Department of Rheumatology

Consultant - Dr.R.Ragunathan M.D.(Gen),D.M.(Rheum).

The speciality of rheumatology provides care for the patients with diseases of joints (Arthritis), bones and other connective tissues caused by autoimmune diseases due to self attack of the body secondary to abnormal functions of white blood cells.

The following services are provided in Rheumatology.

Work up and comprehensive treatment of following Rheumatic diseases at affordable cost.

RHEUMATOID ARTHRITIS: A disease characterized by pain, swelling and morning stiffness of hand and other joints and sometimes with problems in the internal organs also.

PSORIATIC ARTHRITIS: Arthritis or joint problems in patients with psoriasis or relatives of psoriasis patients.

ANKYLOSING SPONDYLIiS: Pain and stiffness of back and along with joints problems of lower limbs.

CONNECTIVE TISSUE (COLLAGEN VASCULAR) DISEASES:

  • SYSTEMIC LUPUS ERYTHEMATOSUS - young adults (esp. females) with recurrent oral ulcers, hair loss, nonspecific musculoskeletal symptoms, unexplained low blood cells, proteinuria, fits, young stroke.
  • SCLERODERMA : A disease charecterized by tightening of skin and problems in joint, lungs, heart, kidneys etc.

VASCULIC DISEASES:

  • Large vessel vasculitis (Takayasu's Arteritis ) - pulselessness, claudication pain.
  • Medium vessel vasculitis - Prolonged nonhealing & recurrent leg ulcers, skin nodules.
  • Small vessel vasculitis - Unexplained neuropathies, - Palpable purplish skin lesions, - Unexplained combined kidney and lung syndromes.

OSTEOPOROSIS - Thinning of bones and getting fractured easily even with minor injuries.

BONE AND JOINT INFECTIONS.

ANTIPHOSPHOLIPID SYNDROME - Recurrent abortions, clotting of blood in the vessels causing stroke and heart attack in young patients etc.

INFLAMMATORY EYE DISEASES - Scleritis, Uveitis - charecterized by eye redness .pain,photophobia etc.

CRYSTAL ARTHROPATHIES: The patient will suddenly get a red, swollen big toe that is very painful. Treatment can help it get better quickly and different treatment can stop the gout from coming back. Crystal arthropathies include,

  • Gout
  • Pseudogout

OSTEOARTHRITIS

FIBROMYALGIA

PERIARTICULAR DISEASES: like shoulder problems in Diabetic patients.

SARCOIDOSIS

PEDIATRIC RHEUMATIC DISEASES. Joint problems in children from one year of age to 16 years.

DIAGNOSTIC EVALUATION OF PATIENTS WITH UNCLEAR DIAGNOSIS:

  • Prolonged undiagnosed fever.
  • Unexplained musculoskeletal pain.
  • Unexplained fatigue, arthritis, rash, weakness, weight loss etc.
  • Abnormal lab findings such as persistently raised ESR,CRP, ASO,ANA & Rheumatoid Factor positivity.
  • Normal lab studies with persistent local or generalized joints pain.
  • Raynaud's phenomenon - an abnormal response to cold causing white to red or bluish discoloration of finger tips.

Biological Therapy

Newer treatment options for Rheumatic diseases with good positive results like monoclonal antibodies therapies such as treatment with Infliximab,Rituximab and Tocilizumab etc.

Physiotherapy.

24 x 7 Treatment of Rheumatologic Emergencies-like Lupus (SLE ) and Vasculitis related emergencies.

IMMUNOLOGY LAB services.