Rheumatology in India

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 India?

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 India

About India

As the largest country in South Asia and the seventh-largest in the world, India is home to over one billion inhabitants. This extremely diverse country boasts one of the world’s fastest-growing economies and with its 38 JCI accredited facilities, it’s considered a prime destination for Medical Tourism. India welcomes an ever-increasing number of medical tourists each year, many of which travel for Rheumatology procedures. Its low-cost medical procedures draw tourists from all over the world, particularly Western and Middle Eastern countries. Highly specialized doctors speak English and the vast majority are trained in the UK or the US, with heart surgery procedures being especially common in India. Local accreditation bodies include the Indian Healthcare Federation, the Indian Medical Tourism Council, the Ministry of Health and Family Welfare, and the National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Popular Parts of India

Home to around 1.3 billion people, India is the second-most populous country in the world, with its multi-ethnic society, spiritual beliefs, architecture, and diverse wildlife.

• Delhi is brimming with colorful modern life and is steeped in history. It is known to have the best food in the world such as Mughalai curries and chaat (vegetarian street food). Visit the Red Fort and witness the fascinating structure influenced by Islamic, Hindu, Persian, and Timurid traditions.
• Mumbai is the most cosmopolitan city in India. Home to Bollywood, India’s film industry, the city has a lot to offer. Stroll around the Gateway of India, shop in Colaba Causeway, watch the sunset in Marine drive, or visit Siddhivinayak Temple and learn about its cultural history.
• Kolkata (Calcutta) was once the capital city of India. It is a perfect blend of the past and the present. The city has charming colonial-era architecture, dynamic suburbs, and the amazing Bengali cuisine. Tourists can discover the creativity of Kurmatuli Idol-makers and visit the incredible Victoria Memorial.
• Jaipur is known as “The Pink City,” it is chaotic, vibrant, and historical.  The city, along with Delhi and Agra, is a part of the Golden Triangle that contains the biggest attractions in India. There are many beautiful buildings inside this city, but the most visited one is the Amer/Amber Fort that dates back to Raja Man Singh. It is a World Heritage Site and it offers amazing views of the city.
• Agra is where the magical Taj Mahal stands. The UNESCO World Heritage Site is as astounding as people describe it to be. Mehtab Bagh is another must-visit attraction; it offers the most scenic spot in the city and located just across the river from the Taj Mahal. Agra Fort, located northwest of the Taj, is one of India’s most historic structures.

Weather and Climate in India

There are four climatological seasons in India.

• Summer or pre-monsoon season starts in March and ends in May. April or May is the hottest month. The average temperature is around 23 to 42 °C.  
• Monsoon or rainy season lasts for three months from June to September. The season is usually humid and rainy. South India usually receives more rainfall.
• The post-monsoon or autumn season starts from October to November. The sky is usually cloudless.
• Winter occurs from December to February. December and January are the coldest months in the country with an average temperature of 10 to 15 °C and climb steadily from February. This is the peak season for tourism.

The best time to visit India is in the month of March or October when the weather is warm and sunny.

Getting Around in India

Indira Gandhi International Airport is the busiest airport in the country and is located in Delhi. The airport serves domestic and international flights. It connects the city with almost every country around the world and serves budget airlines such as Air Asia India, Go Air, and IndiGo. There are three other main international airports in Mumbai, Chennai, and Bengaluru.

The most affordable way to travel around the city is by bus although it can be very crowded. Buses are very reliable and fast. Airport taxis are available as a quick, easy, and hassle-free transportation mode especially for tourists who carry big baggage.

The best way to get around India is by train. Trains are everywhere and quite affordable with many different classes. The most popular class for travel is the Sleeper Class. It is best to purchase train tickets online.

Buses are a nice option for short-distance travel. Some of the buses can be very uncomfortable but there are luxury buses with air conditioning. Tourists can purchase tickets online, in the station, or even on the buses.

Taxis are relatively affordable, but tourists have to bargain. Tourists can ask the taxi driver to use the meter but the drivers will usually say it’s broken. It is advised to ask your hotel or hostel how much a taxi should cost before getting in one to avoid getting ripped off by taxi drivers. Rickshaws (Tuck-Tuks) are cheaper than taxis, but you also have to bargain. Hiring a car is not recommended due to the lack of respect for traffic laws and the chaos on the roads. Uber is available.

Tourist Visas in India

All visitors need to obtain and apply for a visa to enter India, except the citizens of Nepal and Bhutan. Visa on Arrival is available for citizens of Japan and South Korea. The country provides an online visa application. e-Visa is available for 150 nationalities and valid for  60 days. It is a double-entry visa. There is also a six-month tourist visa for longer trips.

Passport must be valid for at least 180 days after your entry to India and should have at least two blank pages.

Additional Information

1. Local Currency: the official currency is the Indian rupee (INR). 1 USD is equivalent to 70 INR.
2. Money & Payments: ATMs are widely available. Currencies such as US dollars, euros, and pounds sterling are easy to change throughout the country. Credit and debit cards are accepted in some shops, restaurants, and hotels. Always carry cash because many places still accept cash only. Service fees are sometimes added to the bills automatically in restaurants if it’ 10% tip is reasonable. Taxis and rickshaws do not expect a tip but it is good to tip drivers who are honest.
3. Local Language: There are many languages spoken in India including Hindi, Bengali, Telugu, Marathi, Tamil, Urdu, Gujarati, and Punjabi. English is understood by many people especially those in the tourism area and major cities.
4. Local Culture and Religion: India is very diverse and multicultural. Hinduism is the largest religion with 79.8% of the population practicing the religion. Islam, Christianity, Sikhism, and other religions are also practiced.
5. Public Holidays: India celebrates several major religious holidays. The country has numerous annual festivals such as Holi, Ganesh Festival, Diwali, and Onam.