Areas of Practice

Osteoarthritis – Osteoarthritis, also known as degenerative arthritis, degenerative joint disease or osteoarthrosis, is a disorder that involves the degradation of joints,including articular cartilage and subchondral bone.

Symptoms may include joint pain, tenderness, stiffness, locking, and sometimes an effusion. A variety of causes including hereditary, developmental, metabolic, and mechanical may initiate certain processes that lead to the loss of cartilage. This loss of cartilage results in bones becoming more exposed to abnormal wear and tear as well as decreased movement.

Treatment generally involves a combination of exercise, lifestyle modification, and analgesics. If pain becomes debilitating, joint replacement surgery may be used to improve the quality of life.

Rheumatoid Arthritis – Rheumatoid arthritis is a chronic, systemic inflammatory disorder that affects many tissues, organs and flexible joints. The disorder produces an inflammatory response around the joints resulting in pain and swelling. Rheumatoid arthritis can be a disabling and painful condition, which can lead to substantial loss of functioning and mobility if not adequately treated.

The pathology of the disease process often leads to the destruction of articular cartilage and ankylosis of the joints. Rheumatoid arthritis can also produce inflammation in the lungs, the pericardium (membrane around the heart), the pleura (membranes of the lungs), and the sclera (white of the eye). While the cause of rheumatoid arthritis is unknown, autoimmunity plays a fundamental role in both its chronicity and progression.

Psoriatic Arthritis – Psoriatic arthritis is a type of inflammatory arthritis that develops in up to 30 percent of people who have the chronic skin condition psoriasis.

Psoriatic arthritis may be mild and involve only a few joints. In some cases the disease may be severe and affect many joints including the spine. When the spine is affected, the symptoms are stiffness, burning, and pain, most often in the lower spine.

Lupus – Systemic lupus erythematosus often abbreviated to SLE or lupus, is an autoimmune connective tissue disease that can affect any part of the body. As occurs in other autoimmune diseases, the immune system attacks the body’s cells and tissue, resulting in inflammation and tissue damage.

Lupus most often affects the heart, joints, skin, lungs, blood vessels, liver, kidneys, and nervous system. The course of the disease is unpredictable, with periods of illness, known as flares, alternating with remissions. The disease occurs more often in women than in men, especially in women in child-bearing years ages 15 to 35.

Osteoporosis – Osteoporosis is a disease of the bones that leads to an increased risk of fracture. In osteoporosis the bone mineral density is reduced and the bone structure deteriorates.

The form of osteoporosis most common in women after menopause is referred to as primary type 1 or postmenopausal osteoporosis. Primary type 2 osteoporosis or senile osteoporosis occurs after age 75 and is seen in both females and males at a ratio of 2:1. Finally, secondary osteoporosis may arise at any age and affect men and women equally. This form of osteoporosis results from chronic predisposing medical problems or disease, or prolonged use of medications such as glucocorticoids.

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Fibromyalgia – Fibromyalgia is a medical disorder characterized by chronic widespread pain and allodynia, a heightened and painful response to pressure.Other symptoms include fatigue, sleep interruption, and joint stiffness. Some patients may also report difficulty with swallowing, bowel and bladder abnormalities, numbness and tingling, and cognitive dysfunction. Not all people with fibromyalgia experience all associated symptoms.

Although there is no cure for fibromyalgia, treatments have been shown to effectively reduce symptoms, including medications, behavioral interventions, patient education, and exercise.

Sports Medicine / Injuries – Sports medicine is a branch of medicine that deals with physical fitness, treatment and prevention of injuries related to sports and exercise. Although sports teams have employed Team physicians for many years, it is only since the late 20th century that Sport and Exercise Medicine has emerged as a distinct entity in health care.

Soft Tissue Rheumatic Syndromes – Musculoskeletal symptoms arising from disturbances in soft tissue, without arthritis, are extremely common and may be divided into several broad categories including regional myofascial pain disorder, fasciitis, tendinitis, bursitis, enthesitis, structural disorders, neurovascular entrapment disorders, complex regional pain syndromes and generalized pain disorders.

Sjögren’s Syndrome – Sjögren’s syndrome, also known as Sicca syndrome and Mikulicz disease is a systemic autoimmune disease in which immune cells attack and destroy the exocrine glands that produce tears and saliva. Sjögren’s syndrome can exist as a disorder in its own right or may develop years after the onset of an associated rheumatic disorder.

The majority of Sjögren’s patients are women although Sjögren’s syndrome occurs in both women and men. It is estimated to affect as many as 4 million people in the United States alone, making it the second most common autoimmune rheumatic disease.

2012 Rheumatology Center of New Jersey