Rheumatology | Private Rheumatology Clinic
26 hours ago Prime Rheumatology Clinic of Houston PLLC, is a comprehensive treatment clinic specializing in rheumatic disorders and musculoskeletal diseases. We offer complete rheumatologic and musculoskeletal consultations, infusions, and osteoporosis therapies. Dr. Menga’s mission is to improve the well-being, health, outcomes of patients with rheumatic ... >> Go To The Portal
Why choose prime Rheumatology?
Prime Rheumatology Clinic of Houston PLLC, is a comprehensive treatment clinic specializing in rheumatic disorders and musculoskeletal diseases. We offer complete rheumatologic and musculoskeletal consultations, infusions, and osteoporosis therapies. Dr. Menga’s mission is to improve the well-being, health, outcomes of patients with rheumatic ...
Why rheumcenter Rheumatology?
Prime Rheumatology is a multidisciplinary integrated clinical service focused on the diagnosis and management of rheumatic diseases and disorders. We can diagnose and treat patients with rheumatoid arthritis, gout, bursitis, osteoarthritis, tendinitis, and other related health conditions.
Why choose our rheumatology services in Richmond?
May 29, 2019 · Prime Rheumatology is a multidisciplinary integrated clinical service focused on the diagnosis and management of rheumatic diseases and disorders. Patient Portal Click Here Sign Up or Login Fast Track Appointments Available See …
What is your greatest reward as a rheumatologist?
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About Us
Our goal is to treat you as a person, not merely a patient. We strive to give you the time, attention, and quality of service that you deserve.
SERVICES
As a provider of rheumatology in Richmond, Texas, Prime Rheumatology endeavours to provide the best standard of care for our patients. We utilize person-centered, evidence-based techniques to diagnose, treat, and manage rheumatic diseases and disorders.
Must Dogs
Dr. Bunin’s two huskies, Chase and Shaya, are almost always in RheumCenter, providing therapy to patients and a calm, family feel to the office. If you are uncomfortable with dogs, we understand, but we respectfully urge you to find another rheumatologist. They are as much a part of RheumCenter as Dr. Bunin herself.
Hospital Affiliations
For your convenience we are affiliated with the following local hospitals.
A love of research – and design
For interaction design major Sarah Strickler, research is the most compelling aspect of design.
Rebuilding peace after war
How can a nation heal from a civil war? UW doctoral student Francis Abugbilla traveled to Côte d’Ivoire for answers.
Setting the pace
Last year, standout high school athlete Hallie Jensen had never rowed — but now she’s competing on the UW’s Division I crew team, thanks to the Hometown Huskies program.
Fueled by floods
UW researchers are collaborating with Cambodian leaders across industries and disciplines to find new ways to manage the impacts of hydropower on the supplies of rice and fish in the region.
Treating mind and body
Jennifer Velloza’s research highlights the vital role of mental-health care in global HIV prevention — work that was supported in part by the UW Magnuson Scholarship.
A natural cure for cavities
Researchers at the University of Washington are developing a new cure for cavities, transforming dental care and tackling this growing health concern.
The Burke, unwrapped
Washington’s oldest museum gets a new home and a bold new approach — an open design that puts both artifacts and researchers on display.
What Types of Biologics Can Treat PSA?
- The Food and Drug Administration (FDA) have approved several biologics to treat PsA. These medications fall into four categories: 1. tumor necrosis factor (TNF) inhibitor 2. interleukin-17 (IL-17) inhibitor 3. interleukin-12/23 (IL-12/23) inhibitor 4. T-cell blocker A person with PsA may have to try multiple biologics to find the type that works best for them. If one drug is ineffective or cau…
TNF Inhibitors
- For most people with active PsA, TNF inhibitors are the first line of treatment recommended by the American College of Rheumatology and National Psoriasis Foundation. The FDA have approved the following TNF inhibitors for treating PsA: 1. adalimumab (Humira) 2. certolizumab pegol (Cimzia) 3. etanercept (Enbrel) 4. golimumab (Simponi, Simponi Aria) 5. infliximab (Remic…
How They Work
- In people with PsA, the body produces too much of a protein that drives inflammation — called TNF-alpha — in the skin or joints. TNF inhibitors help block the production of this protein, which can thereby reduce inflammation. According to a summary of evidence published in Expert Review of Clinical Pharmacology, clinical trials have shown that all five types of TNF inhibitors c…
Side Effects
- TNF inhibitors suppress the immune system. As a result, they raise the risk of infection, such as influenza or sinus infection. Other potential side effects of TNF inhibitors include a rash, headaches, nausea, and pain and swelling at the injection site. In rare cases, people taking TNF inhibitors have experienced more severe adverse effects, including: 1. serious allergic reactions …
IL-17 Inhibitors
- The American College of Rheumatology and National Psoriasis Foundationrecommend IL-17 inhibitors as a second-line treatment for PsA. These drugs may help treat PsA that has not responded well to TNF inhibitors. In other cases, a doctor may prescribe an IL-17 inhibitor to a person who has a medical condition that would make it less safe to use TNF inhibitors. To date, …
IL-12/23 Inhibitors
- An IL-12/23 inhibitor may be effective when PsA has not responded well to TNF inhibitors or IL-17 inhibitors. Alternately, a doctor may prescribe an IL-12/23 inhibitor if a person has both PsA and IBD. The FDA have approved one type of IL-12/23 inhibitor to treat PsA: ustekinumab (Stelara). The drug is injected under the skin.
How It Works
- IL-12 and IL-23 are two types of protein involved in the development of inflammation. Stelara blocks IL-12 and IL-23, which can help reduce inflammation and minimize symptoms.
T-Cell Receptor Blocker
- If PsA has not responded well to other biologics, the doctor may prescribe a type of T-cell receptor blocker called abatacept (Orencia). This medication may be administered through an intravenous infusion, or it may be injected under the skin.
Biosimilars
- Biosimilars are drugs developed to be very similar to biologics that have already been approved for use. The FDA have approved several biosimilars for the treatment of PsA, including: 1. adalimumab-atto (Amjevita) and adalimumab-adbm (Cyltezo), which are biosimilar to Humira 2. etanercept-szzs (Erelzi), which is biosimilar to Enbrel 3. infliximab-dyyb (Inflectra) and inflixima…
Summary
- In many people, biologics help reduce inflammation, swelling, pain, and other symptoms of PsA. They may also help slow the development of the disease and limit joint damage. However, biologics can cause side effects, which in rare cases are serious. Doctors should monitor people who are taking biologics for signs of infection and other side effects. To learn more about the p…
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