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Hospital Universitario La Zarzuela Madrid

ADULT AND PAEDIATRIC MEDICAL SPECIALISMS

Rheumatology Department

Rheumatology is the specialism that studies and treats the diseases of the locomotor system and the connective tissue.

The locomotor system, also known as the musculoskeletal system, is made up of all the bones, muscles, ts, tendons and ligaments. Rheumatic diseases are extraordinarily frequent. In Spain, the EPISER study conducted by the Spanish Rheumatology Society in 2000 determined that 14.8% of people suffer from lumbago, 10.5% from osteoperosis, 10.2% from osteoarthritis of the knee, 6.2% from osteoarthritis of the hands, 2.3% from fibromyalgia and 0.5% from rheumatoid arthritis, among other conditions. Furthermore, not only are conditions very frequent but they also have a significant social impact. Rheumatisms are the second leading cause of medical consultations in primary care, after acute respiratory infections. The EPISER study also showed that over six million people take anti-inflammatories commonly, that more than half of the people in Spain who are unable to work are such because of a musculoskeletal problem, and that the diseases of the locomotor system are those which have the greatest effect on quality of life, ahead of lung and heart diseases.

The Hospital Universitario Sanitas La Zarzuela offers a comprehensive Rheumatology department to deal, with a high degree of specialisation, with the demands of the population. Additionally, it has all the technological means to ensure the coverage, both in diagnostic and therapeutic terms, of the different rheumatic processes.

As well as care for outpatients in the External Consultations Area and care for inpatients in the Inpatients Area, the Rheumatology department performs diagnostic and therapeutic procedures specific to the specialism.

 

WITHIN THIS SPECIALIST AREA, YOU WILL FIND THE FOLLOWING TREATMENTS AND DIAGNOSTIC METHODS:

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Day Hospital: The new parenteral (biological, bisphosphonate, intravenous, etc.) treatments a hospital infrastructure that we possess in our hospital.

Inpatients: We can admit patients whose condition s hospital treatment and control from A&E or as scheduled.

This is a non-invasive technique that makes it possible to assess the characteristics of the periungual distal capillaries. It enables us to know the status of the affectation of the distal vascularisation. This is very important in diseases such as systemic sclerosis and other connective pathologies. It also helps us to rule out systemic affectation in patients with Raynaud syndrome with no other associated condition.

This makes it possible to examine different structures of the musculoskeletal system such as muscles, tendons, ligaments, bursas, cartilage, periarticular nerves and bone surfaces.

This is very useful for detecting and/or confirming the existence of intraarticular synovitis or effusion and/or differentiation thereof from a periarticular inflammatory disorder. Furthermore, it helps us to assess the synovial inflammatory activity using a colour Doppler.

We can also detect small t erosions which are not visible on a simple X-ray early.

We perform this for diagnostic and/or therapeutic purposes, in any t. It is very useful for ts which are difficult to access such as the shoulder, hip or ankle. With the ultrasound, we identify the intraarticular area there is most liquid, and its aspiration is easier and safer.
The injection of medication into a t or soft tissue so that it can act directly on the injured area. In general, we use them in localised inflammatory conditions.
The injection of hyaluronic acid, also known as viscosupplementation, aims to reduce t pain and improve the al state of the osteoarthritic t. Hyaluronic acid injections act more slowly than corticoid injections but their effect is more long-lasting.
Articular aspiration (arthrocentesis) consists of the puncture of a t and the ion of a sample of synovial fluid. We perform it for diagnostic purposes: to establish the cause of the increase of t fluid if there are doubts (suspected infection/inflammation caused by microcrystals), and therapies: chemical or isotopic synovectomy.
Clinical research studies and clinical trials are conducted.
Spondylocare.com is a webapp d by our department, containing practical exercises and advice for patients with spondyloarthritis.

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