Rheumatology - Areas of Expertise

Dr. Jain focuses on treating all aspects of adult rheumatic diseases. She maintains the highest standard of patient care and is also a resource for patients seeking a second opinion.

Connective Tissue Diseases:

Patients who have connective tissue diseases have abnormalities in the proteins (collagen and elastin) that hold the body together. These connective tissues include tendons, cartilage, skin, bone and blood vessels.
Examples: Rheumatoid Arthritis, Sjogren’s Syndrome, Systemic Lupus Erythematosus, Scleroderma, Myositis, Mixed Connective Tissue Disease

Spondyloarthropathy:

Spondyloarthropathies are systemic inflammatory diseases that have shared clinical features such as arthritis (involving the back and/or the peripheral joints) and sometimes other organ system involvement such as eye and gastrointestinal inflammation.
Examples: Psoriatic Arthritis, Ankylosing Spondylitis, Reactive Arthritis/Post Viral of infectious Arthritis, Inflammatory Bowel Disease associated Arthritis

Vasculitis:

The term vasculitis refers to inflammation of the blood vessels. There are three types of vasculitis that are defined by the size of the blood vessels affected, and the resulting clinical features: small vessel vasculitis, medium vessel vasculitis, and large vessel vasculitis.
Examples: Granulomatosis with Polyangiitis, Microscopic Polyangiitis, Takayasu’s Arteritis, Polyarteritis Nodosa, Giant cell Arteritis, Polymyalgia Rheumatica

Crystalline Arthritis:

Crystalline arthritis refers to diseases where crystals (monosodium urate crystals for gout and calcium pyrophosphate crystals for pseudogout) are deposited in the joints and surrounding structures. The inflammatory cascade that is initiated in response to these crystals leads to the symptoms of pain and swelling in the joints and tendons. Eventually, there can be joint damage and sometimes kidney disease seen in patients with gout.
Examples: Gout, Pseudogout

Osteoarthritis:

Osteoarthritis results from degradation of cartilage which lines the joints. Patients can experience stiffness and pain in the joint, often with activities. Age, obesity, previous injuries are some contributing factors for osteoarthritis.

Osteoporosis:

Osteoporosis causes the bones to become weak, which can lead to fractures with falls or even simple trauma. Our bones are dynamic structures and are in a constant state of bone building and breaking down. In Osteoporosis, this state becomes imbalanced, with more bone being resorbed than being made. Ensuring adequate vitamin D levels and calcium intake along with resistance/weight bearing exercises may help the bones. Pharmacologic therapy may be required to reduce fracture risk.

Systemic / Underlying cause of recurrent Uveitis:

Uveitis is defined as intra-ocular (eye) inflammation. Ophthalmologists may refer patients with uveitis to Dr. Jain to understand if there is a connection between the inflammatory eye disease and another, rheumatic disease. Uveitis can occur in the following rheumatic diseases including the following: spondyloarthropathies, sarcoidosis, and less commonly vasculitis and rheumatoid arthritis.

Fibromyalgia / Myofascial Pain Syndrome:

Fibromyalgia is a medical condition that causes significant amounts of pain throughout the body and may also result in extreme fatigue, trouble sleeping, headaches, and memory or mood changes. Dr. Jain can help patients better manage their symptoms and help understand if there are any other underlying medical conditions that may be contributing.

Sarcoidosis:

Sarcoidosis is a disease characterized by granulomas that deposit in parts of the body, most commonly the lungs, lymph nodes, eyes, skin and heart.