Pure Rheumatology London

Joint pain is common, but certain signs signal a need for assessment. Persistent pain over 6 weeks, morning stiffness exceeding 30 minutes, or significant swelling could indicate inflammation that requires medical attention.

Joint pain is a common issue, but its causes vary widely. Some pain is temporary, while other cases can be persistent and concerning. Understanding the different reasons behind your joint pain is crucial for knowing when it's time to seek professional medical advice. This video breaks down the five most frequent causes and when to consult a specialist.

Biologic injections are targeted treatments for autoimmune diseases, used when standard therapies aren't enough. Administered via injection or infusion, they effectively manage inflammation, protect joints, and improve life quality. Generally safe with proper monitoring.

Biologics target molecules like TNF, a key player in inflammation. By blocking these pathways, they effectively reduce inflammation, control symptoms, and prevent joint damage. It's a powerful approach to managing inflammatory conditions.

Most biologic treatments are given as injections under the skin. These are typically administered weekly, every two weeks, or monthly. Some biologics are also given as intravenous infusions in a hospital setting.

Worried about self-injections? We provide training to ensure you can administer them safely at home. Most patients find it becomes straightforward and manageable with guidance.

How long do you need biologic therapy? The answer varies. Often, it's ongoing to keep conditions managed. We might adjust treatment for remission, but carefully. Lifestyle matters too – staying active, healthy weight, and vaccinated helps maintain your health alongside treatment.

Most patients manage biologic treatments well. Mild injection site reactions like redness or discomfort, and occasional headaches or fatigue are common. Serious side effects, such as infections, are rare but require attention. Seek medical advice for persistent fever, cough, or unwellness, and know when to pause treatment during significant infections.

Dealing with methotrexate side effects? Folic acid can help reduce issues like mouth ulcers and nausea. If nausea persists, switching from tablets to injections might offer better tolerance.

Biologic treatments are typically introduced when initial therapies like methotrexate aren't enough. If inflammation persists despite standard care, we might add a biologic to get the disease under control sooner.

Methotrexate is processed by the liver, so limiting alcohol intake is important. We discuss moderation individually with patients.