Surgical rheumatologist

Advance knee and shoulder offers best treatment for joint pain and swelling.  Joint pain, stiffness and swelling are a feature of group of  diseases called rheumatoid or autoimmune diseases. 
In India, their is a mis-notion that rheumaoid arthrtis is not a curable disease.

Medical management
Recently a lot of progress has taken place in this field in both medical and surgical aspects, with the result that most cases are now fairly treatable.
The treatment modalities in rhematoid arthritis includes multimodal approach. 
Medications are the backbone of treatment of rheumatoid arthritis. The main drugs used in treatment of Rheumatoid arthritis are methotrexate, sulfasalazine, leflunomide, hydroxychloroquine and steroids.
Steroids are only used to control acute manifestations of the disease. Regular use of steroid medications is not advisable. Particularly in India we have seen so many patients been prescribed steroids by quacks labelling them as ayurvedic or homeopathic medications. This should be discouraged as much as possible. One should never consume a drug which has no ingredients marked on it. Overdose of steroids can lead to severe side effects.
Recent advances include the use of biological agents for treatment which are very effective.


Rheumatologist on panel: 
Dr Reena Sharma 
Dr Vishnu Sharma


The treatment has to be assisted with a guided physiotherapy and rehablitation program.

There are some conditions which can be treated only with surgical interventions.
Surgical interventions are 
Tenosynovectomy : This is a very useful procedure in tenosynovitis of tendon sheaths

Synovectomy : This is a very useful procedure in Synovitis of knee joint

Arthrodesis : 
Joint replacement : Joint replacement surgery is a boon in the lives of patients with rheumatoid arthritis. Some of the patients label it as their rebirth 

Arthroscopy is used as modality in severe cases of joint pain and swelling. With arthroscopic surgery one can do a thorough cleaning of joint i e synoium, which is the diseased part in these cases.
Arthroscopic synovectomy is the gold standard treatment for severe synovitis.

Knee joint: Arthroscopic synovectomy includes synovectomy of intercondylar region, lateral and medial parapatellar gutters and posterior knee synovium.
Shoulder joint: arthroscopic synovectomy removes intraarticular synovium as well as subacromial bursa if involved
Hip joint: synovectomy includes the central as well as the peripheral compartment.
wrist joint: one of the most commonly involved joints, a thorough resection of synovium can be planned.
elbow joint:
Anklejoint: commonly involved in seronegative arthritis, anterior and posterior arthroscopy leads to a thorough resection of synovium 


Dr Prathmesh Jain is widely  known as best surgical rhematologist in gujarat. 



Gouty arthritis of knee

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