Dr Vivek Goswami
About Me
Dr Vivek Goswami
MD
Rheumatologist
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
LUPUS
Lupus is a complex autoimmune disease where the immune system mistakenly attacks healthy tissues leading various symptoms depending on organ systems involved across different ages often afflicting women more frequently than men overall within populations globally alike seen displaying different presentations ranging mild-to-severe conditions experienced generally impacting overall health status altogether simultaneously needing comprehensive care provided consistently!!
- A few prevalent symptoms encompass extreme fatigue; painful joints; unexplained fevers; rashes appearing frequently triggered under sun exposure magnifying concerns faced daily!
ANKYLOSING SPONDYLITIS
Ankylosing Spondylitis (AS) is a form of inflammatory arthritis primarily affecting the spine's vertebrae. This leads to severe discomfort that might eventually fuse bones together if left unchecked—resulting often in diminished flexibility over time affecting posture too profoundly.
- The hallmark symptoms include chronic lower back pain that improves with exercise yet worsens during periods of rest alongside potential neck involvement over years progressively).
- A definitive diagnosis necessitates thorough evaluation involving clinical assessments supported by imaging techniques like X-rays revealing characteristic changes within spinal structures indicative AS exists beyond mere backache alone.)
- Treatment focuses largely around anti-inflammatory medications for symptomatic relief alongside physiotherapy regimens advocating stretching exercises targeted towards maintaining movement throughout spine regions without gaps surfacing across periods off-working out regularly.)
Staying active despite experiencing limitations cultivated toward fostering resilience ultimately minimizes flares from happening down-the-road making daily engagements less cumbersome realistically achievable on personal goals set forth continually throughout health journeys embarked upon!
PSORIATIC ARTHRITIS
This inflammatory arthritis often affects individuals with psoriasis—a skin condition characterized by red patches covered with white scales. Psoriatic arthritis can cause pain and stiffness in any joint but frequently involves fingers and toes.
- The symptoms can vary widely between individuals but usually include joint pain, swelling around tendons or ligaments, and nail changes such as pitting or separation from the nail bed.
- Diagnosis requires a detailed medical history review along with physical examination findings; imaging tests may also assist in identifying changes in bone structure associated with psoriatic arthritis.
- To manage this condition effectively requires a multifaceted approach: nonsteroidal anti-inflammatory drugs (NSAIDs), DMARDs like methotrexate for severe cases; biological agents may be considered depending upon severity.
- Maintaining an open dialogue about treatment preferences enhances compliance while tracking symptom progression ensures timely adjustments are made when necessary.
With proper treatment protocols established early on post-diagnosis maximize quality-of-life outcomes significantly while managing flare-ups becomes feasible over time.
GOUT
Gout is a type of arthritis characterized by sudden attacks of severe pain, redness, and swelling in the joints—most commonly affecting the big toe. It arises when there are elevated levels of uric acid in the blood.
- The first sign often includes intense pain, typically occurring at night or early morning hours accompanied by discomfort that may last for several days if untreated.
- If you suspect gout, your doctor may conduct blood tests to measure uric acid levels or recommend fluid aspiration from the affected joint for analysis.
- Treatment usually focuses on medication to relieve symptoms during an attack as well as long-term preventive strategies like dietary adjustments and medications that reduce uric acid production or improve its elimination from the body.
- Avoiding certain foods high in purines—like red meat and shellfish—can help mitigate future attacks effectively.
With adherence to treatment plans focused on lifestyle choices and medication where necessary, most people find control over their symptoms possible.
OSTEOARTHRITIS
This common form of arthritis occurs when cartilage that cushions the joints gradually wears away. While normally seen in older adults, younger individuals can also be affected due to previous injuries or obesity.
- The predominant symptom is joint pain during activity or after prolonged rest, along with stiffness and possible swelling.
- Diagnosis may involve a thorough medical history review, physical examinations, and imaging tests to observe changes in bone structure.
- Treatment strategies often include lifestyle changes like weight loss combined with physical therapy. Medications such as acetaminophen or NSAIDs are frequently prescribed for pain relief.
- Corticosteroid injections can also provide temporary relief for inflamed joints if other treatments do not suffice.
- Regular exercise tailored to individual ability levels is crucial in managing osteoarthritis effectively.
If well-managed through various approaches, many individuals experience significant improvements in their daily activities despite this condition.
RHEUMATOID ARTHRITIS
Rheumatoid Arthritis (RA) is a chronic inflammatory disorder that primarily affects joints, leading to pain and swelling. Though often associated with older adults, it can arise at any age and significantly impact one's quality of life.
- Symptoms may include joint pain, stiffness, particularly in the mornings, fatigue, and even fever.
- Diagnosis typically involves a combination of physical examinations, blood tests for specific markers, and imaging studies to assess joint damage.
- Treatment usually consists of a range of options from nonsteroidal anti-inflammatory drugs (NSAIDs) to disease-modifying antirheumatic drugs (DMARDs), aimed at controlling inflammation and preventing further joint damage.
- A personalized management plan is critical, incorporating lifestyle modifications such as diet and exercise to enhance overall wellness.
- Your regular follow-up appointments will help monitor the condition and adjust treatment as necessary to optimize outcomes.
With appropriate management, individuals with RA can lead active lives while minimizing symptoms and maintaining joint function.