Rheumatology in Hong Kong

Rheumatology is a branch of medicine that focuses on the diagnosis and therapy of conditions that affect joints, bones, tendons, ligaments, and muscles, including those known as rheumatic diseases, or autoimmune conditions. Physicians who have had special training in rheumatology are called rheumatologists. Some of the conditions that rheumatologists diagnose and treat include:

Chronic back pain, Lupus, Inflammatory arthritis of the hips, knee, or shoulders, Rheumatoid arthritis, Tendinitis, Osteoporosis, Psoriatic arthritis, Osteoarthritis, Giant cell arteritis, Bursitis, Scleroderma, Behcet’s disease, Polymyalgia rheumatic, Paget’s disease, Polymyositis, Dermatomyositis, Ankylosing spondylitis, Gout, Reiter’s syndrome, Sjogren’s syndrome, Reactive arthropathies, Sarcoidosis, Idiopathic juvenile arthritis.

While rheumatologists diagnose and treat rheumatic diseases, they do not perform surgery. They perform examinations and procedures that help them diagnose, manage, and treat rheumatic conditions. These include:

• Complete physical exams.
• Lab tests, which usually involve taking samples of joint fluid, urine, or blood to check for anti-cyclic citrullinated peptides (anti-CCP) antibodies, synovial fluid, rheumatoid factor, erythrocyte sedimentation rate (ESR), and C-reactive protein.
• Imaging tests, such as X-rays, CT scans, MRIs, bone density scans (DXA), or ultrasounds.
• Lumbar punctures.
• Joint aspiration.
• Synovial biopsy.
• Joint injections.
• Bursal injections.
• Hyaluronic acid injections.

How Long Should I Stay in Hong Kong?

Rheumatology procedures are usually performed on an outpatient basis, meaning you should be able to leave the hospital or clinic on the same day. Depending on your condition and the type of procedure you will have, you may also be allowed to travel home immediately after. However, it is generally recommended that you stay for 2 to 7 days as you may need to attend a follow-up appointment to discuss the test results with your rheumatologist (if you undergo a diagnostic test) or to monitor your condition.

What's the Expected Recovery Time?

The recovery time depends on your specific condition. After the rheumatology procedure itself, you may not need any downtime, although you will need to take it easy for at least two days after some procedures, such as a lumbar puncture. If your condition causes painful symptoms, your rheumatologist will also recommend that you rest until the pain and discomfort subsides. Make sure to discuss your recovery timeline, including when you can return to work and perform strenuous activities.

What Aftercare is Required?

Your rheumatologist will likely prescribe you medications. It is important that you take the medications as directed. You may also be suggested to see undergo physical therapy or occupational therapy. Physical therapists will teach you exercises that can help you move your joints and improve their strength, while occupational therapists can teach you how to ease the strains on your joints when performing your day-to-day activities. Lifestyle changes are important as well, such as maintaining a healthy weight and staying active. Since most rheumatic diseases are long-term diseases, you probably will need regular checkups.

What's the Success Rate?

With cutting-edge technology, continuous research, and a better understanding of the joints, bones, tendons, ligaments, and muscles, rheumatology procedures are now more accurate and safer. The procedures are also highly successful, giving patients higher satisfaction rates and improvement in their quality of life. 

Are there Alternatives?

The alternatives depend on your specific condition. It is best that you talk to your general physician first, who will be able to refer you to the relevant specialist. If you require surgery, for instance, you need joint replacement surgery, your rheumatologist will refer you to an orthopedic surgeon.

Rheumatology in and around Hong Kong

About Hong Kong

The former British colony became a special administrative region of China in 1997, when Britain's 99-year lease of the New Territories, north of Hong Kong Island, expired. Hong Kong is governed under the principle of "one country, two systems", under which China has agreed to give the region a high degree of autonomy and to preserve its economic and social systems for 50 years from the date of the handover.

Hong Kong welcomes an ever-increasing number of medical tourists each year, many of which travel for Rheumatology procedures. Hong Kong is a well-established hub for medical tourism, although it is better known for its quality and cutting-edge procedures than for cost.

Popular Parts of Hong Kong

Hong Kong is a blend of a dynamic cultural landscape with an astonishing skyline, glamorous shopping, as well as one of the world’s top culinary destinations. 

• Victoria Peak (The Peak) offers the best view of Hong Kong’s modern skyline. It is the highest point on Hong Kong Island and the most visited spots by tourists. You can ride the tram to the top where you will find the Peak Tower and Peak Galleria. The peak is covered by a large park filled with incredible greenery.  
• Big Buddha (Tian Tan Buddha Statue) is located in Lantau Island. It is one of the largest Buddha statues and took 12 years to complete. It is the perfect place for tourists who wish to get away from the hustle and bustle of the city. Surrounded by forest and ocean, the statue gives an incredible view. The best way to reach the Buddha is by riding the Ngong Ping Cable car which will take you on a spectacular ride over the forest.
• Wong Tai Sin Temple is one of the most popular temples in Hong Kong. It was named after the famous monk of yore, Wong Tai Sin. It is said that he has the ability to punish evils, heal the wounded, rescue the dying, and grant whatever is requested. The temple is also known as Sik Sik Yuen and has a traditional Chinese temple style. 
• Temple Street Night Market is the best night market for tourists. Starting at 6.00 pm, it is the place to go if you want to taste Hong Kong’s street food. You can also find vendors selling gadgets, trinkets, clothing, household goods, jewelry, and traditional Chinese crafts. The place is brimming with atmosphere and it has served as the backdrop to many movies.
• Hong Kong Disneyland is a wonderful world for any Disney lovers. The park is divided into seven lands: Adventureland, Grizzly Gulch, Main Street, Mystic Point, Fantasy Land, Toy Story Land, and Tomorrowland. Here, you will find various adventures, parades, and musicals. In the evening, you can watch the fireworks over the castle.
• Star Ferry is a beloved icon of the city. It is said that your visit to Hong Kong will never be complete without cruising on the famous ferry. You can see the sparkling landscape of the city while enjoying the refreshing breeze.

Weather and Climate in Hong Kong

Hong Kong’s weather is influenced by the monsoon subtropical climate. The temperature is mostly mild all year round. May to September are the warmest months with an average temperature of 33 °C while mid-December to February are the coldest months with the temperature falling to 10 °C. Spring starts from March and ends in early May and the weather during this season is pleasant with many sunny days, but you can also have foggy, rainy, and stormy days. 

The summer in Hong Kong is hot and humid with a perpetual threat of rain showers, thunderstorms, and sometimes even typhoons. Summer lasts for around four months from May to September. With August as the wettest month in the city.

The best time to visit Hong Kong is in the autumn, starting from October to early December when the days are generally sunny and the temperatures range from 22 °C to 28 °C. Winter is the holiday season in the city and the average temperature is around 16 °C to 18 °C but it can drop under 10 °C.

Getting Around in Hong Kong

The main gateway to Hong Kong is the Hong Kong International Airport. The airport is built on reclaimed land on the island of Chek Lap Kok and it serves international destinations to almost every major city in the world, including, Dubai, Amsterdam, Seoul, Canada, Singapore, and Sydney. For affordable travel, budget airlines such as AirAsia, Eastar Jet, and IndiGo are available. There are a wide variety of public transport services to and from the airport. The best options are Airport Express, public buses, and taxis.

To get around Hong Kong, it is best to purchase Tourist Day Tickets which gives you unlimited access to the main MTR and certain Rail lines for HK$65. If you are planning to stay longer in the city, the Octopus Card will be a big help. The card is reusable and can be used for almost every public transportation mode and you can buy the card for HK$150.

One of the fastest and easiest ways to get around the city is by the MTR (Mass Transit Railways) and it is one of the most advanced metro systems on the planet. The MTR operates 11 lines from 06.00 am to 01.00 am. The fare ranges from HK$3.6 to HK$52.6 depending on the distance. 

The public bus is a great way to explore Hong Kong, especially the south side of the island and the New Territories. Most buses are double-decker and air-conditioned and it is an affordable way to get around the city and the fares will vary based on the distance traveled. Other public transportation modes such as tram and ferry are also available.

If you need a more flexible way of travel, taxis are easy to find and offer excellent value. There are three types of taxis, the red taxis operate throughout the city except for Lantau Island and the fares start at HK$24. The green taxis only operate in the New Territories and the fares start at HK$20.50. The blue taxis serve Lantau Island and the fares start at HK$19.

Tourist Visas in Hong Kong

Citizens of around 170 countries and territories may visit and stay in Hong Kong without a visa for up to 180 days. Other countries not listed in the visa-free entry such as Albania, Armenia, and Cambodia need to apply and obtain a visa before entering the country. All visitors must have a passport valid for at least one to six months beyond the date of entry to Hong Kong. Visitors can apply for a visa from their nearest Chinese embassy or consulate.

Additional Information

1. Local Currency: The official currency is the Hong Kong Dollar. US$1 converts to HK$7.78.
2. Money & Payments: Tourists can find ATMs almost everywhere, and most ATMs are linked up to international money systems such as Maestro, Cirrus, and Visa Electron. Credit cards are widely accepted. Tipping is generally not expected and restaurants usually add 10% to 15% service charge to your bill.
3. Local Language: Most people in Hong Kong speak Chinese (Cantonese and Mandarin). However, English is also widely spoken since it is one of the government official languages. 
4. Local Culture and Religion: Many people in Hong Kong either follow Buddhism, Confucianism, or Taoism. Christianity is also one of the major religions in the city. Other religions such as Islam, Sikhism, Hinduism, Judaism, and the Bahá'í Faith are also freely practiced.
5. Public Holidays: Hong Kong celebrates major religious holidays such as Lunar New Year, Ching Ming Festival, and Christmas.