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The rheumatology service at the 3 sites of Pall Mall Medical (Manchester, Newton-Le-Willows, Liverpool) is one of the well established service areas of the medical specialties. It is renowned for quick and efficient treatment. Utilis-ing leading, cutting-edge appointment technology, ensuring fast track meeting with a consultant rheumatologist.
Pall Mall Medical rheumatology service has a range of specialist rheumatol-ogy clinics with close links with several other departments. It is at the fore-front of care and treatment providing highly professional and compassionate treatment of rheumatologic conditions tailored to individual patients. The ser-vice focuses on helping patients re-gain and maintain functional ability and quality of life.
Pall Mall Medical offers on site state-of-the-art diagnostic facilities, which as-sist with the diagnosis and treatment of a wide range of musculoskeletal con-ditions.
Rheumatologists specialise in detecting, treating and managing patients with rheumatic conditions such as arthritis. Rheumatic conditions can cause pain, inflammation and swelling in the joints, bones, muscles and soft tissues. Musculoskeletal conditions can affect people of all ages, although some conditions such as arthritis are more common in older people.
The cause of rheumatology related conditions can be defined in a number of ways including synovial or muscle biopsies and musculoskeletal ultrasound. Treatment for these conditions include pain relief injections in the soft tissue and joints, including in areas of the back, pain relief tablets or you may be referred to see a physiotherapist or podiatrist.
Everyone experiences muscle and joint pain which is not resolving as one would expect, additional evaluation may be needed.
Earlier referral should be made if you have relatives with autoimmune or rheumatic disease (as these conditions run in families) or if the symptoms are significantly worsening over a short period of time.
These disorders fluctuates in severity over time and while symptoms can im-prove or temporarily resolve when initially treated they can return once the medication is stopped.
Treatment should not be delayed and immediate referral to a rheumatologist should be made.
Joint damage can occur very early if the symptoms of joint pain are ignored or not treated properly over a period of time. This damage cannot always be reversed with treatment and may be permanent. Do not delay appropriate evaluation.
Our Consultant Rheumatologist will gather a complete medical history and perform a physical exam to look for signs and symptoms of inflammation/pain throughout the en-tire body and musculoskeletal system.
Our Consultant Rheumatologist will review the results of any prior testing that has been performed on a patient and may order additional blood tests to assess inflammation and order on site radiographic testing (plain X-ray, ultrasound, CT scan, MRI or DEXA scan) to assess for musculoskeletal abnormalities.
Once the diagnosis is developed an individual treatment plan will be put for-ward. Treatment recommendations may include medications, joint/tendon in-jections, physiotherapy or occupational therapy. Several visits for the rheu-matologist might be necessary to fully appreciate the underlying process.
Focus is often directed toward improving coping mechanisms, techniques for preventing disability and regaining function, and ways to improve their quality of life.
The experts at Pall Mall Medical can diagnose and treat a number of rheumatology issues in children including the following:
Hypermobility means the joints can stretch further than normal, which can cause pain and stiffness in joints and muscles, the joints to dislocate and cause recurrent injuries such as sprains. Treatment options include lifestyle changes such as eating a healthy diet, improving sleep patterns and taking low-impact exercises to improve muscle strength and core stability.
Symptoms of lupus (also known as systemic lupus erythematosus or SLE) include joint pain, rashes and a lack of energy. Symptoms can vary greatly between individuals. Lupus is usually treated by immunosuppressive medication.
Musculoskeletal pain refers to pain in the bones, muscles, tendons and ligaments. Symptoms can be caused by injury, sport or even day to day activities. Symptoms include localised or general pain, aching muscles and fatigue. Once a diagnosis has been given then the pain may be treated with physical therapy, footwear advice, cognitive and acceptance therapy, anti-inflammatory medication or lifestyle changes such as stress reduction.
Children’s rheumatology looks at common problems with rheumatic diseases which often involve swelling and inflammation in the joints or muscles. Read more
Dr Binymin FRCP(Lond), MSc
Consultant Paediatric Rheumatologist
Dr Philip Riley is a Consultant Paediatric Rheumatologist, available for appointments at our Manchester clinic. He can see children up to the…