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Cleveland Clinic’s Rheumatology Program is one of the largest in the country and is consistently ranked in the top 3 rheumatology programs in the U.S. by U.S. News & World Report. Our rheumatologists are leaders in research and specialize in the evaluation, diagnosis and treatment of the conditions that affect the bones, muscles, joints and skin. Our team works with patients and their families to create individualized treatment plans for their rheumatic diseases.
Musculoskeletal disorders and arthritis affect the lives of more than 35 million people in the U.S., with arthritis being the most common cause of disability.
Modeled after the most modern pain rehabilitation programs in the U.S., our Fibromyalgia Management Program addresses all factors contributing to your discomfort. It’s about more than short-term pain relief. It’s about life-changing, longterm improvement.
Fibromyalgia Management Program staff
For more about our Fibromyalgia Management Program or an appointment, call 216.444.0564 or 800.223.2273 ext 40564.
Fitzcharles MA, Ste-Marie PA, Pereira JX; Canadian Fibromyalgia Guidelines
Committee. Fibromyalgia: evolving concepts over the past 2 decades. CMAJ. 2013
Goal/aim: This article provides an overview of the changes in fibromyalgia diagnosis, understanding and treatment in the last 20 years.
Summary: The article was based on a review of 150 articles, determined to represent high quality evidence of the treatment and diagnosis of fibromyalgia. The articles were used to develop the 2012 Canadian Guidelines for the Diagnosis and Management of FM Syndrome and endorsed by the Canadian Pain Society.
Download the pdf
By Peng X et al. Clin J of Pain epub ahead of print 2014
To evaluate the effect of opioid use on outcomes of 1700 patients with fibromyalgia.
This was a naturalistic study ( no randomization) of 1700 FM patients from multiple centers in the US. Patients were separated in three groups based on: 1) being an opioid, 2) taking tramadol 3) none of the above. All patients included in the study were initiated on a new treatment chosen according to their treating physician.
Several outcome measures were used: the BPI -brief pain inventory for severity and pain related interference, FIQ ( fibromyalgia impact questionnaire), PHQ-8 ( patient health questionnaire for depression), GAD-7 ( general anxiety scale ) , SDS ( Sheehan disability scale), ISI ( insomnia severity index) and economic factors.
While pain severity was reduced in all groups, opioid users showed less improvement in pain related interference with daily living, functioning, depression and insomnia. The findings show little support for long term use of opioid medications in patients with FMS given the poorer outcomes across multiple assessment domains. Patients on opioids had higher healthcare utilization.
Lack of randomization and patients on opioid medications had more severe symptoms at baseline.
The one year outcomes of fibromyalgia patients who are treated with opioid medications for the long term treatment of fibromyalgia are worse than those of FMS patients who are not prescribed these drugs. Use of narcotics does not decrease health care utilization, on the contrary may increase it.
Lupus Clinic staff
The Lupus Clinic was established by Cleveland Clinic’s Department of Rheumatic and Immunologic Diseases specialists work together with the department’s entire team of rheumatologists to provide streamlined access to the highest quality of care for these complex patients. The clinic unites specialists, including those in rheumatology, nephrology and dermatology, to care for patients with lupus and overlap syndromes.
The clinic is designed for both newly diagnosed patients as well as those with established disease. The clinic’s triage system allows specialists to coordinate care in multiple disciplines and expedites appointments with multiple specialty clinics, including nephrology and dermatology.
Progress has been made in recent years both in diagnoses and treatments for patients with lupus that have resulted in improved outcomes. Multidisciplinary clinics make a positive difference because advanced diagnostic and therapeutic modalities from each specialty are applied to individualized, patient-centered care.
Call 216.444.5632 or 800.223.2273 ext 45632.
Call 855.REFER.123 (855.733.3712).
Autoinflammatory diseases, or periodic fever syndromes, are newly grouped rheumatic conditions. Most are hereditary, caused by genetic abnormalities. Diagnosing and managing them can be complex and challenging, and patients often struggle to find specialized care.
Now adults with autoinflammatory diseases can get the specialized help they need at the Clinic for Adult Autoinflammatory Diseases at Cleveland Clinic. We are one of few centers in the United States to offer expert knowledge and management of these disorders, supported by genetic testing and counseling as well as groundbreaking research.
Clinic for Adult Autoinflammatory Diseases staff
Patients may experience recurring:
Autoinflammatory diseases are not the same as autoimmune diseases. Typically these patients do not have autoantibodies for autoimmune diseases such as lupus.
With help from colleagues in Pathology & Laboratory Medicine, Genomic Medicine and Lerner Research institutes, we offer adult autoinflammatory disease patients the most advanced services available, including:
Call 216.444.5632, or toll-free 800.223.2273, ext. 45632.
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Location(s): Cleveland Clinic Main Campus
Department: Rheumatologic and Immunologic Disease
Arthritis, Arthritis of the Foot and Ankle, Arthritis Of The Hip, Arthritis Of The Knee, Arthritic Knee Problems, Bursitis, Hand and Wrist Arthritis
Treats: Adults Only
Medical College of Ohio at Toledo
Location(s): Hillcrest Rheumatology, Cleveland Clinic Main Campus
Philadelphia College of Osteopathic Medicine
Lupus, Musculoskeletal Pain, Myositis, Polymyositis, Radiculopathy, Raynaud's Phenomenon, Rheumatoid Arthritis: How to Treat
Calcutta Medical College
Location(s): Solon Family Health Center
Arthritis, Arthritis of the Foot and Ankle, Arthritis Of The Hip, Arthritis Of The Knee, Arthritic Knee Problems, Benign Hypermobility Joint Syndrome, Bursitis
Government Medical College
Location(s): Beachwood Family Health Center, Canfield
Case Western Reserve University School of Medicine
( † Disclaimer: This search is powered by PubMed, a service of the U.S. National Library of Medicine. PubMed is a third-party website with no affiliation with Cleveland Clinic.)
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