Rheumatology Services at Arthritis & Wellness Institute in Boca Raton, FL

At Arthritis & Wellness Institute we specialize in the diagnosis and treatment of arthritis and autoimmune disease. Not only can these conditions cause debilitating pain, they can often affect many other systems within the body leading to a wide variety of symptoms. Fortunately, there has been great advancement in treatment options for many of these conditions that allow our patients to live active, symptom-free lives.

  • Rheumatoid Arthritis is a chronic inflammatory disorder that primarily affects the joints, causing pain, swelling, and stiffness. However, over 40% of patients will also have symptoms outside of the joints. This can include effects on the heart, lungs, kidneys, blood vessels and skin. Early diagnosis and treatment is crucial in the management of Rheumatoid Arthritis.

  • Psoriatic arthritis is a chronic autoimmune disorder that causes joint inflammation and skin lesions. It typically affects people who have psoriasis, a skin condition characterized by red, scaly patches on the skin. However the joint symptoms can precede the skin manifestations as well. Symptoms of psoriatic arthritis include joint pain, stiffness, and swelling, as well as skin rashes and nail changes. The condition can also cause fatigue, eye inflammation, and even damage to other organs such as the heart and lungs. Treatment options include medication and lifestyle changes to manage symptoms and slow the progression of the disease.

  • Systemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that can affect multiple organs and tissues in the body. It occurs when the immune system attacks healthy tissues in the body, causing inflammation and damage. Symptoms can vary greatly from person to person and may include joint pain, skin rashes, fatigue, fever, and organ involvement such as the kidneys or lungs. SLE is more common in women and can be triggered by a combination of genetic and environmental factors. While there is no cure for SLE, treatment can help manage symptoms and prevent organ damage.

  • Gout is a type of arthritis that results from the buildup of uric acid crystals in the joints. This can cause sudden and intense pain, swelling, and stiffness in affected joints, which most commonly include the big toe, ankle, knee, and wrist. Gout is caused by a condition known as hyperuricemia, meaning there is too much uric acid in the body. Treatment involves pain control during the acute flare then working to prevent future flares and permanent damage by lowering the uric acid.

  • Osteoporosis is a condition characterized by loss of bone density and increased risk of fractures. It is most common in postmenopausal women, but can also affect men and individuals with certain medical conditions or medication use. Osteoporosis is typically diagnosed through a bone density test, which measures bone mineral density and compares it to that of a healthy young adult of the same sex. Management of osteoporosis typically involves a combination of lifestyle modifications and medications. Calcium and vitamin D supplements, as well as weight-bearing exercise, are important for maintaining bone health. Medications such as bisphosphonates, hormone therapy, and selective estrogen receptor modulators may be prescribed to increase bone density and reduce the risk of fractures. Regular monitoring and follow-up bone density tests may be necessary to assess treatment efficacy and adjust treatment as needed.

  • Osteoarthritis is a degenerative joint disease that causes the cartilage between the bones to break down, resulting in bone-on-bone contact and inflammation. This condition typically worsens with age and is characterized by pain, stiffness, and limited mobility in the affected joint. Commonly affected joints include the hips, knees, hands, and spine.

  • Ankylosing spondylitis (AS) is a chronic inflammatory disease that primarily affects the spine, but can also involve other joints and organs. This condition typically develops in young adults, and causes pain, stiffness, and limited mobility in the affected joints. Over time, AS can cause the vertebrae in the spine to fuse together, resulting in a loss of flexibility and mobility. In addition to the spine, AS can also affect the hips, knees, and shoulders. The exact cause of AS is unknown, but it is thought to be related to a combination of genetic and environmental factors. There is no cure for AS, but treatment options include medications to control inflammation and pain, exercise to maintain joint mobility, and physical therapy to improve posture and prevent further damage to the spine.

  • Giant cell arteritis (GCA) is a type of vasculitis, or inflammation of blood vessels, that primarily affects the arteries in the head, neck, and scalp. This condition most commonly affects adults over the age of 50 and can cause a range of symptoms, including headache, jaw pain, vision problems, and fever. GCA can cause serious complications, such as blindness or stroke, if left untreated. The cause of GCA is not fully understood, but it is believed to be related to an abnormal immune system response. Treatment for GCA involves high doses of corticosteroids to reduce inflammation and prevent complications. In some cases, immunosuppressive medications may also be used. Early diagnosis and treatment are important for preventing permanent damage and reducing the risk of complications in individuals with GCA.

  • Polymyalgia rheumatica (PMR) is a common inflammatory disorder that primarily affects individuals over the age of 50. It is characterized by pain and stiffness in the muscles of the neck, shoulders, hips, and thighs. These symptoms can develop suddenly and become severe, making it difficult to perform everyday tasks. PMR is often associated with another condition called giant cell arteritis (GCA), which affects the arteries in the head and neck. The cause of PMR is not fully understood, but it is believed to be related to an abnormal immune system response. Treatment for PMR typically involves low doses of corticosteroids to reduce inflammation and alleviate symptoms. In most cases, symptoms improve significantly within a few days of starting treatment, but long-term management may be necessary to prevent relapse.

  • Sjögren's syndrome is a chronic autoimmune disorder that primarily affects the glands that produce tears and saliva, leading to dry eyes and mouth. This condition can also cause joint pain, fatigue, and a range of other symptoms that affect various organs and systems in the body, including the lungs, kidneys, and nervous system. Sjögren's syndrome can occur on its own, or in conjunction with other autoimmune disorders such as rheumatoid arthritis or lupus.

    Management of Sjögren's syndrome typically involves a combination of symptomatic treatment and medications to control the underlying autoimmune response. Dry eyes and mouth may be treated with artificial tears, lubricating gels, and saliva substitutes. Medications such as nonsteroidal anti-inflammatory drugs, corticosteroids, and disease-modifying antirheumatic drugs may be used to alleviate joint pain and reduce inflammation. In some cases, immunosuppressive medications may be prescribed to suppress the autoimmune response. Regular dental care and eye exams are important for preventing complications associated with Sjögren's syndrome, such as dental decay and vision loss.

  • Fibromyalgia is a chronic disorder characterized by widespread pain, tenderness, and fatigue throughout the body. It can also cause a range of other symptoms, including headaches, irritable bowel syndrome, and cognitive difficulties, often referred to as "fibro fog." The exact cause of fibromyalgia is not fully understood, but it is thought to be related to abnormal pain processing in the nervous system. Diagnosis is made based on the presence of widespread pain and tenderness in specific areas of the body, as well as the absence of any other underlying medical conditions that could explain the symptoms.

    Management of fibromyalgia typically involves a multimodal approach, including medications, lifestyle modifications, and complementary therapies. Medications such as antidepressants, anticonvulsants, and pain relievers may be prescribed to alleviate symptoms. Lifestyle modifications such as regular exercise, stress management techniques, and good sleep hygiene are also important for managing fibromyalgia symptoms. Complementary therapies such as massage, acupuncture, and cognitive-behavioral therapy may also be helpful. Treatment is tailored to the individual and may involve a combination of approaches.