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Treatment of Arthritis
Treatment of Rheumatoid Arthritis
Treatment of Ankylosing Spondylitis
Treatment of Osteoarthritis
Treatment of Rheumatic Arthritis
Treatment of Gout and Pseudogout
Treatment of Psoriatic Arthritis
Treatment of Systemic Lupus Erythematosus
Treatment of Polymyalgia Rheumatica and Giant Cell
Treatment of Sjogren's Syndrome
Treatment of Paget'S Disease of Bone
Treatment of Polyarteritis Nodosa
Treatment of Juvenile Idiopathic Arthritis
Treatment of Primary Angiitis
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Patient Review Highlights
Dr. Meha Sharma provides answers that are very helpful. I am very thankful to your stepwise and methodical diagnosis for the ailment of my mother from rheumatic perspective. And your analysis and views helped me to cross-check the perspective missed out by treating orthopedician. Also could understand that it is case of rheumotologist not orthopedics only, which treating orthopaedics did not tell to us. Hope to seek further advice from you in future in further consultation.
From quite some time i was suffering from pain, but never gave much importance to it. Even though I was fit and fine, I had knee pain. Dr Meha Sharma has a very positive attitude towards all the patients. The facilities available in the Venkateshwar Hospital are very nice. she has so much knowledge that for everything my family takes her reference.
I was in so much problem due to not able to increase muscle. She is very talented and seasoned doctor. Meha Sharma has so much knowledge that she gave me a perfect treatment. During the treatment, my Meha Sharma supported me a lot. Hygiene is very important, and I must Venkateshwar Hospital was extremely clean
dr Meha Sharmais a great person, she is very polite and kind hearted and Listens very carefully, she understands and treat everyone equally with no personal judgements! I took a treatment from her regarding anger managment at her clinic Venkateshwar Hospital - Department Of Rheumatology in Delhi
I was quite depressed due to my condition, but my Dr Sharma guided me to change my attitude. Even after my treatment with my old doctor, I never felt so much relief, but Meha Sharma has treated me completely. I was panicked, because I never thought I will suffer from joint pain like this.
I was suffering from muscle weakness. i consulted Dr Meha Sharma who told me that I am suffering from Facioscapulohumeral Muscular Dystrophy. I was very tensed after knowing this. But the way she treated me was exteremly beneficial. I am glad that I visited her for the treatment.
I was having vitamin deficiency for which I chose to consult a dietican. Dr Meha helped me alot to overcome with my deficiency. And now I am perfectly fine. I appreciate the way she treats her patients.
Dr. Meha Sharma provides answers that are very helpful. Thanks Ma'am for providing valuable information. I really don't know those informations. Now what should we do ? He is not improving.
Thanks to Dr Meha for treating my vitamin D deficiency. I must say that she one of the best doctor. She treats her patients very patiently. I am glad that I consulted her for my concern.
He is very polite. My long duration back pain is treated by the doctor. I whole heartedly recommend this doctor for people suffering with back pain & other pain.
I found the answers provided by the Dr. Meha Sharma to be very helpful. Thank you for helping me madam
I found the answers provided by the Dr. Meha Sharma to be well-reasoned, prompt and practical. Thanks
Dr. Meha Sharma provides answers that are knowledgeable and very helpful. Thank you so much maam
I found the answers provided by the Dr. Meha Sharma to be helped me improve my health.
Dr. Meha Sharma provides answers that are very helpful. Thank you very much doctor
Dr. Meha Sharma provides answers that are very helpful. Thanks
Hi. I have spondyloarthropathy and I've consulted a doctor 3-4 months ago and wasn't given sazo 500 x3 with dolonex x2. And after the dose was over my pain is back. I was stretching and did physio too but I'm starting to fall back to the same pain despite all that. I have booked an appointment with you. Please advice me briefly. I'm am coming from Tanzania. Thanks.
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).
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.
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 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.
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. LEAD A HEALTHY LIFE! If you wish to discuss about any specific problem, you can consult a rheumatologist.
Hi sir. I am an Arthritis patient suffering from the last 10 years. I was affected at an age of 14. Initially pains were so severe and gradually they were decreased. At present I was taking (once in a day): Aceclo Mr. Prednisolone 5 mg Rabi DSR. If I stop taking any medicine, immediately on the next day my condition is becoming worse with fever and severe pains. Please suggest me whether there is any permanent cure for this. With Regards, Harsha vardhan G.
Sir, I am a shuttle badminton player. Since few days my knee paining. When I bend the leg and sit in squat position I could not walk properly. I could not even jerk or stretch my left leg. No problem with right leg. Pls solve my problem. Thank you sir/ madam.
Case of rheumatoid arthritis since 2010. ANA (antinuclear antibody) result: POSITIVE. Doctors diagnosed as Sjogren's syndrome. Taking Zempred-4 mg and HCQS-300 mg daily one. Is there any side effects with above? Is there any fear/danger with sjogren syndrome? I am so thankful if you explain in detail?
Sciatic pain, pain in knees and back and sever pain in legs. Wat to do? Please suggest medicine for complete cure.
My mother was treated for bilateral pulmonary embolism and during post discharge regular intake of warfarin for 6 months suggested. She is diabetic and also bedridden due to minor compression fracture in backbone as well as two minor cracks on pelvic bone. Due to warfarin intake blood in urine observed followed by urine infection further requiring intensive care on hospitalization. Is there any proven substitute for warfarin either in ayurveda or else homeopathy?
I was diagnosed for Rheumatoid Factor and the resulted value is 2.0. What does it mean. I underwent MRI AND Dexa-Bone Spine and Femur study as well. Reports are still pending. In past also I underwent MRI and found having issues in L4 and L5. I am having severe nervous pain and swelling in hands and legs from last 14-15 years and sometimes the pain is unbearable I took numerous medication from various specialist across the Nation but still no cure. All other reports seems ok apart from R factor. I will update once MRI AND DEXA-Bone reports are out. FYI, most of the specialist prescribed either sleeping pills or steroid. Sure, that will ease pain but its not a cure. Kindly help. Thanks.
Fibromyalgia is a condition characterised by chronic widespread body pains and increased responsiveness to pressure. Women are at a higher risk of suffering from this disorder than men. Fibromyalgia can be treated with physiotherapy, pharmacotherapy and combined efforts of physician and the patient.
Some of the symptoms that characterize this disorder are:
- Pain: Fibromyalgia is characterized by pain that has no apparent reason. It can affect different parts of the body and presents itself in different ways. Some people may experience a stabbing pain while others complain of a persistent dull ache. This pain may be affected by climate changes or stressful situations. There is reduced threshold to pain, because of certain chemical ( neurotransmitters) abnormalities in brain. Pain is generalized, felt above and below the waist, right and left-side of body, arms, legs, neck and back.
- Abnormal Sensitivity: Fibromyalgia patients are extremely sensitive to environmental changes that involve sight, sound and smell. For example, cigarette smoke can make a fibromyalgia patient extremely nauseous while loud music can give the person an instant headache. Lights that are brighter than normal can also make such a person feel uncomfortable. Patients have an abnormal sensitivity to pain, which leads to generalized aching of the body and tender points.
- Muscle & Joint Stiffness: Fibromyalgia patients often experience stiff muscles and joints without any form of strenuous activity or other reason. This may be localised to one group of muscles or affect the whole body. For some patients, this pain is worse in the morning or when sitting for extended periods of time. However, moving around does not provide any significant relief.
- Chronic Fatigue and Exhaustion: There are two main reasons for a Fibromyalgia patient to complain of tiredness. Firstly, the condition itself drains a person of energy even without overexerting themselves. Secondly, the pain and joint stiffness can hamper a person’s sleep and lead to sleep deprivation. Over time, this can become a vicious cycle of tiredness and insomnia. Chronic fatigue also affects a person’s immune system causing his or her energy levels to drop.
- Cognitive Impairments: Fibromyalgia patients also complain of a compromised short term memory. They often face difficulties recalling names of people they have recently met or other newly acquired information. These people may also have trouble concentrating on tasks for extended periods of time and experience mental sluggishness also known as fibro-fog.
- Irritable Bowel Syndrome: Bowel disturbance is another common symptom of this disease. Passing stool may become difficult due to a combination of pain and muscle stiffness. With time, this problem can worsen unless addressed with laxatives. However, an over-dependence on laxatives can lead to further problems.
Apart from pain, patient experiences unrefreshing sleep and fatigue throughout the day. Other associated features can be depression, abdominal cramps, chest pain, tingling.
Lab Tests: Fibromyalgia is a clinical diagnosis. There are no definite laboratory tests. In fact, most conducted tests will turn out to be normal.
Treatment: Foremost important is an education of patient and caregivers, regarding nature of the disease. The patient needs to indulge in recreational activities and undergo supervised physiotherapy. There are potent medicines to correct the chemical imbalance in the body thereby increasing the pain threshold and leading to better quality of life. If you wish to discuss any specific problem, you can consult a rheumatologist and ask a free question.