I had to learn to always have a “high level of suspicion” for Ankylosing Spondylitis (AS) while a rheumatologist-in-training. This meant, I needed to “unlearn” most of what I was taught about back pain as an internal medicine resident. As an internist or primary care provider, you see a lot of patients with back pain. It is very common. In order to keep costs down and not overly worry patients, doctors are trained to treat back pain with common anti-inflammatory medications before jumping to x-rays and MRIs. And this isn’t JUST to keep costs down. The overwhelming majority of those with back pain will have resolution of that pain within 2 months. Hence, doing an MRI on every patient just doesn’t make sense. But as a rheumatologist, we are trained to look at back pain differently.
[Read more…] about Know the facts about Ankylosing SpondylitisAnkylosing Spondylitis
Transitioning from the pediatrician’s office
Being diagnosed with a chronic medical condition during childhood or adolescence shapes the lives of the patient and their family. In Rheumatology, the pediatric rheumatologist can become an additional parent and a partner. Pediatric hospitals and clinics become homes away from home. They are often painted bright colors, have comfy furniture and entertainment throughout the halls as everyone tries to make the heartbreaking reality of disease in children more palatable. Thankfully, treatment success in rheumatology is the norm and there will come a day in most patient’s lives when they need to say goodbye to their pediatric rheumatologist and find a new adult-focused rheumatologist. Transitioning from the pediatrician’s office is a day most patients and parents dread. This process, known as “transition,” is an integral part to any young person’s care.
[Read more…] about Transitioning from the pediatrician’s officeArthritis & the Heart Disease
Heart disease. We all know about it, we all want to prevent it and sadly, we all know someone with it. When we think of heart disease, our minds naturally think of heart attacks or maybe heart failure. We think of an overweight man with high blood pressure and diabetes, although we know women are just as affected. But did you know that inflammatory arthritis can be associated with heart disease? In fact, most autoimmune or inflammatory arthritis types can lead to disease of every part of the heart. Watch the video above or keep reading to learn more!
[Read more…] about Arthritis & the Heart DiseaseBack pain: when to worry
Back Pain is everywhere! Most of us will likely experience it sometime during our lifetime and many of us will never know why. In fact, for most of us, when we see our doctor, we may be given pain relievers and told not to worry about it. But when SHOULD we worry about it? There are signs that doctors are trained to look for. Thinking about whether or not you have any of these will help you decide if and when it’s time to see your doctor.
[Read more…] about Back pain: when to worryI love Physical Therapy
The lessons we can learn from Physical Therapy about our own body and our movement, can, literally, be life changing. Having persistent joint pain or body pain can be frustrating and demoralizing. It can have a profound impact on ALL aspects of our lives, as we may find we can no longer do the things that brought us joy or stress relief. At first, this may seem like a small annoyance, but with time the tension can build and our mental health can suffer. Naturally, we think that this deserves a trip to the doctor, and of course it does. But all too often I have seen the looks of disappointment when I suggest the treatment is physical therapy. What? No shot?? No medication?
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