What is a consultation with a rheumatologist like?

A consultation with a rheumatologist generally follows the following steps:

Medical history: At the first consultation, the rheumatologist will collect detailed information about your symptoms, their duration, any triggering or aggravating factors, as well as any relevant medical and family history. It is also important to provide details about any medications you are currently taking.

Physical examination: The rheumatologist will perform a complete physical examination, focusing on the joints, muscles, and soft tissues. She will examine joint mobility and flexibility, look for signs of inflammation, tenderness or deformities, and evaluate muscle strength. It may also examine other body systems, depending on symptoms and medical history.

Diagnostic tests: If necessary, the rheumatologist may order additional tests to confirm or rule out a diagnosis. These tests may include blood tests to measure inflammatory markers, look for specific antibodies, evaluate levels of certain compounds, or check kidney and liver function. In addition, ultrasounds, densitometry, x-rays, tomography, MRI or other imaging tests may be performed to evaluate the condition of the joints and tissues.

Diagnosis and treatment plan: Once all the necessary information is gathered, the rheumatologist will discuss the diagnosis with you and develop an appropriate treatment plan. The treatment plan may include medications to control symptoms and prevent joint damage, physical or occupational therapies, lifestyle changes, exercise recommendations, and stress management techniques.

Follow-up: Depending on the nature of the disease and the prescribed treatment, you may need to have regular follow-up visits with the rheumatologist. During these visits, the effectiveness of the treatment will be evaluated, adjustments will be made if necessary, and any new concerns or symptoms you may have will be addressed.