Rheumatology in Philippines

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 Philippines?

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 Philippines

About the Philippines

The Philippines is an island nation in the heart of Southeast Asia. It extends from the south of China to the northern tip of Borneo. It is also known as the ‘Pearl of the Orient Seas’, the Philippines is an archipelago of 7,107 islands. It comprises three main island groups, Luzon, Visayas, and Mindanao. Manila, the capital city, lies in the southwestern part of Luzon. Quezon City is the largest and most populous city in the country.

It is a prominent English-speaking country and was once a colony of Spain and the United States. It’s the most Westernised country in Asia. However, its culture is a mix of indigenous Malay culture and Spanish and American heritage.

Besides being one of the top tourist destinations, the Philippines is also an emerging medical tourism destination. It ranks in 8th position among popular medical tourism countries and more than 10,000 medical tourists visit the Philippines every year for various treatments. The following factors all contribute to the progress of medical tourism within the Philippines.

• Expert and board-certified medical professionals with international qualifications and training.
• Internationally-accredited hospitals with state-of-the-art medical equipment and modern facilities.
• Affordable costs compared to advanced nations
• Inexpensive accommodation
• The English language is widely-spoken making communication with the Medical team and patients easy.
• Tropical climate helps in the recovery and recuperation

The most common and popular procedures and treatments in the Philippines are cosmetic surgery, weight-loss surgery, dermatology, ophthalmology, and dentistry. As of late, people come here even for liver and kidney transplant surgeries, and cardiac surgeries due to the cost advantage it provides.

For example, a Breast Augmentation surgery that costs between $7,500-$8,500 in the US costs only between $3,000-$3,500 in the Philippines which would be a saving of about 58% to 60%. Also, a coronary artery bypass surgery costing $70,000-$133,000 in the US, will only cost between $11,500-$17,500 and would result in a saving of almost 83% to 86%. Even after adding travel and living expenses, it still makes it a, very good value for the patient to get medical care in the Philippines and several of the more popular Hospital and Clinics are located in Manila, and are St. Luke's Medical Center, Makati Medical Center, The Medical City and Asian Hospital and Medical Center

Popular Parts of the Philippines

The Philippines has a total land area of 116,000 square miles, with a large population of 107,791,044 million people. It has many pristine beaches, mountains, rainforests, islands, heritage towns, and monuments, With hotels, food, and transportation very affordable, it’s also a good budget tourism destination.

The following are some of the most beautiful places to visit in the Philippines:

• El Nido –is known for its white-sand beaches, clear turquoise waters, and coral reefs and is the gateway to the Bacuit archipelago which is a group of islands. The laid-back town of El Nido is a base for island-hopping tours, and kayaking trips to mountainous Cadlao Island, El Nido is situated on the northern edge of mainland Palawan.
• Coron – Is also situated in Palawan and is known for its warm waters, ideal for snorkeling, kayaking, and deep diving. The breathtaking Kayangan Lake, surrounded by karst walls is a visual treat. It is the cleanest lake in the Philippines.
• Tubbataha Reefs Natural Park –is also part of Palawan and is situated to the southeast, in the Sulu Sea. It’s home to countless coral reefs, and expansive breeds of fish, dolphins, sharks, and whales and It is a great water destination for divers.
• Banaue Rice Terraces – They lie within the mountainous region of the Cordilleras. The rice terraces are about 2,000 years old, a result of the labor of the predecessors of the region and They provide efficient space for people to farm on.
• Intramuros – The walled historical area of Manila contains the remains of a bygone era with its cobblestone streets and preserved remnants. Walking tours and carromata rides (two-wheeled box-like vehicles drawn by a single native pony) are popular here.
• Mount Mayon –is a 2,500-meter-tall active volcano. It’s famed for its perfect symmetry and accurate conical shape. You can enjoy the view from some distance or experience it at close quarters, by hiking for a couple of days.
• Hinatuan Enchanted River – Locals believe the river has mystical qualities. They feel fairies and Engkanto (other nature spirits) guard the enchanting blue-green river. The unknown source of clear saltwater is another mystery surrounding the river.

Boracay and Siargao are other popular tourist spots with their powdery white sand and water activities.

Weather and Climate in the Philippines

The Philippines has a tropical maritime climate. The general weather is hot and very humid. It experiences only three seasons:

1. Summer Season – A very hot and dry summer season is between March and May.
2. Wet Season – Rainy Season is between June and November when the southwest monsoon is most active. In this period, typhoons are common, especially during September and October.
3. Dry Season – There is a cool and dry season between December and February, due to the cold winds brought in by the northeastern monsoon.

The average temperature of the Philippines ranges between 25°C and 32°C (78-90°F) with humidity of about 77%. High-altitude areas are much cooler, with night temperatures dropping to 20°C (68°F). The average annual temperature is around 26.6°C (79.9°F)

Getting Around in the Philippines

The Philippines is an island nation, most international travelers reach the country by air. The country has many international airports in various cities including Cebu, Davao, Manila, Kalibo, and Angeles.

Many airlines operate flights in and out of Manila to several destinations. Philippine Airlines, Cebu Pacific, and Air Asia are the national carriers of the Philippines. Singapore Airlines, Cathay Pacific, and many Middle Eastern airlines operate direct flights to Manila. The Southeast Asian cities of Bangkok and Ho Chi Minh City have wide connectivity to Manila and Cebu. You can reach Manila directly from London by flying Philippine Airlines. US travelers can fly via Japan to the Philippines.

Cebu Pacific, Tigerair Philippines, and PAL Express are some low-cost carriers that service domestic destinations in the country.

For transport within the Philippines, you have Jeepneys which are WWII- army jeeps converted into transport jeeps. They are cheap, open, and usually fully loaded with passengers which are normally cramped with 14 to 20 people sitting shoulder to shoulder depending on the length of the vehicle They operate as collective taxis, picking up and dropping passengers within cities.

Tourist Visas in the Philippines

Travelers from more than 150 countries that have diplomatic relations with the Philippines can enter the country without a tourist visa. EU, Australia, Japan, and the US are a few visa-exempt countries. In general, you can stay for up to 30 days, provided your passport is valid for at least six months after your arrival. Showing proof of onward and return journeys is compulsory.

Citizens of India, China, and Egypt are some of the countries that will need to get a visa in advance to enter the Philippines.

Additional Information

• Philippine Peso or Piso (PHP) is the official currency of the Philippines. Its subdivision is 100 centavos or centimos for a Peso. The current exchange rate for one US dollar is 51.99 PHP. You will be able to use US Dollars in Metro Manila and possibly in Cebu City. In other areas, it’s better to have pesos for exchange.
• You will find all major banks and plenty of ATMs everywhere. Master and Visa cards are accepted in most businesses.
• Tagalog or Filipino language is the main spoken language. English is also spoken and understood in the Philippines, due to the US influence during its colonization.
• Roman Catholicism is the major religion of the Philippines. 91% of the population are Christians and about 5.5% comprises of Islam religion.
• New Year’s Day, Araw ng Kagitingan, Independence Day, National Hero’s Day, Bonifacio Day, and Christmas are some of the important holidays in the Philippines.