Dallas Rheumatology Practice of Scott Zashin, MD

8230 Walnut Hill Lane, Suite 614 Dallas, TX 75231   Phone: (214) 363-2812   Fax: (214) 692-8591

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.

  OA RA
Joints involved 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.

Types of Arthritis

Conditions treated by Dr. Zashin in Dallas, TX: