EXPERT
Dr. Thomas Olenginski, M.D.
Rheumatologist
Dr. Thomas Olenginski is a rheumatologist practicing in Danville, PA. Dr. Olenginski specializes in the treatment of musculoskeletal diseases and systematic autoimmune conditions that can affect the bones, muscles or bones. Eventually, if not treated, these illnesses can also impact the skin, eyes, nervous system and internal organs. Dr. Olenginski treats diseases similar to orthopedists but does not perform surgery. Often times, research is conducted to find potential alternatives for the patients illness.
45 years
Experience
Dr. Thomas Olenginski, M.D.
- Danville, PA
- Penn State University
- Accepting new patients
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Is psoriasis a permanent condition?
psoriasis can wax and wane but often becomes a chronic disease; Get him an appt with Dermatology as there are so many new and effective treatments
What is the cause of long term joint pain?
Chronic joint pain is very frustrating for patients as well as for Rheumatologists I agree that MS should not be associated with chronic joint pain I would emphasize that not READ MORE
Chronic joint pain is very frustrating for patients as well as for Rheumatologists
I agree that MS should not be associated with chronic joint pain
I would emphasize that not all patients are diagnosed at first visit and it may take some time before a clear diagnosis can be made
Put some faith in your doctors and have patience but continue to advocate for your health
Best wishes!
I agree that MS should not be associated with chronic joint pain
I would emphasize that not all patients are diagnosed at first visit and it may take some time before a clear diagnosis can be made
Put some faith in your doctors and have patience but continue to advocate for your health
Best wishes!
Can knee arthritis be treated without medications?
Yes, knee arthritis can be managed with physical therapy, exercise, weight management However, for some patients, knee injections may be indicated. Also, acetaminophen , advil, READ MORE
Yes, knee arthritis can be managed with physical therapy, exercise, weight management
However, for some patients, knee injections may be indicated. Also, acetaminophen , advil, aleve, topical diclofenac can be considered
However, for some patients, knee injections may be indicated. Also, acetaminophen , advil, aleve, topical diclofenac can be considered
Can hip arthritis pain be treated?
Yes! The most common hip arthritis is Osteoarthritis Symptom-based treatments include physical therapy, weight management, exercise and acetaminophen Some patients will get to READ MORE
Yes!
The most common hip arthritis is Osteoarthritis
Symptom-based treatments include physical therapy, weight management, exercise and acetaminophen
Some patients will get to the point where total hip replacement surgery may be necessary
The most common hip arthritis is Osteoarthritis
Symptom-based treatments include physical therapy, weight management, exercise and acetaminophen
Some patients will get to the point where total hip replacement surgery may be necessary
What non-medical treatments are there for arthritis?
It is always important to determine what “specific arthritis” a patient has because we have specific treatments for Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, READ MORE
It is always important to determine what “specific arthritis” a patient has because we have specific treatments for Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, Lupus, Gout, etc
I will assume the questioner is talking about Osteoarthritis. it is important that patient understands their condition. For OA, activity is important as is lifestyle and weight management. Physical Therapy and bracing/splinting can be very useful . For pain , Acetaminophen remains initial drug of choice
I will assume the questioner is talking about Osteoarthritis. it is important that patient understands their condition. For OA, activity is important as is lifestyle and weight management. Physical Therapy and bracing/splinting can be very useful . For pain , Acetaminophen remains initial drug of choice
Can scoliosis be fixed with exercises?
Evaluation and treatment of Scoliosis is best guided by an experienced Spine Surgeon
What's wrong with me?
I am sorry to hear of all you have been through I would see a Rheumatologist If you have been seen and still have questions or concerns, I would ask for a second opinion and see READ MORE
I am sorry to hear of all you have been through
I would see a Rheumatologist
If you have been seen and still have questions or concerns, I would ask for a second opinion and see someone at a university or teaching hospital/program
I wish you well!
I would see a Rheumatologist
If you have been seen and still have questions or concerns, I would ask for a second opinion and see someone at a university or teaching hospital/program
I wish you well!
Can arthritis be fixed?
There are over 100 forms of arthritis For many, the cause is unknown I like to tell my patients that arthritis can be “managed” and diagnosis is key, education is vital, and we READ MORE
There are over 100 forms of arthritis
For many, the cause is unknown
I like to tell my patients that arthritis can be “managed” and diagnosis is key, education is vital, and we want our patients engaged in their treatment
Unfortunately, we have few fixes!
For many, the cause is unknown
I like to tell my patients that arthritis can be “managed” and diagnosis is key, education is vital, and we want our patients engaged in their treatment
Unfortunately, we have few fixes!
Can surgery fix hip arthritis?
If you have severe osteoarthritis of hip, and have failed to respond to non-operative management, a total hip replacement is likely to be life-changing for you!
Best of luck!
Best of luck!
Is walking good for osteoarthritis of the knee?
Yes
Walking and an exercise program remain cornerstones of treatment
Walking and an exercise program remain cornerstones of treatment
Gout uric acid?
I would trust your Rheumatologist We always try to make what we call a “crystal confirmed” diagnosis, where we aspirate inflammatory synovial fluid from the involved joint and READ MORE
I would trust your Rheumatologist
We always try to make what we call a “crystal confirmed” diagnosis, where we aspirate inflammatory synovial fluid from the involved joint and look to identify uric acid crystals under polarized microscopy
The goal of treatment is to lower uric acid to 6.0 units or lower
Options in your case include
1) Allopurinol
2) Febuxostat (Uloric)
3) Pegloticase ( Krystexxa )
Poorly controlled gout can be linked to hypertension, chronic kidney disease, metabolic syndrome and other comorbidities
I wish you well!
We always try to make what we call a “crystal confirmed” diagnosis, where we aspirate inflammatory synovial fluid from the involved joint and look to identify uric acid crystals under polarized microscopy
The goal of treatment is to lower uric acid to 6.0 units or lower
Options in your case include
1) Allopurinol
2) Febuxostat (Uloric)
3) Pegloticase ( Krystexxa )
Poorly controlled gout can be linked to hypertension, chronic kidney disease, metabolic syndrome and other comorbidities
I wish you well!
Does my mom have osteoporosis?
It is possible that your mother has osteoporosis BUT the most common fracture sites remain Hip, Spine/Vertebra, Wrist, Pelvis, Humerus She should have a bone density test or DXA READ MORE
It is possible that your mother has osteoporosis BUT the most common fracture sites remain Hip, Spine/Vertebra, Wrist, Pelvis, Humerus
She should have a bone density test or DXA Scan and other risk factors are important including age, sex, height and weight, other fractures after age 50, did her mom or dad have broken hip, does she smoke, does she take prednisone
Her primary care doctor should be able to guide her through this ; If not, suggest Rheumatology or Endocrinology Consult
She should have a bone density test or DXA Scan and other risk factors are important including age, sex, height and weight, other fractures after age 50, did her mom or dad have broken hip, does she smoke, does she take prednisone
Her primary care doctor should be able to guide her through this ; If not, suggest Rheumatology or Endocrinology Consult
How do I know if I have rheumatoid arthritis?
Rheumatoid Arthritis causes pain and stiffness and swelling esp in the MCP and PIP joints of hands and also causes similar symptoms in the forefoot On examination we can feel swelling READ MORE
Rheumatoid Arthritis causes pain and stiffness and swelling esp in the MCP and PIP joints of hands and also causes similar symptoms in the forefoot
On examination we can feel swelling of the synovium or lining of the joints
Marked morning stiffness is seen ( > 45 minutes)
Tests called Rheumatoid Factor and CCP antibody are usually abnormal
Bottom Line- careful history and exam any appropriate testing helps make diagnosis
On examination we can feel swelling of the synovium or lining of the joints
Marked morning stiffness is seen ( > 45 minutes)
Tests called Rheumatoid Factor and CCP antibody are usually abnormal
Bottom Line- careful history and exam any appropriate testing helps make diagnosis
What tests are recommended to confirm rheumatoid arthritis in a person?
Main symptoms of concern would be morning stiffness lasting 1 hour or more, pain and swelling of small joints of hands and wrists and marked sensitivity in forefeet Most patients READ MORE
Main symptoms of concern would be morning stiffness lasting 1 hour or more, pain and swelling of small joints of hands and wrists and marked sensitivity in forefeet
Most patients with RA will have a positive rheumatoid factor lab test and / or a positive CCP test
Remember there are other things that can mimic RA so careful Rheumatology evaluation is important
Most patients with RA will have a positive rheumatoid factor lab test and / or a positive CCP test
Remember there are other things that can mimic RA so careful Rheumatology evaluation is important
Elderly woman?
If patient has tremor or other shaking issue, highly suggest evaluation with Neurologist
Preventing osteoporosis?
Anastrazole and other Aromatase Inhibitors are very effective treatments for breast cancer Suggest that you have DXA, bone density test Bone health fundamentals include 1) getting READ MORE
Anastrazole and other Aromatase Inhibitors are very effective treatments for breast cancer
Suggest that you have DXA, bone density test
Bone health fundamentals include 1) getting adequate calcium by diet and/or supplements- Need 1200 mg daily 2) vitamin D - we aim for levels of 30 -50 units 3) Weight-bearing exercise - Walking 20 minutes at least 5 days/week. 4) fall prevention and home safety
For some women, based on DXA and other risks, drug treatment with Bisphosphonate may be indicated ( Alendronate or Zoledronic Acid)
Suggest that you have DXA, bone density test
Bone health fundamentals include 1) getting adequate calcium by diet and/or supplements- Need 1200 mg daily 2) vitamin D - we aim for levels of 30 -50 units 3) Weight-bearing exercise - Walking 20 minutes at least 5 days/week. 4) fall prevention and home safety
For some women, based on DXA and other risks, drug treatment with Bisphosphonate may be indicated ( Alendronate or Zoledronic Acid)
Will hip replacement help hip arthritis?
If you have severe hip osteoarthritis and your pain is severe and you cannot easily perform activities of daily living, you are candidate for Total Hip Arthroplasty
Covid or cancer?
I think your symptoms should be fully explored and evaluated by either
1) a General Internal Medicine doctor
Or
2) a well trained Family Physician
1) a General Internal Medicine doctor
Or
2) a well trained Family Physician
My hands pinch like being pinched with needles?
You could have a Neuropathy from Diabetes or possibly have Carpal Tunnel Syndrome
Restless leg syndrome?
This could be RLS
Review with primary care doctor
If questions Neurology is best next step
Review with primary care doctor
If questions Neurology is best next step
