Gout Center - San Rafael, CASan Rafael Rheumatologist Doctors for GoutType of Physician: Rheumatologist What is a Rheumatologist? A subspecialty certification by the Board of Internal Medicine; practitioners treat diseases of the joints, muscles, bones, and tendons. The rheumatologist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries, etc. The rheumatologist may work closely with other specialists such as orthopaedic surgeons and physical therapists. Specialty: Rheumatology Common Name: Rheumatologist Doctors in San Rafael * Peter H Stein MD  Joan T Campagna MD  UCSF VA Medical Center  Robert J Deitz MD  Internal Medicine  Pacific Rheumatology Associates  Nancy Lee Carteron MD FACR  Pacific Rheumatology Associates  Pacific Heights Medical Group  Pacific Rheumatology Associates  Pacific Heights Medical Group  Weitz Medical Management  Mercy Doctors Medical Group  Michael K Chan MD  SOAR Medical  Thomas A McDermott MD  Ephraim P Engleman MD  UCSF Rheumatology  Ernest I Katler MD  UC Davis Rheumatology  Kaiser Permanente Oakland Medical Center  Richard R Fong MD  Burlingame Pacifica Medical Group  Lipton Kucera & Associates  Peninsula Medical Group  Kaiser Permanente Medical Group Rheumatology  Michael P Stevens MD  Peninsula Medical Center San Mateo Physical Medicine & Rehabilitation  East Bay Rheumatology  Lisa B Kremer MD  Nishio & Sharma MD  Nishio & Sharma MD  John Muir Medical Center Hospitalist  Northern California Arthritis Center  Northern California Arthritis Center  Northern California Arthritis Center  Northern California Arthritis Center  Northern California Arthritis Center  Northern California Arthritis Center  Ronald G Connolly MD  Northern California Medical Associates  Umesh Sab MD  SOAR Sports Orthopedic & Rehabilitation  SOAR Sports Orthopedic & Rehabilitation  Arthritis and Rheumatology Center  Menlo Medical Clinic  Medical Specialties Clinic  Medical Specialties Clinic  Palo Alto Medical Clinic Medical Specialties  Palo Alto Medical Clinic Medical Specialties  Medical Specialties Clinic  Stanford University Medical Center  Fremont Medical Group  Barry E Shibuya MD  Washington Arthritis Center  Hisaka Ohmoto & Charlene Hu MDs  Camino Medical Group Mountain View Clinic  Camino Medical Group Mountain View Clinic  G Ang-Fonte MD  Kaiser Santa Clara Rheumatology  Arthritis Care Center  Bruce J Dreyfuss MD  Arthritis & Rheumatism Center  Arthritis & Rheumatism Center  Arthritis & Rheumatism Center  Feng Lee & Restifo MD  Feng Lee & Restifo MD  Feng Lee & Restifo MD  UC Davis Specialty Clinic  Woodland Healthcare Clinic  KPMC Santa Teresa Medical Center Rheumatology  Lester Miller MD  Santa Cruz Medical Foundation Soquel Ave  Joan V Barber MD  Thaila Ramanujam MD  Mercy Medical Group Medical Specialties  Raul J Romea MD  UC Davis Medical Group Internal & Family Practice Clinic  Sutter Medical Foundation Subspecialty  UC Davis Medical Group Internal & Family Practice Clinic  Sutter Medical Foundation Subspecialty  Albert A Ferrari MD  Kaiser Stockton Rheumatology  Kaiser Stockton Rheumatology  Kaiser Stockton Rheumatology  Midtown Internal Medicine Group  Douglas E Roberts MD  Sacramento Rheumatology Consultants  Sacramento Rheumatology Consultants  Andrew Larsen MD  Gerlie L Papillion MD  Douglas Haselwood MD  E Michael Thelen MD San Rafael, CaliforniaUpcoming Local Events2012-06-16
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GoutWhat is gout? What is hyperuricemia?Gout is a disease that results from an overload of uric acid in the body. This overload of uric acid leads to the formation of tiny crystals of urate that deposit in tissues of the body, especially the joints. When crystals form in the joints, it causes recurring attacks of joint inflammation (arthritis). Gout is considered a chronic and progressive disease. Chronic gout can also lead to deposits of hard lumps of uric acid in the tissues, particularly in and around the joints and may cause joint destruction, decreased kidney function, and kidney stones. Gout has the unique distinction of being one of the most frequently recorded medical illnesses throughout history. It is often related to an inherited abnormality in the body's ability to process uric acid. Uric acid is a breakdown product of purines that are part of many foods we eat. An abnormality in handling uric acid can cause attacks of painful arthritis (gout attack), kidney stones, and blockage of the kidney-filtering tubules with uric acid crystals, leading to kidney failure. On the other hand, some people may only develop elevated blood uric acid levels (hyperuricemia) without having manifestations of gout, such as arthritis or kidney problems. The state of elevated levels of uric acid in the blood without symptoms is referred to as asymptomatic hyperuricemia. Asymptomatic hyperuricemia is considered a precursor state to the development of gout. The term gout refers the disease that is caused by an overload of uric acid in the body, resulting in painful arthritic attacks and deposits of lumps of uric acid crystals in body tissues. Gouty arthritis is typically an extremely painful attack with a rapid onset of joint inflammation. The joint inflammation is precipitated by deposits of uric acid crystals in the joint fluid (synovial fluid) and joint lining (synovial lining). Intense joint inflammation occurs as the ... Recommended Reading Related to GoutHip bursitis facts
What is bursitis?A bursa is a closed fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. "Bursae" is the plural form of "bursa." The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees. When the bursa beco... Other Related Gout ArticlesEmergency Contact for San Rafael
Nearby San Rafael Hospitals *Kentfield Rehabilitation & Specialty Hospital Marin General Hospital Kaiser Permanente San Rafael Medical Center Novato Community Hospital Doctor's Medical Center San Pablo San Francisco VA Medical Center California Pacific Medical Center California Campus California Pacific Medical Center East Campus California Pacific Medical Center Pacific Campus Chinese Hospital Kaiser Permanente San Francisco Medical Center UCSF Medical Center at Mount Zion Saint Francis Memorial Hospital St Mary's Medical Center California Pacific Medical Center Davies Campus UCSF Medical Center at Parnassus Alta Bates Summit Medical Center Herrick Campus Laguna Honda Hospital & Rehabilitation Center San Francisco General Hospital St Luke's Hospital Alta Bates Summit Medical Center Alta Bates Campus Children's Hospital & Research Center Oakland Alta Bates Summit Medical Center Summit Campus Kaiser Permanente Medical Center at Oakland St Helena Hospital Center for Behavioral Health Kaiser Permanente Vallejo Medical Center Sutter Solano Medical Center Petaluma Valley Hospital Alameda County Medical Center Highland Campus Seton Medical Center Alameda Hospital Contra Costa Regional Medical Center Sonoma Valley Hospital Kaiser Permanente South San Francisco Medical Center VA Northern CA Healthcare System at Martinez Napa State Hospital Kaiser Permanente Walnut Creek Medical Center John Muir Behavioral Health Center John Muir Medical Center Walnut Creek Campus John Muir Medical Center Concord Campus Queen of the Valley Medical Center San Leandro Hospital Kindred Hospital San Francisco Bay Area John George Psychiatric Pavilion Alameda County Medical Center Fairmont Campus Mills-Peninsula Health Services Mills Hospital Eden Medical Center Seton Medical Center Coastside Telecare Solano Psychiatric Health Facility NorthBay Medical Center Palm Drive Hospital San Mateo Medical Center Santa Rosa Memorial Hospital Main Campus Kaiser Permanente Hayward Medical Center St Rose Hospital San Ramon Regional Medical Center Featured Articles*Provider Directory Terms of Use: The WebMD 'Provider Directory' is provided by WebMD for use by the general public as a quick reference of information about Providers. The Provider Directory is not intended as a tool for verifying the credentials, qualifications, or abilities of any Provider contained therein. Inclusion in the Provider Directory does not imply recommendation or endorsement nor does omission in the Provider Directory imply WebMD disapproval. |
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Related Diseases & Conditions
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Kidney Stones
- One in every 20 people develop a kidney stone at some point in their life. A kidney stone is a hard mineral and crystalline material formed within the kidney or urinary tract. Kidney stones symptoms and signs are, blood in the urine and pain in the abdomen, flank (lower back), or groin. A number of different conditions can lead to kidney stones including: gout, hypercalciuria, people with inflammatory bowel disease, kidney disease, and hypoparathyroidism. Some medications also increase the risk of kidney stones.
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Kidney Failure
- Kidney failure can occur from an acute event or a chronic condition or disease. Prerenal kidney failure is caused by blood loss, dehydration, medication. Some of the renal causes of kidney failure are from sepsis, medications, rhabdomyolysis, multiple myeloma, and acute glomerulonephritis. Post renal causes of kidney failure include bladder obstruction, prostate problems, tumors, or kidney stones. Treatment options included diet, medications, or dialysis.
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High Blood Pressure
- High blood pressure, also known as hypertension, is a repeatedly elevated blood pressure exceeding 140 over 90 mmHg -- a systolic pressure above 140 with a diastolic pressure above 90. There are two causes of high blood pressure, primary and secondary. Primary high blood pressure is much more common that secondary and its basic causes or underlying defects are not always known. It is known that a diet high in salt increases the risk for high blood pressure, as well as high cholesterol. Genetic factors are also a primary cause. Secondary high blood pressure is generally caused by another condition such as renal hypertension, tumors, and other conditions. Treatment for high blood pressure is generally lifestyle changes and if necessary, diet.
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Rheumatoid Arthritis
- Rheumatoid arthritis is an autoimmune disease that causes chronic inflammation of the joints, the tissue around the joints, as well as other organs in the body. Because it can affect multiple other organs of the body, rheumatoid arthritis is referred to as a systemic illness and is sometimes called rheumatoid disease.
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Knee Pain
- The knee joint is composed of three compartments and ligaments which stabilize the joint. Causes of knee pain may include injury, degeneration, infrequently infection and rarely bone tumors. Although routine x-rays do not revel meniscus tears, they can be used to exclude other problems of the bones and tissues. The knee joint is the most commonly involved joint in rheumatic disease, as well as immune diseases that affect various tissues of the body.
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Dehydration
- Dehydration is the excessive loss of body water. There are a number of causes of dehydration including heat exposure, prolonged vigorous exercise, and some diseases of the gastrointestinal tract. The best way to treat dehydration is to prevent it from occurring.
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Foot Pain
- Foot pain may be caused by injuries (sprains, strains, bruises, and fractures), diseases (diabetes, Hansen disease, and gout), viruses, fungi, and bacteria (plantar warts and athlete's foot), or even ingrown toenails. Pain and tenderness may be accompanied by joint looseness, swelling, weakness, discoloration, and loss of function. Minor foot pain can usually be treated with rest, ice, compression, and elevation and OTC medications such as acetaminophen and ibuprofen. Severe pain should be treated by a medical professional.
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Hip Bursitis
- Bursitis of the hip results when the fluid-filled sac (bursa) near the hip becomes inflamed due to localized soft tissue trauma or strain. Symptoms include stiffness and pain around the hip joint. If the hip bursa is not infected, hip bursitis can be treated with ice compresses, rest, and antiinflammatory and pain medications.
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Menopause
- Menopause is the time in a woman's life when menstrual periods permanently stop, also called the “change of life." Menopause symptoms include hot flashes, night sweats, irregular vaginal bleeding, vaginal dryness, painful intercourse, urinary incontinence, weight gain, and emotional symptoms such as mood swings. Treatment of menopausal symptoms varies, and should be discussed with your physician.
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Sacroiliac Joint Dysfunction (SI Joint Pain)
- Sacroiliac joint (SI) dysfunction is a general term to reflect pain in the SI joints. Causes of SI joint pain include osteoarthritis, abnormal walking pattern, and disorders that can cause SI joint inflammation including gout, rheumatoid arthritis, psoriasis, and ankylosing spondylitis. Treatment includes oral medications, cortisone injections, and surgery.
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Alcoholism
- Alcoholism is a disease that includes alcohol craving and continued drinking despite repeated alcohol-related problems, such as losing a job or getting into trouble with the law.
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Arthritis
- Arthritis is inflammation of one or more joints. When joints are inflamed they can develop stiffness, warmth, swelling, redness and pain. There are over 100 types of arthritis including osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, gout, and pseudogout.
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Fever
- Although a fever technically is any body temperature above the normal of 98.6 degrees F. (37 degrees C.), in practice a person is usually not considered to have a significant fever until the temperature is above 100.4 degrees F (38 degrees C.). Fever is part of the body's own disease-fighting arsenal: rising body temperatures apparently are capable of killing off many disease- producing organisms.
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Polycythemia (High Red Blood Cell Count)
- Polycythemia (elevated red blood cell count) causes are either primary (aquired or genetic mutations) or secondary (diseases, conditions, high altitude). Treatment of polycythemia depends on the cause.
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Bursitis
- Bursitis is inflammation of a bursa. A bursa is a tiny fluid-filled sac that functions as a gliding surface to reduce friction between tissues of the body. There are 160 bursae in the body. The major bursae are located adjacent to the tendons near the large joints, such as the shoulders, elbows, hips, and knees.
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Obesity
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Bursitis of the Knee
- Bursitis of the knee results when any of the three fluid-filled sacs (bursae) become inflamed due to injury or strain. Symptoms include pain, swelling, warmth, tenderness, and redness. Treatment of knee bursitis depends on whether infection is involved. If the knee bursa is not infected, knee bursitis may be treated with ice compresses, rest, and antiinflammatory and pain medications.
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Chronic Pain
- Chronic pain is pain (an unpleasant sense of discomfort) that persists or progresses over a long period of time. In contrast to acute pain that arises suddenly in response to a specific injury and is usually treatable, chronic pain persists over time and is often resistant to medical treatments.
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Pseudogout
- Pseudogout, a form of arthritis, results when deposits of crystals collect in and around the joints. Symptoms of pseudogout include pain, stiffness, warmth, and joint swelling of the knees, ankles, hips, shoulders, and/or wrists. Treatment for pseudogout aims to decrease inflammation through the use of nonsteroidal antiinflammatory drugs, ice, and rest.
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Hydroxyapatite Crystal Disease
- Hydroxyapatite crystal disease is the inflammation caused by hydroxyapatite crystals. These tiny crystals of hydroxyapatite deposit by mistake in or around joints and may cause inflammation of the joints and nearby tissues such as the tendons and ligaments (particularly causing rotator cuff problems in the shoulder). Treatment options include rest, cold application, medications to reduce inflammation, and cortisone-related medication injections.
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