Dr B D Pandey
About Me
Dr B D Pandey
MBBS
Rheumatologist
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
PSORIATIC ARTHRITIS
A type of inflammatory arthritis associated with psoriasis skin lesions that affects both peripheral joints and spine variably. Early identification helps prevent irreversible joint damage effectively.
- Symptoms : Joint swelling , stiffness especially in the morning , dactylitis (sausage-like finger/toe swelling) , nail changes related to psoriasis .
- Causes : An autoimmune mechanism triggered by genetic susceptibility coupled with environmental factors underlies disease onset .
- Diagnosis : Clinical evaluation supported by imaging showing characteristic joint involvement plus psoriatic skin/nail findings ensures accurate diagnosis .
- Treatment options : DMARDs including methotrexate , biologics like TNF inhibitors tailored individually based on severity ; physiotherapy aids mobility preservation .
- What to expect : With proper medical intervention flares reduce greatly preserving function though lifelong monitoring remains necessary .
Integration between dermatological care and rheumatology optimizes outcomes for people living with psoriatic arthritis continually.
GOUT
Gout is an inflammatory arthritis resulting from excess uric acid crystallizing within joints triggering sudden severe attacks. It commonly affects the big toe but can involve multiple sites if untreated over time.
- Symptoms: Sudden intense joint pain often at night accompanied by redness, warmth swelling most frequently in lower extremities initially affecting one joint at a time.
- Causes : Excess production or reduced excretion of uric acid leads to crystal deposits provoking inflammation during acute flares .
- Diagnosis : Joint fluid analysis demonstrates needle-shaped crystals ; serum uric acid levels support diagnosis but may be normal during attacks .
- Treatment options : Acute episodes managed with NSAIDs , colchicine , corticosteroids ; long-term urate lowering therapies prevent recurrence .
- What to expect : Prompt treatment controls flares promptly ; lifestyle modifications reduce frequency ; untreated gout risks chronic arthritis formation .
Understanding triggers along usage of medications helps individuals keep gout under effective control avoiding painful episodes .
ANKYLOSING SPONDYLITIS
A chronic inflammatory disease mainly affecting the spine and sacroiliac joints causing pain and stiffness. It frequently begins in adolescence or early adulthood with slow progression over years.
- Symptoms: Chronic lower back pain worsening at night/early morning stiffness improved by movement; possible peripheral joint involvement.
- Causes: Genetic predisposition linked to HLA-B27 antigen plays a major role in development.
- Diagnosis: Clinical examination coupled with imaging such as MRI detecting sacroiliitis is key alongside blood tests like HLA-B27 typing.
- Treatment options: NSAIDs remain first-line; biologic agents like TNF inhibitors are used for refractory cases along with physical therapy focused on posture improvement.
- What to expect: Although incurable at present, appropriate management significantly reduces symptoms progression improving daily functioning over time.
A proactive approach combining medication adherence with exercise is crucial for minimizing disability from ankylosing spondylitis long term.
SYSTEMIC LUPUS ERYTHEMATOSUS
This complex autoimmune disease can affect skin, joints, kidneys, brain, and other organs. It commonly presents with varied symptoms making early recognition important for management.
- Symptoms: Fatigue, joint pain/swelling, skin rashes (notably butterfly rash), fevers, kidney issues.
- Causes: Autoimmune attack triggered by genetic predisposition combined with environmental factors such as UV exposure or infections.
- Diagnosis: Blood tests including ANA antibodies; clinical evaluation for multisystem involvement is essential.
- Treatment options: Immunosuppressive medications like corticosteroids and hydroxychloroquine help control inflammation and organ involvement.
- What to expect: Disease course varies widely; vigilant monitoring reduces flare severity and improves outcomes.
Lupus requires coordinated care to manage symptoms effectively while preventing complications from this unpredictable illness.
OSTEOARTHRITIS
Osteoarthritis (OA) is the most common form of arthritis caused by wear-and-tear damage to cartilage in joints. It usually develops gradually with age or repetitive stress on the joints.
- Symptoms: Joint pain worsens with activity, stiffness after periods of rest, swelling, and sometimes decreased range of motion.
- Causes: Cartilage degeneration due to aging, injury or repetitive use leads to bone rubbing against bone.
- Diagnosis: Physical examination combined with X-rays revealing narrowing of joint space and bone changes confirm OA.
- Treatment options: Pain management with NSAIDs, physical therapy, weight control, supportive devices, and occasionally joint injections or surgery.
- What to expect: Progressive condition requiring ongoing symptom control; many patients maintain good function with appropriate care.
An individualized plan focusing on symptom relief and maintaining joint health is key for living well with osteoarthritis.
RHEUMATOID ARTHRITIS
Rheumatoid arthritis (RA) is a chronic autoimmune disorder primarily affecting joints, leading to inflammation and pain. It can cause joint damage if not treated timely and appropriately.
- Symptoms: Persistent joint pain, swelling, stiffness especially in the morning, and reduced joint function.
- Causes: The immune system mistakenly attacks the synovium lining of joints; genetic and environmental factors may contribute.
- Diagnosis: Blood tests for rheumatoid factor and anti-CCP antibodies, along with imaging studies like X-rays or ultrasound.
- Treatment options: Includes disease-modifying antirheumatic drugs (DMARDs), biologics, physical therapy, and lifestyle adjustments.
- What to expect: Early diagnosis and consistent treatment help manage symptoms and improve quality of life; flare-ups may occur intermittently.
Managing RA requires a comprehensive approach to control inflammation, prevent joint damage, and maintain mobility.