Boise Rheumatologist Doctors for Raynaud's Phenomenon
Type 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.
Saltzer Medical Group Stephen R Bienz 4400 E Flamingo Ave Nampa, ID 83687 (208) 288-4970
Boise, Idaho
Boise is a city located in the Northwestern United States in the state of Idaho. Boise is the capital and most populous city of the U.S. state of Idaho as well as the county seat of Ada County. Located on the Boise River, this is the principal city of the Boise City-Nampa metropolitan area and the largest city between Salt Lake City, Utah and Portland, Oregon. Boise serves as the primary government, economic, cultural, and transportation center for the area. (Source: http://en.wikipedia.org/wiki/Boise,_Idaho)
Raynaud's phenomenon (RP) is a condition resulting in a particular series of discolorations of the fingers and/or the toes after exposure to changes in temperature (cold or hot) or emotional events.
Skin discoloration occurs because an abnormal spasm of the blood vessels causes
a diminished blood supply to the local tissues. Initially, the digit(s) involved turn white
because of the diminished blood supply. The digit(s) then turn blue because of
prolonged lack of oxygen. Finally, the blood vessels reopen, causing a
local "flushing" phenomenon, which turns the digit(s) red. This three-phase color sequence
(white to blue to red), most often upon exposure to cold temperature, is characteristic of RP.
Raynaud's phenomenon most frequently affects women,
especially in the second, third, or fourth decades of life. People can have
Raynaud's phenomenon alone or as a part of other rheumatic diseases. When it
occurs alone, it is referred to as "Raynaud's disease" or primary Raynaud's
phenomenon. When it accompanies other diseases, it is called secondary Raynaud's
phenomenon.
What causes Raynaud's phenomenon?
The causes of primary and secondary RP are unknown. Both abnormal nerve control of the blood-vessel diameter and nerve sensitivity to cold exposure have been suspected as
being contributing factors. The characteristic color changes of the digits are in part related
to initial blood-vessel narrowing due to spasm of the tiny muscles in the wall of the vessels, followed by sudden opening (dilation), as described above. The
small arteries of the digits can have microscopic thickness of their inner lining, which
also leads to abnormal narrowing of the blood vessels.
Thoracic outlet syndrome is a condition whereby symptoms are produced from compression of nerves or blood vessels, or both, because of an inadequate passageway through an area (thoracic outlet) between the base of the neck and the armpit. The thoracic outlet is
surrounded by muscle, bone, and other tissues. Any condition that results in enlargement or movement of the tissues of or near the thoracic outlet can cause the thoracic outlet syndrome. These conditions include muscle enlargement (such as from weight lifting), injuries, an extra rib from the neck at birth (cervical rib), weight gain, and tumors at the top of the lung (rare). Often no specific cause is found.
It is felt by some researchers that the evolution of the torso of primates from a four-legged to a two-legged position may predispose humans to the development of thoracic outlet syndrome. The resulting vertical posture produced flattening of the chest cage and a shift...
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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.
Hypothyroidism is any state in which thyroid hormone production is below normal. Normally, the
rate of thyroid hormone production is controlled by the brain at the pituitary.
Hypothyroidism is a very common condition and the symptoms of hypothyroidism are
often subtle.
Sjögren's syndrome is an autoimmune disease involving the abnormal production of extra antibodies that attack the glands and connective tissue. Sjögren's syndrome with gland inflammation (resulting dry eyes and mouth, etc.) that is not associated with another connective tissue disease is referred to as primary Sjögren's syndrome. Sjögren's syndrome that is also associated with a connective tissue disease, such as rheumatoid arthritis, systemic lupus erythematosus, or scleroderma, is referred to as secondary Sjögren's syndrome. Though there is no cure for Sjögren's syndrome, the symptoms may be treated by using lubricating eye ointments, drinking plenty of water, humidifying the air, and using glycerin swabs. Medications are also available to treat dry eye and dry mouth.
Systemic lupus erythematosus is a condition characterized by chronic inflammation of body tissues caused by autoimmune disease. Lupus can cause disease of the skin, heart, lungs, kidneys, joints, and nervous
system. When only the skin is involved, the condition is called discoid lupus.
When internal organs are involved, the condition is called systemic lupus
erythematosus (SLE).
Scleroderma is an autoimmune disease of the connective tissue. It is characterized by the formation of scar tissue (fibrosis) in the skin and organs of the body, leading to thickness and firmness of involved areas. Scleroderma is also referred to as systemic sclerosis, and the cause is unknown. Treatment of scleroderma is directed toward the individual features that are most troubling to the patient.
Smoking is an addiction. More than 430,000 deaths occur each year in the U.S. from smoking related illnesses. Secondhand smoke or "passive smoke" also harm family members, coworkers, and others around smokers. There are a number of techniques available to assist people who want to quit smoking.
Gangrene may result when blood flow to a tissue is lost or not adequate to keep the tissue alive. There are two types of gangrene: wet and dry. All cases of wet gangrene are infected by bacteria. Most cases of dry gangrene are not infected. If wet gangrene goes untreated, the patient may die of sepsis and die within hours or days. Dry gangrene usually doesn't cause the patient to die. Symptoms of dry gangrene include numbness, discoloration, and mummification of the affected tissue. Wet gangrene symptoms include swelling, pain, pus, bad smell, and black appearance of the affected tissue. Treatment depends upon the type of gangrene and how much tissue is compromised by the gangrene.
Thoracic Outlet Syndrome is a condition where symptoms are produced from compression of nerves or blood vessels because the passageway through the neck and armpit is inadequate. Symptoms of thoracic outlet syndrome include neck, shoulder and arm pain, and numbness or impaired circulation to the extremities.
There are two categories to cold weather-related injuries. 1) no freezing of body tissue (trench foot and chilblains), and 2) freezing of body tissues (frostbite). Chilblains in general, will not need medical attention (unless there is infection). Trench foot and frostbite, however, require medical attention. Symptoms of frostbite include pain, burning, numbness, and eventually a complete loss of sensation in the affected body part. The young, elderly, and patients with certain medical conditions (diabetes, hypothyroidism, circulatory problems, and psychiatric illnesses), are more susceptible to cold weather-related injuries. People who abuse alcohol and illicit drug user are also at risk for cold weather-related injuries.
Secondhand smoke can cause illness and disease in nonsmokers. Some of these conditions include lung cancer, heart disease, respiratory illnesses such as asthma, SIDS, bronchitis, and pneumonia. Learn how you can protect yourself and your family from secondhand smoke exposure in the home environment and workplace.
Secondhand smoke refers to tobacco smoke that is passively breathed in by
people in the vicinity of a person who is smoking. Terms that have been used to
refer to secondhand smoke are passive smoking, involuntary smoking, or
environmental tobacco smoke (ETS). Secondhand smoke is a mixture of the smoke
from the tobacco product itself (termed sidestream smoke) and exhaled smoke from
the smoker (known as mainstream smoke).
When a nonsmoker inhales secondhand smoke, he or she is exposed to the same
toxins and chemicals, including nicotine, as the smoker.
Exposure of children to secondhand smoke also increases their health risks;
and children are especially vulnerable to the effects of environmental tobacco
smoke. About 35% of U.S.
children live in homes where smoking occurs regularly. Research has shown that
50% to 75% of children in the U.S. have detectable levels of cotinine (the
breakdown product of nicotine) i...
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