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For Health Care Providers

Why Refer

Rheumatoid arthritis not only causes joint destruction but also is associated with several major comorbidities including increased risks of cardiovascular disease, osteoporosis, and premature death. Because of the complexities of the disease and its often confusing presentation, it can be helpful to refer these patients to specialists.

Researchers have documented the benefit that early treatment with disease-modifying anti-rheumatic drugs (DMARDs) can have on RA and recent newer treatment regimens such as biologics (anti-TNF agents) in RA patients with early disease.

Because we are convinced of the importance of early treatment, we have now organized our practice so that we can provide rheumatologic input promptly for patients you suspect may have RA or other types of inflammatory arthritis (e.g., psoriatic arthritis, ankylosing spondylitis).

Who to Refer

Patients with ANY of the following symptoms should be referred.

  • Three or more swollen joints OR
  • Morning stiffness of 30 minutes or more OR
  • Positive Squeeze Test: Compress a group of adjacent MCP or MTP joints between your thumb and forefinger. Pain elicited by mild compression may be diagnostic of early RA.

How to Refer

  1. Call our clinic at (585) 486-0901 and request an appointment in the Early Arthritis Clinic.
  2. You may send a fax to (585) 340-5399 with the patient information and specifically request the Early Arthritis Clinic.