Working With a Rheumatologist
Rheumatologists are experts in diseases that
affect the joints, muscles and connective
tissue. They have special training in
Internal Medicine and Rheumatology. Dr.
Zashin is not only Board Certified in both
Internal Medicine and Rheumatology, but has
also been distinguished as a Fellow in both
specialties. To achieve the designation of
Fellow, Dr. Zashin has served and presently
serves as faculty at the University of
Texas, Southwestern Medical School. In
addition, he has published numerous articles
on topics related to arthritis. Dr. Zashin
lectures to doctors around the country on
arthritis related issues.
Is it OA or RA?
Osteoarthritis (OA) and rheumatoid arthritis (RA) are the most common types arthritis. But they involve completely different disease processes. OA causes or is often referred to as "wear and tear arthritis". RA is an autoimmune disease. In RA, early diagnosis and aggressive treatment can mean the difference between manageable discomfort and permanent disability.
Knees and hips
Hands and feet
Neck and lower back
Often begins in small joints: Hands and wrists, Feet and knees;
May affect larger joints over time.
|Pattern of joint involvement||Random||May initially affect joints on just one side of the body, but usually affects the same joints on opposite sides of the body.|
|If hand joints are involved||Affects middle knuckles and knuckles at the end of the fingers.||Affects the wrists, large knuckles and middle knuckles.|
|Morning stiffness||Brief: up to 30 minutes, worsens throughout the day with use.||Prolonged: 45+ minutes; improves throughout the day.|
Pattern of joint involvement Random May initially affect joints on just one side of the body, but usually affects the same joints on opposite sides of the body. If hand joints are involved Affects middle knuckles and knuckles at the end of the fingers. Affects the wrists, large knuckles and middle knuckles. Morning stiffness Brief: up to 30 minutes, worsens throughout the day with use. Prolonged: 45+ minutes; improves throughout the day.
Above information taken from Arthritis Without Pain by Scott Zashin, MD. All rights reserved. Dr. Zashin frequently sees patients seeking a second opinion in North Texas, and from around the United States for conditions such as Rheumatoid Arthritis, Lupus, Osteoarthritis, Fibromyalgia, Osteoporosis and Sjögren's Syndrome.