Rheumatology
Consultation covered by CASMB
Experience and Professionalism
Complex Investigations
Top-tier Equipment
A rheumatology consultation usually involves:
- Evaluation of musculoskeletal symptoms and conditions: joint, muscle, or bone pain, stiffness, inflammation, and limited range of motion;
- Discussion of personal and family medical history, as well as associated symptoms;
- Clinical examination of the joints, spine, and muscles to identify signs of inflammation or degeneration;
- Recommendation of specific tests and investigations (blood work, inflammatory markers, immunological tests, X-rays, joint ultrasound, MRI, etc.), depending on clinical suspicion;
- Establishment of a diagnosis and a personalized treatment plan for conditions such as arthritis, osteoarthritis, osteoporosis, spondylitis, or autoimmune diseases;
- Monitoring disease progression and follow-up appointments to interpret investigations and adjust treatment if necessary.
In addition to the basic consultation, you can also benefit from the following services with a referral letter:
- Ankle-brachial index
- Osteodensitometry (DEXA)
- EKG
- Capillaroscopy
- Muscle strength measurement with a dynamometer
- Intra-articular injection
Capillaroscopy
Capillaroscopy is a non-invasive investigation used in rheumatology to evaluate microcirculation in the capillaries, particularly in the fingers.
The examination is specifically recommended for patients with Raynaud’s phenomenon, suspected autoimmune diseases, or inflammatory rheumatological conditions, as it can reveal characteristic changes in small blood vessels.
The procedure is quick, painless, and involves analyzing the capillaries using a specialized device, requiring no complex prior preparation. The results can contribute to early diagnosis, monitoring disease progression, and establishing appropriate therapeutic management.
Ankle-Brachial Index
The Ankle-Brachial Index (ABI) is a non-invasive investigation used to evaluate blood circulation in the lower limbs and to detect peripheral arterial disease.
The examination involves measuring blood pressure at the arms and ankles, followed by a comparison of the obtained values. An altered index may indicate narrowing or damage to the arteries and an increased cardiovascular risk.
The procedure is quick, painless, and requires no special preparation. The investigation is recommended for individuals with pain while walking, diabetes, hypertension, high cholesterol, smokers, or patients with cardiovascular risk factors.
Osteodensitometry
Osteodensitometry (DEXA) is an imaging investigation used to evaluate bone mineral density and for the early detection of osteopenia and osteoporosis.
The examination is particularly recommended for postmenopausal women, the elderly, or patients with risk factors for bone fragility and fractures.
The procedure is quick, painless, and uses a very low dose of radiation. During the investigation, the lumbar spine and hip are typically analyzed to determine bone strength and fracture risk.
The results of the osteodensitometry help establish measures for the prevention, monitoring, and treatment of osteoporosis.
Muscle Strength Measurement with a Dynamometer
Measuring muscle strength with a dynamometer is an investigation used to evaluate muscle strength and function, both for diagnostic purposes and for monitoring progress during medical recovery.
Testing is performed using a device called a dynamometer, which measures the force exerted by specific muscle groups, most commonly in the hand and forearm.
he procedure is quick, non-invasive, and painless, providing useful information about muscle capacity, degree of muscle weakness, recovery after trauma or surgery, and the progression of certain neurological or rheumatological conditions.
The results contribute to establishing and adapting the medical treatment and recovery plan.
Intra-articular Injection
An intra-articular injection is a minimally invasive procedure used to reduce pain and inflammation in joints affected by rheumatological or degenerative conditions.
The procedure involves the direct administration into the joint of anti-inflammatory or joint-protective substances, such as corticosteroids, hyaluronic acid, or other therapies recommended by the doctor, depending on the pathology and the patient’s needs.
Injections are frequently used for persistent joint pain, osteoarthritis, bursitis, or other inflammatory conditions, helping to alleviate symptoms and improve mobility.
The procedure is quick, performed under sterile conditions, and can be carried out with or without imaging guidance, depending on the treated joint and medical indication.
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