Rheumatology

Rheumatic diseases and all kinds of diseases involving the skeletal and muscular system fall under the field of rheumatology. Rheumatology clinics are supported in the treatment of diseases related to bones and joints, soft tissue diseases, autoimmune diseases, genetic connective tissue diseases and all kinds of diseases that cause movement restriction, pain, swelling and deformity in the body.

In the rheumatology department, services for the diagnosis and treatment of rheumatic diseases are provided. All diagnoses and treatments are successfully carried out by specialist physicians in the light of the latest developments. Rheumatic diseases are not limited to the skeletal and muscular system, but can affect the body in many different ways. Therefore, when necessary, support is obtained from other branches in the treatment of rheumatological diseases. Physical therapy, orthopedics, neurology, pain outpatient clinic and endocrinology branches are the leading ones. The treatment success rate increases as the treatment of diseases, whose diagnosis and treatment procedures are meticulously performed by a multidisciplinary team, is approached from a multi-faceted perspective.

 In rheumatology clinics: The diagnosis and treatment of the following diseases are performed in rheumatology clinics:

Rheumatoid Arthritis

Rheumatoid arthritis, a type of arthritis also known as inflammatory rheumatism, is a joint disease that causes involvement in small joints such as wrist and foot joints. This disease, which can lead to pain and swelling in the joint that causes involvement, as well as problems that can progress to disability, can also cause involvement and damage in organs such as the lungs and kidneys, and the skin or digestive system. Although there is no definitive treatment for the disease yet, it may be possible to eliminate symptoms and prevent progression, especially in patients who receive early diagnosis and treatment.

Arthritis (Osteoarthritis)

Osteoarthritis, popularly known as arthritis, is a degenerative joint disease that affects especially elderly individuals and is very common. Although it is commonly seen in joints such as hips, hands and wrists, knees and spine, it can be seen in all joints of the body. Early diagnosis is very effective on treatment success. During the treatment process, medication use, taking precautions to ensure nutrition, regular exercise, physical therapy and, if deemed necessary, intra-articular injections and surgical operations are included.

Sjogren’s Syndrome

Sjogren’s Syndrome, an autoimmune disease characterized by dry eyes and mouth, has two different types. Primary Sjögren Syndrome relates only to the described dryness syndrome and does not cause any problems affecting different parts of the body. Secondary Sjögren’s Syndrome is seen together with rheumatic joint diseases such as Lupus and Rheumatoid Arthritis. In the treatment of rheumatic joint diseases, in addition to corticosteroids and similar drugs that suppress the immune system and preventive applications of dryness in the mouth and eyes, treatment should be applied for these.

Acute Joint Rheumatism

Although it can be seen in individuals of all ages, acute joint rheumatism, which is more common in children between the ages of 5-15; It is a type of rheumatic disease that can affect the joints, nervous system, skin and heart in the body. It usually occurs after throat infections caused by streptococci. In the treatment, antibiotics and medication applications that help prevent joint inflammation, and in some cases, corticosteroid applications are used.

Fibromyalgia

Rheumatic pain that occurs in soft tissues is called fibromyalgia. This disease, which is more common in middle-aged individuals and women, causes many negativities such as fatigue, muscle aches and sleep disorders. In the treatment, drug therapies and physical therapy applications are used to help eliminate symptoms and provide sleep patterns.

Gout and pseudogout (Chondrocalcinosis)

Gout, which causes severe pain in the joints, can occur due to genetic disorders or an unbalanced diet. In this disease, which develops due to the accumulation of uric acid in the tissues without being removed from the body, adoption of a healthy lifestyle, exercise, application of a balanced diet with reduced protein content, and medication applications that help prevent symptoms are among the treatment principles. Pseudogout, which has almost the same symptoms as gout, develops as the accumulation of calcium salts instead of uric acid in the joints, and some medications used in the treatment of gout and anti-inflammatory drugs that provide symptomatic treatment are used in the treatment process.

Osteoporosis, Osteomalacia, Paget’s disease

With the advancing age, the destruction of the bones increases and the increasing calcium and vitamin D needs cannot be fully met, and the bone density decreases and the inner parts of the bones, which were previously quite strong, turn into a spongy and porous structure. This condition is called osteoporosis or osteoporosis. Paget’s disease, which develops in cases where there is too much bone destruction, is a disease with a high risk of development in osteoporosis patients. In this disease, bone formation accelerates as a reaction to the destruction in the bones, but there are disorders in the arrangement and stiffness of the bones. Another bone disease, osteomalacia, is a type of disease known as bone softening that can be seen in individuals of all ages due to vitamin D deficiency. All three diseases are within the specialty of rheumatology clinics.

Behcet ‘s disease

The disease that occurs in the form of inflammation of the blood vessels in the body (vasculitis) is called Behçet’s disease. Genetic factors are mostly effective in the formation of this disease, which causes problems such as wound formation in the mouth and genital area, inflammation in the eye. It is a systemic disease and can affect many tissues and organs. For this reason, the treatment process is long, and patients should be followed up continuously. Corticosteroids, immunosuppressant drugs, creams for skin lesions and antibiotics are used in the treatment.

Familial Mediterranean Fever

Familial Mediterranean Fever, also known as FMF disease, which is an abbreviation of its English name; It is a genetic disease that manifests itself with symptoms such as severe pain in the abdomen, joints and lungs, and high fever. In this disease, there are constantly recurring inflammations in the form of attacks due to hereditary disorders. Early diagnosis is of great importance in treatment. Although there is no definitive treatment for the disease, it is possible to prevent organ damage and significantly reduce the symptoms that develop during attacks with the use of certain medications.

Back and Neck pains

Pain in the waist and neck region is a common health problem among the public. There may be many reasons for the pain that develops in the waist and neck. These include rheumatic diseases. Therefore, blood test and medical imaging techniques should be used primarily to understand the cause of the pain. After determining the problem causing pain, patients are directed to the relevant medical unit.

Vascular Inflammation

Inflammation of the vessels (vasculitis) is a health problem that develops as a result of the development of immunity against the body’s own tissues (autoimmune mechanisms), unlike inflammation due to microbial agents. Vasculitis, which causes problems such as joint and muscle pain, fever, weight loss and fatigue, can lead to serious problems, including organ damage. The majority of treatment consists of immunosuppressive drugs and requires long-term follow-up.

Infectious Arthritis

Arthritis caused by infections of microorganisms such as bacteria, viruses and fungi is called infectious arthritis. Infectious arthritis can occur in a single joint or cause inflammation in more than one joint of the body. The main purpose of the treatment is to determine exactly the microorganism causing the infection and to perform the biological treatment for it with the use of antibiotics, antiviral or antifungal drugs.

Rheumatic Findings in the Course of Systemic Disease

Diseases that can affect many tissues and organs by keeping the body completely are called systemic diseases. Examples include connective tissue diseases, Crohn’s disease affecting the digestive system, diabetes, thyroid diseases, and Behçet’s disease. Rheumatic symptoms in systemic diseases are also common. In this case, in addition to the treatment applied for the disease, consultations to rheumatology clinics and treatments for rheumatic symptoms may also be required.

If you have any of the above diseases or you have symptoms related to these diseases, you can apply to rheumatology clinics and be examined for your health problems that have not been diagnosed yet, and you can plan your treatment process for your diagnosed rheumatological diseases.