Comprehensive Rheumatologic Care at IslandRheumatology.com
When it comes to managing chronic pain, autoimmune diseases, and complex musculoskeletal conditions, specialized care is essential. Island Rheumatology and Osteoporosis, P.C., accessible online at IslandRheumatology.com, is a trusted provider of expert rheumatologic care on Long Island. Known for its compassionate team and comprehensive services, Island Rheumatology serves patients with cutting-edge diagnostics, personalized treatment plans, and a focus on long-term wellness.
About Island Rheumatology
Island Rheumatology is a private medical practice dedicated to diagnosing and treating rheumatologic diseases, including various forms of arthritis, autoimmune disorders, and conditions involving inflammation of the joints, muscles, and bones. With offices located in East Setauket, Long Island, NY, the practice offers a welcoming environment for patients seeking relief from complex, often debilitating health issues.
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Led by a team of board-certified rheumatologists, Island Rheumatology combines clinical excellence with state-of-the-art technology to provide the best possible outcomes.
Conditions Treated
Island Rheumatology treats a broad spectrum of autoimmune and musculoskeletal disorders, including:
Rheumatoid Arthritis (RA)
Lupus (Systemic Lupus Erythematosus)
Psoriatic Arthritis
Ankylosing Spondylitis
Gout and Pseudogout
Osteoarthritis
Vasculitis
Sjogren’s Syndrome
Scleroderma
Fibromyalgia
Osteoporosis and other metabolic bone diseases
Services Offered
Island Rheumatology provides a full suite of services, combining diagnostic accuracy with therapeutic innovation:
In-House Infusion Center
State-of-the-art infusion therapy for patients needing IV biologic treatments for conditions like RA, lupus, and osteoporosis.
Bone Density Testing (DEXA Scans)
On-site DEXA scans allow for precise osteoporosis diagnosis and monitoring.
Ultrasound-Guided Joint Injections
Used to manage joint inflammation with high accuracy and minimal discomfort.
Laboratory Testing
Convenient in-office blood work and lab services for timely diagnosis and treatment adjustments.
Clinical Trials & Research
Participation in clinical trials helps bring the latest treatments and innovations directly to patients.
Patient-Centered Approach
What sets Island Rheumatology apart is its dedication to individualized care. Every patient is treated as a partner in their health journey. The doctors spend ample time understanding each person’s medical history, symptoms, and lifestyle to develop a treatment strategy that works.
They also focus on educating patients—helping them better understand their diagnosis and how lifestyle changes, medications, and therapies can improve their quality of life.
Online Access and Patient Portal
With the digital convenience of IslandRheumatology.com, patients can:
Schedule appointments
Access the patient portal for test results, prescription refills, and medical history
Learn more about rheumatologic conditions and treatment options
Find contact information and directions to the clinic
Location and Accessibility
Island Rheumatology and Osteoporosis, P.C. is conveniently located at:
10 Technology Drive, Suite 2,
East Setauket, NY 11733
Ample parking, wheelchair accessibility, and a patient-friendly environment make every visit smooth and stress-free.
Why Choose Island Rheumatology?
Expertise in complex diseases
On-site diagnostic tools
Infusion therapy and advanced treatments
Compassionate and knowledgeable physicians
Commitment to patient education and empowerment
Island Rheumatology is committed to relieving pain, restoring function, and improving the lives of patients across Long Island and beyond.
Visit IslandRheumatology.com Today
If you’re suffering from persistent joint pain, autoimmune symptoms, or bone health issues, don’t wait. Visit IslandRheumatology.com to learn more or schedule a consultation. Relief, clarity, and compassionate care are just a click away.
Arthritis
Arthritis impacts one in 5 Americans and can make day-to-day lifestyles a pain. At Island Rheumatology and Osteoporosis, we have devoted our work to making certain that arthritis and different autoimmune issues don’t notably influence your day-to-day life.
The docs and personnel at Island Rheumatology and Osteoporosis have the trip and ardour for testing, diagnosing, and treating your arthritis symptoms, from dermatomyositis to vasculitis.
FACTS ABOUT ARTHRITIS
Arthritis is irritation of one or extra of your joints. Osteoarthritis and Rheumatoid are the two most frequent kinds of arthritis. Below are frequent signs of arthritis that you need to be conscious of:
Joint Pain
Joint Stiffness
Swelling and/or Tenderness of a Joint
Difficulty Moving a Joint
Redness Around a Joint
HOW OUR TEAM CAN HELP WITH ARTHRITIS
Our specialists at Island Rheumatology and Osteoporosis additionally deal with rheumatologic stipulations such as:
Dermatomyositis
Gout and Pseudogout
Lupus-Related Skin Diseases
Osteoarthritis
Osteoporosis
Polymyositis
Raynaud’s Syndrome
Rheumatoid Arthritis
Regional Musculoskeletal Syndromes
Reiter’s Syndrome or Reactive Arthritis
Sjogren’s Syndrome
Spondylitis and Ankylosing Spondylitis
Temporal Arteritis
Vasculitis
Osteoporosis
Osteoporosis is a silent skeletal sickness that consequences from a loss of bone mass, which impacts guys and women. The alternate in the structure of bones reasons weak spot and effects in an elevated chance of fracture. The most frequent fractures appear in the spine, wrist, and hip. Spine and hip fractures, in particular, may additionally lead to persistent (long-term) pain, disability, and even death. Fortunately, you can take steps to decrease your hazard of osteoporosis and keep away from the often-disabling damaged bones (fractures) that can end result from this condition. If you already have osteoporosis, new medicines are handy to gradual or even quit the bones from getting weaker. These drugs additionally can limit the hazard of having a fracture.
What motives osteoporosis?
Osteoporosis consequences from a loss of bone mass (measured as bone density) and a trade in bone structure. Many elements increase the danger of growing osteoporosis and breaking a bone. You can alternate some of these danger elements however now not others. Recognizing your chance elements is vital so you can take steps to stop this circumstance or deal with it earlier than it turns into worse.
Major chance elements that you can’t trade include:
Older age (starting in the mid-30s however greater probable with advancing age)
Non-Hispanic white or Asian ethnic background
Small bone structure
Family records of osteoporosis or an osteoporosis-related fracture in a mother or father or sibling
Prior fracture due to a low-level injury, in particular after age 50
Risk elements that you may also be capable to trade include:
Low degrees of intercourse hormones, more often than not estrogen, in ladies (e.g., menopause)
The consuming problems anorexia nervosa and bulimia
Cigarette smoking
Alcohol abuse
Low calcium and nutrition D, from low consumption in your food plan or insufficient absorption in your gut
Sedentary (inactive) life-style or immobility
Certain medications, along with the following:
Glucocorticoid medicinal drugs (also referred to as corticosteroids), such as prednisone (brand names: Deltasone, Orasone, etc.) or prednisolone (Prelone)
Excess thyroid hormone alternative in these taking medicines for low thyroid or hypothyroidism
Heparin, a oftentimes used blood thinner
Some remedies that dissipate intercourse hormones, such as anastrozole (Arimidex) and letrozole (Femara) to deal with breast most cancers or leuprorelin (Lupron) to deal with prostate most cancers and different fitness problems
Diseases that can have an effect on bones
Endocrine (hormone) ailments (hyperthyroidism, hyperparathyroidism, Cushing’s disease, etc.)
Inflammatory arthritis (rheumatoid arthritis, ankylosing spondylitis, etc.)
What Is Osteoporosis?
Osteoporosis is extra frequent in older women, in the main non-Hispanic white and Asian women. Yet it can take place at any age, in men, women, and in all ethnic groups. People over age 50 are at the best hazard of growing osteoporosis and having associated fractures. Over age 50, one in two girls and one in six guys will go through an osteoporosis-related fracture at some factor in their lives. In the U.S., about 4.5 million ladies and 0.8 million guys over the age of 50 have osteoporosis, in accordance to 2005–06 data. These figures are decrease than older estimates, suggesting that osteoporosis is reducing in the population. This is constant with current traits considered as decreasing.
However, every other 22.7 million girls and 11.8 million guys over age 50 have low bone mass (known as osteopenia). People with low bone mass are additionally at greater hazard of fractures, however it is no longer as excessive as for humans with osteoporosis. If bone loss continues, humans with osteopenia can turn out to be osteoporotic.
How is osteoporosis diagnosed?
You can analyze if you have osteoporosis through having a easy check that measures bone mineral density—sometimes referred to as BMD. Dual-energy X-ray absorptiometry (DEXA) is the modern-day exceptional check for measuring BMD.
The check is speedy and painless. It is comparable to an X-ray however makes use of tons much less radiation. Even so, pregnant female need to no longer have this check to keep away from any chance of harming the fetus. DXA check effects are scored in contrast with the BMD of young, wholesome people.
What’s your T-Score?
Treatment
If you have osteoporosis, your healthcare company will recommend the following:
Calcium. Ensure you get adequate calcium in your diet, or think about taking supplements. The National Osteoporosis Foundation recommends 1,000 milligrams (shortened as mg) per day for most adults and 1,200 mg per day for female over 50 or guys over 70.
Vitamin D. Get enough quantities of diet D, vital to assist your physique soak up calcium from the meals you eat. The endorsed each day dose is 400–800 International Units (called IU) for adults youthful than age 50, and 800–1,000 IU for these age 50 and older. (These are the present day hints from the National Osteoporosis Foundation.) You may additionally want a one of a kind dose relying on your blood stage of nutrition D.
Physical activity. Get workout most days, particularly weight-bearing exercise, such as walking.
Some human beings additionally will want medication. Several medicinal drugs are on hand for osteoporosis prevention and remedy (“management”).
Bisphosphonates are a category of antiresorptive tablets authorised by way of the FDA for the administration of osteoporosis. They are taken orally or intravenously and have been proven to gradual down bone loss and minimize the threat of fracture. There are quite a number aspect consequences of orally taken medication, and they regularly have to be taken on an empty belly with lots of water. They may additionally irritate the esophagus, and you have to continue to be upright for at least an hour after taking the medications. Rare facet outcomes linked to bisphosphonates have been observed, such as osteonecrosis of the jaw (ONJ) and peculiar femoral fractures.
Other medicines consist of Teriparatide (Forteo), Denosumab (Prolia), Calcitonin, Estrogen or hormone substitute therapy, Selective estrogen receptor modulators, and others accessible for the administration of osteoporosis.
Prevention
Lifestyle modifications may also be the exceptional way of stopping osteoporosis. Here are some tips:
Make certain you get sufficient calcium in your food regimen or thru supplements (roughly 1,000–1,200 mg/day, however it will rely on your age).
Get ample nutrition D (400–1,000 IU/day, relying on your age and your blood degree of nutrition D measured via your doctor).
Stop smoking.
Avoid extra alcohol intake: no greater than two or three drinks a day.
Be bodily energetic and do weight-bearing exercises, like walking, most days every week. Aim for at least 2½ hours a week (30 minutes a day, 5 instances a week, or 50 minutes a day, three instances a week), or as a whole lot as you can. Exercises that can enhance balance, such as Tai Chi or yoga, may additionally assist stop falls.
Change way of life alternatives that elevate your danger of osteoporosis.
Implement techniques to help minimize your chance of falling.
You ought to additionally get cure for any underlying scientific trouble that can reason osteoporosis. If you are taking a remedy that can purpose osteoporosis, ask your medical doctor if you can decrease the dose or take another kind of medicine. Never alternate the dose or quit taking any medication besides talking to your physician first.
If you have low bone density and a excessive threat of breaking a bone, your health practitioner may additionally advocate medication to stop your bones from getting weaker. Healthcare vendors now have a tool for estimating the hazard of a patient’s osteoporotic fracture in the subsequent ten years known as the fracture chance evaluation device (FRAX). The World Health Organization developed it, and the rating can assist information therapy decisions.
Rheumatologists are medical doctors who are professionals in diagnosing and treating illnesses of the joints, muscles, and bones. They can assist locate the reason of osteoporosis and supply and reveal the satisfactory redress for this condition.
The most extreme fitness end result of osteoporosis is a fracture. Spine and hip fractures, especially, can also lead to persistent pain, long-term disability, and even death.
The important intention of treating osteoporosis is to stop fractures. If you have osteoporosis, it is fundamental to assist stop similarly bone loss and a fracture.
Here are some approaches to limit your risk of falls:
Use a strolling aid. If you are unsteady, use a cane or walker.
Remove risks in the home. Remove throw rugs. Also, take away or impenetrable free wires or cables that may additionally make you trip. Add night time lights in the hallways main to the bathroom. Install clutch bars in the toilet and non-skid mats close to sinks and the tub.
Get assist carrying or lifting heavy items. If you are no longer careful, you may want to fall or even go through a backbone fracture except falling.
Wear sturdy footwear with soles that grip. This is authentic in wintry weather or when it rains.
Diagnostic Neuromuscular Ultrasound
Diagnostic neuromuscular ultrasound is a non-invasive imaging method used to examine the health and characteristic of the nerves and muscle tissue in the body. This kind of ultrasound makes use of high-frequency sound waves to create designated pix of the neuromuscular system.
At Island Rheumatology, a fellowship-trained health practitioner will follow a small quantity of gel to the pores and skin and then flow a handheld transducer over the vicinity being examined. The transducer emits sound waves that penetrate the physique and soar back, developing real-time photographs on a laptop screen.
This imaging method can diagnose a range of neuromuscular conditions, such as muscle tears, nerve compression syndromes, muscle atrophy, and nerve entrapments. It can additionally grant precious statistics about muscle and nerve fitness and function.
One of the benefits of diagnostic neuromuscular ultrasound is its potential to visualize constructions in actual time. This permits for dynamic imaging, which means that the technician can determine the motion of muscle tissues and nerves throughout exclusive positions or activities, presenting a extra correct evaluation of any abnormalities.
Dr. Scott Paskiewicz
Additionally, this imaging approach is non-invasive and does no longer expose sufferers to radiation, making it a secure and relaxed choice for diagnostic purposes. It additionally does now not require any unique coaching or recuperation time.
Doppler Ultrasound
Doppler ultrasound is a non-invasive imaging approach that makes use of sound waves to measure the motion of blood via vessels. This technological know-how can be used in a number of clinical applications, together with the assessment of the thyroid gland and carotid arteries, the detection of clots, and the evaluation of kidney function.
Thyroid Doppler Ultrasound:
Thyroid Doppler ultrasound is regularly utilized to investigate blood glide inside the thyroid gland. It can assist diagnose and reveal quite a number thyroid conditions, which include thyroid nodules and thyroiditis. By evaluating blood float patterns, this method can furnish records about the thyroid gland’s vascularity and resource in figuring out bizarre blood vessels or excessive blood go with the flow indicative of sure thyroid disorders.
Carotid Doppler Ultrasound:
Carotid Doppler ultrasound can be used to consider the blood go with the flow in the carotid arteries, which are the fundamental blood vessels placed in the neck that provide oxygenated blood to the brain. This technique helps perceive any blockages or narrowing of the arteries, recognized as carotid artery stenosis. It is normally carried out in sufferers with danger elements for stroke or these imparting with signs such as transient ischemic assaults (TIAs) or mini-strokes.
Detection of Blood Clots:
Doppler ultrasound is a treasured device for detecting clots inside the veins, a situation regarded as deep vein thrombosis (DVT). This method can check the blood go with the flow in the affected veins and pick out any blockages brought about by using blood clots. It is mainly beneficial in the decrease extremities, the place DVT normally occurs. Early detection of blood clots is necessary as they can doubtlessly dislodge and journey to the lungs, inflicting a life-threatening situation referred to as pulmonary embolism.
Kidney Doppler Ultrasound:
Doppler ultrasound can be used to consider kidney feature and realize any abnormalities in blood go with the flow to the kidneys. It helps diagnose renal artery stenosis, which is the narrowing of the vessels that grant the kidneys. By measuring the pace and route of blood waft in these arteries, this method can perceive any obstructions or diminished blood float that can also have an effect on kidney function. Kidney Doppler ultrasound is specifically essential for sufferers with uncontrolled hypertension or continual kidney disease.
Doppler ultrasound is a versatile imaging modality used in a variety of scientific fields. Its purposes vary from assessing blood float in the thyroid gland and carotid arteries to detecting clots and evaluating kidney function. This non-invasive technique
provides treasured records to aid in the diagnosis, monitoring, and remedy of severa scientific conditions. By inspecting the motion of blood via the vessels, Doppler ultrasound helps healthcare experts in making correct and well timed medical decisions.
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