This is a very unique service offered as there are times when gouty crystals are detected as the cause of the joint pain with or without high uric acid levels. Confidence it is gout despite normal uric acid levels is high with multiple site screening of typical sites affected by gout and typical findings.
In patients suspected of having Rheumatoid Arthritis but are Rheumatoid factor or anti CCP blood test negative, Musculoskeletal Ultrasound can be used to confirm it is Rheumatoid Arthritis and drug treatments can co


  • Osteoarthritis

Osteoarthritis is pain and inflammation caused by degeneration and deterioration of the joint cartilage. Symptoms include knee pain, tenderness, stiffness and limited range of motion. Osteoarthritis, if not treated properly, can result in the need for surgery and joint replacement.

  • Rheumatoid Arthritis

Rheumatoid arthritis (RA) is an autoimmune disease where healthy tissues are broken down by the body’s immune system. Symptoms include red, swollen, painful joints, and reduced mobility and flexibility. Because RA is a progressive disease, symptoms typically get worse. If left untreated, it can cause severe damage to the joints and serious complications in the major organs.

  • Gout

Gout occurs when a waste product called uric acid turns into needle-shaped crystals that collect in your joints. This causes intense pain and swelling. If untreated, gout can cause erosion and destruction of a joint.

  • Calcium pyrophosphate deposition (CPPD)

CPPD or “pseudogout” is a painful form of arthritis that comes on suddenly. It occurs when

calcium pyrophosphate crystals sit in the joint and surrounding tissues and cause symptoms

like gout. Gout, however, is caused by a different type of crystal.

  • Enthesopathy Arthritis

Enthesopathy Arthritis such as Reiter’s syndrome is an inflammation where tendons and ligaments attach to the bone and become painful as a result of injury, overuse, or disease. Enthesitis is common in some forms of arthritis, including psoriatic arthritis and ankylosing spondylitis.


What are the symptoms of Arthritis?

  • Joint pain, tenderness and stiffness
  • Inflammation in and around the joints
  • Restricted movement of the joints
  • Warm red skin over the affected joint
  • Weakness and muscle wasting


What are the treatment options for Arthritis? 

Some arthritis is systemic affecting the whole-body joints usually symmetrically such as Rheumatoid arthritis. The diagnosis is made using plain X-ray, Ultrasound and MRI. Characteristic pattern and appearance in each of the arthritis are present on Ultrasound and MRI making it possible now early in the disease to work out which type of arthritis the patient is suffering from even when blood tests for the disease are initially negative. This is important as the management of the patient will depend on the type of arthritis. Disease modifying drugs may be given orally and steroid may be given intra-articularly under ultrasound guidance.

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