Sujatha Vuyyuru
Rheumatologist | Rheumatology
10512 Belfry Cir Orlando Florida, 32832About
Dr. Sujatha Vuyyuru is a rheumatologist practicing in Orlando, Florida. Dr. Vuyyuru specializes in the treatment of musculoskeletal diseases and systematic autoimmune conditions that can affect the bones, muscles or bones. Eventually, if not treated, these illnesses can also impact the skin, eyes, nervous system and internal organs. Dr. Vuyyuru treats diseases similar to orthopedists but does not perform surgery. Often times, research is conducted to find potential alternatives for the patients illness.
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Sujatha Vuyyuru's Expert Contributions
Knee Pain Going on for 5 Years?
You may want to see a Rheumatologist or Orthopedist and see if you have fluid in your knee. If there is fluid, it needs to be removed and should be sent for cell count, cultures, etc. Doubt infection since your symptoms are going on for 5 years. If white cell count is higher than 2000 in your joint fluid, it is likely that you have inflammatory arthritis. If less than 2000, it is non-inflammatory. You may need repeat knee films and probably MRIs of your knees to see if you have any tears or degeneration of meniscus, tendons, or ligaments. You need thorough evaluation of what is causing your knee pain. Hope this helps. READ MORE
Knee problem?
You need to a rheumatologist or ortho to have the joint aspirated and have the fluid sent for cell count, gout or pseudogout crystals, and most importantly, infection needs to be ruled out by culturing the joint fluid. An infected knee should be treated immediately with IV antibiotics. Gout is a self-limited condition and will improve on its own or with anti-inflammatories with time. Infection, if not treated, would damage the affected joint. READ MORE
Should I keep walking with knee pain?
Weight loss is the key to help knee pain. Since knee is the weight bearing joint, it's very important to lose weight and keep the range of motion in the knee joint. It will be easier to walk with weight loss. Knee pain can result from many causes, however, if someone is obese, degenerative arthritis of the knee is most likely diagnosis. Physical therapy would help as well. A knee X-ray will help diagnose osteoarthritis. READ MORE
How do you treat gout in a big toe?
How old is your daughter? Gout is unusual in premenopausal woman. Gout should be diagnosed by aspirating the affected joint fluid and look for the gout crystals under polarized microscope, this is called crystal proven gout. Gout can also be diagnosed by typical symptoms as well. Gout is treated under doctor's supervision with several different medications. Before we recommend or choose medications to treat gout, we have to take the patient's other co-morbid conditions into consideration so we do not make other co-morbid conditions worse by treating gout with appropriate medications. Gout should be treated under a doctor's supervision. READ MORE
Can you get rheumatoid arthritis in the upper spine?
The joint that connects the first and 2nd vertebrae of cervical spine/neck can be affected in the long run in RA patients. Cervical spine can be affected with degenerative arthritis also and this is a more common condition and affects a lot of the population in general. READ MORE
Why do I have pain in my left hip?
True hip joint pain usually causes pain in groin, if the pain is in the side, it could still be from the hip joint arthritis, but most likely hip bursa is the problem. If the pain is in the buttock region, it could be resulting from back issues. Needs an exam by your physician and probably require a hip x-ray. READ MORE
What can an orthopedic doctor do for arthritis?
First you would need an evaluation with knee x-rays to look for any changes consistent with osteoarthritis/degenerative arthritis. If confirmed need weight loss if overweight , physical therapy, muscle strengthening exercises for the muscles around the knees like quadriceps strengthening. Walking is very important, a body in motion stays in motion. For bone on bone osteoarthritis a knee replacement is indicated and usually not done till you are in mid sixties unless there are compelling reasons an orthopedic surgeon wants to do it at a younger age. First all conservative measures should be exhausted prior to a knee replacement surgery. Your primary care physician can treat your knee osteoarthritis. READ MORE
How to ease my suffering from osteoporosis?
Usually osteoporosis by itself does not cause pain unless you are afflicted with a fracture from osteoporosis. you may have a fracture or osteoarthritis that is causing your pain. In lot of elderly or middle aged post menopausal females, osteoporosis is diagnosed when they experience a fragility fracture- a fracture resulting from a fall from standing height or less. These fractures, which most commonly occur at the hip, spine, or wrist, are an indication that the body's bones have been weakened by an underlying illness like osteoporosis. you can see an endocrinologist or a Rheumatologist READ MORE
Gout?
Gout is an inflammatory arthritis and common in post menopausal women. Until menopause women are usually protected from gout due to the fact that Estrogen helps excreting the uric acid. Gout is caused by supersaturation of uric acid crystals which will be deposited in joints and causes inflammatory arthritis with severe pain, swelling, inflammation and decreased range of motion. Symptoms start acutely and reach to maximum intensity in 24 hour period and affected joint can not even bear touching with a bed sheet, pants sleeve etc. Can not weight bear and not able to walk. Colchicine alone can not treat gout since it can not decrease uric acid crystal load in the body. It help to alleviate acute gout if taken with in 24 hours and also helps prevent gout when taken in conjunction with Allopurinol which is the medication that will decrease the production of uric acid in the body. Round circles are called tophi. Either allopurinol or Febuxostat help decrease Uric acid production in the body and eventually help reduce the size of the tophi. Your mother needs to see a Rheumtologist for evaluation and treatment of gout. Rheumatoid arthritis also mimics gout and vice a versa. So right diagnosis is the key for right treatment. READ MORE
What is the difference between rheumatoid arthritis and osteoarthritis?
Rheumatoid arthritis is an inflammatory arthritis and usually affects small joints like knuckles, and mid row of hand joints. Never affect the row of the joints that are close to the nails. RA is usually associated with swelling, morning stiffness that lasts more than 45 minutes and improves with activity. Usually wrists, hand and feet are the commonly involved joints. people usually say they fell like they are walking on the pebbles first thing in the morning when they walk to the bath room. Osteoarthritis is degenerative arthritis and usually affects middle aged and elderly, commonly affects weight bearing joints like hips, knees and also affects base of both thumbs, neck and low back. Also involve the middle and distal row of joints in hands causing bony nodular changes. READ MORE
Can degenerative arthritis in the knees, hips, and lower back cause degenerative arthritis in the shoulders and neck?
Neck is one of the common joints to have osteoarthritis, shoulders- less likely since it is not a weight bearing joint like knees and hips. A prior surgery and trauma in any joint can result in osteoarthritis in the long run. READ MORE
When does a hip need surgery for arthritis?
When you have unrelenting pain in the joint, pain at rest, pain and Range of motion are limiting function and activities of daily living READ MORE
What kind of doctor specializes in wrist pain?
Rheumatologist or Hand orthopedic surgeon READ MORE
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