Rheumatology in Indore

Embarking on a tailored treatment plan commences with a comprehensive health evaluation. This crucial stage involves a thorough assessment of the patient's overall well-being, encompassing pulse, heartbeats, lungs, and scrutiny for swollen lymph nodes. The meticulous examination of affected limbs and joints provides valuable insights into inflammation, range of motion, and overall functionality. This exhaustive clinical assessment serves as the foundation for crafting a personalized and effective treatment protocol.

Vital for informed clinical decisions, gaining insight into your health journey is the bedrock of our medical approach. Scrutinizing your medical history allows us to grasp your current health status and pinpoint potential genetic risks. This in-depth review steers healthcare strategies, ensuring a holistic approach to well-being by addressing immediate concerns and potential genetic predispositions.

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)
• HLA B27
• 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, Nutraceuticals
• Minor procedures: Cortisone injections, lubrication injections, surgical realignment, joint replacement

Rheumatoid Arthritis (RA):

• Diagnosis:
• Blood tests (ESR, CRP, anti-CCP antibodies, RA factor)
• Imaging tests (X-rays and MRI)
• Treatments:
• Non-surgical: NSAIDs, steroids, DMARDs, biologics
• Therapeutic: Occupational therapies, assistive devices

Systemic Lupus Erythematosus (SLE):

• Diagnosis:
• Blood tests (CBC, ESR, kidney and liver assessment, urinalysis, ANA, C3, C4, ANA profile)
• 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)
• Treatments:
• 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 and, sialogram
• Treatments:
• Medication: Artificial saliva, tears, eye drops, NSAIDs, DMARDs

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, immunosuppressants, oral vasodilators and ointments
• Therapeutic: Physical and occupational

Osteoporosis:

• Diagnosis:
• Blood tests (calcium, phosphorus, alkaline phosphatase, Vit. D, TSH)
• 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

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
• 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 and Hydroxychloroquine
• Other Treatments: Physical therapy

Vasculitis refers to a collection of disorders marked by inflammation in the blood vessels, potentially impacting several organs such as the skin, kidneys, lungs, and joints.

Diagnosis:

• Blood tests including C ANCA and P-ANCA
• Imaging: HRCT Chest, MRI

Treatment:

• Corticosteroids
• Immunosuppressants
• Biologic agents