Rheumatology
Rheumatology
The Rheumatology department aims to provide diagnostic and therapeutic care for patients with musculoskeletal disorders: chronic inflammatory rheumatism (rheumatoid arthritis, psoriatic arthritis, spondyloarthritis, and other autoimmune or inflammatory diseases), microcrystalline rheumatism (gout, chondrocalcinosis), spinal and radicular disorders, osteoporosis and other bone metabolism disorders, muscular or tendon disorders, and osteoarthritis.
The Rheumatology department aims to provide diagnostic and therapeutic care for patients with musculoskeletal disorders: chronic inflammatory rheumatism (rheumatoid arthritis, psoriatic arthritis, spondyloarthritis, and other autoimmune or inflammatory diseases), microcrystalline rheumatism (gout, chondrocalcinosis), spinal and radicular disorders, osteoporosis and other bone metabolism disorders, muscular or tendon disorders, and osteoarthritis.
Consultations & Team
- Consultation
- All Consultations
- Osteoarthritis
- Osteoporosis and other bone metabolism disorders
- Joint pathologies
- Spinal and radicular pathologies
- Chronic inflammatory rheumatism (rheumatoid arthritis)
- and other autoimmune diseases)
- muscular or tendinous
- psoriatic arthritis
- spondyloarthritis
- Musculoskeletal ultrasound
- Therapeutic education
Chronic inflammatory rheumatism (rheumatoid arthritis, psoriatic arthritis, spondyloarthritis, and other autoimmune diseases)
Joint, muscle or tendon pathologies
Osteoporosis and other bone metabolism disorders
Spinal and radicular pathologies
Musculoskeletal ultrasound
Service composition
- 2 university professors – hospital practitioners
- 3 hospital practitioners
- 1 university assistant clinical head
- 3 regional specialist assistants
- 3 attached practitioners
- 1 senior health executive
- 3 health executives
- 3 medical secretaries for consultations
- Hospital service workers
- University Professor · Hospital PractitionerRheumatology
- University Professor - Hospital PractitionerRheumatology
- Hospital PractitionerInternal Medicine and Clinical Immunology; Rheumatology
- Hospital practitionerRheumatology
- Hospital practitionerRheumatology CETD
- Attending PractitionerRheumatology
- Attending PractitionerRheumatology
- Attending PractitionerRheumatology
- Senior healthcare executive
- healthcare manager
- Regional Specialist AssistantRheumatology
- Regional Specialist AssistantRheumatology
- Regional Specialist AssistantRheumatology
Our services
The rheumatology department includes a conventional hospitalization unit (capacity of 8 beds; unit operating continuously), a day hospitalization unit / Ambulatory Medicine Unit (open Monday to Friday) and a consultation unit.
The care activity is divided between diagnosis (clinical assessment, requests for additional examinations: biology, x-rays, scan, MRI…) and treatment of diseases of the musculoskeletal system.
Hospitalized patients are referred to these units by rheumatologists and general practitioners in the region or are transferred from the emergency department.
Patients are hospitalized there for the performance of additional scheduled investigations or for treatment which may be one-off or administered at regular intervals (such as the treatment of chronic inflammatory rheumatism by biotherapy).
The treatment of rheumatological conditions relies on medication (anti-inflammatories, analgesics, disease-modifying antirheumatic drugs, biotherapies), injections, and physiotherapy and functional rehabilitation (organized in collaboration with the Post-Acute & Rehabilitation Care). A podiatry clinic is open to patients hospitalized in one of the university hospital's departments.
This unit houses general rheumatology consultations and joint ultrasound consultations . Indeed, joint ultrasound assists the rheumatologist in their diagnostic and therapeutic approach. Consultation slots are dedicated to interventional rheumatology procedures (joint aspirations and injections) performed under ultrasound guidance.
Patients with chronic inflammatory rheumatism can benefit fromtherapeutic education that allow them to better understand their disease and actively participate in the therapeutic management of their rheumatism.
A consultation in collaboration with the occupational diseases department is open to patients being treated for a rheumatological disease who wish to receive support in dealing with difficulties encountered in their work.
The rheumatology department has close ties with other departments at the University Hospital: the orthopedics-traumatology, neuroradiology, neurosurgery and the Pain Management Center.
Pathologies
Rheumatoid arthritis
Joint inflammation (painful swelling of the joint) primarily affecting the joints of the wrists, fingers, and feet. Joint pain is most common at night.
In its severe form, it exposes the patient to joint damage and warrants rapid diagnostic and therapeutic management.
The diagnosis is based on clinical, biological, ultrasound, and radiographic findings. Methotrexate and biologics are the most frequently used treatments.
Ankylosing spondylitis
An inflammatory condition primarily affecting the spine and pelvis, which in its severe form can lead to spinal ankylosis
It manifests as pain in the spine and buttocks, predominantly at night. The diagnosis is based on clinical, biological, and radiological findings.
Osteoarthritis
Osteoarthritis, a condition characterized by "premature wear" of the joint, secondary to cartilage degeneration, can affect many joints in the limbs or the spine.
It causes chronic pain and functional impairment in daily activities. Osteoarthritis pain can be relieved by various local or systemic therapies.
Osteoporosis
Bone fragility can lead to fractures. Osteoporosis can be detected by bone densitometry, which measures bone mass.
Osteoporosis is sometimes secondary to another condition. Various therapies are now available that reduce the risk of fractures.
Shoulder tendinitis
Chronic tendinitis of the shoulder tendons. This is a very common condition, often aggravated by certain sports or professional activities.
The diagnosis is initially based on clinical examination, X-ray, and ultrasound. Treatment combines medication, functional rehabilitation, and sometimes surgery.
Carpal tunnel syndrome
It results from compression of the median nerve at the wrist and manifests as numbness in the fingers, often occurring at night.
One or more corticosteroid injections into the wrist may bring about a cure. If this fails, treatment under ultrasound guidance or surgery may be considered.
Spinal Pathology
Centers of Expertise & Institutes
Rare Disease Competence Center | Center page | |
Rare Disease Reference Center | Center page | |
Rare Disease Competence Center | Center page | |
Institute | Center page | |
Structure | Center page |
Locate / contact the service
Côte de Nacre Hospital
Rheumatology
Secretariat of the department
Access to the Côte de Nacre
Main Access
Main Access
| Level | GPS access | Parking | Entrance | ||
|---|---|---|---|---|---|
Consultation area · Gate M Mother-of-Pearl Coast Tower | Level : 1 | GPS access: Côte de Nacre | Parking: Parking 2 | | |
Outpatient Medicine Unit Mother-of-Pearl Coast Tower | Level : 15 | GPS access: Main | Parking: Parking 1 | | |
Conventional Hospitalization Unit Mother-of-Pearl Coast Tower | Level : 18 | GPS access: Main | Parking: Parking 1 | |