• Systemic Lupus Erythematosus

    Systemic Lupus Erythematosus (SLE) is a disease that is a good example of an “autoimmune disease”. It is a chronic inflammatory disease where the immune system attacks the tissues of different organ systems throughout the body and can result in many problems. It occurs worldwide, and is more common in some populations than others. Overall, this disease occurs to a frequency of about one in 1000. It is most common in women, particularly in the fertile years. In these years this disease has a ratio of about 9 women to 1 man, while in other years the ratio is much closer. There are many manifestations of systemic lupus, from mild…

  • Psoriatic Arthritis

    A patient presented to my office as a new patient, sent because of elbow pain. After careful history taking and an examination of the elbow, it was determined that she had what is better known as “Tennis elbow”, or lateral epicondylitis. Further examination, revealed what we call dactylitis (sausage digit, because it looks like a sausage), pitting of a couple of finger nails and some psoriasis in the Umbilicus (belly button). The diagnosis then went from a localized/isolated tennis elbow to a diagnosis of Psoriatic arthritis. Psoriatic arthritis comes in many forms and varieties. It can look just like rheumatoid arthritis (RA), involve the spine in a way similar to…

  • Ankylosing Spondylitis

    Ankylosing spondylitis (AS) is a chronic inflammatory disease that causes pain and inflammation of the joints of the spine and the joints between the spine and pelvis (sacroiliac joints). However, AS may also involve other parts of the body as well. AS and its related diseases affect as many as 2.4 million people in the United States. AS commonly occurs in people between the ages of 17-35, but it can affect children and older adults. AS is more common in men, but occurs in women as well. Although the exact cause of AS is unknown, we do know that genetics, along with some environmental factors, play a key role in…

  • Osteoarthritis

    Osteoarthritis, not surprisingly, is referred to as the “wear and tear” type of arthritis since it will likely occur in all of us who tread long enough on this planet with gravity or who have had repeated injury or stress on our joints. This idea also helps conceptually to distinguish osteoarthritis from inflammatory types of arthritis such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis and lupus arthritis, to mention a few. Cartilage is a substance (you’ve seen that pearly smooth material on the ends of chicken bones) that protects our bones where they connect with each other to make a movable joint. As the structure of cartilage fails, stresses are…

  • Rheumatoid Arthritis

    Rheumatoid arthritis (RA) is an autoimmune systemic inflammatory disease which affects up to 0.8% of the population which translates into 2.4 million Americans. It’s cause is due to genetic susceptibility and environmental factors which research is beginning to identify. It causes joint pain, stiffness, patterned symmetrical joint swelling of the fingers and wrists (being most common), deformities, X-ray damage, decreased function, poor quality of life and disability. RA contributes to other disease states such as heart attacks and strokes. The diagnosis is made on the symptoms, examination, blood tests known as rheumatoid factor and anti-CCP antibody, X-rays, ultrasound, and MRI. Cortisone (e.g. prednisone) and NSAIDs e.g. ibuprofen, naproxen can help…

  • Research Studies

    FLAGSTAFF Ankylosing Spondylitis Gout Rheumatoid Arthritis MESA Gout Postmenopausal Osteoporosis Psoriatic Arthritis Rheumatoid Arthritis Systemic Lupus Erythematosus SUN CITY Rheumatoid Arthritis Systemic Lupus Erythematosus GILBERT Ankylosing Spondylitis Rheumatoid Arthritis Systemic Lupus Erythematosus Pinnacle Care internal Medicine (Peoria) Diabetes Arizona Centers for Digestive Health Crohn’s Disease Colitis PHOENIX OA of Knee Psoriatic Arthritis Rheumatoid Arthritis Systemic Lupus Erythematosus TUCSON Ankylosing Spondylitis Psoriatic Arthritis Rheumatoid Arthritis Systemic Lupus Erythematosus GLENDALE Colitis Crohn’s Disease Dermatomyositis Diffuse Cutaneous Systemic Sclerosis Giant Cell Arteritis Gout Postmenopausal Osteoporosis Psoriatic Arthritis Rheumatoid Arthritis Systemic Lupus PARADISE VALLEY Ankylosing Spondylitis Primary Sjogrens Psoriatic Arthritis Rheumatoid Arthritis Systemic Lupus Erythematosus Systemic Sclerosis