The main therapeutic areas of the Clinic of Rheumatology and Orthopedics are inflammatory and rheumatic diseases and diseases of the joints and spine, connective tissue and soft tissues associated with metabolic disorders. The Clinic provides diagnostics and treatment of patients with inflammatory diseases of the joints (rheumatoid arthritis, Bechterew's disease, psoriatic arthritis, etc.), collagenosis (lupus erythematosus, scleroderma, etc.), as well as vasculitis (Wegener's disease, polyarthritis nodosa, etc.) and bone diseases (osteoporosis, osteomalacia, etc.).
Due to the fact that the specialists of the clinic deal with extremely complex pictures of the disease, a necessary condition for correctly selected therapy in each individual case is an accurate diagnosis.
Along with innovative drug programs, various treatment services and appropriate technical equipment (here, first of all, we mean a cold chamber for whole body therapy), physiotherapy, ergotherapy, as well as psychological, psychotherapeutic support for patients play an important role. Endocrinologists, together with osteologists (specialists in bone diseases), develop individual treatment programs for the patients of the clinic.
In diagnostic and therapeutic terms, a special place is given to patients with autoimmune diseases. Failure of the immune system often leads to inflammation in the joints or other structures of the musculoskeletal system. Since the immune system is the cause of disease throughout the body, internal organs such as the lungs, heart or kidneys, as well as the blood and hormone-producing glands or the nervous system, are often involved in the process. Bone metabolism and the immune system are closely related. Diseases such as rheumatoid arthritis lead to bone loss and osteoporosis. Thanks to the measurement of bone density and special laboratory techniques, it is possible to identify the cause and prescribe treatment. There is also a marked relationship between neurotransmitters, hormones, and the body's immune system.
Hormones and the immune system are closely related. In the rheumatology center, it is interdisciplinaryly diagnosed and assessed in each individual case whether rheumatic symptoms can be the cause of an endocrinological disease. Joint pain, as well as other symptoms of damage to the musculoskeletal system, occurs with many hormonal disorders, for example, with thyroid diseases or disorders of calcium-regulating hormones. The main task of hormonal science is the diagnosis and treatment of endocrine diseases with the occurrence of rheumatic symptoms, but also the management of rheumatic patients who develop hormonally significant symptoms over the course of the disease, for example, the occurrence of osteoporosis due to the side effects of cortisone.
The diagnosis and treatment of osteoporosis is an important area in endocrinology. The decrease in bone content can be based on hereditary and hormonal causes. The clinic has a modern system for determining the bone density of the lumbar or femoral neck. By measuring bone density, a doctor can reliably diagnose or rule out osteoporosis. Among the many new drugs that are now used to treat osteoporosis, those that work best and are compatible with rheumatological drugs must be precisely selected.
Head of the Clinic for Internal Medicine and Rheumatology