Where in Dubai
Dr. Subhash Ushakoyala, Specialist Orthopaedic Surgeon, sees patients with rheumatoid arthritis at Grand Infinity Medical Center in Al Muteena, Deira, Dubai. Bring your recent blood test results, any X-rays, and a list of all your medicines with their doses. If a rheumatologist already treats you, bring their latest letter too.
What is rheumatoid arthritis?
Rheumatoid arthritis is a long-term condition in which the immune system attacks the lining of the joints by mistake. The lining becomes inflamed, so the joints are painful, swollen and stiff. It most often starts in the hands, wrists and feet, usually on both sides of the body. Stiffness is often worst in the morning and can last more than half an hour. It comes in flares, with calmer spells between. Over time the inflammation can damage cartilage, bone and the tendons around a joint. There is no cure, but early treatment can control it and protect the joints. Rheumatoid arthritis can also cause tiredness and affect other parts of the body.
Common signs
- Painful, swollen joints in the hands, wrists or feet, often on both sides.
- Stiffness in the morning that lasts longer than 30 minutes.
- A joint that is badly worn or deformed despite medicine.
- Swelling over the back of the wrist, or a finger that suddenly cannot straighten.
- Tiredness, low energy or a general feeling of being unwell with joint pain.
How Dr. Subhash approaches it
His services list includes the treatment of rheumatoid arthritis among the medical conditions he treats. Dr. Subhash assesses the painful joints, arranges X-rays and blood tests, and treats pain and swelling. The long-term medicines that change the course of the disease are usually directed by a rheumatologist. Where a joint or tendon is damaged, he explains the orthopaedic options, from splints and injections to surgery.
What to expect
Consultation
He asks which joints hurt, how long stiffness lasts in the morning, about flares, and about medicines you already take.
Examination
He checks each painful joint for swelling and movement, and looks at the tendons of the hands and wrists.
Tests
Blood tests look for inflammation and the markers of rheumatoid arthritis. X-rays show any damage to the joints.
Easing symptoms
Painkillers, anti-inflammatory medicine or a steroid injection into a painful joint can help during a flare.
Working with a rheumatologist
Disease-modifying medicines are usually started and monitored by a rheumatologist.
Joint care
Physiotherapy keeps joints moving. Surgery is considered when a joint is badly damaged or a tendon has torn.
Getting better
Every patient is different. These are typical milestones, not a promise; your own plan comes from your consultation.
- Disease-modifying medicines can take a few months to work, so keep taking them as prescribed.
- A steroid injection gives short-term relief while longer-term medicine takes effect.
- Regular exercise and physiotherapy help keep joints flexible and muscles strong.
Risks to know about
- Poorly controlled rheumatoid arthritis can damage joints and tendons and raises the risk of heart and lung problems.
- Steroids are kept short term because long-term use has serious side effects.
When to book a visit
Book a visit if you have pain, swelling and stiffness in your joints that is not going away. Early diagnosis matters. Book sooner if you have rheumatoid arthritis and a finger suddenly cannot straighten, or a joint is getting worse despite medicine. Go to emergency care straight away if one joint becomes suddenly hot, swollen and very painful and you have a high temperature or feel unwell, especially if you take medicines that lower your immunity.
Where to book
Dr. Subhash sees patients at Grand Infinity Medical Center in Al Muteena, Deira, in north-east Dubai. The clinic is at Shop No. 4, next to the Grand Excelsior Hotel.
Grand Infinity Medical Center
Shop No. 4, next to Grand Excelsior Hotel, Al Muteena, Deira, Dubai, United Arab Emirates
DirectionsCall +971 58 599 7460WhatsApp
Questions patients ask
Can I see him if a rheumatologist already treats me?
Yes. He can assess a painful or damaged joint alongside your rheumatologist's care. Bring their letter and your medicine list so the two plans fit together.
Is rheumatoid arthritis the same as osteoarthritis?
No. Osteoarthritis is wear of the joint surface. Rheumatoid arthritis is caused by the immune system attacking the joint lining. Morning stiffness that lasts a long time points more to rheumatoid arthritis.
Do I need a rheumatologist or an orthopaedic surgeon?
Often both. A rheumatologist usually directs the medicines that control the disease. An orthopaedic surgeon helps with damaged joints and tendons, with injections, splints or surgery.
Will I need surgery?
Many people do not. With today's medicines, surgery is needed less often. It is considered when a joint is badly damaged and painful, or when a tendon has torn.
Book an appointment
His nurse answers the phone and WhatsApp.