#specialist for rheumatoid

[sharmaradhikaa]

How to Select the Best Specialist for Rheumatoid Arthritis Treatment To select the best specialist for rheumatoid arthritis, look for a board-certified rheumatologist with extensive experience in treating autoimmune disorders. Check for positive patient reviews and high ratings, focusing on doctors who are known for personalized care and a comprehensive treatment approach. Seek recommendations from your primary care physician or support groups. Consider the specialist’s hospital affiliation and access to advanced diagnostic tools. Read More:

[fatal-blow]

every time i talk about this stuff I'm reeling with the sheer amount of knowledge and how to convey it to the average layperson

but really if i could sum up everything I've learned about muscles, myofascial pain, and hypermobile, it's this:

start practicing how to do things with the least amount of muscles as possible.

[ethereal-drivel]

ik i’ve talked about my ~illnesses~ quite a lot but good news!!! spoke to an obg today (who also works with a lot of trans patients!!! yay!) who finally got me an ultrasound for next month to check on my abdomen for fibroids n cysts (hoping that’ll be clear!) and then and she recommended going back on t at a low dose to manage my pain n inflammation and i think that’s a great idea and also oooh gender soup. it feels… very good to like actually be listened to and have a plan n start getting somewhere ! so yay!

[jointpaindoctor]

[boycritter]

genuinely fucking sobbing at the shit my moms had to go through within the medical system

[drlakshmiwaprani]

https://www.arthritisandbackpainclinic.com/what-is-rheumatism-of-the-soft-tissues/

[suoxi-hospital]

রিউমাটয়েড আর্থ্রাইটিস- কারণ, লক্ষণ ও চিকিৎসা | Rheumatoid Arthritis treatment for acupuncture | কোমর ব্যথা- কারণ, লক্ষণ ও চিকিৎসা | Lower Back Pain causes and treatment

বাত ব্যথা সহ যেকোনো ব্যথার চিকিৎসা এখন শশী হাসপাতালে (SUO XI hospital)

[laxmiwaprani]

Advancements in Rheumatoid Arthritis Treatment

Advancements in Rheumatoid Arthritis Treatment

A Ray of Hope for Patients Introduction

Rheumatoid Arthritis (RA) is a chronic autoimmune disease that affects millions of people worldwide. Characterized by painful joint inflammation, it can lead to severe disability if left untreated. However, there is hope on the horizon as significant advancements in RA treatment have emerged in recent years, offering patients a better quality of life and improved outcomes.

Biologics: Precision in Targeting Inflammation

One of the most remarkable breakthroughs in RA treatment has been the development of biologic medications. Biologics are designed to target specific components of the immune system that contribute to inflammation in RA. Tumor necrosis factor (TNF) inhibitors, such as Etanercept and Adalimumab, have been successful in reducing inflammation and slowing joint damage. Moreover, newer biologics like Rituximab, Tocilizumab, and Abatacept target different pathways in the immune system, providing more options and personalized treatment plans for patients.

Janus Kinase (JAK) Inhibitors: A New Class of Medications

JAK inhibitors are a relatively recent addition to the RA treatment arsenal. Medications like Baricitinib and Tofacitinib target specific enzymes involved in the inflammatory process. They have shown promise in reducing pain and inflammation in patients who do not respond well to traditional disease-modifying antirheumatic drugs (DMARDs). JAK inhibitors offer an oral alternative to injections and infusions, providing convenience for many patients.

Personalized Medicine: Tailoring Treatment to the Individual

Advancements in genetic and molecular profiling have paved the way for personalized medicine in RA treatment. Understanding a patient's genetic makeup and disease activity enables rheumatologists to choose the most effective treatment, reducing the trial-and-error approach. This not only enhances treatment efficacy but also minimizes potential side effects, promoting a better quality of life for patients.

Early Intervention and Treat-to-Target Strategies

The concept of "treat to target" has gained prominence in RA management. The goal is to achieve remission or low disease activity through aggressive treatment. Early intervention is key, as studies have shown that starting treatment within the first few months of symptom onset can significantly improve outcomes. This approach focuses on preventing joint damage and disability rather than simply managing symptoms.

Biosimilars: Expanding Access to Biologics

The introduction of biosimilars has played a pivotal role in increasing access to biologic treatments for RA. Biosimilars are highly similar versions of approved biologics, offering cost-effective alternatives. They have the potential to reduce the financial burden of RA treatment, making these life-changing medications more accessible to a broader range of patients.

Combination Therapies and Multidisciplinary Care

Rheumatologists are increasingly exploring combination therapies, which involve using two or more medications with different mechanisms of action. This approach can enhance treatment efficacy while minimizing side effects. Moreover, multidisciplinary care, including physical therapy, occupational therapy, and psychological support, plays a crucial role in improving the overall well-being of RA patients.

Conclusion

Advancements in rheumatoid arthritis treatment have transformed the landscape of care for patients living with this debilitating disease. Biologics, JAK inhibitors, personalized medicine, early intervention, biosimilars, and holistic treatment approaches have revolutionized RA management, offering patients hope for a brighter and less painful future. As research continues to push the boundaries of RA treatment, there is optimism that even more groundbreaking therapies are on the horizon, further enhancing the lives of those affected by this condition.

About Best Rheumatologist in Pune

Dr. Laxmi Waprani after completing her post-graduation worked for 2years in cardiology & Critical Care before finally moving to Rheumatology. Dr. Laxmi had a deep interest in rheumatology which went on to become her passion. Dr. Laxmi had the privilege of training for almost 3 years under internationally acclaimed rheumatologist Dr. Milind Aurangabadkar. Dr. Laxmi believes in keeping her professional knowledge & skills up to date. She keeps on doing various courses in Rheumatology. She had done post-graduate certification course in Rheumatic Diseases. Dr. Laxmi believes in educating the patient regarding his or her disease & involves patients in making decisions about their treatment.

[dr-nilesh-patil]

[kalpataruayurvediyachikitsalaya]

Natural relief from RheumatoidArthritis using the ancient wisdom of Ayurveda. Harness the power of Ayurvedic remedies to tame inflammation, reduce pain, and improve your overall well-being. Experience the power of ancient healing techniques to find relief and enhance your overall well-being.

[healtheverywhere786]

Rheumatoid Arthritis (RA) is a chronic autoimmune disease that primarily affects the joints. In this condition, the body's immune system mistakenly attacks its own tissues, causing inflammation and damage to the lining of the joints, known as the synovium. RA commonly affects the joints in the hands, wrists, feet, ankles, and knees, but it can also involve other organs and systems in the body. Read More about Rheumatoid Arthritis, Visit the Blogger link 

[thebibliosphere]

oooph the eds diagnosis issues. i have freaky flexible hands, ive had every type of tendonitis u can think of, i rolled my ankles so often in highschool xc it was a running joke, my knees bend 4 different ways instead of 1, and i can do terrible things to my rotater cuffs while asleep on a good mattress. people say ohhh have u heard of eds because that's what that sounds like. and then i go to rheumatologists and they call me a liar. blegh i hate my amorphous unidentified chronic problem.

I’ve told this story before and this is by no means indicative of all rheumatologists—there are some absolutely astounding ones who’d move heaven and earth for their patients. But we had a family member a few years back who was a renowned specialist in his field. Brain surgeon. Highly sought after.

Anyway. He had a heart attack that left him dead for quite a bit before they managed to revive him. Several weeks later, when he was able to talk again, he asked his wife how long he’d been dead and she told him. And he knew this meant he’d be left with severe cognitive and physical impairments. Bad enough that he’d never be able to perform surgery again. After a pause he reportedly sighed and said, “Well, at least I can still be a rheumatologist.”

In all seriousness, the reason rheumatologists are so bad with things like Ehlers Danlos Syndrome is because EDS isn’t a rheumatoid affliction.

We just get thrown to them as a last resort because geneticists are in such short supply and no one else knows what the hell to do with us. So it's really not their fault, but at the same time their lack of knowledge is doing serious harm to people with EDS and those seeking a diagnosis.

I mean, hell. The last one I saw told me I wasn’t tall enough to have EDS and keeps challenging my diagnosis because “ehlers danlos doesn’t cause pain”. Like Wtf?

[carnage-scissors]

What does one exactly need to do to get a wheelchair?

My spouse has rheumatoid and osteoarthritis. Their knees are getting weaker and damaged from the condition as well as their hips. They want to be able to get out and do more things, but the pain is limiting them so I want to know what we can do to help them get a... Referal? (Is that what it would be?) For a wheelchair. I have suggested they have an indepth conversation with their rheumatologist about it which will be in 2 weeks. They also see a pain specialist. Should that be brought up with that doctor as well?

[thedisablednaturalist]

If you have mysterious chronic pain and have the means, here's a list of doctors you should see other than your primary and a rheumatologist:

Neurologist and/or sleep specialist

Pain management doctor (also sometimes called pain and spine doctor)

Therapist that specializes in helping physically disabled people (having chronic illness sucks and you need someone to talk to)

Psychiatrist (most people with chronic illness also need psychiatric meds)

Physical therapy or rehabilitation center that specifically has procedures for chronic illnesses. My chiropractor acts as this for me but I'd only recommend that as a last resort. If you have something like fibromyalgia or ehler dahlos syndrome you need to be very careful with how you stretch and how much exercise you do. My chiropractor has special exercise equipment that is very gentle and has a lot of padding to reduce pain.

ENT (Ears, nose, throat doctor)

Nutritionist

A primary care doctor will at most only perform blood tests. Many illnesses do not show up on these blood tests. You want to get checked for rheumatoid arthritis, lyme disease, and lupus. Even if your doctor tells you it's because your vitamin d level or iron is too low, I would still recommend further testing.

They'll most likely refer you to a rheumatologist regardless, but unless you actually have arthritis I wouldn't rely on them too much. Mine charged too much for a 10 minute appointment where all she did was give me meds and would not discuss any other treatment or management options. She also laughed at me when I asked about a mobility device. It might just be I had a bad experience but it seems like those doctors are just given chronic illness patients cause no one else wants them.

You need to get your spine looked at. An MRI is essential. At the very least get an xray of your neck and spine. A neurologist or pain + spine doctor will most likely order one.

Neurologists will check your nerves and brain function. They'll check if your nerves are overly sensitive or unresponsive. You'll get stabbed and shocked a lot.

Pain and spine doctors are the ones who will give you pain medicine. It will not be immediate. They will need to examine you (MRI) and try other medications and treatments first. This is because insurance is not going to pay for stronger drugs until you've exhausted other options. You'll most likely start with something like duloxotine, gabapentin, prescription NSAIDs, and/or muscle relaxers. Once my results came in from the MRI I was given steroid shots in my spine. They will give them in different spots first to see which spot is most effective, so don't worry if it only works one time and not the others. I cannot stress the importance of having this type of doctor on your care team. Being able to have the power to manage my pain has helped so much. This is also the doctor that signed my form for my handicapped parking permit.

Sleep studies are expensive, but sleep is extremely important for your quality of life. So many people have sleep apnea and don't know it. CPAP machines today are really quiet and comfortable. This will be essential for tackling chronic fatigue.

An ENT doctor is only if you end up having sleep apnea or have any issues with your sinuses. I had to go and get my nose fixed because even with my cpap I still wasn't getting enough air.

You need to have some way of moving your body. Only do this after you are already on a treatment plan. It's hard to do things like exercise when you are still dealing with pain and fatigue. Doctors will want you to do physical therapy first but that's not a good idea because you won't stick with it due to pain. You need to deal with the underlying problems before working on stuff like exercise and nutrition. Able bodied young people who don't exercise and don't eat well are not in constant pain, so you shouldn't be either. If they tell you to lose weight drop the doctor, that's a cop out response.

I haven't reached the step to get a nutritionist, but changing what foods you eat and when can really help with pain management. You also may find that something you eat is exacerbating your symptoms.

With my insurance plan I can pretty much call up a doctor and make an appointment without a referral. I know some plans need referrals, so either call your insurance for one or get your primary care doctor to give you one. Idk how this works for medicare but I think you can just make an appointment with anyone who takes medicare.

I have not been able to obtain a script for a mobility device from any of my doctors. If you have a type of doctor you'd recommend for that please chime in. I've heard occupational therapists are the way to go though but still need to look into that myself.

Also do not feel bad if you cannot afford these. It is not your fault. Healthcare especially in the USA fucking sucks. This is mostly only useful for people who are in the investigative stage who have insurance. I'm not saying "oh just do yoga". Your pain is not your fault, and it can take a long time to figure out a plan that's right for you. I didn't know what doctors I was supposed to see when I started out, and was just given to a rheumatologist since there isn't a fibromyalgia doctor. I only had blood tests at that point. Hopefully this helps people save time and make sure they can fully investigate the cause of their pain (or at least how to manage it better)

[anexperimentallife]

Dude, not only have I been sick with this respiratory infection since Oct 9 (2023), but since I moved to the Philippines (in large part to make my disability payments stretch further), I've had covid three times, pneumonia three times, my right retina partially detached from a clot (might need surgery), a cataract starting in my other eye, one side of my face temporarily paralyzed by blood clots (one eye still droops sometimes), had a two year foot infection that took surgery and an infectious disease specialist to clear up (and I need another surgery there), and I don't even know how many other miscellaneous respiratory infections. Oh, yeah, and covid apparently also damaged my heart.

That's on top of the literal hole in my throat that's growing (and in which meds frequently get stuck), my upper spine injury and related nerve damage, my traumatic brain injury, various lingering issues from the 80s when I was a Cold War soldier, my lower spine injury, osteo- AND rheumatoid arthritis, autism, adhd, bipolar disorder, and probably some things I'm forgetting because brain fog and the aforementioned other brain wonkiness.

When I came here after the deaths of my adult sons and a bad break-up that resulted in my ex trashing all my most precious mementos--including pictures of my dead sons--I admit I was kinda just waiting to die.

But then @thesurestthing slid into my dms, told me she was going to be my gf, and persisted until I caved (best argument I ever lost, btw), so now I have a wonderful wife, and a daughter I desperately need to stay alive for. I need to be there for my daughter while she grows up. (She'll be three in March, and I've been sick for nearly half of her life so far.)

This all means that despite not wanting to, we NEED to move back to the US ASAP, so I can use my Medicare and VA benefits, because even with the low cost of medical care here in SE Asia, we can't afford all the care I need. (Yeah, we set May as a target, but the sooner the better.)

I'm not afraid of death, but I am TERRIFIED of leaving my little girl without her daddy.

So yeah, if you'd like to help us get back to the US so I can like, stay alive to see my daughter grow up, please see this post. Thank you.

[laxmiwaprani]

Understanding Rheumatoid Arthritis: Causes, Symptoms, and Treatment

Introduction:

Rheumatoid arthritis (RA) is a chronic autoimmune disorder that primarily affects the joints, causing inflammation, pain, and swelling. It is one of the most common types of arthritis and can lead to significant disability if not managed effectively. This article will delve into the causes, symptoms, and treatment options for rheumatoid arthritis, shedding light on this debilitating condition.

Causes of Rheumatoid Arthritis:

The exact cause of rheumatoid arthritis remains unclear, but it is believed to result from a combination of genetic and environmental factors. Genetic predisposition plays a significant role, as certain genes increase the likelihood of developing RA. Environmental factors, such as smoking and exposure to certain infections, may trigger the immune system to attack the body's tissues, leading to joint inflammation.

Symptoms of Rheumatoid Arthritis:

The hallmark symptom of rheumatoid arthritis is joint pain and stiffness, often affecting multiple joints symmetrically. The most commonly affected areas include the hands, wrists, knees, and feet. RA-related pain is usually more intense in the mornings or after periods of inactivity.

Other common symptoms of RA include:

Swelling and tenderness around the affected joints.

Fatigue and general weakness.

Loss of appetite and weight loss.

Development of rheumatoid nodules (firm lumps) under the skin.

Joint deformity and limited range of motion as the disease progresses.

Diagnosis of Rheumatoid Arthritis:

Diagnosing rheumatoid arthritis requires a comprehensive evaluation of the patient's medical history, physical examination, and various diagnostic tests. Blood tests, such as rheumatoid factor (RF) and anti-cyclic citrullinated peptide (anti-CCP) antibodies, are commonly used to detect markers associated with RA. Imaging techniques like X-rays, ultrasounds, and magnetic resonance imaging (MRI) may help assess joint damage and inflammation.

Treatment Options for Rheumatoid Arthritis:

The management of rheumatoid arthritis aims to control inflammation, relieve pain, improve joint function, and prevent further joint damage. The treatment approach typically involves a combination of the following:

a. Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation. Disease-modifying antirheumatic drugs (DMARDs), such as methotrexate and sulfasalazine, are used to slow down the progression of RA and preserve joint function. Biologic DMARDs, like tumor necrosis factor (TNF) inhibitors, target specific components of the immune system to alleviate inflammation.

b. Physical Therapy: Engaging in specific exercises and physical therapy can help strengthen muscles around the affected joints, enhance flexibility, and improve overall function.

c. Lifestyle Modifications: Maintaining a healthy lifestyle can positively impact RA management. Adequate rest, regular exercise, and a balanced diet can help alleviate symptoms and improve overall well-being.

d. Assistive Devices: The use of assistive devices, such as braces or splints, can support affected joints and reduce strain during daily activities.

Future Prospects:

Medical research is continually advancing, and newer treatment options for rheumatoid arthritis are being developed. Scientists are exploring novel therapies that target specific immune pathways involved in RA, potentially providing more effective and targeted treatment options for patients.

Conclusion:

Rheumatoid arthritis is a chronic autoimmune disease that affects millions of people worldwide. Early diagnosis and appropriate management are crucial to controlling symptoms, preventing joint damage, and improving the quality of life for those living with RA. By staying informed and working closely with healthcare professionals, individuals with rheumatoid arthritis can better manage their condition and lead fulfilling lives.

Dr. Laxmi Waprani after completing her post-graduation worked for 2years in cardiology & Critical Care before finally moving to Rheumatology.

Dr. Laxmi had a deep interest in rheumatology which went on to become her passion.

Dr. Laxmi had the privilege of training for almost 3 years under internationally acclaimed rheumatologist Dr. Milind Aurangabadkar.

Dr. Laxmi believes in keeping her professional knowledge & skills up to date. She keeps on doing various courses in Rheumatology. She had done a post-graduate certification course in Rheumatic Diseases.

Dr. Laxmi believes in educating the patient regarding his or her disease & involves patients in making decisions about their treatment.