Rheumatology Insights
Written by Dr Singh, these articles explore disease insights, real clinical cases and patient experiences, offering clear explanations of rheumatic conditions and their management.
Please note, these posts are for general information only and do not constitute medical advice. Dr Singh would encourage you to speak to your healthcare professional to be assessed and managed for your specific symptoms.
Osteonecrosis of the Jaw (ONJ) and Osteoporosis Treatments: Bisphosphonates and Denosumab
Worried about osteonecrosis of the jaw (ONJ) with bisphosphonates or denosumab (Prolia)? Learn how rare it is in osteoporosis treatment, key risk factors, dental precautions, and why denosumab should not be stopped without a plan.
Could It Be Lupus? Symptoms, Blood Tests and When to Seek Specialist Advice
Worried about lupus (SLE)? Learn the key symptoms, how lupus is diagnosed, which blood tests and scans are used, and when specialist assessment is important.
ANA Positive: What It Means (and What It Doesn’t)
A positive ANA blood test does not always mean autoimmune disease. Learn what ANA results can indicate, when follow-up tests are needed, and when to see a rheumatologist.
Joint Pain, Fatigue and Systemic Symptoms After COVID-19 or Other Infections
Persistent joint pain, fatigue or systemic symptoms after COVID-19 or other infections can be post-viral, reactive arthritis or new inflammatory disease. Learn warning signs and when to seek assessment.
Joint Stiffness and Swelling: When to Suspect Inflammatory Arthritis
Clinical representation of wrist inflammation commonly seen in early inflammatory joint disease such as rheumatoid arthritis.
How to Choose the Right Rheumatologist in the UK
A patient guide to choosing a rheumatology specialist in the UK — NHS vs private care, tertiary centre experience and long-term treatment planning.
When Tests Create More Questions Than Answers
Blood tests and scans are most meaningful when interpreted in the context of symptoms and clinical assessment.
Fibromyalgia: Making Sense of Widespread Pain and Fatigue
Fibromyalgia causes widespread pain, fatigue and sleep problems despite normal tests. Learn how it’s diagnosed and managed using an evidence-based approach.
Joint hypermobility & hypermobility Ehlers Danlos Syndrome (hEDS) Explained: Symptoms, Diagnosis and Management
A consultant rheumatologist explains joint hypermobility, Beighton scores, pain, fatigue, and evidence-based management options.
Polymyalgia Rheumatica (PMR) Explained: Symptoms, Diagnosis and Treatment
Learn the symptoms, diagnosis and treatment of polymyalgia rheumatica (PMR), including steroid therapy, relapse risk and links with giant cell arteritis (GCA).
Exercise in Autoimmune Rheumatic Disease: A Practical Guide
Learn how exercise helps autoimmune rheumatic disease, what to avoid during flares, and how to build sustainable activity safely over time.
Fatigue in Rheumatic Disease: Why It Happens and What Actually Helps
Fatigue is common in rheumatic disease. Learn why it happens, why blood tests may be normal, and what practical strategies can help improve energy.
Does Fatigue Always Mean Autoimmune or Rheumatic Disease?
Does persistent fatigue mean autoimmune or inflammatory disease? Learn when fatigue is concerning, and how it should be assessed.
Giant Cell Arteritis (GCA): Symptoms, Diagnosis and Treatment
A clear patient guide to temporal arteritis, including warning signs, urgent steroid treatment and how vision loss is prevented.
Steroids Explained: Benefits, Risks and How They Are Used Safely in Rheumatology
A clear, patient-focused guide to steroid treatment in rheumatology, including benefits, risks, side effects, tapering, sick-day rules and long-term safety.
DMARDs Explained: Methotrexate, Sulfasalazine, Hydroxychloroquine, Mycophenolate and Leflunomide
A patient guide to DMARDs including methotrexate, sulfasalazine, hydroxychloroquine, mycophenolate and leflunomide — uses, safety and monitoring.
Rheumatoid Arthritis Explained: Symptoms, Diagnosis and Treatment
Rheumatoid arthritis is an autoimmune inflammatory joint disease. Learn about symptoms, RF and anti-CCP antibodies, diagnosis, and modern treatments.
Axial Spondyloarthritis Explained: Symptoms, Diagnosis and Treatment
Axial spondyloarthritis is an inflammatory cause of chronic back pain. Learn about symptoms, MRI diagnosis, HLA-B27, and modern treatment options.
Inflammatory Back Pain – When to Seek Specialist Advice
Inflammatory back pain behaves differently from mechanical back pain. Learn about axial spondyloarthritis, HLA-B27, MRI and when to seek specialist advice.
Psoriatic Arthritis Explained
Psoriatic arthritis is an inflammatory joint disease linked to psoriasis. Learn about symptoms, diagnosis, imaging, and modern treatment options.