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Rheumatology

Rheumatology, is a sub-specialty in internal medicine and pediatrics, devoted to diagnosisand therapy of rheumatic diseases. Clinicians who specialize in rheumatology are called rheumatologists. Rheumatologists deal mainly with clinical problems involving joints, soft tissues, autoimmune diseases, vasculitis, and heritable connective tissue disorders.

Many of these diseases are now known to be disorders of the immune system. Rheumatology is increasingly the study ofimmunology.

One of the major changes in modern rheumatology is the development of new drugs called biologics, or disease modifying agents, which can control severe disease more effectively.

A rheumatologist is a physician specialized in the field of medical sub-specialty called rheumatology, and holds either a board certification after specialized training after attaining a medical degree (M.D. or D.O.) through fellowship programs in the United States, or specialist registrar positions in the United Kingdom, or DM in India or equivalent programs elsewhere in the world. Dr. Sanjay Gupta, being a rheumatologist, is the best Joint Pain Specialist in Gurgaon. In the United States, training in this field requires four years undergraduate school, four years of medical school, and then three years of residency, followed by two or three years additional Fellowship training. The requirements may vary in other countries. Rheumatologists are internists or pediatricians who are qualified by additional postgraduate training and experience in the diagnosis and treatment of arthritis and other diseases of the joints, muscles and bones. Many rheumatologists also conduct research to determine the cause and better treatments for these disabling and sometimes fatal diseases. Treatment modalities are based on scientific research, currently, practice of rheumatology is largely evidence based.

Rheumatologists treat arthritis, autoimmune diseases, pain disorders affecting joints, and osteoporosis. There are more than 200 types of these diseases, including rheumatoid arthritis, osteoarthritis, gout, lupus, back pain, osteoporosis, and tendinitis. Some of these are very serious diseases that can be difficult to diagnose and treat. They treat soft tissue problems related to musculoskeletal system sports related soft tissue disorders and the specialty is also interrelated with physiotherapy and physical medicine and rehabilitation. Patient education programs and occupational therapy also go hand in hand with this specialty.

Diseases diagnosed or managed by the rheumatologist include:

Degenerative arthropathies

Osteoarthritis

Inflammatory arthropathies

Rheumatoid arthritis

  • Spondyloarthropathies
    • Ankylosing spondylitis
    • Reactive arthritis (reactive arthropathy)
    • Psoriatic arthropathy
    • Enteropathicarthropathy
  • Juvenile Idiopathic Arthritis (JIA)
  • Crystal arthropathies: gout, pseudogout)
  • Septic arthritis

Systemic conditions and connective tissue diseases

  • Lupus
  • Sjögren's syndrome
  • Scleroderma (systemic sclerosis)
  • Polymyositis
  • Dermatomyositis
  • Polymyalgia rheumatica
  • Mixed connective tissue disease
  • Relapsing polychondritis
  • Adult-onset Still's disease
  • Sarcoidosis
  • Fibromyalgia
  • Vasculitis
    • Microscopic polyangiitis
    • Eosinophilic granulomatosis with polyangiitis (formerly known as Churg–Strauss Syndrome)
    • Granulomatosis with polyangiitis (formerly known as Wegener's granulomatosis)
    • Polyarteritisnodosa
    • Henoch-Schönlein purpura
    • Serum sickness
    • Giant cell arteritis, Temporal arteritis
    • Takayasu's arteritis
    • Behçet's syndrome
    • Kawasaki's disease (mucocutaneous lymph node syndrome)
    • Buerger's disease (thromboangiitis obliterans)