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    Patients have told us that topical Voltaren which is now available over the counter (no prescription) is cheaper at Bed… Read more…

  • A Rheumatology View of Covid

    For the last 6 months, it has been difficult for all of us to think of anything else other than… Read more…

  • Main Line Rheumatology & Osteoporosis Continues to Function

    As we remain under what looks to be a long siege, Main Line Rheumatology & Osteoporosis continues to function. We… Read more…

  • Covid-19 & Your Medications

    As we have written previously, it is not clear whether Covid 19 creates additional risk for the biologic medications our… Read more…

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Infusion Center for Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis & Osteoporosis

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Krystexxa – Infusion Medication for Gout

MLR&O on Facebook

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Received my vaccination today, looking forward to the day we are Covid free! ... See MoreSee Less

1 day ago

Received my vaccination today, looking forward to the day we are Covid free!
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Thankful for my Covid vaccination. Moving forward to a healthy future! ... See MoreSee Less

2 days ago

Thankful for my Covid vaccination. Moving forward to a healthy future!
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Here’s to a healthier, happier future!! ... See MoreSee Less

6 days ago

Here’s to a healthier, happier future!!
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Thankful we are moving towards a Covid free tomorrow! ... See MoreSee Less

6 days ago

Thankful we are moving towards a Covid free tomorrow!
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Me too

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2 weeks ago

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Findings in a new paper show that treatment regimens involving the drugs tocilizumab or sarilumab reduced the death rate among Covid patients in intensive care.
#covid #arthritis #HealthCare
www.nytimes.com/2021/01/08/health/covid-arthritis-drugs-reduced-deaths.html
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2 Arthritis Drugs Reduce Deaths in Very Ill Covid Patients, Study Finds

www.nytimes.com

The big dip in mortality shown in the trial of about 800 patients has caught some experts by surprise because previous studies of the drugs showed little benefit.

2 weeks ago

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The doctors of Main Line Rheumatology & Osteoporosis continue to see current and new patients through TeleMed via the Internet and telephone. We are using Zoom, Doxy.me, and FaceTime. Please call the office, (610) 896-8400 to set up an appointment.
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#telemedicine #rheumatology #rheumatoidarthritis #osteoporosis #healthcare #medicine #doctor #arthritis
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2 weeks ago

The doctors of Main Line Rheumatology & Osteoporosis continue to see current and new patients through TeleMed via the Internet and telephone. We are using Zoom, Doxy.me, and FaceTime. Please call the office, (610) 896-8400 to set up an appointment.
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#telemedicine #rheumatology #rheumatoidarthritis #osteoporosis #healthcare #medicine #doctor #arthritis
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"In what is probably the definitive word on how little exercise we can get away with, a new study finds that a mere four seconds of intense intervals, repeated until they amount to about a minute of total exertion, lead to rapid and meaningful improvements in strength, fitness and general physical performance among middle-aged and older adults."

#rheumatology #healthylifestyle #Healthcare

www.nytimes.com/2020/12/30/well/move/can-4-seconds-of-exercise-make-a-difference.html?referringSo...
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Can 4 Seconds of Exercise Make a Difference?

www.nytimes.com

Four seconds of intense intervals, repeated until they amount to a minute of total exertion, led to rapid improvements in strength and fitness in middle-aged and older adults.

2 weeks ago

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New Year? Yes please! Here’s to better times ahead for us all! Wishing you a happy, safe and healthy 2021. ... See MoreSee Less

3 weeks ago

New Year? Yes please! Here’s to better times ahead for us all! Wishing you a happy, safe and healthy 2021.
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We've gotten many questions from our patients with rheumatic diseases asking whether they are at an increased risk for Covid (the answer is no) and whether their medication (i.e. prednisone, methotrexate and biologic medications) will be a problem when they get their Covid vaccine. The concern is whether these medicines blunt the body's ability to mount a robust antibody reaction to the vaccine. First, we think it is important to get vaccinated as the risk from Covid is much greater than the few case reports of side effects of the Covid vaccines (both Pfizer and Moderna brands). They include a few case reports of Bell's Palsy and anaphylactoid reactions in patients with a previous history of anaphylaxis. These are small numbers of the 70,000 patients who have been vaccinated.

As to the timing of when to get the vaccine in relation to the biologics and methotrexate, there is no solid data, but based on the science as we currently understand it and experience with other vaccines, we think that if you take methotrexate, it would be best to skip 2 weeks before getting the Covid vaccine. With regard to the biologics that inhibit B cells such as Rituxan and Benlysta, we think it is advisable to get vaccinated towards the end of the cycle (i.e. 5-6 months from the last Rituxan shot). Prednisone does not appear to be a factor in minimizing the immune response generated by the vaccine.

Pfizer has just agreed to make another 100 million doses by March 2021. Moderna, a small start-up company, is also ramping up its production. Hopefully there will be announcements relatively soon as to when you can expect to be vaccinated.
... See MoreSee Less

4 weeks ago

Weve gotten many questions from our patients with rheumatic diseases asking whether they are at an increased risk for Covid (the answer is no) and whether their medication (i.e. prednisone, methotrexate and  biologic medications) will be a problem when they get their Covid vaccine. The concern is whether these medicines blunt the bodys ability to mount a robust antibody reaction to the vaccine.  First, we think it is important to get vaccinated as the risk from Covid is much greater than the few case reports of side effects of the Covid vaccines (both Pfizer and Moderna brands). They include a few case reports of Bells Palsy and anaphylactoid reactions in patients with a previous history of  anaphylaxis. These are small numbers of the 70,000 patients who have been vaccinated.

As to the timing of when to get the vaccine in relation to the biologics and methotrexate, there is no solid data, but based on the science as we currently understand it and  experience with other vaccines, we think that if you take methotrexate, it would be best to skip 2 weeks before getting the Covid vaccine. With regard to the biologics that inhibit B cells such as Rituxan and Benlysta, we think it is advisable to get vaccinated towards the end of the cycle (i.e. 5-6 months from the last Rituxan shot). Prednisone does not appear to be a factor in minimizing the immune response generated by the vaccine.

Pfizer has just agreed to make another 100 million doses by March 2021. Moderna, a small start-up company, is also ramping up its production. Hopefully there will be announcements relatively soon as to when you can expect to  be vaccinated.
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Osteoporosis and Your Spine — Bone Talk ... See MoreSee Less

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Osteoporosis and Your Spine — Bone Talk

www.bonetalk.org

Your spine is made up of small bones called vertebrae. When these bones break, they’re called spine fractures, vertebral fractures or compression fractures. Broken bones in the spine are the most co...

4 weeks ago

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Health, happiness and peace during this holiday season and through the coming year. ... See MoreSee Less

4 weeks ago

Play
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"Several times a day, whether I’m indoors or out, my bone doctor’s mantra reverberates in my head: “Do Not Fall!”' Enjoy this article by Jane Brody on the benefits of balance and “Postural Retraining.”

www.nytimes.com/2020/12/14/well/live/elderly-balance-falls.html
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Improving Your Balance to Prevent Falls

www.nytimes.com

Balance is something the body learns to do automatically by engaging the postural muscles.

1 month ago

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Happy Hanukkah to those who celebrate! ... See MoreSee Less

1 month ago

Happy Hanukkah to those who celebrate!
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Osteoporosis is somewhat arbitrarily defined as having a T score of -2.5 on a DEXA scan. There are exceptions to this and such factors as being on steroids are not necessarily reflected in weakness In our bones. However, the bone density test is a safe test with only minimal radiation.
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www.health.harvard.edu/womens-health/whats-your-t-score-bone-density-scans-for-osteoporosis?fbcli...
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What's your t-score? Bone density scans for osteoporosis - Harvard Health

www.health.harvard.edu

Several technologies can assess bone density, but the most common is known as dual energy x-ray absorptiometry (DEXA). For this procedure, a machine sends x-rays through bones in order to calculate bo...

2 months ago

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Proud to announce Gary V Gordon, MD, FACP, FACR, Thomas Harder, MD, Amy Lundholm, DO & Hyon Ju Park, MD have been voted TOP DOCTORS 2020!

Physicians voted for their colleagues in a variety of specialties via online ballot.
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#mainlinerheumatology #rheumatology #rheumatologist #topdoctors #osteoporosis #arthritis
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2 months ago

Proud to announce Gary V Gordon, MD, FACP, FACR, Thomas Harder, MD, Amy Lundholm, DO & Hyon Ju Park, MD have been voted TOP DOCTORS 2020! 

Physicians voted for their colleagues in a variety of specialties via online ballot. 
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#mainlinerheumatology #rheumatology #rheumatologist #topdoctors #osteoporosis #arthritis
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Our best wishes for a Happy Thanksgiving. ... See MoreSee Less

2 months ago

Our best wishes for a Happy Thanksgiving.
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Because of its relaxing and low-impact nature, Tai Chi is one of the most popular exercises for the over 50s! #rheumatology #mainlinerheumatology #arthritis #rheumatologist #osteoporosis
sixtyandme.com/tai-chi-for-seniors/?fbclid=IwAR3uhoWQw9W5PThFD3iCczRZLzWrQfZrT2avJDZJDhl-IpKDxt6I...
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What Is Tai Chi and Why It’s Good for Seniors | Sixty and Me

sixtyandme.com

Tai chi is a great exercise and meditation activity that seniors can enjoy at home or in a social setting - such as outside in the park.

2 months ago

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What is osteopenia and how does it differ from osteoporosis? While they both refer to lowered bone mass, osteopenia is often known as a precursor condition to osteoporosis.

#mainlinerheumatology #healthcare #rheumatology #rheumatologist #osteoporosis #osteopenia
osteoporosis.newlifeoutlook.com/what-is-osteopenia/?fbclid=IwAR1_qzlDWRgEwHKFYsQnZVN9DL-FQ_yxbh3R...
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What Is Osteopenia: Symptoms, Causes and Treatments

osteoporosis.newlifeoutlook.com

Osteoporosis and osteopenia go hand in hand. So, what is osteopenia? From symptoms to risk factors and treatment options, learn more here.

2 months ago

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"Remember that building new healthy habits can take some time and it's OK to treat yourself to avoid feeling deprived. Stay focused on your goal, and if you slip along the way, just start again." Wise words!

#rheumatology #mainlinerheumatology #rheumatologist #healthcare
health.clevelandclinic.org/11-simple-health-habits-worth-adopting-into-your-life/?fbclid=IwAR3PVx...
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11 Simple Health Habits Worth Adopting Into Your Life

health.clevelandclinic.org

Diet, nutrition and fitness ideas for busy people

2 months ago

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For anyone with an interest in the history of gout, the following is a great article.

#rheumatology #gout #healthcare #mainlinerheumatology #rheumatologist
www.nytimes.com/2020/11/13/t-magazine/gout-tormenting-masses.html?referringSource=articleShare
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Once the Disease of Gluttonous Aristocrats, Gout Is Now Tormenting the Masses

www.nytimes.com

It can be tempting to ascribe the affliction’s prevalence to our current climate of indulgence, but that’s not the full story.

2 months ago

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If one of your parents has had a broken bone, especially a broken hip, you may need to be screened earlier for osteoporosis.
#mainlinerheumatology #rheumatologist #osteoporosis
www.cdc.gov/genomics/disease/osteoporosis.htm?fbclid=IwAR0r3U4f-hw9aeiMd236sx7nZu1Soqsz7Lvl7C2rRl...
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Does Osteoporosis Run in Your Family? | CDC

www.cdc.gov

Talk to your doctor about your family health history of osteoporosis. If one of your parents has had a broken bone, especially a broken hip, you may need to be screened earlier for osteoporosis.

2 months ago

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The following Jane Brody article on osteoporosis is a great summary which elegantly states that the greatest risk for a fracture from osteoporosis is having already had a previous fracture.

#osteoporosis #mainlinerheumatology #rheumatologist

www.nytimes.com/2020/11/09/well/live/after-a-broken-bone-the-risk-of-a-second-fracture.html
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After a Broken Bone, the Risk of a Second Fracture

www.nytimes.com

Far too few patients are referred for treatment that could stave off another costly, debilitating and sometimes deadly fracture.

2 months ago

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Here's an article showing the similarities between Covid19 and some of the auto-immune diseases that we treat.
#mainlinerheumatology #health #rheumatology #rheumatologist #arthritis #osteoporosis

www.nytimes.com/2020/10/27/health/covid-antibodies-autoimmunity.html?searchResultPosition=10
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Some Covid Survivors Have Antibodies That Attack the Body, not Virus

www.nytimes.com

New research found ‘autoantibodies’ similar to those in lupus and rheumatoid arthritis patients. But patients may also benefit from treatments for those autoimmune diseases.

3 months ago

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Fish oil, SAM-e and curcumin are among the supplements with the best evidence to support them. The research on glucosamine and chondroitin, some of the most popular supplements for osteoarthritis, is mixed. Glucosamine sulfate might work but almost no evidence to support glucosamine hydrochloride (HCl).

#rheumatology #mainlinerheumatology #Arthritis #health #rheumatologist

www.arthritis.org/health-wellness/treatment/complementary-therapies/supplements-and-vitamins/choo...
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Choosing Supplements Wisely | Arthritis Foundation

www.arthritis.org

Want to try supplements for arthritis symptoms? Before you do, learn what you need to know about supplement safety and how to buy quality supplements.

3 months ago

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MLR&O on Twitter

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Received my vaccination today, looking forward to the day we are Covid free!

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mainlinerheumandosteoporosis

Received my vaccination today, looking forward to Received my vaccination today, looking forward to the day we are Covid free!
Thankful for my Covid vaccination. Moving forward Thankful for my Covid vaccination. Moving forward to a healthy future!
Thankful we are moving towards a Covid free tomorr Thankful we are moving towards a Covid free tomorrow!
Here’s to a healthier, happier future!! Here’s to a healthier, happier future!!
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Patient Medications

  • The drug, ACTH, has been clinically available for many years as ACTHar gel and works well for rheumatoid arthritis, lupus,… Read more…

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