One of the most crucial elements in starting a personalised treatment plan is a physical assessment. It entails assessing the patient's overall physical health, which includes checking the pulse, listening to the heartbeats and lungs, and looking for swollen lymph nodes, as well as a detailed examination of the affected limb and joints to assess the intensity of inflammation, range of motion, and function.

This is essential to making an effective clinical decision because it helps physicians understand what is happening with your health and determine your genetic susceptibility to certain health problems.

These are essential for determining the problem's primary cause and the extent of its spread, both of which are necessary for developing an effective treatment plan. Blood test including CBC, ESR, CRP, liver and renal function tests, and urine analysis.
Rheumatoid factor-specific immunological assays. ANA(AntiNuclear Antibody), ANCA, ANA Profile, C3, C4
Using a variety of forms of energy, imaging tests aid to produce detailed images of internal body regions.

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

Our team of specialists, which includes renowned and highly-respected rheumatologists, provides surgical as well as non-surgical therapies for a wide range of rheumatologic conditions, some of which are listed below:

Osteoarthritis-Is a degenerative illness characterised by joint and bone degradation, resulting in stiffness, inflammation, and excruciating pain.

• Diagnosis
  1. Imaging tests like X-rays and MRI
  2. Blood tests
  3. Joint fluid analysis

• Treatments offered
  1. Non-surgical - Prescribing oral or topical pain killers and anti-inflammatory drugs like Acetaminophen, Duloxetine and NSAIDs
  2. Surgical - Cortisone injections, lubrication injections, surgical realignment of bones, joint replacement (both conventional and arthroscopic), etc.
  3. Therapeutic -Physical as well as occupational therapy

Rheumatoid Arthritis (RA)-

• Diagnosis
  1. Erythrocyte sedimentation rate
  2. C-reactive protein
  3. Blood test for anti-cyclic citrullinated peptide (anti-CCP) antibodies
  4. Imaging tests like X-rays and MRI

• Treatments offered-
  1. Non-surgical-NSAIDs, steroids, DMARDs and biologic response modifiers.
  2. Surgical-Synovectomy, tendon repair, joint fusion, total joint replacement etc.
  3. Therapeutic-occupational therapies and use of assistive devices.

• Diagnosis
  1. Blood test for CBC
  2. Erythrocyte sedimentation rate
  3. Kidney and liver assessment
  4. Urinalysis
  5. Antinuclear antibody (ANA) test ANA Profile, C3, C4
  6. Chest X-ray
  7. Echocardiogram
  8. Biopsy of Kidney or Skin

• Treatments offered-
  1. Medicines- NSAIDs, Antimalarial drugs, Corticosteroids, Immunosuppressant drugs, Biologics.
  2. Lifestyle modification- Comprehensive assistance and guidance from our specialists

Takayasu Arteritis - Blood vessel constriction of the arms and brains, primarily observed in adolescent women.

• Diagnosis - Blood test - CBC, ESR, CRP etc.
•  Imaging - CT or MRI, angiography, PET CT Scan
• Treatment - corticosteroids, DMARD, Biologic theropy

Spondyloarthropathies- It is a catch-all name for a group of chronic joint illnesses that can affect both adults and children. Ankylosing spondylitis (AS) and psoriatic arthritis (PsA) are two examples of inflammatory bowel disease-related arthritis.

• Diagnosis-
  1. Physical examination
  2. Imaging tests like X-ray and MRI
  3. Blood test for HLA-B27 gene

• Treatments offered-
  1. Medication- NSAIDs,Corticosteroid injections, DMARDs and Tumour necrosis alpha blockers. IL-17A blocker (BIologis)

Sjogren’s Syndrome-an autoimmune disorder in which the individual's immune system begins to target the salivary and tear glands, causing symptoms such as dry mouth and dry eyes.

• Diagnosis-
  1. Blood tests to determine the presence of antibodies,
  2. Eye tests
  3. Sailogram
  4. Salivary scintigraphy

• Treatments offered-
  1. Medication and other options- artificial saliva, artificial tears, eye drops, moisture chamber spectacles, expectorants, throat medication, NSAIDs, DMARDs, antifungal medication, eye serums etc.
  2. Surgical- Punctual occlusion.

Gout-Gout, a member of the arthritis family, is an inflammatory illness caused by high amounts of uric acid in the blood.

• Diagnosis-
  1. Joint-fluid test
  2. Blood test
  3. X-ray imaging
  4. Ultrasound
  5. Dual energy CT scan

• Treatments offered-
  1. Medication-NSAIDs, Colchicine, corticosteroids etc.Uric acid lowerite therapies
  2. Healthy dietary and lifestyle modifications: personalised diet plans and counselling.

Scleroderma-Also known as systemic sclerosis, it is a rare connective tissue disease characterised by skin hardening and constriction that can affect other organs such as the lungs, heart, and blood vessels.

• Diagnosis-
  1. Physical examination
  2. Blood tests
  3. Imaging tests

• Treatments offered-
  1. Non-surgical-Oral medicines and ointments to supress immune system, dilate blood vessels, reduce symptoms, relieve pain and treat skin and other organ involvement.
  2. Surgical-Amputation and lung transplant.
  3. Therapeutic- Physical and occupational

Osteoporosis -Weakening of bones makes them more prone to fracture. Typically prevalent in postmenopausal women or older men.

• Diagnosis - Blood tests- Calcium, phosporus, Alkalin phosphetes, Vit. D, TSH test
• Imaging - DEXA Scan
• Medication

1. Calcium and Vit. D supplements, Prisphosphanates, Lower druges like denosumab, teriperatide
2. Physical Theropy

Infectious Arthritis-This condition, also known as septic arthritis, is characterised by a severe bacterial or viral infection in the joints or joint secretions.

• Diagnosis-
  1. Joint fluid analysis
  2. Blood tests
  3. Imaging tests

• Treatments offered - IV and oral antibiotics
  1. Minimally invasive-joint drainage using a needle or using arthroscopy.
  2. Conventional-joint drainage via open surgery.

Juvenile Idiopathic Arthritis-Previously known as Juvenile rheumatoid arthritis, it is the most prevalent kind of arthritis diagnosed in children under the age of 16 and is characterised by chronic joint pain and inflammation.

• Diagnosis-
  1. Blood tests for erythrocyte sedimentation rate (ESR), C-reactive protein, anti-nuclear antibody, rheumatoid factor and CCP.
  2. Image tests like X-rays and MRI.

• Treatments offered
  1. Medication-NSAIDs, DMARDs, biologic agents, corticosteroids etc.
  2. Surgical- Surgical relocation of joints
  3. Therapeutic- Physical and occupational therapies.

Polymyalgia Rheumatica-Polymyalgia rheumatica is an inflammatory disorder characterised by muscle pain and stiffness, particularly in the shoulder and surrounding areas. It most commonly affects people over the age of 65.

• Diagnosis-
  1. Blood testsfor CBC count, erythrocyte sedimentation rate and C-reactive protein.
  2. Image tests like MRI

• Treatments offered
  1. Medication- Corticosteroids, Methotrexate and calcium and vitamin D supplements.
  2. Therapeutic-Physical therapy

Affects persons over the age of 65 and causes an inflammatory condition characterised by headache and sudden vision loss if not treated promptly. It has been linked to polymyalgia rheumatica.

Diagnosis and Treatment - Same as polymyalgia rheumatica Post Viral/Post-Chikungunya arthritis - Can affect any age group, marked by chronic joint pains following dengue/Chikungunya fever Diagnosis - Blood test, CBC, ESR, CRP

Imaging
TLT : NMedications : NSALD, Corticosteroids, DMARB like Methotredexds, physical therapy