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Rheumatology
Rheumatology

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

Chronic inflammatory rheumatism (rheumatoid arthritis, psoriatic arthritis, spondyloarthritis, and other autoimmune diseases)

All practitioners
Consultation hours

Joint, muscle or tendon pathologies

All practitioners
Consultation hours

Osteoporosis and other bone metabolism disorders

All practitioners
Consultation hours

Spinal and radicular pathologies

All practitioners
Consultation hours

Osteoarthritis

All practitioners
Consultation hours

Musculoskeletal ultrasound

Consultation hours

Therapeutic education

Nurses
Consultation hours

    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
    Team details

    Our services

    The units

    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 conventional 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.

    The Day Hospitalization Unit (DHU) or Ambulatory Medicine Unit (AMU)

    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.

    The consultation unit

    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

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    Locate / contact the service

    Rheumatology

    Côte de Nacre Hospital

    Avenue de la Côte de Nacre CS 30001 14033 Caen cedex 9

    Rheumatology

    Secretariat of the department


    LevelGPS accessParkingEntrance
    Consultation area · Gate M
    Mother-of-Pearl Coast Tower
    Level : 1
    GPS access: Côte de Nacre
    Parking: Parking 2
    North Entrance to the Côte de Nacre
    Outpatient Medicine Unit
    Mother-of-Pearl Coast Tower
    Level : 15
    GPS access: Main
    Parking: Parking 1
    Main entrance of the Caen Normandy University Hospital
    Conventional Hospitalization Unit
    Mother-of-Pearl Coast Tower
    Level : 18
    GPS access: Main
    Parking: Parking 1
    Main entrance of the Caen Normandy University Hospital