Prepare For Your Specialist Visit
Take a quiz to see if your gout may be out of control and discuss the results with your specialist. You can also download a list of important questions to ask your specialist.
Terms and Conditions: Horizon is providing this service to help patients find a healthcare professional in their area who is knowledgeable about treating gout and KRYSTEXXA.
No fees have been received by or paid to healthcare professionals for inclusion in this specialist locator directory. Inclusion of a healthcare professional in this directory does not represent an endorsement by or a recommendation from Horizon, nor does it imply that the healthcare professional on the list will determine that KRYSTEXXA is right for you.
You are ultimately responsible for the selection of a healthcare professional and it is an important decision that you should consider carefully. This tool is just one source of information available to you.
Note: If you are a healthcare professional and have any questions regarding this finder, please contact us at .
Best Rheumatologists In Ottawa On
Expert recommended Top 3 Rheumatologists in Ottawa, ON. All of our rheumatologists actually face a rigorous 50-Point Inspection, which includes everything from checking reviews, ratings, reputation, history, complaints, satisfaction, trust and cost to the general excellence. You deserve only the best!
DR. SUNEIL KAPUR
Since 1997
Heres The Deal:Dr. Suneil Kapur is one of the leading rheumatologists who completed medical school at the University of Western Ontario in 1997. He focuses on rheumatoid arthritis and back pain. He treats undifferentiated connective tissue disease and Sjogren’s syndromes. Dr. Suneil places excellent value on healing and comforting clients through his comprehensive approach. Dr. Suneil Kapur’s clinic has all the facilities for affording exceptional care to patients. Services are available in English as well as French.
SPECIALTY:Lupus, Gout, Tendinitis, Autoimmune, Broken Ankle, Rheumatoid and Psoriatic Arthritis, Polymyositis, Systemic Sclerosis, Tendonitis, Tendinitis & Rheumatic Diseases
License #75763
Gary A Real Gout Patient
Gout specialists like rheumatologists have considerable experience diagnosing gout that is out of control and are familiar with the latest gout treatments. Nephrologists recognize the important challenges to treating gout in patients with chronic kidney disease and provide nuanced support for both conditions.
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How Is Gout Diagnosed
At Gotham Footcare, your doctor may perform the following tests to help diagnose gout:
- Joint Aspiration. Your doctor may use a needle to withdraw fluid from your affected joint that will be examined under a microscope for the presence of urate crystals.
- Blood test. Your doctor may perform a blood test to measure the levels of uric acid in your blood.
- X-ray imaging. X-rays of the joint may show the deposition of uric acid crystals.
- Ultrasound. Musculoskeletal ultrasound can also be used to visualize urate crystals in a joint.
Frequently Asked Questions And Answers
What are some popular services for rheumatologists?
Some popular services for rheumatologists include:
Virtual Consultations
What are people saying about rheumatologists in Los Angeles, CA?
This is a review for rheumatologists in Los Angeles, CA:
“I’ve never met such a caring and genuine Doctor such as Dr. Rabbani. He takes the time to get to know you and find the best and safest approach to treat you. He has a great balance of taking a medical and holistic approach. Most importantly, he develops a trust and gets to know you as more than just a patient but as a person. With his help, I have healed not only emotionally but physically. He is a gem of a doctor which is hard to find in Los Angeles.”
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How Can I Find A Top
You can use Zocdoc to find Gout doctors who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.
How Top Experts Are Advancing Gout Care In The United States
Gout is a form of arthritis that is largely characterized by its unpredictability. Some patients with gout will experience just one flare in a lifetime. Others, however, will regularly suffer from the severe pain and joint swelling that typically begins in the large toe but can also spread to or originate in patients feet, ankles, wrists, hands, and elbows. Untreated, gout can cause permanent joint damage.1 Additionally, a buildup of uric acid can also lead to gout-associated cardiac and kidney complications.
Fortunately, following a gout-friendly diet along with medications such as probenecid, sulfinpyrazone, and allopurinol can help prevent flares. And, even when flares occur, patients can effectively prevent joint damage or further disease progression and complications with the use of nonsteroidal anti-inflammatory drugs or other medications and/or injections. Yet many patients with gout never seek treatment. Even patients who consult with physicians often fail to follow prescribed protocols and stop taking their medications or miss doses on a regular basis. As a result, gout flares are prevalent in the US patient population.
Studying Patient Behavior to Improve Outcomes in Patients With Gout
Of course, this treatment approach isnt entirely new Dr Singh points out that story-telling has been effective at improving medication adherence in patients with blood pressure problems. Now, says Dr Singh, he hopes that gout story-telling will prove similarly effective.
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How Can I Make A Same
On average, patients who use Zocdoc can search for a doctor for Gout, book an appointment, and see the doctor within 24 hours. Same-day appointments are often available, you can search for real-time availability of doctors for Gout in your area who accept your insurance and make an appointment online.
What Are The Symptoms Of Gout
An episode of gout is called a gout attack. Gout attacks are very painful and can happen quite suddenly, often overnight. During a gout attack, symptoms in the affected joint may include:
- Intense pain.
- Tenderness, even to light touch, such as from a bedsheet.
- Warmth, or a feeling like the joint is on fire.
- How long does a gout attack last?
A gout attack can last a week or two. Between gout attacks, you may have no symptoms at all.
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The Treatment Of Gout Is A Two
Two different elements of the disease need to be considered in their own right and it may be you treat both at the same time or individually, dependent on your circumstances. Treating gout combines lifestyle changes and medical treatment and the two separate approaches you need to consider for your treatment are:
- Treating the actual attacks of gout
- Treating the high levels of uric acid in the body
Your First Step To Getting Better
At Gotham Footcare in NYC, we strive at recognizing your individual needs and desired outcomes while formulating an effective and personalized treatment plan with the highest quality care available.
What sets Gotham Footcare apart from other podiatry offices is our dedication to providing you with the education you need to make well-informed decisions regarding your care. Regardless of what your foot and ankle trouble may be, at Gotham Footcare our team will work tirelessly to help you feel better. At Gotham Footcare, we help you put your best foot forward.
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A Rheumatologist Completes Extensive Training In Gout And Is An Expert In Gout Care
A rheumatologist is a physician who specializes in treating diseases related to the muscles and joints, as well as autoimmune conditions, collectively known as rheumatic diseases. Rheumatologists must train extensively to master this area of study. A will have expertise in treating gout, , and other conditions related to the muscles and joints.
All doctors complete a training program called a residency after they finish medical school. But rheumatologists receive considerable training beyond that. Rheumatologists spend several additional years in a fellowship, during which they train under experienced rheumatologists and focus on patients with gout and other rheumatic diseases. At the end of this period, specialists can take an exam to become board-certified rheumatologists. Look for a doctor who is board certified in rheumatology and youll know youre seeing an expert.
Diagnosis And Tests For Gout
Your GP will assess your symptoms and they may arrange:
- A blood test to check your uric acid levels this is not a definitive test as you can have high uric acid levels and no gout symptoms or gout symptoms without high uric acid levels
- A dual-energy CT scan to detect urate crystals in your joints even if your joints arent very inflamed this scan is not routinely performed or widely available due to its expense
- A joint fluid test, also called a synovial fluid examination a sample of fluid from your joint is collected using a thin needle and examined under a microscope to check for urate crystals
- An ultrasound scan to detect urate crystals or tophi in your joints
- An X-ray to rule out other causes of joint inflammation
Your GP will also ask about your lifestyle, your diet and how much alcohol you drink. If they think you have gout, they may refer you to a rheumatologist
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A Rheumatologist Has Extensive Experience In Treating Gout
Rheumatologists see a higher volume and concentration of patients with gout, and thus are more experienced in treating the condition successfully. Because they see lots of patients with , they can add real-world knowledge of the disease to their academic and clinical training. Theyre able to assess how well patients respond to certain treatments, have a deeper understanding of how gout progresses over time, share insight about effectively implementing lifestyle changes, and recognize symptoms that a general practitioner may miss, among other skills.
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Practice
- American Board of Podiatric Medicine
Education
- New York College of Podiatric Medicine, Doctor of Podiatric Medicine
- University of Central Florida
- NewYork-Presbyterian Brooklyn Methodist Hospital, Residency in Podiatric Surgery
Professional memberships
- New York State Podiatric Medical Association
Common visit reasons
Practice
- Pacific College of Health and Science, Master’s in Acupuncture
Common visit reasons
Practice
- National Certification Commission for Acupuncture and Oriental Medicine
Education
- Pacific College of Health and Science, Doctor of Acupuncture
- Tri-State College of Acupuncture, Master’s in Acupuncture and Oriental Medicine
Professional memberships
- Acupuncture Society of New York
- Acupuncturists Without Borders
Practice
- New York College of Podiatric Medicine, Doctor of Podiatric Medicine
- St. Albans Veterans Affairs Medical Center, Residency in Podiatric Surgery
- New York Community Hospital, Residency in Podiatric Surgery
Common visit reasons
Practice
- Medical School – Universidad Autónoma de Guadalajara Facultad de Medicina Guadalajara
- New York Medical College, Doctor of Medicine
- Icahn School of Medicine at Mount Sinai
Professional memberships
Practice
- Tri-State College of Acupuncture, Master’s in Acupuncture
- St. John’s College
Practice
- National Certification Commission for Acupuncture and Oriental Medicine
Education
- Pacific College of Health and Science, Doctor of Acupuncture
- Tri-State College of Acupuncture, Master’s in Acupuncture and Oriental Medicine
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Reducing Uric Acid Levels
Medications which aim to lower the bodys uric acid levels should help to prevent gout attacks and will also keep the condition under control. These medications are usually started once a gout attack is over as they should not be taken during an attack as they can make the symptoms worse. Below are some of the drug treatments you may be prescribed to manage your uric acid levels.
- Allopurinol: this is the first choice for most doctors treating gout. It directly reduces the production of uric acid.
- Probenecid: this medication works directly on the kidneys to help with the elimination of uric acid.
These are just some examples of how gout may be treated. It is also important to be hyperaware of your body and recognise the onset of an attack so it can be controlled. Taking a proactive role in self-managing your own treatment is very successful for many gout patients, so if you want to look at other treatments or are concerned about any aspect of your care, just ask.
A Rheumatologist Is A Team Player
Rheumatologists work with teams of other health care providers who treat patients with gout and can connect patients with dietitians, exercise physiologists, therapists, and other experts in gout management. Working with a team can help patients address all aspects of the disease and ensure success.
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Are Video Visits With A Gout Doctor Online Covered By My Insurance
Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Gout doctors who accept your insurance for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.
Common Treatments For Gout
Gout is treated by managing lifestyle factors and also by treating acute and chronic gout symptoms.
Treatments to soothe a flare-up may include:
- An ice pack to cool your joint
- Avoiding putting pressure on your affected joints
- Keeping bedclothes off your affected joints at night
- Non-steroidal anti-inflammatory drugs this includes:
- Colchicine an older drug that reduces gout pain but has side effects, particularly at higher doses, including diarrhoea, nausea and vomiting
- Ibuprofen an over-the-counter NSAID
- Diclofenac or indomethacin prescription NSAIDs that are more powerful than ibuprofen
- Protecting and resting your joint
- Steroid tablets or injections if you cant tolerate NSAIDs or they are not effective, you may be given steroids
Medications to prevent gout complications
Your doctor may recommend medications to prevent gout complications if:
- You have chronic kidney disease, kidney stones or tophi
- You have joint damage due to gout
- You have several gout attacks every year
- Your gout attacks are intensely painful
You will need to wait until your gout attack is over before starting on medications to prevent gout complications. These medications reduce your uric acid levels but can initially trigger a gout attack. This is because when uric acid levels drop due to the medication, urate crystals in your joints may dislodge, which triggers an attack. However, continuing with treatment is the most effective way to reduce future gout attacks.
Try to avoid:
Make sure you:
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A Rheumatologist Never Stops Learning About Gout
To maintain their board certifications, rheumatologists must keep up with new developments in their field. They must complete continuing education and renew their licenses every few years, depending on the state in which they practice and other factors. By following these requirements, board-certified rheumatologists stay on top of new treatments and discoveries about the mechanisms involved in gout, so they can then provide their patients with insightful, informed, and up-to-date treatment plans.
Doctors Who Accepted Meals From Drug Makers Prescribed More Of Their Pills
Terkeltaub, a staunch advocate for medication, has received about $35,000 in consulting fees from drug companies that make gout medications in recent years, according to the Open Payments database that tracks such payments. Many of the rheumatologists who have called for treating gout with drugs have also received money from pharmaceutical companies. Edwards, for instance, received about $27,000 in 2015.
Terkeltaub dismissed concerns about a conflict of interest, saying it was unlikely that commercial bias could have tainted three different rheumatology groups that in recent years all came up with similar guidelines for pharmaceutical intervention to treat gout. Others argue that banishing all physicians with ties to drug companies from the debate would mean losing the input of people like Terkeltaub and Edwards, who are considered leaders in the field.
But studies have shown that doctors who receive compensation from pharma companies are more likely to prescribe brand-name drugs than their peers. The Institute of Medicine urges professional physicians groups to limit such conflicts of interest on any panel that writes up treatment guidelines. Most groups do not do that.
The debate frustrates Dr. Tuhina Neogi, a rheumatologist, epidemiologist, and professor of medicine at Boston University. She understands the virtues of high-quality evidence, yet said its myopic to ignore decades of wisdom that specialists have gained from treating actual patients.
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How Is Gout Treated
At Gotham Footcare, the first step in the treatment of acute gout is to eliminate or reduce the pain by decreasing inflammation of the joint. Your doctor will prescribe pain-relieving medications, which may include:
Colchicine
Your doctor may prescribe Colchicine , a type of pain reliever that effectively reduces gout pain by inhibiting the immunological response of white blood cells that cause the symptoms of Gout.
Corticosteroids
Corticosteroid medications, such as the drug prednisone, are generally used in patients with gout who cannot take either NSAIDs or colchicine. Corticosteroids may be in pill form, or they can be injected into your joint.
Nonsteroidal anti-inflammatory drugs
NSAIDs such as over-the-counter ibuprofen and naproxen sodium can be taken or your doctor will prescribe a more-powerful NSAID such as celecoxib or indomethacin , which is the traditional drug of choice for Gout.
The second part of acute gout treatment consists of taking prescription medication to lower the levels of uric acid in your body. At Gotham Footcare, your doctor will explain the various medications available, how they differ, and their potential side effects. The medication that you and your doctor will choose will be based on what is the most appropriate in consideration of your lifestyle and current health status. Some medications may be used to treat acute Gout and others will be used to prevent chronic Gout.
What Happens At Your Appointment
The GP may ask about your diet and if you drink alcohol.
They may refer you to see a specialist and arrange a blood test and scan. Sometimes a thin needle is used to take a sample of fluid from inside the affected joint, to test it.
The blood test will find out how much of a chemical called uric acid there is in your blood.
Having too much uric acid in your blood can lead to crystals forming around your joints, which causes pain.
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