Structural & Inflammatory
Rheumatological disorders may affect the structure of the musculoskeletal system (the bones and joints and muscles, tendons and ligaments that surround them) and they can be diagnosed and treated within my clinics.
Conditions that affect the bones that I can help with include osteoporosis, metabolic bone disease such as Vitamin D deficiency, Paget’s disease, osteopetrosis and hypertrophic osteoarthritis (new bone formation). Joint diseases probably make up the commonest reason for referral and conditions include osteoarthritis involving wear and tear of the joint surfaces, inflammatory arthritis such as Rheumatoid arthritis or psoriatic arthritis and problems with the joints caused by hypermobility. When inflammation affects the joints it can also affect the whole system causing skin rashes, kidney problems and lung fibrosis. These conditions are known as connective tissue diseases and are often auto-immune (vasculitis and Lupus (SLE) and may sometimes involve complex tests and treatments.
Muscle diseases that do not involve nerve damage or interruption of nerve supply can be diagnosed and helped by a rheumatologist. These include inflammatory muscle disease (myositis), more commonly Polymyalgia Rheumatica (PMR) and muscle conditions caused by Vitamin deficiency (Vit D or Vit B12.