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 persistent fatigue mean autoimmune or inflammatory disease? Learn when fatigue is concerning, and how it should be assessed.

A clear patient guide to temporal arteritis, including warning signs, urgent steroid treatment and how vision loss is prevented.

A clear, patient-focused guide to steroid treatment in rheumatology, including benefits, risks, side effects, tapering, sick-day rules and long-term safety.

A patient guide to DMARDs including methotrexate, sulfasalazine, hydroxychloroquine, mycophenolate and leflunomide — uses, safety and monitoring.

Rheumatoid arthritis is an autoimmune inflammatory joint disease. Learn about symptoms, RF and anti-CCP antibodies, diagnosis, and modern treatments.

Axial spondyloarthritis is an inflammatory cause of chronic back pain. Learn about symptoms, MRI diagnosis, HLA-B27, and modern treatment options.

Inflammatory back pain behaves differently from mechanical back pain. Learn about axial spondyloarthritis, HLA-B27, MRI and when to seek specialist advice.

Psoriatic arthritis is an inflammatory joint disease linked to psoriasis. Learn about symptoms, diagnosis, imaging, and modern treatment options.

A clear explanation of NHS and private rheumatology care, including benefits, limitations, prescribing, biologic treatments, and how patients can move safely between both systems.

A clear explanation of anti-TNF biologic treatments such as adalimumab, how they work, their safety profile, and what options exist if treatment needs to change.

Gout is a common inflammatory arthritis affecting younger patients and increasing cardiovascular risk. Learn how it is diagnosed and treated effectively.

A clear guide to DEXA scans, bone density, FRAX and bone turnover markers, and how specialist assessment helps guide osteoporosis care.

A specialist overview of romosozumab (Evenity®) for osteoporosis, including NICE, NOGG and Royal Osteoporosis Society guidance and when treatment is appropriate.

What do CRP, ESR, ANA and rheumatoid factor really mean? Learn how symptoms, clinical signs and targeted tests lead to accurate diagnosis.

A patient-friendly guide to Raynaud’s phenomenon and chilblains, including secondary causes, COVID toes, supplements, and when specialist assessment is needed.

A patient-focused guide to bone health and osteoporosis, explaining fracture risk, DEXA scans and personalised treatment, with expert insight from Dr Animesh Singh, Consultant Rheumatologist.

Learn the difference between inflammatory and mechanical back pain, key symptoms to watch for, and when to see a rheumatologist.

Psoriasis and psoriatic arthritis are not just skin and joint conditions — they are systemic inflammatory diseases influenced by the gut microbiome, diet and lifestyle. In this blog, Dr Singh explains how dietary choices can support gut health and reduce inflammation, and how his clinic and close collaboration with dermatologists integrates medication, lifestyle advice and whole-person care for better long-term outcomes.

A patient who had been bedbound for a month shared how repeated narrow assessments failed to find answers — until a whole-person clinical review revealed the underlying pattern and led to an effective treatment plan. This blog explores why joining the dots is essential when symptoms don’t fit neatly into a single box.