Rheumatology

Diagnosis and Treatment of Rheumatic Diseases

A rheumatologist is a specialist doctor who diagnoses and treats diseases of the joints, muscles, and ligaments, such as arthritis and autoimmune diseases. The diseases they commonly deal with are often complex and chronic in nature, requiring ongoing management and treatment. These conditions often affect not just the joints but other organs of the body as well and can have systemic effects.

This specialty requires an extensive understanding of the immune system, as many rheumatic diseases are autoimmune or inflammatory in nature. Common diseases that a rheumatologist may handle include rheumatoid arthritis, lupus, gout, osteoarthritis, and fibromyalgia, among others.

Rheumatic Conditions Treated At Millennium Physicians

Ankylosing Spondylitis
Antiphospholipid Antibody Syndrome
Behcet’s Disease
Bursitis
Carpal Tunnel Syndrome
Crohn’s Disease/Ulcerative Colitis related arthritis
Crystal induced arthritis – gout/pseudo-gout/CPPD
Dermatomyositis
Epicondylitis – medial/lateral
Familial Mediterranean Fever
Giant Cell Arteritis
Gout
IgG4-Related Disease

Infection related inflammatory arthritis
Inflammatory Bowel Disease related arthritis
Inflammatory myositis
Juvenile Idiopathic Arthritis
Lupus
Mixed Connective Tissue Disease
Osteoarthritis
Osteopenia
Osteoporosis
Paget’s Disease of the Bone
Periodic Fever Syndromes
Polymyalgia Rheumatica
Polymyositis

Psoriatic Arthritis
Raynaud’s Phenomenon
Reactive Arthritis
Reiter’s Syndrome
Rheumatoid Arthritis
Rotator cuff disorders
Sarcoidosis
Scleroderma
Sjogren’s Syndrome
Spondyloarthritis
Takayasu’s Arteritis
Tendinitis
Vasculitis

**If your condition is not listed please consult with us to determine if our rheumatology team can see you or triage you to the specific physician**

When should I see a rheumatologist?

Everyone experiences muscle and joint pain from time to time. When the muscle and joint pain is not resolving as one would expect, additional evaluation may be needed. Typically, the primary care physician is seen for the first evaluation. If there is concern for an underlying rheumatic condition, he/she will refer you to rheumatology for evaluation.

Earlier referral should be made if you have relatives with autoimmune or rheumatic disease (as these conditions run in families) or if the symptoms are significantly worsening over a short period of time. Some of the signs and symptoms can improve or temporarily resolve when initially treated but can return once the medication is stopped. If the symptoms continue to return, a rheumatology evaluation may be needed. Although treatment should not be delayed while awaiting a rheumatology appointment, certain medications can improve symptoms and make a diagnosis more difficult.

Joint damage can occur if the symptoms of joint pain are ignored or not treated properly over a period of time. This damage cannot always be reversed with treatment and may be permanent. Do not delay appropriate evaluation.

What should I expect for my first rheumatology visit?

Rheumatic diseases are sometimes complex in nature and difficult to diagnose, so rheumatologists will gather a complete medical history and perform a physical exam to look for signs and symptoms of inflammation throughout the entire body and musculoskeletal system. A family history can be very important to diagnosis of rheumatic disease and will also be assessed.

The rheumatologist will review the results of any prior testing that has been performed on a patient and may order additional laboratory tests to assess inflammation and/or extra antibody production within the bloodstream and order radiographic testing (X-ray, ultrasound, CT scan or MRI) to assess for musculoskeletal abnormalities.

All of these results will be combined to determine the source of a patient’s symptoms and develop a personalized treatment plan. Treatment recommendations may include medications, referral to physical therapy, referral to other specialists, or joint/tendon injections. Some rheumatic diseases can be difficult to diagnose and may require several visits for the rheumatologist to fully understand the underlying process.

During follow-up appointments, rheumatologists may treat reoccurring conditions or talk with patients about medications, coping mechanisms, techniques for preventing disability or regaining function, and ways to improve their quality of life.

What should I bring to my first rheumatology visit?

Please bring the following to your first rheumatology visit:

Any previous lab and/or radiographic X-ray/ultrasound/MRI tests results for review (medical records are typically sent by the referring physician, but occasionally – despite best intentions – are not present. Sometimes tests need to be repeated to confirm the result)
An up-to-date medication list with the specific dosages you are taking (include a list of medications you have already tried to reduce duplication of prior treatments)
A list of allergies to medications
Your family history, including any known relatives with rheumatologic/autoimmune disease

Source: rheumatology.org