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Outpatient Clinics take place in the

Monday ( 8.00 am – 12 Noon) - Follow up clinic for rheumatoid arthritis patients who reside in distant areas like Wellawaya/ Welimada

Clinic Dates

Tuesday -(8.00 a.m - 12 Noon) - Follow up clinic for patients with 1. Vasculitis - 2. Systemic lupus erythematosis 3. Scleroderma

                                                                                                                  4. Ankylosing Spondylitis

Wednesday, Thursday, Friday - (8.00 a.m - 12.00 Noon) All new referrals are registered and all follow up patients are seen

Saturday (8.00 a.m - 12.00 Noon) – Follow up clinic for school children.

DEPARTMENT OF RHEUMATOLOGY & REHABILITATION

Dr (Mrs. T.C.S Dabare , Consultant Rheumatologist - 03 Medical Officers, 02 Nursing Officers & Other Supportive Officers

Service of the Department Rheumatology and Rehabilitation

Patients with rheumatological conditions, including children and those who need rehabilitation are managed in our department.  Consultant, medical officers, nursing officers and physiotherapists from physiotherapy unit which is a sub unit of the rheumatology department, occupational therapist, all work together for the benefit of the patient.All patients with musculo skeletal symptoms referred to the clinic are first seen by the consultant and after making the diagnosis management plan is drawn. The patients are followed up in the clinic with close monitoring. In patients with rheumatoid arthritis it is very important to start disease modifying drugs early to prevent deformities. In these patients our aim is to get good control, in the mean time avoiding unnecessary long term medication including non-steroidal anti- inflammatory drugs (NSAIDS) and oral steroids

For patients with Ankylosing Spondylitis we arrange exercise programme with the help of physiotherapists and for those who do not respond to conventional therapy intravenous palmidronate infusions are given. We do have a separate clinic day for patients with connective tissue diseases such as scleroderma, systemic lupus erythematosis (SLE), and Vasculitis .For those patients with scleroderma and significant lung fibrosis we start intra venous pulse cyclophosphamide treatment.

For patients with Ankylosing Spondylitis we arrange exercise programme with the help of physiotherapists and for those who do not respond to conventional therapy intravenous palmidronate infusions are given. We do have a separate clinic day for patients with connective tissue diseases such as scleroderma, systemic lupus erythematosis (SLE), and Vasculitis .For those patients with scleroderma and significant lung fibrosis we start intra venous pulse cyclophosphamide treatment.

Osteoarthritis knees is a very common presentation to our clinic and always we try to manage symptoms with intra articular steroids and then exercise programme, with minimal NSAIDS. Other musculoskeletal conditions like shoulder ,neck and low back pain are assessed and  treated .Patients with fibromyalgia are diagnosed and treated  avoiding unnecessary medication.It is very important to rehabilitate children with cerebral palsy under close supervision .We follow up these patients in our clinic.

With the help of ward 32 staff we manage patients who need inward care , in ward 32

Those patients with spinal injury, strokes and Guillen Barre Syndrome who need long term inward rehabilitation when referred are assessed by the consultant and transferred to Rehabilitation Hospital at Kandagolla

In Patients Services

Inpatient services are based at Ward 32 where ten beds are allocated for the patients who need admition to the hospital.In addition all referrals from other wards are seen by the rheumatologist. The rehabilitation hospital at Kandagolla is supervised by the consultant with weekly visits on Monday