Rheumatology in Thane

Conducting a thorough physical examination is pivotal in commencing a tailored treatment plan. This crucial step encompasses a comprehensive evaluation of the patient's overall physical well-being. This entails examining the pulse, listening attentively to the heartbeats and lungs, and scrutinizing for any signs of swollen lymph nodes. Additionally, a meticulous examination of the affected limb and joints is undertaken to gauge the extent of inflammation, assess the range of motion, and evaluate overall functionality. This meticulous clinical assessment serves as the foundation for crafting a personalized and effective treatment protocol.

Understanding your health journey is vital for making informed clinical decisions. Examining your medical history helps us grasp your current health and identify genetic risks. This review guides effective healthcare strategies, ensuring a holistic approach to your well-being by addressing immediate concerns and potential genetic risks.

Conducting tests and screenings is pivotal in pinpointing the underlying issue and assessing its extent. This information is crucial for devising an effective treatment plan.

Blood Tests:

• CBC
• ESR
• CRP
• Liver and renal function test
• Urine examination

Special Immunological Tests:

• Rheumatoid factor
• Anti-CCP antibody
• ANA (AntiNuclear Antibody)
• ANCA
• ANA Profile
• C3
• C4

Imaging Tests:

These procedures utilize various forms of energy to provide detailed internal images.

• X-ray: High-energy radiations
• Ultrasound: High-energy sound waves
• MRI (Magnetic Resonance Imaging) scan: High-intensity magnetic waves
• CT scan: High-intensity radiations

These diagnostic measures play a critical role in understanding the root cause and extent of the issue, laying the foundation for a tailored and effective treatment protocol.

Our team, comprising renowned rheumatologists, offers a comprehensive range of surgical and non-surgical treatments for various rheumatologic disorders. Here's an overview of some conditions and the treatments we provide:

Osteoarthritis:

• Diagnosis:
  • Imaging tests (X-rays and MRI)
  • Blood tests
  • Joint fluid analysis
• Treatments:
  • Non-surgical: Oral or topical painkillers, Acetaminophen, Duloxetine, NSAIDs
  • Surgical: Cortisone injections, lubrication injections, surgical realignment, joint replacement

Rheumatoid Arthritis (RA):

• Diagnosis:
  • Blood tests (ESR, CRP, anti-CCP antibodies)
  • Imaging tests (X-rays and MRI)
• Treatments:
  • Non-surgical: NSAIDs, steroids, DMARDs, biologics
  • Surgical: Synovectomy, tendon repair, joint fusion, total joint replacement
  • Therapeutic: Occupational therapies, assistive devices

Systemic Lupus Erythematosus (SLE):

• Diagnosis:
  • Blood tests (CBC, ESR, kidney and liver assessment, urinalysis, ANA, C3, C4)
  • Imaging (Chest X-ray, echocardiogram)
  • Biopsy of kidney or skin
• Treatments:
  • Medications: NSAIDs, antimalarial drugs, corticosteroids, immunosuppressants, biologics
  • Lifestyle modification: Comprehensive guidance from specialists

Takayasu Arteritis:

• Diagnosis:
  • Blood tests (CBC, ESR, CRP)
  • Imaging (CT or MRI, angiography, PET CT Scan)
• Treatment:
  • Corticosteroids, DMARDs, Biologic therapy

Spondyloarthropathies:

• Diagnosis:
  • Physical examination
  • Imaging tests (X-ray and MRI)
  • Blood test for HLA-B27 gene
• Treatments:
  • Medication: NSAIDs, corticosteroid injections, DMARDs, TNF blockers, IL-17A blockers

Sjogren’s Syndrome:

• Diagnosis:
  • Blood tests, eye tests, sialogram, salivary scintigraphy
• Treatments:
  • Medication: Artificial saliva, tears, eye drops, NSAIDs, DMARDs
  • Surgical: Punctal occlusion

Gout:

• Diagnosis:
  • Joint fluid test, blood test, X-ray, ultrasound, dual-energy CT scan
• Treatments:
  • Medication: NSAIDs, colchicine, corticosteroids, uric acid-lowering therapies
  • Dietary and lifestyle modifications

Scleroderma:

• Diagnosis:
  • Physical examination, blood tests, imaging
• Treatments:
  • Non-surgical: Oral medicines, ointments to suppress the immune system, dilation of blood vessels
  • Surgical: Amputation, lung transplant
  • Therapeutic: Physical and occupational

Osteoporosis:

• Diagnosis:
  • Blood tests (calcium, phosphorus, alkaline phosphatase, Vit. D, TSH)
  • Imaging (DEXA Scan)
• Treatments:
  • Medication: Calcium and Vit. D supplements, bisphosphonates, drugs like denosumab, teriparatide
  • Physical therapy

Infectious Arthritis (Septic Arthritis):

• Diagnosis:
  • Joint fluid analysis, blood tests, imaging
• Treatments:
  • IV and oral antibiotics
  • Minimally invasive treatment: Joint drainage using a needle or arthroscopy
  • Conventional treatment: Joint drainage via open surgery

Juvenile Idiopathic Arthritis:

• Diagnosis:
  • Blood tests (ESR, CRP, anti-nuclear antibody, rheumatoid factor, CCP)
  • Imaging tests (X-rays, MRI)
• Treatments:
  • Medication: NSAIDs, DMARDs, biologics, corticosteroids
  • Surgical: Surgical relocation of joints
  • Therapeutic: Physical and occupational therapies

Polymyalgia Rheumatica:

• Diagnosis:
  • Blood tests (CBC, ESR, CRP)
  • Imaging (MRI)
• Treatments:
  • Medication: Corticosteroids, Methotrexate, calcium, and vitamin D supplements
  • Therapeutic: Physical therapy

Affecting individuals aged 65 and above, Giant Cell Arteritis is an inflammatory disorder characterized by headaches and sudden vision loss if not promptly treated. It can be associated with polymyalgia rheumatica.

Diagnosis and Treatment: Similar to that of polymyalgia rheumatica.

Post Viral/Post-Chikungunya Arthritis: This condition can affect any age group and is marked by chronic joint pains following dengue/Chikungunya fever.

Diagnosis: Blood tests, including CBC, ESR, CRP.

Imaging: TLT (not specified)

Medications:

• NSAIDs
• Corticosteroids
• DMARDs like Methotrexate

Other Treatments: Physical therapy