Nova Rheumatology

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Nova rheumatology is new direct care Rheumatology practice in Raleigh, North Carolina. There is no wait time for new patient. No referral is needed. Appointment can be made as early as next day , just a phone call away. Call us at 919-443-6094 or visit our website http://www.novarheum.com.

https://youtu.be/lrhlKA1jW78

What happens in Osteoarthritis? Know the changes in OA from Rheumatologist#osteoarthritis#arthritis This video is purely for educational purpose and should not taken as medical advice. For specific medical advice please contact your physician.Nova Rheumatol...

Do you have Osteoarthritis? Rheumatologist speaks details about osteoarthritis and how to manage it. This video is purely for educational purpose and should not taken as medical advice. For specific medical advice please contact your physician.Nova Rheumatol...

Watch our video about Osteoarthritis in YouTube .

Do you have Osteoarthritis? Rheumatologist speaks details about osteoarthritis and how to manage it. This video is purely for educational purpose and should not taken as medical advice. For specific medical advice please contact your physician.Nova Rheumatol...

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Knee Osteoarthritis: Everything to know about

Knee osteoarthritis is a degenerative joint disease that affects the knee joint. It is a common condition that occurs as people age or due to other factors such as injury, obesity, and genetics.

The knee joint is made up of bones, cartilage, ligaments, and muscles. In osteoarthritis, the cartilage in the knee joint breaks down and causes friction between the bones. This friction leads to pain, swelling, and stiffness. Over time, the bones can start to rub against each other and cause further damage.

Symptoms of knee osteoarthritis include:

Pain when you walk, climb stairs, or stand up from a seated position
Stiffness after sitting for a period of time
Swelling in the knee joint
A grinding or crunching feeling in the knee
Limited range of motion in the knee

Diagnosis:

Diagnosing knee osteoarthritis is done through a physical examination, imaging tests such as X-rays, and medical history.

Treatment for knee osteoarthritis can vary depending on the severity of the condition.
Non-surgical treatments include:

Physical therapy: Exercises to improve flexibility and strength.

Pain relievers: Over-the-counter or prescription medications to relieve pain and swelling.

Weight management: Maintaining a healthy weight to reduce stress on the knee joint.

Assistive devices: Braces, canes, or crutches to help with mobility.

In more severe cases, surgery may be necessary to repair or replace the knee joint. This includes joint replacement surgery, which involves removing the damaged joint and replacing it with an artificial joint.

It’s important to talk to your doctor about the best course of treatment for your specific needs. Knee osteoarthritis is a chronic condition that requires ongoing management, so it’s important to take an active role in your care and stay on top of your symptoms.

Knee osteoarthritis is a common condition that can cause significant pain and mobility issues. If you are experiencing symptoms, it’s important to talk to your doctor about treatment options and take steps to manage the condition. With proper care, you can maintain your mobility and reduce your pain.

How to treat Osteoarthritis:

Osteoarthritis is a common condition that affects millions of people worldwide and is characterized by the wear and tear of the joints. It causes pain, swelling, and stiffness, and can greatly reduce a person's quality of life. Here are some ways to help treat osteoarthritis:

Exercise: Regular physical activity can help improve joint mobility, reduce pain, and increase muscle strength. Gentle exercises such as swimming, cycling, and walking are recommended.

Weight management: Excess weight places additional strain on joints, particularly the hips and knees. Losing weight can help reduce the symptoms of osteoarthritis.

Pain relief: Over-the-counter pain medications such as ibuprofen, naproxen, and acetaminophen can help relieve pain caused by osteoarthritis. Topical pain creams and gels can also be applied to the affected area for relief.

Heat and cold therapy: Applying heat and cold to the affected joint can help reduce pain and swelling. A warm bath, hot water bottle, or a warm towel can be used for heat therapy, while cold therapy can be done using a bag of frozen vegetables wrapped in a towel.

Assistive devices: Walking aids such as canes and braces can help reduce the strain on the joints and alleviate pain.
Physical therapy: A physical therapist can design an exercise program to help improve joint mobility, increase muscle strength, and reduce pain.

Joint injection: Sometimes injection in the affected joint with steroid can relive pain.

Surgery: In severe cases, surgery may be required to repair or replace the affected joint.

It is important to consult with a doctor to determine the best course of treatment for your individual case of osteoarthritis. Lifestyle changes and the use of assistive devices can help manage the symptoms and improve the quality of life for those with osteoarthritis.

The information above is for educational purpose only.

What to know before taking Methotrexate: Risk vs Benefit

Methotrexate is a common medication used for treating various medical conditions, including Rheumatoid arthritis, Psoriasis,SLE, Autoimmune disorders and certain types of cancer. However, like all medications, methotrexate comes with both potential benefits and risks. Understanding these benefits and risks is essential for those considering taking this medication.

Benefits:

Effective Treatment for Rheumatoid Arthritis: Methotrexate has been shown to be effective in reducing joint pain and swelling, as well as slowing down the progression of joint damage in those with rheumatoid arthritis.

Effective Treatment for Psoriasis: Methotrexate is often prescribed to patients with severe psoriasis, as it can help reduce the symptoms, such as skin scaling, redness, and itching.

Effective Treatment for Cancer: Methotrexate is used in chemotherapy as it interferes with the growth of cancer cells, slowing down the progression of the disease.

Low Cost: Compared to other drugs for treating similar conditions, methotrexate is relatively inexpensive, making it an accessible option for many patients.

Risks:

Gastrointestinal Side Effects: Methotrexate can cause a variety of gastrointestinal side effects, such as nausea, vomiting, and diarrhea. In some cases, these side effects can be severe, leading to hospitalization.

Liver Toxicity: Methotrexate has been linked to liver toxicity, which can result in an increase in liver enzymes and even liver failure. Regular monitoring of liver function is recommended for those taking methotrexate.

Suppression of the Immune System: Methotrexate can suppress the immune system, making it more difficult for the body to fight off infections. This is particularly concerning for patients who are already immunocompromised.

Fertility Issues: Methotrexate has been linked to infertility in both men and women. It is essential to discuss the potential risk with your healthcare provider before starting methotrexate if you are trying to conceive.

Lastly, methotrexate has the potential to be an effective treatment for various medical conditions, but it is essential to be aware of the risks and to discuss them with your healthcare provider. Regular monitoring and careful consideration of the benefits and risks should be taken into account before deciding to take this medication.

How to prepare for Rheumatology office visit

Preparing for a rheumatology office visit can be a daunting task, especially if you are visiting for the first time. However, with proper preparation, you can make the most of your appointment and ensure that you get the best care possible. Here are some tips to help you prepare for your rheumatology office visit.

Gather all relevant medical records: This includes any test results, x-rays, or MRI scans that relate to your condition. If you have previously seen a rheumatologist, bring copies of their notes and treatment plans.

Make a list of symptoms: Write down all of your symptoms, including when they started, their severity, and any triggers. Be sure to also include any joint pain, stiffness, or swelling you may be experiencing.

Bring a list of medications: Write down all of the medications you are taking, including dosages and how often you take them. Also, bring any over-the-counter supplements or vitamins you may be taking.

Write down any questions: Before your visit, think about what questions you have for your rheumatologist. This may include questions about your diagnosis, treatment options, or any side effects you may be experiencing.

Arrive early: Plan to arrive at the office 15-20 minutes early to complete any necessary paperwork. This will also give you time to relax and calm your nerves before your appointment.
Wear comfortable clothing: Wear clothing that is comfortable and allows you to easily move around. This will make it easier for your rheumatologist to examine your joints.

By following these simple tips, you can ensure that your rheumatology office visit is productive and informative. Remember to be open and honest with your rheumatologist and to communicate any concerns or questions you may have. With proper preparation, you can get the help you need to manage your condition and improve your overall health.

What to expect in Rheum office visit

As a patient, going to the rheumatology office can be a confusing and intimidating experience. Rheumatologists specialize in diagnosing and treating conditions that affect the joints, bones, and muscles. These conditions can be complex and often involve a long-term treatment plan, making it important to be prepared for your visit. In this blog, we’ll cover what you can expect during your rheumatology office visit.

Medical history and symptoms:
The first step in your visit will likely be to provide your medical history and discuss your symptoms with the rheumatologist. This information will help the doctor understand your condition and make a diagnosis. You may also be asked about any other medical conditions you have, any medications you’re taking, and any other treatments you’ve tried.

Physical examination:
Your rheumatologist will also perform a physical examination to assess the affected joints and determine the extent of your condition. This may include a thorough examination of your joints, muscles, and bones. You may also be asked to perform simple movements to help assess your range of motion and flexibility.

Diagnostic tests:
In some cases, the rheumatologist may also order diagnostic tests to further assess your condition. These tests may include X-rays, blood tests, and other imaging tests. The results of these tests can help your doctor make an accurate diagnosis and determine the best course of treatment.

Treatment options:
Based on your medical history, symptoms, physical examination, and diagnostic tests, the rheumatologist will determine the best course of treatment for your condition. This may include medications, physical therapy, or other forms of therapy. The doctor will also discuss the potential benefits and risks of each treatment option and help you determine which option is right for you.

Follow-up visits:
It is likely that you will need to follow up with your rheumatologist after your first visit. This will help the doctor monitor your progress and make any necessary changes to your treatment plan. You may also be asked to complete regular blood tests and imaging tests to track the progress of your condition.

Lastly, going to the rheumatology office can be a complex process, but it’s important to be prepared for your visit. By understanding what to expect during your visit, you can better prepare for your appointment and feel more confident about your care. If you have any questions or concerns about your visit, don’t hesitate to ask your doctor for clarification.

When to see a Rheumatologist

If you are experiencing joint pain, inflammation, and stiffness, it may be time to see a rheumatologist. A rheumatologist is a doctor who specializes in diagnosing and treating conditions that affect the joints, muscles, and bones. They are trained to help patients manage various autoimmune and inflammatory conditions such as rheumatoid arthritis, lupus, and gout.

Here are some signs that it's time to schedule an appointment with a rheumatologist:

Persistent joint pain and stiffness: If you are experiencing joint pain and stiffness that lasts more than a few days, it's time to see a rheumatologist. They can determine the underlying cause and develop an effective treatment plan to manage your symptoms.
Swelling and tenderness in joints: Swelling and tenderness in your joints may be signs of an autoimmune or inflammatory condition. A rheumatologist can perform tests to confirm or rule out a diagnosis.

Fatigue and fever: Fatigue and fever can be symptoms of an autoimmune condition such as lupus or rheumatoid arthritis. If you are experiencing these symptoms, it's important to see a rheumatologist for proper evaluation and treatment.
Unexplained muscle pain: Muscle pain that cannot be explained by physical activity or injury may be a sign of an autoimmune condition. A rheumatologist can help determine the cause and provide the appropriate treatment.

Family history of rheumatoid arthritis or other autoimmune conditions: If you have a family history of autoimmune conditions, you may be at a higher risk for developing these conditions. It's important to see a rheumatologist for regular check-ups and monitoring.

If you are experiencing any of these symptoms, it's important to see a rheumatologist as soon as possible.

Treatment summary of Rheumatoid arthritis:

Rheumatoid arthritis (RA) is a chronic autoimmune disease that causes inflammation and pain in the joints. This condition affects about 1.3 million people in the United States and is more common in women than men. RA can cause significant joint damage over time and can lead to disability if not treated properly.

The goal of treatment for RA is to reduce inflammation, relieve pain, and slow or prevent joint damage. Here are some details about the treatments available for RA:

Medications: Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, naproxen, and aspirin, can help relieve pain and reduce inflammation. Disease-modifying antirheumatic drugs (DMARDs) such as methotrexate, leflunomide, Sulfasalazine and hydroxychloroquine are also commonly used to slow or prevent joint damage. In more severe cases, biologic drugs like tumor necrosis factor (TNF) inhibitors, rituximab, and abatacept may be prescribed to help control inflammation.

Physical therapy: Physical therapy can help improve joint mobility, reduce pain, and prevent muscle weakness. Physical therapists can teach patients exercises to help maintain joint function, increase flexibility and strengthen muscles.

Occupational therapy: Occupational therapy can help patients with RA to manage their daily activities and maintain independence. Occupational therapists can help patients to adapt to physical changes, develop new techniques for performing activities, and learn how to use assistive devices.

Joint injections: Joint injections of corticosteroids can help relieve pain and reduce inflammation. These injections can be performed in the doctor's office and are usually done several times a year.

Surgery: In severe cases, joint replacement surgery may be necessary to relieve pain and improve function. Joint replacement surgery can be performed on any joint affected by RA, including hips, knees, and hands.

Lifestyle changes: Making lifestyle changes, such as losing weight, can help reduce stress on the joints and relieve pain. Eating a healthy diet rich in anti-inflammatory foods, such as fish, nuts, and fruits, can also help control inflammation.

Support groups: Joining a support group can help patients with RA to connect with others who are facing similar challenges. Support groups can provide emotional support, offer coping strategies, and provide information on available resources.

There are many treatments available for RA that can help relieve pain, reduce inflammation, and slow or prevent joint damage. A combination of treatments, including medications, physical therapy, occupational therapy, joint injections, surgery, lifestyle changes, and support groups, can help patients with RA to manage their symptoms and maintain an active and fulfilling life.

This is not intended for specific medical advice. The sole purpose of this is educational.

How Methotrexate works.

Methotrexate is a commonly used drug in the treatment of various forms of cancer and autoimmune diseases. It is classified as an antimetabolite, which means it interferes with the metabolic processes of cells, specifically the processes that use folate.

In cancer treatment, methotrexate is used to inhibit the growth and replication of cancer cells, as well as reduce symptoms associated with cancer and improve the effectiveness of other cancer drugs. It is most often used to treat types of cancer such as breast, lung, head and neck, and germ cell tumors.

In autoimmune diseases, methotrexate is used to suppress the immune system and reduce inflammation. It is commonly used to treat conditions such as rheumatoid arthritis, psoriasis, and Crohn's disease.

Methotrexate is typically taken orally, although it can also be given via injection. The frequency and dosage of methotrexate may vary depending on the specific condition being treated and the individual patient.

Like any medication, methotrexate can have side effects. Common side effects include nausea, vomiting, diarrhea, and abdominal pain. In addition, methotrexate can cause long-term side effects such as liver damage and a reduced ability to produce new red and white blood cells. It is also associated with a risk of birth defects in women who become pregnant while taking the drug.

It is important to talk to your doctor about any potential risks and side effects of taking methotrexate, as well as the benefits of the medication for your specific condition. Regular monitoring and blood tests are typically recommended to monitor the effects of methotrexate on the body.

In conclusion, methotrexate is a widely used drug in the treatment of cancer and autoimmune diseases. While it can have side effects, it is important to weigh the benefits of the medication for your specific condition against the potential risks. Talk to your doctor to determine if methotrexate is the right choice for you.

Ankylosing spondylitis is a type of chronic inflammatory arthritis that primarily affects the spine and sacroiliac joints. It causes progressive fusion of the vertebrae and can lead to a stiff, immobile spine.

Common Side effects of Hydroxychloroquine:

Hydroxychloroquine is a widely used drug that is commonly used to treat malaria, lupus, and rheumatoid arthritis. Although the drug is highly effective, it is not without its side effects. In this blog, we will discuss the most common hydroxychloroquine side effects.

Nausea and Vomiting: One of the most common side effects of hydroxychloroquine is nausea and vomiting. These symptoms can be very unpleasant and may occur within the first few days of taking the drug. If these symptoms persist, it is recommended that you speak to your doctor about adjusting the dosage or switching to a different medication.

Headaches: Another common side effect of hydroxychloroquine is headaches. These headaches can be mild or severe and may last for several hours. If you experience frequent headaches while taking hydroxychloroquine, speak to your doctor to determine the cause and if any adjustments need to be made.

Dizziness: Dizziness is another common side effect of hydroxychloroquine. This side effect can be caused by changes in blood pressure and is more likely to occur in people who already have low blood pressure. If you experience frequent dizziness, speak to your doctor about adjusting your dosage.

Diarrhea: Hydroxychloroquine can cause diarrhea in some people. This can be a mild side effect that will go away after a few days, or it may be more severe and last for a longer period of time. If you experience frequent diarrhea while taking hydroxychloroquine, speak to your doctor to determine the cause and if any adjustments need to be made.

Skin Rash: A skin rash is a common side effect of hydroxychloroquine. This rash can be itchy and may occur anywhere on the body. If you experience a skin rash while taking hydroxychloroquine, speak to your doctor to determine the cause and if any adjustments need to be made.

Cardiac arrhythmia and drug interactions.

In conclusion, hydroxychloroquine is an effective drug for treating various conditions, but it is not without its side effects. The most common side effects include nausea and vomiting, headaches, dizziness, diarrhea, and skin rash. If you experience any of these side effects, speak to your doctor to determine the cause and if any adjustments need to be made.

Hydroxychloroquine: A Promising Solution for Arthritis and Lupus Patients

Arthritis and lupus are two autoimmune conditions that can cause chronic pain, inflammation, and joint damage. Both conditions can significantly impact the quality of life of those who suffer from them. However, there is a medication that has been found to be effective in treating both conditions - hydroxychloroquine.

Hydroxychloroquine is an antimalarial drug that has been used for decades to treat malaria and other autoimmune conditions like lupus and rheumatoid arthritis. It works by suppressing the immune system, which helps to reduce inflammation and pain. The medication is available in tablet form and is taken orally.

Studies have shown that hydroxychloroquine can be effective in reducing symptoms of arthritis, such as joint pain, swelling, and stiffness. It can also help to slow down the progression of the disease and prevent joint damage. For lupus patients, hydroxychloroquine can help to reduce skin rashes, joint pain, and other symptoms associated with the condition.

Hydroxychloroquine is generally considered to be a safe medication, with few side effects. Some patients may experience mild side effects such as stomach upset, headache, or dizziness. However, these side effects are usually mild and temporary. In rare cases, hydroxychloroquine can cause more serious side effects such as vision problems, skin reactions, or changes in heart rate. It is important to speak to your doctor if you experience any unusual symptoms while taking hydroxychloroquine.

Overall, hydroxychloroquine is a promising solution for arthritis and lupus patients. It has been found to be effective in reducing symptoms and slowing down the progression of these conditions. If you are suffering from arthritis or lupus, speak to your doctor about whether hydroxychloroquine might be right for you. With the right treatment and care, it is possible to manage your symptoms and live a fulfilling life.

Rheumatoid Arthritis: What You Need to Know

Rheumatoid arthritis (RA) is a chronic autoimmune disease that causes inflammation and pain in the joints. It affects millions of people worldwide and can have a profound impact on daily life. Understanding the basics of RA can help you manage the condition and improve your quality of life.

What is Rheumatoid Arthritis?
RA is a type of arthritis that occurs when the immune system mistakenly attacks the tissues in the joints. This leads to inflammation, pain, and damage to the joints over time.

Symptoms of Rheumatoid Arthritis:
The symptoms of RA can vary from person to person, but common signs include:
Pain and swelling in the joints, especially in the hands and feet
Stiffness, especially in the morning
Fatigue
Nodule

Diagnosis and Treatment of Rheumatoid Arthritis:
Diagnosis of RA typically involves a physical exam, a review of symptoms, and imaging tests such as X-rays or MRIs. Treatment options for RA include medications to control inflammation, physical therapy to improve joint function, and lifestyle changes to reduce stress and improve overall health. In severe cases, surgery may be necessary to repair or replace damaged joints.

Living with Rheumatoid Arthritis:
Living with RA can be challenging, but there are ways to manage the condition and improve your quality of life. These include:
Taking medications as prescribed
Staying active and engaging in physical therapy
Eating a healthy diet and maintaining a healthy weight
Reducing stress through exercise, meditation, or other activities
Staying connected with friends and family

Conclusion:
Rheumatoid arthritis is a chronic autoimmune disease that affects millions of people worldwide. Understanding the basics of RA, including its symptoms and treatment options, can help you manage the condition and improve your quality of life. If you have concerns about RA, speak with your doctor to determine the best course of action.

Types of Arthritis:

Arthritis is a common condition that affects millions of people worldwide. It is a condition that causes inflammation in the joints, leading to pain, stiffness, and reduced mobility. There are many types of arthritis, each with its own causes, symptoms, and treatments.

Osteoarthritis
Osteoarthritis is the most common type of arthritis and is caused by the wear and tear of the joints over time. It typically affects people over the age of 50 and is often seen in the hips, knees, and hands. Symptoms include pain and stiffness in the affected joints, especially after periods of inactivity.

Rheumatoid Arthritis
Rheumatoid arthritis is an autoimmune disease that causes inflammation in the joints and other parts of the body. It typically affects people between the ages of 30 and 50 and is more common in women. Symptoms include joint pain, stiffness, and swelling, as well as fatigue and a low-grade fever.

Gout
Gout is a type of arthritis that is caused by high levels of uric acid in the blood. It typically affects the big toe, but can also affect other joints. Symptoms include sudden, severe pain and swelling in the affected joint, as well as redness and warmth.

Ankylosing Spondylitis
Ankylosing spondylitis is a type of arthritis that affects the spine and other joints. It typically affects people between the ages of 20 and 40 and is more common in men. Symptoms include back pain, stiffness, and a reduced range of motion in the back.

Psoriatic Arthritis
Psoriatic arthritis is a type of arthritis that affects people with psoriasis, a skin condition that causes red, scaly patches. Symptoms include joint pain and swelling, as well as skin symptoms.

In conclusion, arthritis is a common condition that affects millions of people worldwide. Understanding the different types of arthritis and their symptoms can help you get the right treatment and manage your condition effectively. If you are experiencing symptoms of arthritis, it is important to see a doctor for a proper diagnosis and treatment plan.

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Arthritis: Understanding the Pain and How to Manage It

Arthritis is a common condition that affects millions of people worldwide. It is a term used to describe inflammation and pain in the joints, which can lead to stiffness, reduced mobility, and discomfort. There are over 100 different types of arthritis, but the most common forms are osteoarthritis and rheumatoid arthritis.

Osteoarthritis is a degenerative condition that affects the cartilage in the joints, causing it to wear down over time. This can lead to pain and stiffness, especially in the hips, knees, and hands. Rheumatoid arthritis, on the other hand, is an autoimmune condition that causes the body's immune system to attack the joints, causing inflammation and pain.

There is no cure for arthritis, but there are several ways to manage the pain and discomfort associated with the condition. Here are some tips for managing arthritis:

Exercise regularly: Regular exercise can help improve joint mobility, reduce pain, and improve overall physical function. Aim to exercise for at least 30 minutes a day, five days a week.
Maintain a healthy weight: Excess weight can put additional stress on the joints, leading to increased pain and discomfort. By maintaining a healthy weight, you can reduce the burden on your joints and improve your overall health.
Use assistive devices: Assistive devices such as canes, crutches, or knee braces can help reduce the strain on your joints and reduce pain.
Manage stress: Stress can trigger inflammation and pain in the joints. Try to manage stress through activities such as yoga, meditation, or deep breathing.
Get enough sleep: Lack of sleep can increase pain and discomfort associated with arthritis. Aim for at least 7-8 hours of sleep each night.
Eat a healthy diet: A healthy diet rich in fruits, vegetables, and lean proteins can help reduce inflammation and improve overall health.
In conclusion, arthritis can be a debilitating condition, but with proper management, it is possible to reduce pain and discomfort and maintain a high quality of life. If you are experiencing pain or discomfort in your joints, it is important to speak with your doctor to determine the best course of treatment for you.

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