you have a close relative, you are three times more likely to have this.

Symptoms:

Pain that starts unknowingly for more than 3 months.

Hardness for more than 1/2 hour. Feeling better with exercise, not with rest.

Waking up late at night with low back pain.

4.    Pain in right and left buttocks. Age 10 – 45   Treatment: Ankylosing is not completely curable, but can be controlled. Exercise is the only treatment. Regular daily exercise should be an indispensable element of life. Exercising for half an hour reduces pain and stiffness. Swimming is the best exercise. Painkillers should be taken regularly in small doses to reduce inflammation. Similarly All painkillers Reduce pain, and you would be able to do exercise, and sleep peacefully. Thus reducing the swelling, the disease stays in control.

Ankylosing Spondilitis is a immune system disease. The exact cause of it is not known. Gradually it becomes controversial. Unclosing means sticking to each other and spondylitis means swelling of the vertebrae. Swelling of the tendons and ligaments where the vertebrae are attached to the vertebrae.

Dosage and type: Although the exact cause is not known, a genetic factor called HLA B27 is found in 90% of patients. If you have a close relative, you are three times more likely to have this. Symptoms: Pain that starts unknowingly for more than 3 months. Hardness for more than 1/2 hour. Feeling better with exercise, not with rest. Waking up late at night with low back pain.

Pain in right and left buttocks. Age 10 - 45 Treatment: Ankspon is not completely twelve, but can be controlled. Exercise, exercise and exercise treatment. Regular daily exercise should be an indispensable element of life. Exercising for half an hour reduces pain and stiffness. Swimming is the best exercise.

Painkillers should be taken regularly in small doses to reduce inflammation. Like all painkillers, these painkillers reduce pain and lead to sleep deprivation. The swelling subsides and the disease does not worsen, it stays under control. Dr. Nilesh Patil is a reputed rheumatologist in pune providing best service to his patients for the same.