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Department of
Rheumatology

Expert Rheumatology Care for Joint, Autoimmune & Connective Tissue Disorders

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Why Choose Royal Care for Rheumatology?

Multi-disciplinary team of expert rheumatologists and allied specialists

Advanced diagnostics: autoimmune profiles, imaging, DEXA scans

Personalized treatment plans for each condition

Support for chronic disease management & long-term monitoring

Expertise in pregnancy-safe RA treatment & biologic therapies

Comprehensive care for both adults and pediatrics offered

Medical Conditions We Treat

Rheumatoid Arthritis

Rheumatoid Arthritis is a chronic autoimmune disease primarily affecting joints, leading to pain, swelling, stiffness, and potential joint damage. It often impacts multiple joints symmetrically, causing significant functional impairment over time.Managing rheumatoid arthritis involves an approach that combines early and aggressive medical treatment with lifestyle adjustments to control inflammation, reduce pain, and preserve joint function.

Psoriatic Arthritis

Psoriatic Arthritis is a form of arthritis that affects some people who have psoriasis, causing joint pain, stiffness, and swelling. It can also cause changes to the nails and fatigue, impacting various parts of the body.

Ankylosing Spondylitis

Ankylosing Spondylitis is a chronic inflammatory disease primarily affecting the spine, leading to severe stiffness and pain, especially in the lower back. Over time, it can cause some of the vertebrae in your spine to fuse, resulting in a hunched posture.

Gout & Hyperuricemia

Gout is a painful form of arthritis caused by the accumulation of uric acid crystals in the joints, leading to sudden, severe attacks of pain, swelling, redness, and tenderness. Hyperuricemia, or high uric acid levels in the blood, is the underlying cause, though not everyone with hyperuricemia develops gout.

Systemic Lupus Erythematosus (SLE)

Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that can affect almost any organ or joint in the body, leading to a wide range of symptoms including fatigue, joint pain, skin rashes, and kidney problems. Its unpredictable nature and diverse manifestations make diagnosis and management challenging.

Antiphospholipid Antibody Syndrome (APLA)

Antiphospholipid Antibody Syndrome (APLA) is an autoimmune disorder that increases the risk of blood clots in both arteries and veins. It can also lead to complications during pregnancy, such as recurrent miscarriages.

Systemic Sclerosis / Scleroderma

Systemic Sclerosis, commonly known as Scleroderma, is a chronic autoimmune disease characterized by the hardening and tightening of the skin and connective tissues. It can also affect internal organs, including the lungs, heart, kidneys, and digestive tract.

Arthritis in Children and Adolescents

Juvenile Idiopathic Arthritis (JIA) is a chronic inflammatory condition that affects children and adolescents, causing persistent joint pain, swelling, and stiffness. It can impact growth and development if not managed properly and may require long-term treatment to control symptoms and prevent joint damage.

Sjogren's Syndrome

Sjogren’s Syndrome is a chronic autoimmune disease primarily characterized by dry eyes and dry mouth, resulting from the immune system attacking moisture-producing glands. It can also affect other parts of the body, leading to fatigue, joint pain, and organ dysfunction.

Mixed Connective Tissue Disease (MCTD)

Mixed Connective Tissue Disease (MCTD) is a rare autoimmune disorder characterized by features of several other connective tissue diseases, such as lupus, scleroderma, and polymyositis. Its symptoms can vary widely and evolve over time, making diagnosis complex.

Myositis (Polymyositis / Dermatomyositis)

Myositis refers to a group of rare inflammatory diseases that cause muscle weakness and pain, primarily affecting the skeletal muscles. Polymyo sitis specifically causes muscle weakness, while Dermatomyositis also presents with a characteristic skin rash.

Vasculitis (Giant Cell Arteritis, PAN, etc.)

Vasculitis is a condition characterized by inflammation of the blood vessels, which can restrict blood flow and damage organs and tissues. Specific types like Giant Cell Arteritis primarily affect large arteries, while Polyarteritis Nodosa (PAN) impacts medium-sized arteries.

Osteoporosis

Osteoporosis is a condition that causes bones to become weak and brittle, making them more susceptible to fractures from minor falls or even everyday stresses. It often progresses silently, with the first symptom typically being a broken bone.

Fibromyalgia

Fibromyalgia is a chronic disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory, and mood issues. It amplifies painful sensations by affecting the way your brain processes pain signals.

Soft Tissue Rheumatism

Soft Tissue Rheumatism refers to conditions that cause pain, stiffness, and swelling in the tissues surrounding joints, such as muscles, tendons, ligaments, and bursae, rather than the joints themselves. Common examples include tendonitis and bursitis, often resulting from overuse or injury.

Macrophage Activation Syndrome / HLH

Macrophage Activation Syndrome (MAS) is a severe, potentially life-threatening complication characterized by excessive activation and proliferation of macrophages and T-cells, leading to overwhelming inflammation. Hemophagocytic Lymphohistiocytosis (HLH) is a related hyperinflammatory syndrome marked by fever, enlarged organs, and cytopenias, often requiring prompt immunosuppressive therapy to control the immune overactivation.

Medical Procedures & Treatment Options

Disease-Modifying Anti-Rheumatic Drugs (DMARDs)

DMARDs are a class of medications used to slow the progression of rheumatic diseases, reduce inflammation, and prevent joint damage. They work by suppressing the overactive immune system responsible for the disease activity.

Biologic therapy (anti-TNF, IL-6 inhibitors, etc.)

Biologic therapies are advanced medications that target specific components of the immune system involved in inflammatory diseases, such as TNF-alpha or IL-6. These highly effective treatments can significantly reduce inflammation and prevent joint destruction in conditions like rheumatoid arthritis and psoriatic arthritis.

RA Injections & intra-articular steroid therapy

RA injections, often involving intra-articular steroid therapy, deliver potent anti-inflammatory medication directly into an affected joint. This localized treatment provides rapid relief from pain and swelling, particularly useful for managing flares in specific joints.

Osteoporosis treatment with bisphosphonates & DEXA monitoring

Osteoporosis treatment commonly involves bisphosphonates, medications that slow bone loss and help maintain bone density, reducing fracture risk. Regular DEXA (Dual-energy X-ray Absorptiometry) scans are crucial for monitoring bone density changes and assessing treatment effectiveness.

Autoimmune diagnostics: ANA, RF, Anti-CCP, HLA-B27

Autoimmune diagnostics involve specific blood tests like ANA (Antinuclear Antibodies), RF (Rheumatoid Factor), Anti-CCP (Anti-Cyclic Citrullinated Peptide), and HLA-B27 to help identify and differentiate various autoimmune conditions. These markers provide crucial clues for accurate diagnosis and guiding treatment strategies.

Joint aspiration & fluid analysis

Joint aspiration involves removing fluid from a swollen joint using a needle, which can relieve pressure and pain. The extracted joint fluid is then analyzed to identify the cause of inflammation, such as infection, gout crystals, or inflammatory arthritis.

Lifestyle & nutrition counselling

Lifestyle and nutrition counselling provide personalized guidance on dietary choices, exercise, stress management, and sleep habits, which are vital complementary approaches to managing chronic rheumatic conditions. These interventions can significantly improve overall well-being, reduce symptoms, and support medication efficacy.

Pregnancy-safe autoimmune management

Pregnancy-safe autoimmune management involves carefully adjusting medications and monitoring disease activity to ensure the health of both the mother and the developing fetus. This specialized care aims to control autoimmune symptoms while minimizing risks during conception, pregnancy, and breastfeeding.

Facilities at the Rheumatology Department

  • Dedicated infusion centre for biologic therapies
  • On-site laboratory for autoimmune profiles
  • Digital X-ray & musculoskeletal ultrasound
  • DEXA scan for osteoporosis
  • Physiotherapy & pain management unit
  • Patient education and counselling rooms

Our specialists in Rheumatology are here to help.

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Our Rheumatology Specialist

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Frequently Asked Questions

1. What is considered the best medicine to treat rheumatoid arthritis?

The best medicine to treat rheumatoid arthritis" often involves a combination of Disease-Modifying Anti-Rheumatic Drugs (DMARDs), which are foundational in slowing disease progression. For many, biologic therapies are also considered highly effective, especially when conventional DMARDs are insufficient.

2. What is the best treatment for rheumatoid arthritis and gout?

A combination of DMARDs, pain relief, physical therapy, and in some cases biologic injections, depending on disease severity.Effective medical treatment of rheumatoid arthritis aims to achieve disease remission or low disease activity, thereby preventing irreversible joint damage and significantly improving a patient's quality of life.A rheumatologist specializing in gout is a medical expert dedicated to the diagnosis, treatment, and long-term management of this inflammatory arthritis, focusing on controlling uric acid levels and preventing painful flares.

3. Can rheumatoid arthritis be treated during pregnancy?

Yes, with close supervision, certain medications and treatments are safe during pregnancy.

4. How do I know if I need to see a rheumatologist?

If you have joint swelling, stiffness lasting more than 30 minutes, fatigue, or autoimmune symptoms like rashes or ulcers, a consultation is recommended.

5. Do you offer treatments for ankylosing spondylitis?

Yes, we specialize in ankylosing spondylitis treatment with the latest targeted therapies and biologics.

6. What are the main types of Psoriatic Arthritis treatments available?

Psoriatic Arthritis treatment typically involves a combination of medication and non-drug therapies. Medications include Disease-Modifying Anti-Rheumatic Drugs (DMARDs) and advanced biologic therapies, which target specific immune pathways. Non-drug therapies often include physical therapy, lifestyle adjustments like exercise and diet, and pain management techniques.

7. Who is the best rheumatologist in Coimbatore?

Our department is led by board-certified, highly experienced rheumatologists with a strong record in complex autoimmune care.

8. When is surgery considered for rheumatoid arthritis in the knees?

Surgery for rheumatoid arthritis in the knees is generally considered when non-surgical treatments have failed to adequately control pain, improve function, or if there is significant joint damage.

9. How does smoking impact the severity of rheumatoid arthritis symptoms?

Smoking and rheumatoid arthritis can exacerbate the immune response, leading to increased joint inflammation, greater joint damage, and more active disease. Smokers with RA are also more prone to extra-articular manifestations, such as rheumatoid nodules and lung problems.

10. Do children and adolescents get arthritis ?

Yes, children can get arthritis. Juvenile idiopathic arthritis (JIA) is the most common type of arthritis in children and is characterized by joint inflammation, pain, stiffness, and swelling.