Rheumatology

Medical specialization focusing on the diagnosis and treatment of diseases of the joints, bones and spine, as well as inflammatory diseases of the muscles, connective tissue and blood vessels.


Rheumatic diseases do not always manifest themselves with a set of symptoms characteristic of them, often disguised as other pathologies. To this end, a comprehensive outpatient service for the diagnosis and treatment of diseases of the joints and the musculoskeletal system as a whole was created at the K+31 clinic.

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When to See a Rheumatologist

A consultation with a rheumatologist is necessary if there are symptoms indicating a pathology of a rheumatic nature. Make an appointment if you have any of the following health problems:

A rheumatologist is engaged in the diagnosis, treatment and prevention of diseases characterized by systemic or local lesions of connective tissues. Among them: rheumatoid arthritis, acute rheumatic fever, psoriatic arthritis, systemic lupus erythematosus, systemic scleroderma, dermatomyositis, spondyloarthritis (Bechterew's disease), Sjögren's syndrome.

  • Joints creak and hurt
  • There is pain in the muscles, general weakness, aggravated by physical exertion
  • Temperature rises for no reason
  • Rashes appeared
  • You feel stiffness in the spine, especially after a night's sleep
  • Dizzy often
  • Swollen limbs in the morning
  • There is shortness of breath, discomfort and pain in the sternum when inhaling and exhaling
  • The skin turns blue and pale in the cold
  • Nodules appear on and under the skin
  • Weight loss for no reason

The problem is that many of these symptoms are also characteristic of other diseases. Only a qualified rheumatologist with extensive practical experience can recognize the pathology, identify its cause and prescribe the correct treatment. These are the specialists who work in our medical center.

Making an appointment with a rheumatologist via the Internet will allow you to save time and prepare for the appointment properly.

People whose close relatives suffer from rheumatoid arthritis or diffuse (systemic) connective tissue diseases are also at risk. Signing up for a consultation with a rheumatologist is also worth it for those who often have a sore throat, suffer from chronic tonsillitis, or have had an STI (sexually transmitted infection).

What does a rheumatologist treat?

A rheumatologist treats more than 100 pathologies: autoimmune diseases, local and systemic connective tissue diseases, vascular lesions. The specialist’s competence includes the treatment of rheumatological diseases:

  • Systemic lupus erythematosus
  • Systemic scleroderma
  • Sjögren's syndrome
  • Cross syndromes
  • Vasculitis in infectious and tumoral, autoimmune diseases
  • Rheumatoid arthritis
  • Juvenile arthritis
  • Psoriatic arthritis
  • Rheumatism
  • Osteoporosis
  • Gout
  • Osteoarthritis
  • Antiphospholipid syndrome
  • Osteoarthritis
  • Arthropathy in non-rheumatic diseases

Our medical center employs a qualified rheumatologist who treats even advanced rheumatological diseases with a large area of damage to cartilage, bones, ligaments and complications.

How is an appointment with a rheumatologist

A timely visit to a rheumatologist allows you to identify joint disease at the initial stage of development, which significantly increases the chances of effective treatment. During the initial examination, an experienced doctor can identify dangerous pathologies of the joints, bone and muscle tissue, and the cardiovascular system. A timely visit to a rheumatologist will help you maintain your health, and maybe even your life.

At the first appointment, the doctor listens to the patient’s complaints, asks what diseases he has suffered during his life, whether there have been injuries, what his living and working conditions are (whether it is related to hazardous work).

Next, the doctor conducts a diagnosis: examines the patient using physical examination methods: palpation, auscultation and percussion. At this time, the patient stands, lies or makes certain movements.

Methods for diagnosing rheumatological diseases

Depending on the results of the initial examination, the rheumatologist may prescribe clinical tests and hardware studies to the patient:

  • General and biochemical blood test
  • Ultrasound of joints and soft tissues
  • Magnetic resonance imaging and computed tomography of organs
  • ECG
  • Ultrasound of the heart, echocardiogram (echocardiogram)
  • Blood test for ANF (antinuclear factor)
  • Synovial fluid examination
  • Biopsy and puncture of joints
  • Arthroscopy

Having received the research results, the doctor draws up an individual therapy regimen and subsequently adjusts it.

The Rheumatology Center in Moscow is equipped with the latest medical equipment, which allows us to carry out all diagnostic methods and obtain the most reliable results. We work seven days a week and seven holidays, so you can contact a rheumatologist any day.

Depending on the results of the initial examination, the rheumatologist may prescribe laboratory tests and hardware tests to the patient:

  • General and biochemical blood test
  • Ultrasound of joints and soft tissues
  • MRI and CT
  • ECG
  • EchoCG (echocardiogram)
  • Blood test for ANF (antinuclear factor)
  • Synovial fluid examination
  • Biopsy and puncture of joints
  • Arthroscopy

Having received the research results, the doctor draws up an individual therapy regimen and subsequently adjusts it.

The Rheumatology Clinic in Moscow is equipped with the latest medical equipment, allowing us to conduct all types of research and obtain the most reliable results.

Treatment methods in rheumatology

There is no universal remedy for the treatment of rheumatic diseases. Each disease from this group requires an individual approach and the development of a specific treatment regimen. Each patient's body reacts for treatment in your own way. In our medical care centers in the rheumatology department, therapy is prescribed after an appointment, examination and consultation with a rheumatologist.

Complex therapy includes taking non-steroidal anti-inflammatory drugs (NSAIDs), helping to relieve pain in joints and muscles, and drugs to strengthen the immune system. Physiotherapy is prescribed to normalize local blood flow, relieve swelling and improve general condition. Note that this treatment method does not stop the progression of the disease, but only facilitates its course.

In some cases, the doctor prescribes basic medications - glucocorticosteroids. They are fast and efficient relieve inflammation and also stop deformation of joint tissues. But these substances are toxic, so they are taken strictly as prescribed by the doctor. While taking glucocorticosteroids, the patient should undergo regular diagnostic tests. tests aimed at assessing liver and kidney function.

Systemic rheumatic diseases are distinguished by a set of symptoms and signs: rapid generalization inflammatory process, increasing joint pain and duration of the acute period. Today, innovative treatment methods are used to intensify treatment:

  • Anti-cytokine therapy is the use of biological drugs that block the body’s production of cytokines (inflammatory mediators)
  • Pulse therapy - administration of ultra-high doses of prednisolone over several days
  • Intensification is indicated in the treatment of such dangerous pathologies as systemic vasculitis, ankylosing spondylitis, lupus erythematosus.

The rheumatology department of our clinic employs doctors of the highest qualification category. If you need paid medical care in Moscow, make an appointment with a doctor by phone or leave an online application on the Center's website. Here you can find out more details about additional services, conditions of hospitalization, and also read patient reviews.

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Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

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Reviews 9

I want to say a huge thank you to the doctor and the man from God, he accurately determined the diagnosis at the first appointment, prescribed the right treatment and got me back on my feet in a short time, my diagnosis was livedoid vasculopathy, a very rare disease, in my city no one could diagnose correctly, the chief rheumatologist of the city sent me to Ilya Olegovich, thanks to her for her life-saving advice! Ilya Olegovich, I always remember you with admiration!
22.02.2024
Anton Afanasyev
Anastasia Sergeevna, thank you very much! You are a real expert in your work! Only you approached my problem professionally, competently, and delicately. You know how to listen, draw conclusions, and help. I am very grateful to you!
04.12.2023
Klim Yulia Viktorovna
Many thanks to Ilya Olegovich Smitienko for his professionalism, attention and readiness to always come to the rescue. I have been seeing Dr. for over 3 years. Very well chosen treatment. In emergency cases, I always use feedback. There has never been such a case that Ilya Olegovich did not respond and help. Thanks again.
20.07.2023
Irina Yurievna Vasilyeva
I want to express my sincere gratitude for the professionalism, kind attitude and respect for patients to the doctors Gromova M.A., rheumatologist, and orthopedist Pavlov D.E. There would be more such specialists. And I also want to thank the administrators for their sensitive attitude towards patients.
10.07.2023
Anush Kayanovna
I want to write a review about the wonderful doctor Smitienko Ilya Olegovich. A few years ago I was diagnosed with rheumatoid arthritis and in a rather bad condition (in the morning I couldn’t get dressed on my own, I couldn’t lift a cup of tea with one hand, my joints were constantly inflamed and I took painkillers twice a day) fell into the hands of this man. He was able to bring me to a consistently good level. Now I feel great. Thank you for your help, professionalism and attention. With all my heart I wish you success in your professional activities! Prokhorova L.A.
27.11.2022
Prokhorova Ludmila
I visited a rheumatologist-nephrologist Zykova Anastasia Sergeevna. Very caring and systematic doctor. Approaches the problem of the patient comprehensively. I received answers to all my questions. Thanks a lot!
31.10.2022
Danilova Irina Viktorovna
I was at the appointment with the rheumatologist Ilya Olegovich and the gastroenterologist Tatyana Viktorovna. Professional and qualified doctors. Confidently make certain and correct conclusions, seeing the indicators. You feel confident that you are in the hands of experienced and knowledgeable professionals. Do not prescribe unnecessary tests. Reassure and say that you have already passed everything. This is important because you want to fool less and the emotional background is very important.
06.06.2022
Anonymously
The rheumatologist is a qualified specialist, diagnosed, prescribed pills. I feel good after the treatment. The doctor was wearing a mask.
05.04.2022
Anonymously
I had a consultation with a rheumatologist. The appointment was quick and efficient. Doctor Smitienko Ilya Olegovich is professional, ordered tests.​
15.02.2022
Anonymously
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Why K+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

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K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
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Tsvetnoy Bulvar
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Trubnaya
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Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
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Sat-Sun: 09:00 – 19:00
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