Rheumatic conditions affect the joints, muscles, bones, and the immune system. Many of them begin slowly, and the early signs are easy to mistake for ordinary aches — stiffness that is worst in the morning, swelling that comes and goes, or tiredness that does not lift with rest. Identifying what is causing them early usually gives the best chance of keeping the condition under control.
Dr. Rutviz Mistry is a rheumatologist practising in Ahmedabad. He completed his MBBS at B.J. Medical College, Ahmedabad, his MD in Medicine at Maulana Azad Medical College, New Delhi, and his DM in Rheumatology at the Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, where he trained under Dr. Ramnath Misra and Dr. Amita Agrawal.
His training covered adult and paediatric rheumatology across outpatient, inpatient, and emergency care. He is additionally trained in musculoskeletal ultrasound and in primary immune deficiency disorders, and has published in peer-reviewed journals and spoken at conferences. His areas of interest are rheumatoid arthritis, vasculitis, and lupus.
Consultations are held at the clinic in Sola, Ahmedabad. Dr. Mistry is also attached to GMERS Medical College and Hospital, Sola, and to KD Hospital, Ahmedabad.
A first visit is mostly conversation and examination: what you have noticed, when it started, how it has changed, and what it stops you doing. Rheumatic disease is diagnosed from that history together with examination and, where they help, blood tests or imaging. If you have had tests done already, bringing the reports with you — including older ones — is genuinely useful, because how these conditions change over time is often as informative as any single result.
Vasculitis
ANCA-associated vasculitis is a group of autoimmune conditions in which small blood vessels become inflamed, most often affecting the sinuses, lungs, nerves, and kidneys. Prompt diagnosis and treatment can bring the disease into remission and protect the organs involved.
Soft tissue and pain
Fibromyalgia is a long-term condition that causes widespread body pain, tiredness, and poor sleep. It does not damage the joints, and a combination of exercise, sleep, and self-management helps most people feel better.
Crystal arthropathy
Gout is a common form of arthritis caused by tiny urate crystals forming in a joint, leading to sudden, severe pain and swelling. It can be controlled well with treatment and simple lifestyle steps.
Degenerative joint disease
Osteoarthritis is the most common form of arthritis, caused by gradual wear and changes in the cartilage that cushions the joints. Exercise, weight management, and pain relief help most people stay active.
Metabolic bone disease
Osteoporosis is a condition in which bones become weaker and more likely to break, often without any warning until a fracture happens. It can be diagnosed with a simple scan and treated to reduce the risk of fractures.
Inflammatory arthritis
Psoriatic arthritis is an inflammatory joint condition linked to the skin disease psoriasis, causing joint pain and swelling, and sometimes swollen fingers or toes and nail changes. Early treatment controls both the joints and the skin and prevents lasting joint damage.
