Rheumatology Clinic

Providing Comprehensive Joint Care For a Quality Lifestyle

At Nilai Medical Centre, our team of specialists includes some of the best rheumatologist in Malaysia, providing contemporary care using excellent clinical practice and advanced medical diagnosis. We offer a wide range of services, such as treatment for rheumatoid arthritis, osteoarthritis, osteoporosis, Sjogren’s syndrome and many more.
 
What is Rheumatoid?
Rheumatoid Arthritis is one of the common rheumatic diseases and the others being Osteoarthritis, Systemic Lupus Erythematrosus ,Gout and PseudogoutArthritis is a general term for inflammation of the joints. Rheumatoid Arthritis (RA) is a progressive inflammatory disease that causes damage to joint tissues and other parts of the body, causing pain, disability and deformity. X-rays are needed to identify evidence of joint damage. Prompt  early diagnosis and proper treatment are keys to preventing permanent joint damage from RA.

 

Who gets RA?
The main cause of RA is unknown. The Bermuda triangle of genetics, environment and autoimmunity is involved in the pathogenesis of rheumatoid arthritis. Most significant risk factors are variations in human leukocyte antigen genes especially the HLA –DRB1 gene. However, study shows a slight tendency for the disease to be worse in cold, damp climates such as in Europe compared to the warmer countries such as Malaysia. The local experience has been that the disease is more likely to be milder and less likely to affect other parts of the body apart from the joints.

In Malaysia, RA affects about 5 in 1000 people. It can start at any age from childhood to those in the nineties. The most common age for the disease to start is between 30 to 50 and women are more commonly affected than men.
 
Signs and Symptoms
These signs and symptoms are clues to RA:
  • Joint pain, tenderness, swelling or stiffness for six weeks or longer
  • Morning stiffness for 30 minutes or longer
  • More than one joint is affected
  • Small joints (wrists, certain joints of the hands and feet) are affected
  • The same joints on both sides of the body are affected
  • Fatigue
  • Low-grade fever
  • Anemia
  • Blood tests show signs of inflammation
  • Blood tests show antibodies linked to RA
 
Our Services
General Rheumatology services for adults needing consultation for issues relating to the following:
  • Rheumatoid arthritis
  • Seronegative Spondyloarthropathy
  • Vasculitis; small,medium and large vessel like churg-strauss, giant cell arteritis, polyarteritis nodosa
  • Osteoarthritis
  • Soft tissue rheumatism: trigger fingers, medial and lateral epicondylitis,frozen shoulder,plantar fasciitis
  • Diffuse and limited Scleroderam
  • Sjogren’s syndrome
  • Ankylosing spondylitis
  • Psoriatic arthritis
  • Osteoporosis
 
Treatment may consist of:
  • Disease modifying drugs
  • Advice on diet and exercise
  • Referral to Physiotherapist and Occupational Therapist
  • Referral for bone densitometry for osteoporosis
  • Intra articular injections into knee, shoulder, and ankle
  • Soft tissues injections for trigger fingers, tennis and golfer’s elbow, carpal tunnel syndrome and plantar fascitis
 
Clinic Hours
Friday 9.00am – 5.00pm
 
Reference: Arthritis Foundation Malaysia.