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Dr Hitesh Patel is Consultant – Pain Management & Palliative Care he recieved his M.D. from B.J. Medical College Ahmedabad, Asia’s largest hospital, Civil Hospital, Ahmedabad. He earned his F.I.P.M. (Fellow In Pain Management) at Daradia Pain Hospital in Kolkata, which is affiliated with the Aesculap Academy in Germany. He received his C.C.P.P.M. (Certificate Course in Pain and Palliative Medicine) from Gujarat Cancer Research Institute Ahmedabad, the state’s largest cancer hospital.

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What is Rheumatoid Arthritis?

Rheumatoid arthritis is one kind of systemic disease with joint inflammation and joint pain. It is an autoimmune disease in which the body’s immune system – which normally protects its health by attacking foreign substances like bacteria and viruses – mistakenly attacks the joints. This creates inflammation that causes the tissue that lines the inside of joints (the synovium) to thicken, resulting in swelling and pain in and around the joints. The synovium makes a fluid that lubricates joints and helps them move smoothly.

What are Causes of Rheumatoid Arthritis?

Researchers discovered that those who have the HLA gene had a fivefold increased risk of having rheumatoid arthritis than those who do not have the gene. Immune responses are controlled by the HLA genetic locus. However, not everyone with these genes gets RA, and not everyone with the disease has these genes.

Symptoms of Rheumatoid Arthritis

The following joint symptoms are clues to Rheumatoid Arthritis:

  • Joint pain, tenderness, swelling, or stiffness for six weeks or longer
  • Morning stiffness for 30 minutes or longer
  • More than one joint is affected
  • Fever
  • Small joints (wrists, joints of the hands, and feet) are affected
  • The same joints on both sides of the body are affected

 

Along with pain, many people experience fatigue, loss of appetite, and a low-grade fever. The symptoms and effects of RA may come and go. A period of high disease activity (increases in inflammation and other symptoms) is called a flare. A flare can last for days or months. Ongoing high levels of inflammation can cause problems throughout the body and can affect organs and body systems that include

  • Eyes: Dryness, pain, redness, sensitivity to light, and impaired vision
  • Mouth: Dryness and gum irritation or infection
  • Skin: Rheumatoid nodules – small lumps under the skin over bony areas
  • Lungs: Inflammation and scarring that can lead to shortness of breath
  • Blood Vessels: Inflammation of blood vessels that can lead to damage to the nerves, skin, and other organs
  • Blood: Anemia, a lower than normal number of red blood cells

How Rheumatoid Arthritis is diagnosed?

A person’s indications and symptoms may lead a primary care provider to suspect RA. If this is the case, the patient will be referred to a rheumatologist, a doctor who specialises in diagnosing and treating RA. RA may resemble other types of inflammatory arthritis in its early stages. There is no single test that can confirm RA. The rheumatologist will ask questions about personal and family medical history, do a physical exam, and prescribe diagnostic testing to make an accurate diagnosis. Any previous or ongoing complaints of pain, soreness, stiffness, or trouble moving joints are asked about by the doctor. The doctor will search for tenderness, swelling, warmth, and painful or limited movement in each joint. The number and pattern of afflicted joints might also be indicators of RA.

Treatment of Rheumatoid Arthritis

There are different drugs used in the treatment of rheumatoid arthritis. Some are used primarily to ease the symptoms of RA to decrease the inflammation like NAIDS and others anti inflammatory drugs; others are used to slow or stop the course of the disease and to inhibit structural damage like DMARDs.

Service Recipient Says

back pain
GANPAT PURBIYA

Awesome pain management and I was suffering from back pain. I heard about Dr. Hitesh Patel that he excellent for pain management. so I Shaw them and I was feel better and I relax from back pain.

Lower Back Pain
Ms Heena gadhvi

I have a friend who suffers from chronic back pain and has tried so many things to get relief from the pain. I found out about the Healthy Life Pain Management program and tried it out. His back pain has gotten better in just a few short weeks!

Nidhi

I have to say, I was in a lot of pain, and I was looking for the best doctor in town. I found Dr. Hitesh Patel, and he gave me a lot of relief. She helped me stretch out my back, and it felt so good. and I am in so much less pain.