Rheumatologist talks about Biosimilars for the treatment of Rheumatoid Arthritis

 Rheumatologist, Registered Dietician, and Kinesiologist, talk about the health benefits of beets in relation to arthritis management.

 Rheumatologist, and a  Registered Dietician, and a  Kinesiologist, talk about the health benefits of tomatoes in relation to arthritis management.

Home Exercise Program - Walking;  Kin, Clinical Exercise Physiologist

What is Local Rheumatologist

A local rheumatologist is a medical doctor who is specially trained in treating diseases of the muscles, joints and bones. If you have a condition such as arthritis or gout, you will probably work with a local rheumatologist to manage your condition. Nutrition plays a big role in managing a chronic condition such as rheumatoid arthritis or psoriatic arthritis, so you may also work with a local nutritionist or registered dietitian. They can help you understand the benefits of eating an anti-inflammatory diet, the connection between physical and mental health, lower cholesterol, reduce fats in your diet and more.    Trouvez des informations ou des prouveurs locaux comme un rhumatologue local à montréal et à québec

Often seeing your local family Physician is a great starting place for referrals to your local Massage Therapist or your local chiropractor to help with massage and skeletal adjustments. A local Physiotherapist or local athletic trainer can help with strength and bruised muscles. Acupuncture is often recommended for chronic pain in association with your local physiotherapist 

Other types of DMARDs include:

  • Sulfasalazine
  • Hydroxychloroquine (Plaquenil)
  • Gold (Myochrisine)
  • Leflunomide (Arava)

Rheumatologists often prescribe a triple therapy combination of Methotrexate, Hydroxychloroquine and Sulfasalazine.

Non-Steroidal Anti-Inflammatory Drugs

Also known as NSAIDs, these medications reduce joint inflammation and reduce pain, but do not prevent the progression of rheumatoid arthritis. With 20 different anti-inflammatory medications available, you can always try a different NSAID if one doesn't work for you.

Analgesic Medications

Analgesic medications are used to control pain, but they don't prevent further joint damage. Analgesics range from over-the-counter acetaminophen to stronger pain narcotics like morphine.

Corticosteroids (Prednisone)

Some patients find relief from inflammation, pain and stiffness by using prednisone. However, because it can have side effects when used long-term, doctors generally prescribe it in high doses for short periods of time.

Cortisone injections are another option for some people with rheumatoid arthritis.

Advanced Therapeutics

If your joint pain and stiffness isn't well-controlled by anti-inflammatory medications and Disease Modifying Anti-Rheumatic Drugs, your rheumatologist may prescribe advanced therapeutics.

These medications are made up of biologic medications and small molecules. They're given by an injection under the skin or by an intravenous infusion.   Trouvez des informations ou des prouveurs locaux comme un rhumatologue local à montréal et à québec

There are a number of effective Anti-Tumor Necrosis Factor biologics available, including:

  • Humira (adalimumab)
  • Remicade/Inflectra/Remsima (infliximab)
  • Cimzia (certolizumab)
  • Enbrel/Brenzys/Erelzi (etanercept)
  • Simponi (golimumab)

There are other biologics that target aspects of the inflammatory response, including Kevzara (sarilumab) and Actemra (tocilizumab), which block an important signalling protien involved in inflammation called Interleukin-6.

Or, you may benefit from alternative therapies such as:

  • Rituxan (rituximab), which targets a marker on the surface of immune cells
  • Orencia (abatacept), a medication that interrupts communication between immune cells

Surgery for Rheumatoid Arthritis

If you have severe rheumatoid arthritis, your joints may become so badly damaged that they no longer function. In this case, surgery may help reduce pain, restore function and improve mobility.

Surgery for RA typically involves replacing a damaged joint with an artificial joint.

 

Dr. Rajwinder Dhillon

Dr. Rajwinder Dhillon

Rheumatologist
Niagara Falls, ON
Dr. Saeed Shaikh

Dr. Saeed Shaikh

Rheumatologist
St Catharines, ON
Dr. John Dickson

Dr. John Dickson

Rheumatologist
St Catharines, ON
Dr. Sanjay Dixit

Dr. Sanjay Dixit

Rheumatologist
Burlington, ON
Dr. Jonathan Adachi

Dr. Jonathan Adachi

MD, FRCPC
Rheumatologist
Hamilton, ON
Dr. Rajendra Carmona

Dr. Rajendra Carmona

Rheumatologist
Hamilton, ON
Dr. Blumer McDonald

Dr. Blumer McDonald

Rheumatologist
Toronto, ON
Dr. Alfred Cividino

Dr. Alfred Cividino

Rheumatologist
Hamilton, ON
Dr. Nader Khalidi

Dr. Nader Khalidi

Rheumatologist
Hamilton, ON
Dr. Mark Matsos

Dr. Mark Matsos

Rheumatologist
Hamilton, ON
Dr. Margaret Larche

Dr. Margaret Larche

Rheumatologist
Hamilton, ON
Dr. Leilani Famorca

Dr. Leilani Famorca

Rheumatologist
Hamilton, ON
Dr. Elzbieta Kaminska

Dr. Elzbieta Kaminska

Rheumatologist
Hamilton, ON
Dr. Tulio Scocchia

Dr. Tulio Scocchia

Rheumatologist
Hamilton, ON
Dr. Rolf Sebaldt

Dr. Rolf Sebaldt

Rheumatologist
Hamilton, ON
Dr. Arthur Lau

Dr. Arthur Lau

Rheumatologist
Hamilton, ON
Dr. Viktoria Pavlova

Dr. Viktoria Pavlova

Rheumatologist
Ancaster, ON
Dr. Suzanne Leaf

Dr. Suzanne Leaf

Rheumatologist
St Thomas, ON
Dr. Sharon Wilkinson

Dr. Sharon Wilkinson

Rheumatologist
Burlington, ON
Dr. Vikas Pandith

Dr. Vikas Pandith

Rheumatologist
Burlington, ON
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