Personalized rheumatology care for joints, muscles, and autoimmune conditions
Visit FirstMed’s rheumatology practice for accurate diagnosis and effective management of a wide range of rheumatic and autoimmune diseases affecting the joints, muscles, bones, and connective tissues. If you are experiencing persistent joint pain, stiffness, swelling, morning stiffness, or recurrent flare-ups, our rheumatology team is here to help.
What to expect at your rheumatology visit?
Initial consultation
At your first rheumatology visit, which typically lasts about 30 minutes, your doctor will review your medical history, assess your symptoms, perform a focused physical exam, and discuss your concerns to ensure you feel informed and comfortable.
Diagnostic and laboratory testing
The examination may also include diagnostic imaging (X-Ray and ultrasound) and laboratory testing conducted at (or organized by) our clinic to provide a more accurate assessment.
Treatment plan
If you have been diagnosed with a rheumatic disease, your rheumatologist will work together with you develop a personalized treatment plan tailored to your specific condition, which may include medications, lifestyle modifications, and possible therapies.
To obtain a comprehensive assessment of your condition, our rheumatologist may order additional diagnostic tests, such as MRI or DEXA scans. In this case, we may assist you in arranging these exams through our extensive partner network.
When to see a rheumatologist?
If you experience any of the following symptoms or conditions, you should consider making an appointment with our rheumatologist:
- joint pain or swelling that won't go away;
- morning stiffness in the joints;
- back pain or stiffness in the spine;
- unexplained fatigue;
- recurring flares;
- suspected autoimmune disease; and
- suspected osteoporosis.
Frequent rheumatic issues we assess, include:
Back and neck pain related to inflammation and degenerative disease
Back and neck pain caused by inflammation and wear and tear is primarily due to degeneration of the spinal discs and joints. This deterioration can lead to inflammation, nerve irritation, and instability. Although these conditions are often called “degenerative disc disease” or “spinal arthritis,” they are typically age-related rather than true diseases.
Gout
Gout is a particularly painful form of inflammatory arthritis that results from elevated blood uric acid levels. This condition causes needle-shaped crystals to accumulate in the joints, resulting in sudden, intense pain, redness, and swelling, commonly observed in the big toe.
Rheumatoid arthritis
Rheumatoid arthritis (RA) is a chronic autoimmune inflammatory disorder in which the immune system mistakenly attacks joint linings, causing painful swelling, stiffness, and potential bone erosion or deformity. Typically affecting small joints symmetrically (e.g., hands/wrists), it can also affect organs and requires early treatment to prevent permanent damage.
Osteoarthritis
Osteoarthritis is the most common form of arthritis, characterized by the degeneration of cartilage in the joints, leading to pain, stiffness, and reduced mobility. This condition often develops gradually and can affect any joint, but it’s most commonly seen in the knees, hips, hands, and spine. Factors such as aging, repeated joint use, and injury can increase the risk of developing osteoarthritis.
Psoriatic arthritis
Psoriatic arthritis is a chronic inflammatory condition that affects some individuals with psoriasis, a skin disorder characterized by red, scaly patches. This form of arthritis can cause pain, stiffness, and swelling in the joints, as well as fatigue and tenderness in the tendons and ligaments. Symptoms may vary and may lead to joint damage if left untreated.
If you have psoriasis and are experiencing joint pain, a dermatologist may refer you to a rheumatologist for proper evaluation and management. An early diagnosis and a comprehensive treatment plan can help manage symptoms and improve the quality of life.
Ankylosing spondylitis
Ankylosing spondylitis (AS) is an inflammatory arthritis that primarily affects the spine, causing chronic pain due to inflammation and stiffness, particularly in the lower back. Symptoms typically begin in early adulthood and may include reduced range of motion and discomfort that improves with movement. If you experience chronic back pain, consult our rheumatologist for an accurate diagnosis and treatment plan.
Lupus and other connective tissue diseases
Lupus, also known as systemic lupus erythematosus (SLE), is an autoimmune disease in which the immune system mistakenly attacks healthy tissues, leading to inflammation, especially in the skin, joints, and various organs. Common symptoms include fatigue, joint pain, and rashes, which can significantly affect daily life.
Our rheumatologist employs a comprehensive approach to assess disease activity and organ involvement. Regular follow-up appointments are essential for adjusting treatment plans and addressing any potential complications.
Tendinitis and bursitis
Tendinitis is an inflammation or irritation of a tendon, the thick fibrous cords that attach muscle to bone. This condition often results from repetitive motion or overuse, leading to pain and tenderness around a joint. Commonly affected areas include the shoulders, elbows, knees, and wrists. Symptoms may include stiffness, swelling, and difficulty moving the affected joint.
Bursitis, on the other hand, refers to the inflammation of the bursa, small fluid-filled sacs that cushion bones, tendons, and muscles near joints. This condition can cause pain, swelling, and redness, and may limit mobility in affected areas. Bursitis commonly occurs in the shoulders, elbows, and hips, often due to repetitive movements or prolonged pressure.
Osteoporosis risk
Osteoporosis is a condition that results in weakened bones, increasing the risk of fractures. It often develops silently over time without noticeable symptoms. Key risk factors include aging, hormonal changes (especially in women after menopause), genetics, and lifestyle choices. Osteoporosis is primarily diagnosed through a bone density test, or DEXA scan, which measures bone mineral content. This helps assess fracture risk and the severity of bone loss.
If you think you may be at risk for osteoporosis or have concerns about your bone health, do not hesitate to reach out to ur rheumatologist for examination.
Comprehensive treatment options for rheumatology conditions
The treatment options for rheumatology conditions usually include:
- therapeutic joint and soft-tissue injections,
- pain and inflammation management,
- aspiration of swollen joints as needed,
- medication planning and monitoring,
- management of flare-ups, and
- strategies to preserve joint function.
Furthermore, your treatment may extend to:
- guidance on lifestyle changes,
- physical therapy, including soft laser, shockwave therapy, and personalized therapeutic exercises,
Our rheumatologist may monitor your condition periodically through regular follow-ups to track your progress and adjust the treatment.
Meet your rheumatologist
Dr. Gréta Sterba
Rheumatologist
Dr. Gréta Sterba provides comprehensive rheumatology care at FirstMed in Budapest, available in English and Hungarian. With over 15 years of experience, she focuses on accurately diagnosing and treating rheumatic diseases, including spinal disorders, osteoporosis, and autoimmune conditions. She also addresses back, neck, and waist pain, herniated discs, and soft tissue issues.
Dr. Sterba emphasizes the importance of a thorough examination for accurate diagnosis and recommends effective, evidence-based treatments—such as physiotherapy and medication or injections—to facilitate rapid recovery while keeping patients fully informed throughout the process.
Frequently Asked Questions
What's the difference between rheumatology and orthopedics?
Both specialties address musculoskeletal issues, yet their methods differ.
Rheumatology manages autoimmune and systemic inflammatory conditions affecting joints, muscles, and bones, including rheumatoid arthritis, systemic lupus erythematosus, and gout, as well as osteoporosis.
Orthopedics, on the other hand, treats mechanical injuries and involves orthopedic surgeons who perform procedures such as fixing fractures, performing joint replacements, and repairing ligaments. While rheumatology focuses on diagnosing and managing underlying diseases that cause inflammation, orthopedics focuses on physical treatment.
Do I need a referral to see a rheumatologist?
At FirstMed, a referral isn’t always required to see a rheumatologist. Contact our team, briefly describe the issue you would like our doctor to examine, and they will advise you on the available appointments and next steps.
Note that, most private insurance requires a doctor’s referral for rheumatologist visits to be covered. Please check your policy’s ‘Terms and Conditions’ before booking.
How shall I prepare for my first rheumatology appointment?
Prior to your first visit, collect your symptoms and, if available, relevant medications, prior medical records, imaging, and laboratory results to bring to your first visit. This will simplify the examination process and help our doctor make an accurate diagnosis. Please wear comfortable clothing to make it easier for our doctor to examine you.
Can I use my private insurance?
Generally, yes, but check if your plan covers this treatment (note that most insurance plans require a doctor’s referral for rheumatology to be covered).
At FirstMed, we offer direct billing with more than 100 insurers. Send us a copy of your insurance card so we can check whether we can take your insurance. If we cannot accept, we will help you complete the claim form to submit to your insurer for reimbursement.
Is Telemedicine available for rheumatology consultations?
While rheumatology consultations typically require an in-person checkup, follow-ups and some consultations can be conveniently arranged via our Telemedicine service where appropriate. Please contact our staff, who will gladly advise you on whether your specific appointment can be conducted via telemedicine or requires an in-person visit.
