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Jaipur Golden Hospital, Delhi

Jaipur Golden Hospital

  4.4  (18 ratings)

Rheumatologist Clinic

2, Institutional Area, Sector 3, Rohini, Delhi Delhi
1 Doctor · ₹800
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Jaipur Golden Hospital   4.4  (18 ratings) Rheumatologist Clinic 2, Institutional Area, Sector 3, Rohini, Delhi Delhi
1 Doctor · ₹800
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About

Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you....more
Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Jaipur Golden Hospital
Jaipur Golden Hospital is known for housing experienced Rheumatologists. Dr. Alok Kalyani, a well-reputed Rheumatologist, practices in Delhi. Visit this medical health centre for Rheumatologists recommended by 76 patients.

Timings

MON-SAT
03:00 PM - 04:00 PM

Location

2, Institutional Area, Sector 3, Rohini, Delhi
Rohini Delhi, Delhi - 110085
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Doctor in Jaipur Golden Hospital

Dr. Alok Kalyani

Fellowship in Rheumatology, MD (Medicine), AFIH, MBBS
Rheumatologist
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
87%  (18 ratings)
19 Years experience
800 at clinic
₹300 online
Available today
03:00 PM - 04:00 PM
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Patient Review Highlights

"knowledgeable" 3 reviews "Very helpful" 1 review

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Rheumatoid Arthritis - How To Diagnose It?

Fellowship in Rheumatology, MD (Medicine), AFIH, MBBS
Rheumatologist, Delhi
Rheumatoid Arthritis - How To Diagnose It?

Rheumatoid arthritis is a chronic inflammatory arthritis with a prevalence of 0.5-1% in India. It is characterized by joint pain and swelling associated with morning stiffness lasting for more than 30 minutes. It generally has a slow onset - over weeks to months, though the onset can be acute also. Most common joints involved are small joints of hands and feet. Larger joints like knee and shoulder can also be involved. The incidence of RA increases with age. It is twice more common in females than in males. Early treatment is necessary to bring down the inflammation, avoid joint deformities and prevent other complications ( lung, heart, vasculitis). 

CAUSE: 

Predisposition to RA is multifactorial. It has a genetic component (family history of RA increases the risk). Environmental factors like smoking also play a role. 

SYMPTOMS: 

Initial symptoms start with fatigue, malaise, generalised bodyaches, low-grade fever. The onset is generally slow and eventually patient develops joint pain and swelling. Though the joint involvement is symmetrical in most cases, asymmetric onset is common (involving joints predominantly on one side). 

DIAGNOSIS: 

Diagnosis is made by a physician after detailed history, clinical examination and supportive lab tests. Rheumatoid factor and anti-CCP antibody are positive in 75-80% patients with RA. They have raised inflammatory markers (ESR, CRP) during active inflammation. 

TREATMENT:

RA treatment options are wide and quite effective. It starts with patient education regarding nature of the disease and the risk of complications. The need of early aggressive therapy should be emphasized. The patient should put in efforts for physiotherapy which play a very important role in muscle strength and joint mobility. Pharmacotherapy options are wide and include disease-modifying antirheumatic drugs ( DMARDS). These can be conventional DMARDS like methotrexate ( usually the first line drug), sulfasalazine, hydroxychloroquine, leflunomide. Failure to adequately respond to these drugs should lead your Rheumatologist to consider Biologic DMARDS ( TNF antagonists, Rituximab, Abatacept, Tocilizumab). Your Rheumatologist is the best person to guide you about dose, indications, monitoring and side effects of the drugs used in RA. Treatment duration depends on patient's response but is generally long ( 5-10 years or lifelong). 

COMPLICATIONS BEYOND JOINTS: 

RA patients can have rheumatoid nodules in skin, lungs, heart and other sites. These patients are at risk of accelerated bone loss, so calcium and vitamin D intake should be optimized. Eye complications include dryness, redness ( scleritis and episcleritis) and certain eye threatening complications. Lung involvement can be seen in various forms ( fluid in lungs, nodules, interstitial lung disease). 

These patients are at high risk of atherosclerosis ( heart and blood vessel disease). They also have a tendency to have frequent infections. 

NEED OF THE HOUR: 

All patients with joint pains should be seen early by Rheumatologist for diagnosis and treatment. With so many treatment options, no patient should suffer from joint deformities and other complications associated with long standing, untreated RA. 

2372 people found this helpful

For arthritis in knees, what is your opinion regarding stem cell therapy, especially the stem cell treatment offered by such foundation at Indore?

Fellowship in Rheumatology, MD (Medicine), AFIH, MBBS
Rheumatologist, Delhi
It is not proven yet that stem cell therapy actually works. Many organisations doing this because of big amount of money involved in it. Its your personal decision.
4 people found this helpful
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My Wife has rheumatoid arthritis. I want to know the cure for this. Is there any type of complete cure in any part of the world. She is currently 24yrs.

Fellowship in Rheumatology, MD (Medicine), AFIH, MBBS
Rheumatologist, Delhi
Sorry, there is no cure of this disease in any system of medicine. It is not a curable disease but it is a well treatable disease. But it is possible that after some time, when disease in full remission, one can stop all medicines, but for this one has to be in under a trained rheumatologist
3 people found this helpful
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My wife is suffering with Rehmutide Arthritis (RA +) since last two years. She had taken treatment of Allopathy, Homeopathy & Ayurvedic but no sign of improvement has seen in her condition. Please tell me is there is a permanent treatment of RA. If yes please tell me how?

Fellowship in Rheumatology, MD (Medicine), AFIH, MBBS
Rheumatologist, Delhi
There is no cure of this disease in any pathy. But in modern medicine it can be well treatable. I am not sure what treatment she has taken, but you need to show her to a rheumatologist as soon as possible. There is very good treatment available
2 people found this helpful
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