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As a rheumatologist, there are few things that make me happier than receiving photos like these from my patients. šŸ„¹šŸ¤One ...
09/01/2026

As a rheumatologist, there are few things that make me happier than receiving photos like these from my patients. šŸ„¹šŸ¤

One crossing the finish line of an Olympic-distance triathlon. Another welcoming a beautiful new baby into the world.

Different journeys, different dreams, and different challenges but both reminders of why I do what I do.

Living with a chronic or autoimmune condition doesnā€™t mean putting your life on hold. With the right support, the right care, and a plan that works for you, there can still be so much life ahead.

These are the moments that remind me that our goal isnā€™t simply to treat a disease.

Itā€™s to help you get back to doing the things that make your life yours. šŸ¤

So proud of my patients. And so grateful they let me be a small part of their journeys.

09/01/2026

Lets talk different type of arthritis.
A Rheumatology 101 Live with Dr. Amigues, Double Board Certified Rheumatologist.

08/31/2026

The words we use in healthcare matter. A lot.

When you're living with a chronic or autoimmune condition, the way your doctor talks to you can shape how you see your diagnosis, your treatment, and what's possible for your future.

That doesn't mean positive thinking replaces medical treatment. It doesn't.
But hope matters. Feeling that your physician believes there are options, believes in your ability to improve, and is willing to keep looking for the right path can change the way you approach your care.

This is especially important in rheumatology, where conditions like rheumatoid arthritis, lupus, psoriatic arthritis, and Sjƶgrenā€™s can be complex and sometimes require patience and adjustments in treatment.
I believe patients deserve honesty and hope.

Because sometimes, one of the most meaningful things we can say is simply:
ā€œI believe you can get better, and I'm going to help you get there.ā€ šŸ¤

08/28/2026

One thing Dr. Kara Simonson Wada and I talked about during our recent joint live really stayed with me: we have to look at the whole person, not just the lab results.

Labs are incredibly helpful, but they donā€™t tell the entire story. Your symptoms, your history, how things have changed over time, and what we find on exam all matter too.

Especially in rheumatology, sometimes the most important clues come from simply listening.

Your experience matters. šŸ¤

08/27/2026

Ever wonder why osteoarthritis can make your joints crack, pop, or creak?

That sound is often called crepitus, and it can occur for several reasons.
With osteoarthritis, changes in the joint can include bone spurs (osteophytes) and changes to the cartilage. These structural changes can affect how smoothly the joint moves and contribute to those cracking or popping sensations.

But here's an important reminder: joint cracking by itself doesn't necessarily mean you have osteoarthritis. It's the full picture: pain, stiffness, swelling, mobility, and other findings, `that helps determine what's actually happening.

If your joints are making new sounds and you're experiencing persistent pain or stiffness, it's worth discussing with your doctor or rheumatologist. šŸ¤

08/26/2026

What causes inflammatory arthritis? The answer isn't always rheumatoid arthritis.

Inflammatory arthritis describes what is happening in the joint, inflammation, swelling, stiffness, and sometimes damage. But the next question is much more important:

What is causing the inflammation?
Possible causes include:
ā€¢ Rheumatoid arthritis (RA)ļæ½
ā€¢ Psoriatic arthritis (PsA)ļæ½
ā€¢ Goutļæ½
ā€¢ CPPD/pseudogoutļæ½
ā€¢ Lupusļæ½
ā€¢ Sjƶgren's diseaseļæ½
ā€¢ Vasculitisļæ½
ā€¢ Other inflammatory and autoimmune conditions

And the treatment depends on the underlying condition.

For example, inflammatory arthritis caused by gout needs a different approach than arthritis related to lupus or rheumatoid arthritis.

That's why identifying the cause matters. Inflammation is the problem we see but the underlying disease is what we need to understand and treat. šŸ¤

08/25/2026

Can an illness or infection trigger a gout flare? Yes.

Gout isn't only about what you eat. Changes in uric acid levels and inflammation can contribute to a gout flare, and illness or infection can sometimes be one of the factors involved.

Other things, including trauma or injury to a joint, can also trigger a flare in someone with gout.

If you suddenly develop intense joint pain, swelling, redness, or tenderness during or after an illness, don't automatically assume it's simply part of the infection. Gout can cause significant inflammatory joint pain, too.

Understanding your triggers can help you and your rheumatologist develop a better plan for preventing and treating gout attacks and chronic hyperuricemia. šŸ¤

08/25/2026

When should you see a rheumatologist?
A Rheumatology 101 Live with Dr. Amigues

If you live with rheumatoid arthritis, lupus, psoriatic arthritis, Sjƶgrenā€™s, or another inflammatory condition, you may...
08/24/2026

If you live with rheumatoid arthritis, lupus, psoriatic arthritis, Sjƶgrenā€™s, or another inflammatory condition, you may already know that getting good sleep isn't always easy.

Pain, joint stiffness, inflammation, stress, and fatigue can all interfere with your sleep and poor sleep can make an already difficult day feel even harder.

And if you're consistently waking up exhausted, dealing with significant morning stiffness, or struggling to sleep because of pain, don't just accept it as something you have to live with. Bring it up with your rheumatologist.

Your sleep is part of your health, too. šŸ¤

Save this for later and share it with someone who needs better sleep.

08/21/2026

Sometimes the first step toward remission is simply finding someone who listens.

This patient developed severe pain and stiffness that affected his hands, shoulders, hips, and ability to walk. His initial arthritis testing was negative, making the diagnosis less straightforward.

His story is a reminder that negative tests don't always mean nothing is wrong. A careful history, physical examination, and looking at the whole picture can be essential in diagnosing inflammatory conditions such as polymyalgia rheumatica (PMR).

The goal isn't simply to manage symptoms.

The goal is remission and getting patients back to the life they want to live. šŸ¤

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