Welcome to our blog
Insights on Rheumatology and Wellness
Learn practical information about autoimmune conditions, joint health, and living well with rheumatic disease.
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.
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.
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.
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.
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.
Let's Talk About Methotrexate: Separating Fact from Fear
While online searches for methotrexate often bring up alarming terms like chemotherapy, the low weekly doses used in rheumatology simply signal your immune system to calm down. Backed by decades of safety data, its side effects are highly manageable with routine labs and daily folic acid.
You Got a Positive ANA. Here's What That Actually Means.
A positive ANA test simply means your immune system warrants a closer look, not that you have lupus. Since roughly 20% of healthy people test positive, a rheumatologist will focus on your actual symptoms—like morning joint stiffness or sun-sensitive rashes—to determine if it's truly an autoimmune issue.
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.
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.
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.
What Is Inflammatory Arthritis (And How Is It Different From "Regular" Arthritis?)
Arthritis is one of the most misunderstood words in medicine. Here's what sets inflammatory arthritis apart from osteoarthritis — and why the distinction matters for how it's treated.
When Your Immune System Turns on You
Your immune system is supposed to protect you. Here's what goes wrong in autoimmune disease and why it's at the center of what rheumatologists treat.
Does Weather Actually Affect Joint Pain?
Your joints aren't lying to you. A rheumatologist breaks down the science behind weather and joint pain.
So What Does a Rheumatologist Actually Do?
Most people have never seen a rheumatologist until their doctor sends them our way. Here's the short version of what we do, what we treat, and what to expect.