Arthritis Therapy Apex NC

Local resource for arthritis therapy in Apex. Includes detailed information on local businesses that provide access to arthritis pain relief, arthritis medication, arthritis natural treatments, rheumatoid arthritis treatments, physical therapy, and occupational therapy, as well as advice and content on arthritis surgery.

Bilal M Agha, MD
Apex, NC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Aga Khan Med Coll, Aga Khan Univ, Karachi, Pakistan
Graduation Year: 1990

Data Provided By:
Walter L Chmelewski, MD
(919) 881-8272
2418 Blue Ridge Rd
Raleigh, NC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Univ Of Pittsburgh Sch Of Med, Pittsburgh Pa 15261
Graduation Year: 1986

Data Provided By:
Sherry Lynn Sinclair, MD
(919) 881-8272
2418 Blue Ridge Rd
Raleigh, NC
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: East Carolina Univ Sch Of Med, Greenville Nc 27858
Graduation Year: 1993

Data Provided By:
Douglas G Freeman Jr, MD
(919) 781-9633
5011 Brookhaven Dr
Raleigh, NC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1968

Data Provided By:
Fathima Nikhath Kabir
(919) 872-9762
3718 Benson Dr
Raleigh, NC
Specialty
Internal Medicine, Rheumatology

Data Provided By:
Dhavalkumar D Patel, MD
(919) 419-7410
103 Oxford Creek Rd
Cary, NC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1989

Data Provided By:
Keith Mark Hull, MD
4207 Lake Boone Trl
Raleigh, NC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Boston Univ Sch Of Med, Boston Ma 02118
Graduation Year: 1997

Data Provided By:
Ana Silvia Ross, MD
(919) 881-8272
2418 Blue Ridge Rd Ste 105
Raleigh, NC
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Univ Fed Do Parana, Setor De Cien, Curitaba, Pr, Brazil
Graduation Year: 1985

Data Provided By:
Kyle Woodrow Strader, MD
(919) 781-9633
3831 Merton Dr
Raleigh, NC
Specialties
Internal Medicine, Rheumatology
Gender
Male
Education
Medical School: Wv Univ Sch Of Med, Morgantown Wv 26506
Graduation Year: 1981

Data Provided By:
Claudia Jeffrey Svara, MD
(919) 239-4030
4030 Wake Forest Rd Ste 202
Raleigh, NC
Specialties
Internal Medicine, Rheumatology
Gender
Female
Education
Medical School: Univ Of Nc At Chapel Hill Sch Of Med, Chapel Hill Nc 27599
Graduation Year: 1983

Data Provided By:
Data Provided By:

New, Targeted Therapies for Arthritis

There are many different types of rheumatological diseases. A rheumatological disease is an inflammatory arthritis that affects the entire body as a whole. Rheumatoid arthritis (RA) is the most common rheumatologic disease. Certain types of rheumatoid arthritis seem to target specific joints.

When a rheumatological disease affects the spine, the resulting conditon is called a spondyloarthropathy. The term is made up of Greek words: Spondylo means vertebra, arthro means joint and pathos means disease. When other more peripheral joints are affected (such as in the arms and legs), the rheumatologic arthritis is referred to as an spondyloarthritide.

In this article, Dr. Philip J. Mease from the Division of Rheumatology, University School of Medicine in Seattle, Washington gives us an update on two of the more common spondyloarthropathies: psoriatic arthritis (PsA) and ankylosing spondylitis (AS). Psoriatric arthritis affects the peripheral joints. Ankylosing spondylitis affects the spine.

New findings in the field have brought these conditions and their treatment to our attention. The first major breakthrough in understanding and treating these diseases is in the area of pathophysiology. Pathophysiology tells us what went wrong at the cellular level to cause these problems.

Researchers are identifying specific differences between rheumatoid arthritis and spondyloarthropathies. Their work in the field of osteoimmunology is helping determine what's going on between the bone cells (osteo) and the immune system. This knowledge has led to more refined development of specific drug treatments for these two types of arthritis. That's good news for anyone suffering from any kind of rheumatologic disease.

For example, MRIs of patients with spondyloarthropathies show bone edema before any actual bone damage occurs in the joints. At the same time, they have found nests of lymphocytes (white blood cells), bone cells, and blood in the bone marrow (inside bones) of patients with ankylosing spondylitis. Though the exact meaining of these findings are unknown, they point in a direction to help drug manufacturers develop medications that could stop this process.

Measuring the effect of therapy on disease activity is one way to assess new treatments. Studies look at before and after outcomes of therapy on affected joints, skin, pain, function, fatigue, and quality of life. The therapeutic effects of treatment on disease activity can be difficult to measure -- especially when those changes occur at the cellular level. MRIs and X-rays may be helpful.

Patient-reported outcomes using various surveys can help track patient perceived changes, too. Some of these tools include the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Function Index (BASFI), and the Ankylosing Spondylitis Quality of Life (ASQoL) questionnaire.

Standard treatment of mild spondyloarthropathies start...

Click here to read the rest of this article from eOrthopod.com