Rheumatology Online Doctors Consultation
Experience the Precision of Evidence-Based Medicine in Managing Rheumatic Disorders Through Our Online Consultations Discover science-backed solutions for a wide range of rheumatic and autoimmune conditions with our online consultations. Our platform connects you with experienced medical professionals specializing in evidence-based treatments for joint, muscle, and connective tissue disorders, providing timely and accurate guidance. We address conditions such as rheumatoid arthritis, osteoarthritis, lupus, gout, ankylosing spondylitis, fibromyalgia, psoriatic arthritis, Sjögren’s syndrome, and other autoimmune and inflammatory disorders. Through confidential and accessible consultations, our doctors provide personalized care plans and treatment strategies based on the latest clinical research. Early intervention can help manage symptoms, prevent joint damage, and improve overall quality of life. Whether you’re experiencing joint pain, swelling, stiffness, fatigue, or other symptoms, our team is ready to provide expert support and tailored solutions. Our evidence-based approach ensures accurate diagnoses and effective treatments, with options for both free and paid consultations. Without requiring site registration, our licensed practitioners deliver professional and anonymous advice, all from the comfort of your home. Take control of your joint health and mobility—consult an evidence-based rheumatology specialist online today!
Questions about Rheumatology
Pain swollen lymph nodes
For the past few months I have been experiencing: • Persistent swollen lymph nodes in my neck on both sides (bilateral) • Red painful patch on my tongue that comes and goes • Pain in multiple joints including knee, hip, pelvis and right leg • Pain or discomfort in my armpits and arms • Severe hair fall • Occasional pimples/skin issues My blood tests have shown: • Elevated white blood cell count 11k sometimes 10k or 13k that did not improve with antibiotics • ESR repeat 4 times 80 88 42 8 37 • CRP was 18 about three months ago Peripheral blood smear normal • ultrasound of neck says on left side only hypoechoic 3 solid masses measure 7mm 5mm or 4mm lymph nodes and on right side nodes are present but they didn't mention I currently do not have fever and no clear infection has been identified. Because of these symptoms and abnormal inflammatory markers, I would like to rule out autoimmune or rheumatologic conditions. Could you please guide me on further evaluation and whether these symptoms could be related to any disease?
Pain in knee and hip
I am 18 For the past few months I have been experiencing: • Persistent swollen lymph nodes in my neck on both sides (bilateral) • Red painful patch on my tongue that comes and goes • Pain in multiple joints including knee, hip, pelvis and right leg • Pain or discomfort in my armpits and arms • Significant fatigue • Severe hair fall • Occasional pimples/skin issues My blood tests have shown: • Elevated white blood cell count 11k but peripheral blood smear normal that did not improve with antibiotics • ESR repeat several times in 3months start from 80 then 88 then 42 then 8 then 37 • CRP was 18 about three months ago I currently do not have fever and no clear infection has been identified. Because of these symptoms and abnormal inflammatory markers, I would like to rule out autoimmune or rheumatologic conditions. Could you please guide me on further evaluation and whether these symptoms could be related to an autoimmune disorder or any other disease ? Thank you.
Rheumatoid Arthritis treatment problem
Hello. My sister is 45 years old and was diagnosed this week with rheumatoid arthritis. She has no other medical conditions. Her hands joints started hurting about a year ago, and about a month ago she began experiencing swelling in some of her hand and feet joints, along with pain in almost all her joints, both small and large. After a blood test, she was diagnosed to have RA. RF = 351 Anti-CCP > 500 The following medications were prescribed to her today: * Methotrexate 2.5mg tablets Four tablets every Friday * Folic acid 5mg tablets One tablet every Saturday, Sunday, and Monday * Plaquenil (Hydroxychloroquine) 200mg caplets One caplet every day (evening) continuously * Prednisolone 5mg tablets 2 x 2 x 10 days 1 x 2 x 10 days 1 x 1 x 10 days * Etoflam (Etoricoxib) 90mg tablets 1 x 1 x 20 days * Pulcet (pantoprazole) 40mg tablets 1 x 1 x 30 days * Now (Vit D3) 50,000 IU caplets One caplet per week for 3 months The doctor insisted she not get pregnant because methotrexate treatment would cause birth defects. After returning home, her husband categorically refused to allow her to take any contraceptives. He also refused to allow her to travel to see the specialist who treated her again, and we haven't been able to contact him since we live in a remote area. Please advise us if there is an alternative treatment to methotrexate that is safe during pregnancy and has the same effect. As of today, March 12, 2026, she has not used any treatment. Please reply as soon as possible. Thank you.
Rheumatic Fever
I am a 17-year-old female who was diagnosed with suspected Acute Rheumatic Fever in December 2025 after joint swelling. Initial blood tests showed elevated inflammatory markers: the C-reactive protein test was about 40.7 and later increased to 65.19, while the Erythrocyte Sedimentation Rate rose from 24 to 40. I was treated with aspirin and clarithromycin (Claribid 500). After around 14 days of treatment, my inflammatory markers improved significantly (CRP 2.84 and ESR 16). My symptoms also improved during this period. Follow-up blood tests in February showed CRP 1.47 and ESR 15, which are within normal limits. Currently, I have no symptoms such as joint pain, fever, or sore throat. A heart evaluation was reportedly normal, and there was no evidence of rheumatic heart involvement. My doctor prescribed antibiotics for about three months but has now stopped them since my tests and symptoms are normal. I am concerned about the possibility of recurrence if I develop another Streptococcal Pharyngitis in the future. I also wonder whether my illness could have been Post-streptococcal Reactive Arthritis rather than true rheumatic fever. I would appreciate guidance on whether stopping antibiotic prophylaxis after three months is reasonable in this situation.
Post covid popping and cracking joints
Since having COVID, I’ve been experiencing systemic joint cracking and popping throughout my body. It feels like a snapping or crackling sensation, and I never had this issue before COVID. I’m currently taking 250 mg of magnesium daily and have been doing so for the past three days. I also saw a neurologist who said the muscle twitching was benign at the time. However, my main concern now is the joint cracking. During and after COVID, I consulted three rheumatologists. The only finding was a low-titer ANA. I also had an EMG done, which came back normal. Since there were no significant abnormalities in my bloodwork, I was essentially discharged without further direction. I’ve also been trying to follow an anti-inflammatory Mediterranean-style diet, but so far it doesn’t seem to be making any noticeable difference in my symptoms. I wanted to ask if you’ve heard of symptoms like this before. From my own research, I’ve seen reports in long COVID literature and medical journals describing joint crepitus and muscle spasms appearing after COVID infection. I was hoping you might be able to point me in the right direction regarding what to explore next.
Pain between the shoulder blades
Hello, I am 44 years old and have pain between the shoulder blades after sitting at the computer for a long time. The result of my X-ray shows: slight increase in thoracic kyphosis dextro-concave scoliosis slight deviation in the axis to the right discrete pinching D9–D10 Please recommend me: What physiotherapeutic procedures and physiotherapy would be right for me? What exercises should I do every day? Any other tips for reducing pain and preventing the worsening of spinal changes. Thank you very much!
Asking for the right medicament
My mother has a rheumatoid arthritis already 20 years. She is now 74 years old. Her main treatment has been through Sulfasalazine tablets (2mg daily). Last year on April she was hospitalized with anemia (28 hemoglobin (HGB) and pancitopenia, Diagnosis: Folate and B12 deficiency). After a 5 months treatment with B12, folate, her hemoglobin increased until 89 and started again to decrease. We started to drink Metipred (8ml daily) about 7 months and her HGB increased to normal 128. Doctor prescribed again Sulfasalazine (500ml daily) simultaneously with Metipred, she is drinking Sulf. already 2 months and her blood cells started to drop again. Her current test results are the following: HGB- 112 WBC -2.43 NEUT#-0.42 ESR-55 CRP quant.-33.3 RF-122 ALT-92 AST-62.8 FOL-16.6 Vit. B12-1819 (we are making injections her every 2 week of 1ml, that is why it is so high) ANA pattern AC2 Please, let me know, whether the decrease of blood cells to such amount can be due to the Sulfasalazine and should we continue to drink it in such a situation? And if not, what medicine should we replace it with so that it is less dangerous for the blood? Thank you in advance for your kind reply. Anna Vardanyan
How to find a proper medicament
My mother has a rheumatoid arthritis already 20 years. She is now 74 years old. Her main treatment has been through Sulfasalazine tablets (2mg daily). Last year on April she was hospitalized with anemia (28 hemoglobin (HGB) and pancitopenia, Diagnosis: Folate and B12 deficiency). After a 5 months treatment with B12, folate, her hemoglobin increased until 89 and started again to decrease. We started to drink Metipred (8ml daily) about 7 months and her HGB increased to normal 128. Doctor prescribed again Sulfasalazine (500ml daily) simultaneously with Metipred, she is drinking Sulf. already 2 months and her blood cells started to drop again. Her current test results are the following: HGB- 112 WBC -2.43 NEUT#-0.42 ESR-55 CRP quant.-33.3 RF-122 ALT-92 AST-62.8 FOL-16.6 Vit. B12-1819 (we are making injections her every 2 week of 1ml, that is why it is so high) ANA pattern AC2 Please, let me know, whether the increase of blood cells to such amount can be due to the Sulfasalazine and should we continue to drink it in such a situation? And if not, what medicine should we replace it with so that it is less dangerous for the blood? Thank you in advance for your kind reply. Anna Vardanyan
How can I prevent lungs and heart pain.its is depressing me all the day.And I want to know is it possible to keep going with ordinary wedded life
I have rheumatoid arthritis.i played cricket in professional way. It occurred in my 17 year old aged.now i am 23 years old.still i am suffering from pain.its spreading to all my body joints.now i have a big problem its spread to my heart and lungs.i am begging just give me how to prevent this heart and lungs pain
Multiple joint pain
I am facing problems with multiple joint pain since last 2 years. Pain in finger joints, wrist, shoulder, knees and heels. At night knee pain worsen . In the morning there is swelling in joints. Tell me some diagnostic tests which I can do before consulting a doctor and for temporary relief suggest some medications
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