Rheumatoid Arthritis

Rheumatology

Synopsis

This is a branch of healthcare science catering to immune-mediated abnormalities of the soft tissues, vasculitis, connective tissue disorders, musculoskeletal system, and autoimmune diseases. This particular field involves a thorough practice and study of medical immunology. A Rheumatologist backs his treatment plan for the diseases which sometimes can even be fatal, with exhaustive research and medical evidence. The diseases treated include arthritis, pain disorders affecting joints, autoimmune diseases, and osteoporosis. There are over 200 categories of these diseases namely rheumatoid arthritis, osteoarthritis, gout, lupus, back pain, osteoporosis, and tendinitis. Some of these diseases can result in serious consequences and might even be hard to detect and diagnose. This department’s common visitors are athletes, as they frequently suffer from musculoskeletal and soft tissue disorders.

Department:

The most common Rheumatism treatment plans are driven by medicine. Most diseases are diagnosed with analgesics, steroids in critical cases, NSAIDs (nonsteroidal anti-inflammatory drugs), DMARDs ((disease-modifying anti-rheumatic drugs), monoclonal antibodies like adalimumab and infliximab. This field is mostly aided by Physiology as the patient’s body movements are an integral part of this branch. Occupational therapies are useful for patients who want to find alternate means for common movements which might have been affected by the disease. Those suffering from rheumatoid arthritis would require a treatment regime that focuses on a long term, well-coordinated team effort towards the examination and management of the patients. In this department, there is no fixed treatment plan, the treatment plans suggested by the doctor will heavily be decided based on the response and tolerability of the patients towards the medication, and hence, the treatment plan has to be tailored to each patient and their requirements.

Diseases commonly diagnosed include:

  • Degenerative arthropathies
  • Septic arthritis
  • Osteoarthritis
  • Crystal arthropathies: gout, pseudogout
  • Inflammatory arthropathies
  • Juvenile Idiopathic Arthritis (JIA)
  • Rheumatoid arthritis
  • Psoriatic arthropathy
  • Spondyloarthropathies
  • Ankylosing spondylitis
  • Enteropathic arthropathy
  • Reactive arthritis (reactive arthropathy)
  • Connective tissue diseases and Systemic conditions:

    • Lupus
    • Hereditary periodic fever syndromes
    • Ehlers-Danlos syndrome
    • Buerger's disease (thromboangiitis obliterans)
    • Sjögren's syndrome
    • Kawasaki's disease (mucocutaneous lymph node syndrome)
    • Scleroderma (systemic sclerosis)
    • Behçet's syndrome
    • Henoch–Schönlein purpura
    • Polymyositis
    • Takayasu's arteritis
    • Granulomatosis with polyangiitis (formerly known as Wegener's granulomatosis)
    • Eosinophilic granulomatosis with polyangiitis (formerly known as Churg–Strauss Syndrome)
    • Dermatomyositis
    • Polymyalgia rheumatica
    • Giant cell arteritis, Temporal arteritis
    • Serum sickness
    • Mixed connective tissue disease
    • Polyarteritis nodosa
    • Microscopic polyangiitis
    • Vasculitis
    • Relapsing polychondritis
    • Adult-onset Still's disease
    • Sarcoidosis
    • Fibromyalgia
    • Myofascial pain syndrome

    Physical examination:

    • Schober's test tests the flexion of the lower back.
    • Multiple joint inspection
    • Musculoskeletal Examination
    • Screening Musculoskeletal Exam (SMSE)
    • General Musculoskeletal Exam (GMSE)
    • Regional Musculoskeletal Exam (RMSE)

    Specialized:

    • Laboratory examinations -, Rheumatoid Factor, ANA (Antinuclear Antibody), Erythrocyte Sedimentation Rate, Anti-CCP (Anti-citrullinated protein antibody)
    • X-rays, and Ultrasounds
    • Cytopathology and chemical pathology

    Rheumasurgery:

    Also known as Rheumatoid Surgery, Rheumasurgery is a discipline within Orthopedics dealing with the surgical cure of patients suffering from rheumatic disorders, and rheumatism. The intent of a Rheumasurgeon is to improve patient function, limit disease growth, and ease pain. A Rheumasurgical intervention can be classified into two cases - Early Synovectomies and Corrective Intervention.

    Early Synovectomies:

    This process involves the removal of the inflamed synovia to limit the growth and destruction

    Corrective Intervention:

    This procedure essentially comes in after a damage has been caused. Corrective Interventions include repositioning of joints, removal of loose bone, cartilage fragments and joint replacement.

    Research directions:

    Currently autoimmune disease and its causes are a field much researched upon. A newly emerging field known as Osteoimmunology enhances the scope of further examining the interactions between the immune mechanism, bones, and joints. Medication trials and epidemiological research are being performed to explore new possibilities. Research on clinical trials and biologics have furthered the potential for curing arthritic disorders.

    Rheumatology vs Immunology:

    While this department speciality lies in curing patients with musculoskeletal disorders, Immunologists treat people for allergies. An ideal day would be spent in treating patients while an Immunologist’s day majorly surrounds research and a lot of study regarding specific treatments, medication etcetera.

    Services:

    The department at Aster Hospitals is a sub-specialty devoted to the diagnosis and therapy of rheumatism. The department deals mainly with clinical problems involving joints, soft tissues, autoimmune diseases, vasculitis, and heritable connective tissue disorders.

    Why choose Aster Hospitals?

    A rapidly growing name in healthcare, Aster Hospitals is known for its pioneering advanced healthcare in multiple spheres. Never content to rest on its laurels, Aster is constantly seeking opportunities to set new yardsticks with advanced developments. With many more innovative and ambitious initiatives, Aster Hospitals have radically catalyzed the healthcare revolution across the Middle East, India and the Far East. With one of the world's best Rheumatology care, Aster is a symbol of distinction when it comes to quality healthcare and reliable diagnostics. If you are experiencing rheumatism symptoms then look no further than Aster Hospitals. Offering a wide range of healthcare services, Aster Hospitals boasts of a diverse team of highly-skilled healthcare professionals and medical infrastructure capable of end-to-end disease detection and cure. Present in 9 countries and spreading rapidly, Aster Hospitals commitment to a healthier, happier world lives and breathes in the services they provide and in the way they provide it.