Conditions I Treat
Rheumatic conditions can affect the joints, muscles, bones, immune system and blood vessels. Some have recognisable patterns, while others begin with symptoms or abnormal test results that require careful specialist assessment.
Explore the condition areas below to learn more about the conditions I assess and treat. If you are uncertain which area applies, you do not need to identify the condition yourself before arranging an appointment.
Explore Conditions
Select a condition area to see the conditions included and find the most relevant information for you.
Inflammatory conditions that cause persistent joint pain, swelling and stiffness.
Inflammatory arthritis occurs when inflammation affects the joints and, in some conditions, other parts of the body. Early diagnosis and appropriate treatment can help control inflammation, protect joint function and reduce the effect symptoms have on everyday life.
Rheumatoid Arthritis
An autoimmune condition that commonly causes persistent joint pain, swelling and morning stiffness.
Learn About Rheumatoid Arthritis
Psoriatic Arthritis
An inflammatory arthritis associated with psoriasis that may affect the joints, tendons, fingers, toes or spine.
Learn About Psoriatic Arthritis
Axial Spondyloarthritis
An inflammatory condition that primarily affects the spine and sacroiliac joints and may cause persistent back pain and stiffness.
Learn About Axial Spondyloarthritis
Sudden joint attacks, raised uric acid and prevention of recurrent gout.
Gout and other forms of crystal arthritis can cause sudden episodes of severe joint pain, swelling, warmth and redness. Assessment considers the pattern of attacks, uric acid results, medication, kidney health and other factors that may influence the risk of further episodes.
Assessment is available for a first suspected attack, recurrent gout, raised uric acid or review of existing treatment.
Autoimmune symptoms, connective tissue diseases and abnormal antibody results.
Autoimmune and connective tissue diseases can affect several parts of the body and may present with joint symptoms, rashes, circulation changes, dryness, muscle weakness or abnormal blood tests. Careful assessment is important because symptoms and test results do not always indicate a single diagnosis.
Lupus and Positive ANA
Assessment of possible lupus, unexplained autoimmune symptoms and positive antinuclear antibody results.
Learn About Lupus and Positive ANA
Raynaud’s and Chilblains
Assessment of colour changes, discomfort and circulation-related symptoms affecting the fingers or toes.
Learn About Raynaud’s and Chilblains
Systemic Sclerosis and Scleroderma
Specialist assessment of skin thickening, Raynaud’s symptoms and other features that may suggest systemic sclerosis.
Learn About Systemic Sclerosis
Sjögren’s Syndrome
Assessment of persistent dry eyes, dry mouth, fatigue, joint symptoms and possible autoimmune disease.
Learn About Sjögren’s Syndrome
Myositis
Assessment of unexplained muscle weakness, raised muscle enzymes and possible inflammatory muscle disease.
Learn About Myositis
Systemic inflammation, blood-vessel inflammation and diagnostically complex presentations.
These conditions can produce significant inflammation and may affect muscles, blood vessels, joints or internal organs. Symptoms sometimes develop quickly and may require prompt specialist assessment, particularly when giant cell arteritis is suspected.
Polymyalgia Rheumatica
Assessment of new pain and stiffness around the shoulders, neck or hips, particularly in adults over 50.
Learn About Polymyalgia Rheumatica
Giant Cell Arteritis
Urgent assessment of symptoms that may indicate inflammation of the arteries supplying the head and eyes.
Urgent symptoms: New visual disturbance or loss of vision requires urgent medical attention. Do not wait for a routine appointment or online response.
Learn About Giant Cell Arteritis
Vasculitis
Assessment of suspected inflammation affecting blood vessels and the organs or tissues they supply.
Learn About Vasculitis
Complex Inflammatory Disease Assessment
Specialist assessment for persistent inflammation, unexplained symptoms or results that do not initially fit a single diagnosis.
Learn About Complex Inflammatory Assessment
Low bone density, fracture risk, DEXA results and osteoporosis treatment.
Osteoporosis causes bones to become less resilient and more likely to fracture. A bone-health assessment considers bone-density results alongside age, previous fractures, medication, family history and other individual risk factors.
Assessment is available for an abnormal DEXA result, previous fragility fracture, increased fracture risk or review of osteoporosis treatment.
Persistent joint pain, osteoarthritis and assessment of suitable injection options.
Joint pain is not always caused by inflammatory arthritis. A specialist assessment can help distinguish osteoarthritis and mechanical problems from inflammatory or soft-tissue conditions and determine whether an injection or another treatment approach may be appropriate.
Widespread pain, fatigue, poor sleep and related symptoms.
Fibromyalgia can cause widespread pain, fatigue, disrupted sleep and difficulties with concentration. Diagnosis involves listening carefully to the pattern of symptoms and considering whether another inflammatory, autoimmune, endocrine or neurological condition may be contributing.
Not Sure Which Area Applies?
You do not need to know the name of your condition before arranging an appointment.
I assess patients with new or persistent joint and muscle symptoms, suspected inflammatory or autoimmune disease, abnormal blood-test results, gout, low bone density and established rheumatic conditions requiring review or a second opinion.
A specialist rheumatology assessment can help clarify whether your symptoms or results require further investigation and identify the most appropriate next steps.