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Insights on Rheumatology and Wellness

Learn practical information about autoimmune conditions, joint health, and living well with rheumatic disease.

Rheumatology 101 Dr. Eric Miller Rheumatology 101 Dr. Eric Miller

Spondyloarthritis: A Primer

Spondyloarthritis is an umbrella term for a group of related autoimmune conditions that cause systemic inflammation, distinct from mechanical wear-and-tear or rheumatoid arthritis. While it literally translates to inflammation of the spine, it frequently targets tendons, fingers, and toes without ever affecting the back.

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Hydroxychloroquine 101

Hydroxychloroquine is a cornerstone treatment in rheumatology that modulates the immune system to quiet inflammation without actually suppressing your body's defenses. It is so effective at preventing flares and protecting long-term organ health that it serves as the foundational, pregnancy-safe anchor for conditions like lupus and RA.

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Rheumatology 101 Dr. Eric Miller Rheumatology 101 Dr. Eric Miller

Lupus: The Basics

Lupus is a highly variable autoimmune disease that can affect almost any part of the body, making it notoriously difficult to diagnose early on. Because no two patients look quite the same, a proper evaluation requires putting together a complex puzzle of symptoms, physical exams, and specialized blood work.

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A Swollen Knee in Minnesota: Why Lyme Should Be on the List

Lyme arthritis often surfaces months after a forgotten tick bite, typically presenting as a massively swollen but surprisingly painless knee. Because it can mimic a sports injury or flare up during the winter, it is easily missed or misdiagnosed. If you have an unexplained swollen joint after a season outdoors, an evaluation can determine if Lyme is the culprit and get you the right treatment.

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Sjögren's Syndrome: The Basics

Sjögren’s is a common yet frequently missed autoimmune condition where the immune system attacks the body's moisture-producing glands, causing severe dry eyes and dry mouth. Because it also drives systemic symptoms like joint pain and profound fatigue, a comprehensive evaluation by a rheumatologist is essential for an accurate diagnosis.

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More Than Medications: Why I Started Practicing Lifestyle Medicine

Lifestyle medicine isn't a replacement for standard autoimmune care, but a powerful way to treat the whole body alongside it. By optimizing nutrition, sleep, and stress, you can actively lower inflammation and improve your daily quality of life. This combined approach protects your joints and can even lessen your medication burden over time.

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Your Labs Are Normal. But Something Still Feels Wrong.

Normal blood work doesn't rule out rheumatoid arthritis, as up to 30 percent of patients are seronegative. Because RA is a clinical diagnosis, confirming it requires looking at joint swelling, morning stiffness, and physical exams rather than labs alone. If your symptoms persist despite normal test results, it's time for a closer look from a rheumatologist.

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Photosensitivity and Autoimmune Disease: It's More Than a Sunburn

For patients with autoimmune diseases like lupus, sun exposure is about far more than just a sunburn. UV light can actually trigger a systemic immune response, sending a biological cascade of inflammation straight to your joints and internal organs. Understanding this connection is essential for managing your disease and truly protecting your health.

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