Rheumatology

Our rheumatology department offers a wide range of services to diagnose and treat joint, bone and connective tissue diseases in adults. We also provide a service for diagnosis and management of Juvenile Idiopathic Arthritis (by visiting Paediatric Rheumatologists from Wolverhampton).

Our department includes a specialist service to diagnose, prevent and treat osteoporosis and other metabolic bone diseases in adults. 

We offer high quality multidisciplinary care supported by nurse specialists, occupational therapists, physiotherapists, pharmacists, orthotists and excellent specialist radiology services including bone densitometry (DXA) scanning.

In keeping with best quality clinical care we are actively involved in clinical trials and research to ensure our patients have access to the most up to date treatments. 

Services

  • Consultants and specialist nurse run outpatient clinics at RJAH for diagnosis and on-going management and disease surveillance.
  • For rheumatology patients:
  • For osteoporosis and metabolic patients:
    • Bone densitometry scanning using DXA (Dual X-ray Absorptiometry) of the spine, hip, forearm, whole body and body composition measurements.
    • Bone marker service (including measurement of a marker of bone breakdown in a urine sample). 
    • Peripatetic (mobile) service for intravenous treatment of bone disease. Available as an inpatient and day-case service at RJAH or at outreach clinics in Shrewsbury, Telford and Ludlow.
    • Inpatient beds on Sheldon Ward for diagnosis and medical management.

Referrals

Referrals can be made for a range of conditions, including:

  • Back, neck, shoulder and sodt tissue pain
  • Chronic widespread pain including fibromyalgia
  • Connective tissue disease
  • Gout and other crystal deposition diseases
  • Hypermobility
  • Inflammatory arthritis (including rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis)
  • Osteoarthritis (non-surgical)
  • Systemic Lupus Erythematosus (SLE)
  • Vasculitis

Osteoporosis and metabolic bone disease referrals can be made for a range of conditions including:

  • Aromatase inhibitor patients
  • Glucocorticoid-induced osteoporosis
  • Postmenopausal and age related osteoporosis
  • Male osteoporosis
  • Paget's Disease of Bone
  • Primary hyperparathyroidism
  • Osteogenesis Impoerfecta - a genetic bone disorder also known as "brittle bone disease"
  • Osteomalacia
  • Other secondary causes of bone loss such as:
    • ​Gut disorders including coeliac disease
    • Crohn's disease
    • Eating disorders such as anorexia
    • Immobility, including patients after stroke or spinal cord injury
    • Endocrine disorders such as Cushing's disease
    • Rheumatoid Arthritis
  • Renal bone disease
  • Vitamin D deficiency

Referrals can be via:

  • NHS referral via your GP or another consultant. (In shropshire all referrals should be made via your GP unless there is an urgent clinical need).
  • Private consultation via individuals consultant.
  • For rheumatology patients who live in North Wales, the Local Health Board has requested that all new referrals should be directed to the rheumatology service at Wrexham Maelor hospital.
  • Appointments are given for bone densitometry (DXA) scan only or a clinic appointment with a consultant. There is a 'Choose and Book' service available for DXA scans only, accessed through your GP, available through most Shropshire GP's. 

Our Team

Consultants

Clinical staff

  • Sarah Bird, Specialist Nurse
  • Sally Evans, Clinical Scientist and DXA team lead
  • Sandy Glen, Bone densitometyr healthcare assistant
  • Yvonne Hartley, out-patient healthcare assistant
  • Sandra Hooper, Clinical Nurse Specialist
  • Julie Huxley, Specialist Nurse
  • Gill Lawrence, Specialist Physiotherapist
  • Caron Luxton, Bone Densitometry Technologist
  • Alison Meadows, Specialist Nurse (Telford service)
  • Diane Powel, DXA and Metabolic Technician
  • Dawn Pugh, DXA Technician
  • Jill Roberts, DXA Manager and Reporting Radiographer
  • Tracey Roberts, Specialist Nurse: infusion service
  • Joanna Watson, Specialist Occupational Therapist
  • Phil White, Pharmacist
  • Paul Dallow, Senior DXA Radiographer 
  • Claire Reynolds, DXA Radiographer

Clinics

  • Consultant clinics are held at RJAH in main outpatients Monday to Friday.
  • DXA bone density scan appointments are Monday to Friday, 8.30am to 4.00pm
  • I.V. infusion clinics are held Mondays, Tuesdays and Wednesdays in the day case room on Sheldon Ward.

Rheumatology outreach clinics run as follows;

  • Whitchurch: 1st and 3rd Wednesdays of the month.
  • Shrewsbury: weekly on Tuesdays, Thursdays and Fridays.
  • Newtown: on the 4th Friday of the month. 

 

  Image of bone density scan of a patient with a radiographer