Gout Center - Waltham, MAWaltham 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 Waltham * William F Winchell MD & Lenning Chang MD  Internists Associated PC  Newton-Wellesley Hospital Fibromyalgia Center  William F Winchell MD & Lenning Chang MD  Lahey Medical Center Lexington Internal Medicine  Brigham & Women's Orthopaedic & Arthritis  Women's Health Associates  Hubert I Caplan MD  Stuart Schneller MD  Lahey Clinic Arlington Internal Medicine  Lahey Clinic Arlington Internal Medicine  Lahey Clinic Medical Center Rheumatology  Lahey Clinic Medical Center Rheumatology  Lahey Clinic Medical Center Rheumatology  Dedham Medical Associates  VA Boston Healthcare System West Roxbury  Fred G Kantrowitz MD  Martin J Kafina MD  Kenneth Pariser MD  Brigham & Womans Hospital  Brigham & Womans Hospital  Beth Israel Deaconess Medical Center Orthopaedic Surgery  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Miley & Davidson Medical Assoc  Brigham & Women's Hospital  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Beth Israel Hospital Rheumatology Department & Lupus Center  Cambridge Health Alliance Orthopaedics & Rheumatology  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Brigham & Women's Hospital Arthritis Center  Harvard School of Public Health  MIT Medical Department Rheumatology  Robert Pastan MD  MGH Rheumatology Associates  Massachusetts General Hospital Internal Medicine  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  MGH Rheumatology Associates  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Boston Medical Center Rheumatology  Martha Skinner MD  Tufts Medical Center Rheumatology  Alan B Marks MD  Tufts Medical Center Rheumatology  Nicola Mogavero MD  Associates In Internal Medicine  Fertility Center of New England Inc  South Shore Internal Medicine  Eileen Lynn Winston MD  Rheumatology and Internal Medicine Associates  Granite Medical Group  Patricia T Hopkins MD  Granite Medical Group  Joel H Epstein MD  Tina J Horwitz MD  The North Shore Medical Group  Rheumatological Services  Elizabeth T Curtis MD  Phyllis N Spieler MD Waltham, MassachusettsUpcoming Local Events2012-05-26
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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 Waltham
Nearby Waltham Hospitals *McLean Hospital Newton Wellesley Hospital Caritas St Elizabeth's Medical Center Franciscan Hospital for Children Kindred Hospital Boston Mount Auburn Hospital Arbour HRI Hospital Somerville Hospital Youville Hospital and Rehabilitation Center Cambridge Hospital Beth Israel Deaconess Hospital Needham HEALTHSOUTH New England Rehabilitation Hospital Bournewood Hospital Beth Israel Deaconess Medical Center Brigham & Women's Hospital Dana Farber Cancer Institute Children's Hospital Boston Lawrence Memorial Hospital VA Boston Healthcare System Jamaica Plain Campus New England Baptist Hospital Arbour Hospital Faulkner Hospital Hebrew Rehabilitation Center for the Aged Lahey Clinic Medical Center VA Boston Healthcare System West Roxbury Campus M I T Medical Kindred Specialty Hospital Natick MetroWest Medical Center Leonard Morse Hospital Radius Specialty Hospital Boston Massachusetts Eye & Ear Infirmary Massachusetts General Hospital Winchester Hospital Emerson Hospital Lemuel Shattuck Hospital Shriners Hospitals for Children Boston Burn Hospital Spaulding Rehabilitation Hospital Boston Medical Center Massachusetts Mental Health Center Edith Nourse Rogers Memorial Veterans Hospital Tufts New England Medical Center Whidden Memorial Hospital Melrose Wakefield Hospital Lawrence F Quigley Memorial Hospital Caritas Carney Hospital MetroWest Medical Center Framingham Union Hospital Westwood Lodge Hospital Milton Hospital Caritas Norwood Hospital Quincy Medical Center Massachusetts Hospital School North Shore Medical Center Tewksbury Hospital UMass Memorial Marlborough Hospital Braintree Rehabilitation Hospital New England Sinai Hospital & Rehabilitation Center Whittier Rehabilitation Hospital Westborough Kindred Hospital Boston North Shore Kindred Specialty Hospital Braintree Saints Medical Center Salem Hospital & the Birthplace North Shore Children's Hospital HC Solomon Mental Health Center Lowell General Hospital Shaughnessy-Kaplan Rehabilitation Hospital Isham Health Center Westborough State Hospital South Shore Hospital Kindred Specialty Hospital Stoughton Caritas Good Samaritan Medical Center Nashoba Valley Medical Center Beverly Hospital Milford Regional Medical Center Boston VA Healthcare System Brockton Lawrence General Hospital Signature Healthcare Brockton Hospital 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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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
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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)
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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
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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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Medications
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