Rheumatology in Lebanon

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 Lebanon?

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 Lebanon

Lebanon, a country on the eastern shore of the Mediterranean Sea, is one of the smallest sovereign states. The country boasts a fascinating mixture of the Middle East and the West, Christianity, and Islam, and tradition and modernity. It has everything from golden beaches and World Heritage Sites to energetic nightlife and delicious cuisine. Among other countries in the Middle East, Lebanon appears to be one of the most popular medical tourism destinations. Over 10% of the tourists visiting the country, particularly from neighboring countries, come to receive medical care. Many hospitals and clinics in the country are accredited to the ISO:9000 standard and offer world-class specialist services in spine treatment, orthopedics, organ transplant, and other complex surgeries, as well as advanced cancer treatments. Cosmetic and reconstructive surgery are also popular.

Popular Parts of Lebanon

Beirut, the capital and largest city of Lebanon, is filled with historic landmarks and natural wonders. The most famous attractions in the city are the National Museum of Beirut, the Corniche and Pigeon Rocks, Sursock Museum, and Mohammed Al Amin Mosque. Many people also come to Lebanon to visit the port town of Sidon. Once a rich and thriving Phoenician city, it is dotted with historical monuments and ancient remnants, particularly in its Old City. Other popular cities include Tripoly, Baalbek, Byblos, and Tyre.

Weather and Climate in Lebanon

Lebanon has four seasons: winter (December to March), spring (April to May), summer (June to September), and autumn (October to November). Winter is the rainy season with high precipitation levels and cool temperatures. It is snowy in the mountains, but in some places, such as Beirut, it just rains during this season. Summer is hot, sunny, and dry, and can get very humid in cities located close to the sea. In the summer, the average temperatures are around 28°C to 30°C. Spring and autumn are both warm and pleasant. 

Getting around in Lebanon

The main international airport where visitors fly into and out of Lebanon is Beirut–Rafic Hariri International Airport, which is the only operational commercial airport in the country. It serves international flights to numerous major cities across Europe and the Middle East, including Moscow, Paris, London, and Dubai. Given the small size of the country, there are no internal flights. Intercity buses and minibus are available and have an extensive network, especially in coastal areas. The best way to get around the country is by hiring a car (with a driver) or by using intercity taxis. 

Tourist Visas in Lebanon

All visitors need to obtain a visa to enter and stay in Lebanon unless they come from one of the seven visa-exempt countries (including Kuwait, Bahrain, Qatar, Saudi Arabia, Oman, the United Arab Emirates, and Jordan). Citizens of 81 countries, including all EU countries, Australia, China, Canada, and the United States, are eligible for a visa on arrival for a maximum stay of 30 days. A conditional visa on arrival is available for citizens of 15 countries, including Algeria, Libya, Iraq, and Yemen. 

Additional Information

1. Local Currency: Lebanese Pound (LBP) is the official currency in Lebanon. 1 USD is equivalent to around 1,507 LBP. US dollars and the euro is widely accepted as well.
2. Money & Payments: ATMs are widely available in many places around Beirut and other large cities. Many ATMs dispense both US dollars and Lebanese pounds. Credit cards, particularly Visa and MasterCard, are accepted at most major establishments. Tipping can be expected, usually around 10% to 15% of the bill. 
3. Local Language: Arabic is the official language in Lebanon. English and French are widely spoken as well, and many Lebanese can speak at least two to three languages.
4. Local Culture and Religion: Islam (around 60% of the population) and Christianity (around 34%) are the primary religions in Lebanon. About 5% of Lebanese practice the Druze faith, while other religions are practiced by the remaining 1% of the population.
5. Public holidays: New Year’s Day, Christmas Day, Eid al-Fitr, Eid al-Adha, All Saints’ Day, Resistance and Liberation Day, as well as Independence Day are some of the more important holidays in Lebanon.