Referral to the Rheumatologist

As for all types of disease conditions, referral to the subspe-cialist largely depends on the family physician's knowledge, interest level, and logistical ability to provide state-of-the-art care to a given patient for a given disease entity at a given time in the disease course. Specific conditions, such as suspected septic arthritis, acute myelopathy or mononeuritis multiplex, suspected acute tendon or muscle rupture, or acute internal derangement, should probably be referred. In addition, referral should be considered for patients without a specific diagnosis after 6 weeks; those with difficulty in symptom control, systemic symptoms in pregnancy, or severe symptoms; patients requiring steroid, immunosuppressive, or other drugs unfamiliar to the primary care physician; or those with end-stage joint disease. The often nonspecific nature and psychosocial impact of rheumatic symptoms require continued active involvement of the family physician in the patient's care, regardless of referral.

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Arthritis Relief Now

When you hear the word arthritis, images of painful hands and joints comes into play. Few people fully understand arthritis and this guide is dedicated to anyone suffering with this chronic condition and wants relief now.

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