Specialization

Arthritis

Arthritis is a prevalent group of rheumatic diseases that affect the joints, causing swelling and tenderness. The hallmark symptoms of arthritis include joint pain and stiffness, which often worsen with age. While there are many types of arthritis, the two most common forms are Osteoarthritis and Rheumatoid Arthritis.

Osteoarthritis, often referred to as “wear and tear” arthritis, is the most prevalent form of arthritis worldwide. This condition occurs when the protective cartilage that cushions the ends of bones wears down over time. As the cartilage deteriorates, bones may rub against each other, leading to pain, swelling, and reduced joint flexibility.

The joints most commonly affected by osteoarthritis include the hands, knees, hips, and spine. This condition typically develops gradually, and its prevalence increases with age. While it can result from joint injuries or overuse, it is more commonly associated with aging and joint degeneration.

Managing osteoarthritis involves a multi-faceted approach, including lifestyle modifications, pain management strategies, and physical therapy. Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic offers expert guidance and personalized treatment plans to help patients effectively manage their osteoarthritis symptoms and improve their quality of life.

Unlike osteoarthritis, Rheumatoid Arthritis (RA) is an autoimmune disease that occurs when the immune system mistakenly attacks the synovium, the lining of the membranes that surround the joints. This immune response triggers inflammation, leading to joint damage over time.

RA often affects multiple joints symmetrically, meaning it tends to impact the same joints on both sides of the body. The wrists, hands, knees, and feet are commonly affected, and patients may experience periods of disease activity (flares) alternating with periods of remission.

Early diagnosis and intervention are crucial in managing RA effectively and preventing joint damage. Dr. Puneet Mashru is a specialist in diagnosing and treating RA, providing tailored treatment plans that may include disease-modifying antirheumatic drugs (DMARDs), biologics, and other advanced therapies to help control inflammation and preserve joint function.

For comprehensive care and expert management of arthritis, trust Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic. Our team is dedicated to improving your joint health and enhancing your overall well-being. Get in touch with us to embark on a journey towards a life free from the limitations of arthritis.

Psoriatic Arthritis (PsA) is a distinctive form of inflammatory arthritis that often affects individuals with psoriasis, a skin condition characterized by red, scaly patches. Approximately one in three people with psoriasis will develop PsA, which can lead to joint and tendon damage if left untreated.

The relationship between psoriasis and PsA is significant, as many individuals develop psoriasis about 10 to 20 years before being diagnosed with PsA. Nail psoriasis is also common in PsA cases, which may not be present in psoriasis without arthritis.

The symptoms of PsA can vary widely, and early diagnosis is crucial to prevent joint damage and disability. Common manifestations include joint pain, swelling, tenderness, and morning stiffness. In some cases, PsA can also affect the spine, leading to additional challenges in mobility.

At Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic, we specialize in diagnosing and managing Psoriatic Arthritis, tailoring treatment plans to suit each patient’s specific needs. Our aim is to prevent joint damage and maintain joint function, helping patients lead fulfilling and active lives.

The treatment approach for PsA may involve a combination of medications, including nonsteroidal anti-inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), biologics, and targeted therapies. Additionally, lifestyle modifications and physiotherapy can play a significant role in improving joint health and overall well-being.

Regular monitoring and collaboration with our rheumatologist, along with our in-house nutritionist and physiotherapist, are vital to achieving the treatment goals. By addressing the unique challenges posed by PsA, we strive to empower our patients to manage their condition effectively and enjoy an improved quality of life.

If you or a loved one is experiencing symptoms of Psoriatic Arthritis, don’t wait to seek expert care. Contact Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic today to begin your journey toward relief and enhanced joint health. Our compassionate team is here to support you every step of the way.

Osteoarthritis

Osteoporosis is a progressive condition that causes bones to become weak and brittle, making them susceptible to fractures even from minor stresses like bending over or coughing. The bones lose density and mass, leading to increased porosity and vulnerability.

The most common osteoporosis-related fractures occur in the hip, wrist, and spine. These fractures can be particularly debilitating and impact an individual’s independence and quality of life.

Women, especially post-menopausal, and older individuals are at a higher risk for osteoporosis due to hormonal changes and reduced bone density with age. However, it can affect anyone, regardless of gender or age.

At Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic, we emphasize preventive measures and early detection for osteoporosis. Our comprehensive approach includes bone density testing and tailored management plans to reduce the risk of fractures and enhance bone health.

Treatment for osteoporosis often involves a combination of lifestyle changes, calcium and vitamin D supplements, medications, and weight-bearing exercises. Our clinic’s team collaborates closely with patients to develop personalized strategies that fit their unique needs and medical history.

We strive to empower our patients to take charge of their bone health, providing education and support to minimize the impact of osteoporosis on their daily lives. Through regular monitoring and ongoing care, we aim to help individuals maintain strong and resilient bones and live life to the fullest.

If you suspect or have been diagnosed with osteoporosis, don’t wait to address it. Take a proactive step towards better bone health by scheduling a consultation with Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic. Together, we can build a foundation for a future with reduced fracture risk and improved bone strength.

Rheumatoid Arthritis

Unlike osteoarthritis, Rheumatoid Arthritis (RA) is an autoimmune disease that occurs when the immune system mistakenly attacks the synovium, the lining of the membranes that surround the joints. This immune response triggers  inflammation, leading to joint damage over time.

RA often affects multiple joints symmetrically, meaning it tends to impact the same joints on both sides of the body. The wrists, hands, knees, and feet are commonly affected, and patients may experience periods of disease activity (flares) alternating with periods of remission.

Early diagnosis and intervention are crucial in managing RA effectively and preventing joint damage. Dr. Puneet Mashru is a specialist in diagnosing and treating RA, providing tailored treatment plans that may include disease-modifying antirheumatic drugs (DMARDs), biologics, and other advanced therapies to help control inflammation and preserve joint function.

For comprehensive care and expert management of arthritis, trust Dr. Puneet Mashru's Advanced
Rheumatology & Arthritis Clinic. Our team is dedicated to improving your joint health and enhancing your overall well-being. Get in touch with us to embark on a journey towards a life free from the limitations of arthritis.

Psoriatic Arthritis

Psoriatic Arthritis (PsA) is a distinctive form of inflammatory arthritis that often affects individuals with psoriasis, a skin condition characterized by red, scaly patches. Approximately one in three people with psoriasis will develop PsA, which can lead to joint and tendon damage if left untreated.

The relationship between psoriasis and PsA is significant, as many individuals develop psoriasis about 10 to 20 years before being diagnosed with PsA. Nail psoriasis is also common in PsA cases, which may not be present in psoriasis without arthritis.

The symptoms of PsA can vary widely, and early diagnosis is crucial to prevent joint damage and
disability. Common manifestations include joint pain, swelling, tenderness, and morning stiffness. In
some cases, PsA can also affect the spine, leading to additional challenges in mobility.

At Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic, we specialize in diagnosing and managing Psoriatic Arthritis, tailoring treatment plans to suit each patient's specific needs. Our aim is to prevent joint damage and maintain joint function, helping patients lead fulfilling and active lives.

The treatment approach for PsA may involve a combination of medications, including nonsteroidal anti- inflammatory drugs (NSAIDs), disease-modifying antirheumatic drugs (DMARDs), biologics, and targeted therapies. Additionally, lifestyle modifications and physiotherapy can play a significant role in improving joint health and overall well-being.

Regular monitoring and collaboration with our rheumatologist, along with our in-house nutritionist and physiotherapist, are vital to achieving the treatment goals. By addressing the unique  challenges posed by PsA, we strive to empower our patients to manage their condition effectively and enjoy an improved quality of life.

If you or a loved one is experiencing symptoms of Psoriatic Arthritis, don’t wait to seek expert care.

Contact Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic today to begin your journey toward relief and enhanced joint health. Our compassionate team is here to support you every step of
the way.

Ankylosing Spondylitis

Ankylosing Spondylitis (AS) is a chronic inflammatory disease that primarily affects the spine, leading to inflammatory low back pain in the early stages of the condition. Over time, AS can cause structural changes in the spine, leading to severe impairment of spinal mobility and, in some cases, spinal fusion.

One of the hallmark symptoms of AS is back stiffness, soreness, and pain, which tends to worsen in the early morning hours, often disrupting sleep. However, symptoms may improve with stretching and physical activity and worsen with prolonged periods of inactivity.

AS primarily targets the sacroiliac joints, where the spine connects to the pelvis, but it can also affect other joints and organs. Prompt diagnosis and treatment are essential to manage inflammation, preserve joint function, and prevent long-term complications.

Dr. Puneet Mashru’s expertise in treating Ankylosing Spondylitis enables patients to access specialized care and personalized treatment plans. Depending on the severity and progression of AS, treatment may involve a combination of medications, physical therapy, and lifestyle modifications.

Our clinic’s multidisciplinary approach includes collaboration with physiotherapists and other healthcare professionals to address the various aspects of AS effectively. By focusing on individual needs, we aim to optimize joint health and enhance the quality of life for patients living with Ankylosing Spondylitis.

If you or someone you know is experiencing symptoms of AS, do not delay seeking specialized care. Contact Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic to schedule a consultation and take the first step toward a life with improved spinal mobility and reduced pain.

Osteoporosis

Osteoporosis is a progressive condition that causes bones to become weak and brittle, making them
susceptible to fractures even from minor stresses like bending over or coughing. The bones lose density and mass, leading to increased porosity and vulnerability.

The most common osteoporosis-related fractures occur in the hip, wrist, and spine. These fractures can be particularly debilitating and impact an individual’s independence and quality of life.
Women, especially post-menopausal, and older individuals are at a higher risk for osteoporosis due to hormonal changes and reduced bone density with age. However, it can affect anyone, regardless of gender or age.

At Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic, we emphasize preventive measures and early detection for osteoporosis. Our comprehensive approach includes bone density testing and tailored management plans to reduce the risk of fractures and enhance bone health.

Treatment for osteoporosis often involves a combination of lifestyle changes, calcium and vitamin D supplements, medications, and weight-bearing exercises. Our clinic’s team collaborates closely with patients to develop personalized strategies that fit their unique needs and medical history.

We strive to empower our patients to take charge of their bone health, providing education and support
to minimize the impact of osteoporosis on their daily lives. Through regular monitoring and ongoing care, we aim to help individuals maintain strong and resilient bones and live life to the fullest.

If you suspect or have been diagnosed with osteoporosis, don’t wait to address it. Take a proactive step towards better bone health by scheduling a consultation with Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic. Together, we can build a foundation for a future with reduced fracture
risk and improved bone strength.

Fibromyalgia

Fibromyalgia is a complex and often misunderstood disorder characterized by widespread musculoskeletal pain and tenderness. Along with pain, individuals with fibromyalgia may experience fatigue, sleep disturbances, memory issues, and mood changes.

The exact cause of fibromyalgia remains unknown, but researchers believe it involves the way the brain processes pain signals, leading to amplified painful sensations throughout the body. Symptoms can vary in intensity and may be triggered or exacerbated by physical trauma, infections, surgery, or significant emotional stress.

Diagnosing fibromyalgia can be challenging, as there is no specific test for the condition. It requires a thorough evaluation of symptoms, medical history, and physical examination to rule out other potential causes.

Dr. Puneet Mashru and our dedicated team at the Advanced Rheumatology & Arthritis Clinic have extensive experience in diagnosing and managing fibromyalgia. We work closely with patients to understand their symptoms, concerns, and goals to create tailored treatment plans.

Although there is no cure for fibromyalgia, our focus is on enhancing quality of life and reducing pain through a combination of therapies. Treatment may include medications for pain and sleep disturbances, lifestyle modifications, stress management techniques, and gentle exercises.

By offering comprehensive care and ongoing support, we strive to empower individuals living with fibromyalgia to regain control of their lives and find effective ways to manage their symptoms. Our compassionate approach ensures that each patient receives personalized attention and understanding throughout their journey to improved well-being.

If you or someone you know is struggling with fibromyalgia symptoms, don’t suffer in silence. Reach out to Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic today for compassionate care and expert guidance. Together, we can take steps towards a more manageable and fulfilling life despite fibromyalgia’s challenges.

Gout

Gout is a common and complex form of arthritis that can affect anyone. It is characterized by sudden and intense attacks of pain, swelling, redness, and tenderness in the joints, commonly the joint at the base of the big toe.

These painful gout attacks, also known as flares, can occur suddenly, often waking individuals up in the middle of the night with an excruciating sensation of the affected joint being on fire. The affected joint may feel hot, swollen, and so tender that even the lightest touch can be unbearable.

Gout is caused by an accumulation of urate crystals in the joints, which can happen when there is an excessive amount of uric acid in the blood. Uric acid is a waste product formed when the body breaks down purines found in certain foods and drinks.

While gout can be managed effectively with lifestyle changes, medications, and dietary adjustments, untreated or inadequately managed gout can lead to chronic gouty arthritis, causing joint damage and reduced mobility.

At Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic, we specialize in diagnosing and treating gout, offering individualized management plans to alleviate pain and reduce the frequency of flares. Our team focuses on addressing the root causes of gout and collaborates closely with patients to prevent future attacks and improve joint health.

By combining medication management, lifestyle modifications, and dietary guidance, we aim to control uric acid levels, prevent crystal formation, and minimize the impact of gout on daily life. Our patient-centered approach ensures that individuals receive the support and education needed to make informed decisions about their gout management.

If you or someone you know experiences recurrent gout attacks, seek expert care and take proactive steps towards better joint health. Contact Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic to schedule a consultation and find relief from the burden of gout, regaining the freedom to live life to the fullest.

Scleroderma

Scleroderma is a challenging and progressive group of disorders that affects the skin and connective tissues, leading to their tightening and hardening. As a long-term and chronic disease, scleroderma gradually worsens over time, impacting various parts of the body.

Considered both a rheumatic disease and a connective tissue disorder, scleroderma is also classified as an autoimmune condition, where the body’s immune system mistakenly attacks its tissues. This immune response triggers an overproduction of collagen, the protein responsible for connective tissue formation, leading to thickening (fibrosis) and scarring of the affected tissues.

Scleroderma can manifest in localized or systemic forms. In localized scleroderma, the condition primarily affects the skin and is less severe. In contrast, systemic scleroderma can affect internal organs, blood vessels, and various tissues, leading to more significant health challenges.

While the exact cause of scleroderma remains unknown, research indicates a combination of genetic and environmental factors contributing to its development. Early diagnosis and appropriate management are vital to preventing complications and improving outcomes.

Dr. Puneet Mashru and our dedicated team at the Advanced Rheumatology & Arthritis Clinic have extensive experience in diagnosing and managing scleroderma. We offer specialized care and a comprehensive approach tailored to each patient’s unique presentation.

Treatment for scleroderma aims to control symptoms, manage complications, and slow disease progression. It often involves a combination of medications to address specific symptoms, physiotherapy to improve mobility, and patient education to enhance coping strategies and quality of life.

Our clinic is committed to supporting individuals living with scleroderma through regular monitoring, compassionate care, and multidisciplinary collaboration. By addressing the physical, emotional, and social aspects of the condition, we strive to empower patients to navigate their journey with scleroderma with confidence and optimism.

If you suspect or have been diagnosed with scleroderma, don’t hesitate to seek specialized care. Contact Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic to schedule a consultation and take the first step toward proactive management of your scleroderma, unlocking possibilities for a fulfilling life despite the challenges.

Lupus

Lupus, or Systemic Lupus Erythematosus (SLE), is a complex autoimmune disease where the body’s immune system mistakenly attacks its own tissues and organs. This results in inflammation that can affect various body systems, including joints, skin, kidneys, blood cells, brain, heart, and lungs.

The symptoms of lupus can vary widely and may mimic those of other ailments, making it challenging to diagnose. However, a distinctive sign of lupus is a facial rash that resembles the wings of a butterfly unfolding across both cheeks, though it may not be present in all cases.

Lupus is a chronic condition characterized by periods of flare-ups and remission. Flares can cause increased disease activity and worsened symptoms, while remission periods offer relief and improved well-being.

Dr. Puneet Mashru and our experienced team at the Advanced Rheumatology & Arthritis Clinic are well-versed in diagnosing and managing lupus. We work closely with patients to understand their unique symptoms and concerns, creating personalized treatment plans to control inflammation and prevent organ damage.

Treatment for lupus typically involves a combination of medications to manage symptoms and suppress the immune system. Additionally, lifestyle modifications, such as sun protection and stress management, play a crucial role in minimizing flare-ups and improving overall health.

Our clinic takes a holistic approach to lupus care, providing continuous support and education to empower patients to manage their condition effectively. By fostering open communication and collaboration, we strive to enhance patients’ quality of life and help them lead fulfilling lives despite lupus challenges.

If you suspect or have been diagnosed with lupus, early intervention is essential to prevent complications and optimize outcomes. Reach out to Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic for specialized care and compassionate support, enabling you to embrace life with confidence and resilience in the face of lupus.

Vasculitis

Vasculitis is a group of rare and complex disorders characterized by inflammation of the blood vessels. This condition leads to various changes in the blood vessel walls, such as thickening, weakening, narrowing, or scarring. As a result, blood flow to organs and tissues may become restricted, causing potential damage.

The types of vasculitis can vary in severity and the organs they affect. Some individuals may experience vasculitis that targets a single organ, while others may have a more widespread involvement of multiple organs.

Due to the diverse nature of vasculitis, symptoms can vary significantly, making diagnosis and treatment challenging. Common symptoms may include fever, fatigue, weight loss, muscle and joint pain, skin rashes, and nerve-related issues.

There are many types of vasculitis, and most of them are rare. Prompt diagnosis and accurate classification of the specific type of vasculitis are crucial for effective management and preventing complications.

At Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic, we specialize in the diagnosis and management of vasculitis. Our comprehensive approach includes a thorough evaluation of symptoms, physical examination, laboratory tests, and imaging studies to identify the type and extent of vasculitis.

Treatment for vasculitis often involves a combination of medications to suppress the immune system and control inflammation. The goal is to prevent further damage to blood vessels and improve organ function.

Our clinic’s team is committed to providing individualized care and ongoing support for individuals living with vasculitis. By closely monitoring disease activity and adjusting treatment plans as needed, we strive to help patients achieve better outcomes and a higher quality of life.

If you suspect or have been diagnosed with vasculitis, do not delay seeking expert care. Contact Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic to schedule a consultation and take the first step towards effective management of your vasculitis, regaining control of your health and well-being.

Sjogren's Syndrome

Sjogren’s Syndrome is a chronic autoimmune disorder that primarily affects the exocrine glands, which are responsible for producing tears and saliva. The hallmark symptoms of Sjogren’s Syndrome include dry eyes (keratoconjunctivitis sicca) and dry mouth (xerostomia), arising from decreased glandular secretions.

As an autoimmune condition, Sjogren’s occurs when the body’s immune system mistakenly attacks its own moisture-producing glands. While the exact cause remains unknown, genetics and environmental factors are believed to play a role in its development.

Beyond dryness of the eyes and mouth, Sjogren’s can cause a range of other symptoms, such as joint pain, fatigue, skin rashes, and complications affecting the lungs, kidneys, and nervous system.

Diagnosing Sjogren’s Syndrome requires a thorough assessment of symptoms, blood tests, and specialized examinations, such as Schirmer’s test and salivary gland biopsy.

Dr. Puneet Mashru and our dedicated team at the Advanced Rheumatology & Arthritis Clinic have vast experience in diagnosing and managing Sjogren’s Syndrome. Our comprehensive approach focuses on alleviating symptoms, preventing complications, and enhancing overall quality of life.

Treatment for Sjogren’s Syndrome often involves a combination of therapies, including artificial tears and saliva substitutes to manage dryness. Immunosuppressive medications may be prescribed to control the immune system’s attack on the glands and reduce inflammation.

Additionally, patients are encouraged to make lifestyle modifications to improve symptom management and prevent further complications. Regular follow-up visits and ongoing support enable us to monitor disease activity and optimize treatment plans.

At our clinic, we understand the challenges posed by Sjogren’s Syndrome and its impact on daily life. We are committed to providing compassionate care and personalized strategies to empower individuals to cope effectively with their condition.

If you experience persistent dryness of the eyes and mouth or suspect Sjogren’s Syndrome, do not hesitate to seek expert care. Contact Dr. Puneet Mashru’s Advanced Rheumatology & Arthritis Clinic for specialized evaluation and support, embracing a brighter outlook on life despite the challenges of Sjogren’s Syndrome.

Consultation Hours:

Monday
6:00 am-2:00 pm
Tuesday
7:00 am-9:00 pm
Wednesday
10:00 am-12:00 pm
Thursday
2:00 am-6:00 pm
Friday
Closed
Saturday
8:00 am-10:00 pm
Sunday
6:00 am-8:00 pm