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
No results found
I just need some suggestions on what I can do?
Call your primary care office and have an office visit to check this / Good luck!
Will I need a hip need surgery for arthritis?
Indications for Surgery
1) severe pain, not responding to treatment
2) interference with day to day function
3) combination of 1 and 2
1) severe pain, not responding to treatment
2) interference with day to day function
3) combination of 1 and 2
Is this serious?
Please establish care with a primary care office or even visit Urgicenter as they can likely get you seen and get you into primary care
Is this a drug side effect?
Consult with prescribing doctor
Stop medication and see if symptoms resolve
Ask your doctor if you can take acetaminophen or something else for symptom relief
Stop medication and see if symptoms resolve
Ask your doctor if you can take acetaminophen or something else for symptom relief
What is causing my daughters leg pain?
I would be concerned about Complex Regional Pain or what we used to call Reflex Sympathetic Dystrophy Get rechecked and you are likely to be referred to Physical Therapy, Neurology READ MORE
I would be concerned about Complex Regional Pain or what we used to call Reflex Sympathetic Dystrophy
Get rechecked and you are likely to be referred to Physical Therapy, Neurology or Pain Medicine
Best wishes!
Get rechecked and you are likely to be referred to Physical Therapy, Neurology or Pain Medicine
Best wishes!
Rotator cuff tear
Whether a RC tear should be surgically addressed depends on many factors- some surgeons like to see if PT helps first before deciding. Medical comorbidities also factor in I would READ MORE
Whether a RC tear should be surgically addressed depends on many factors- some surgeons like to see if PT helps first before deciding. Medical comorbidities also factor in
I would check in with your doctor and get more answers to your questions
I would check in with your doctor and get more answers to your questions
Autoimmune testing?
From what I see, ANA test is negative as is DNA; low titre RF unlikely to be a concern Most important point is that most critical thing I do as Rheumatologist is listen to patient, READ MORE
From what I see, ANA test is negative as is DNA; low titre RF unlikely to be a concern
Most important point is that most critical thing I do as Rheumatologist is listen to patient, get detailed history and do a very good physical examination.
Doubt inflammatory or autoimmune but check with your doctors
Most important point is that most critical thing I do as Rheumatologist is listen to patient, get detailed history and do a very good physical examination.
Doubt inflammatory or autoimmune but check with your doctors
What are the steps to follow before starting radiation therapy?
Your best resource is the Radiation Therapy practice that will be administering RT
They will give you great advice!
They will give you great advice!
Disc bulge?
Suggest a Spine Surgeon Consultation
options
1) physical therapy
2) Pain injections
3) Surgery - there are too many spine surgeries performed so work on #1 and 2 first
options
1) physical therapy
2) Pain injections
3) Surgery - there are too many spine surgeries performed so work on #1 and 2 first
Post joint replacement
You want to work with Physical Therapist and your surgeon will guide you here
Pain
Your symptoms need evaluated and your treatment reappraised
What is causing my chronic back pain?
I would suggest you get the chronic pain evaluated ; your doctor can go over do’s and dont’s
Can PCOD be confirmed in a USG?
Your GYN is your best resource and ally!
Lupus pain?
You need to see yourRheumatologist and he can communicate with your primary care office as to the evaluation of these symptoms
Can my husband play cricket again after knee ligament tear surgery?
Consult the surgeon and they will guide you and counsel you
Treatment
complex situation
Request second Rheumatologic Opinion
Request second Rheumatologic Opinion
Are steroid medicines considered more effective for treating rhematoid arthritis?
I have a perspective of being rheumatologist before and after the Biologic Revolution RA is a systemic illness and the RA patient is affected by activated proteins released by READ MORE
I have a perspective of being rheumatologist before and after the Biologic Revolution
RA is a systemic illness and the RA patient is affected by activated proteins released by macrophages………….we call them CYTOKINES
The basis of treatment is with what we call DMARD’s- drugs such as Plaquenil, Methotrexate, Sulfasalazine or Leflunomide
When these meds are not ideally effective, we use a Class of medicines called Biologics - drugs such as Enbrel, Humira, Remicade, Cimzia, Simponi - called TNF inhibitors
Orencia is another
actemra and Kevzara another class ; IL 6 inhibitors
Rituxan is a B cell modulator
And Xeljanz, Olumiant, and rinvoq are Jak inhibitors
See a Rheumatologist and get best treated
RA is a systemic illness and the RA patient is affected by activated proteins released by macrophages………….we call them CYTOKINES
The basis of treatment is with what we call DMARD’s- drugs such as Plaquenil, Methotrexate, Sulfasalazine or Leflunomide
When these meds are not ideally effective, we use a Class of medicines called Biologics - drugs such as Enbrel, Humira, Remicade, Cimzia, Simponi - called TNF inhibitors
Orencia is another
actemra and Kevzara another class ; IL 6 inhibitors
Rituxan is a B cell modulator
And Xeljanz, Olumiant, and rinvoq are Jak inhibitors
See a Rheumatologist and get best treated
Who is recommended gum grafting surgery?
You need to be evaluated by an expert in this area
I have pain due to rheumatoid arthritis despite medications. Please advice.
Are you seeing a Rheumatologist?
If not please make appointment to see one
Your current treatment needs to be reevaluated
Maybe something else is at play
Good Luck
If not please make appointment to see one
Your current treatment needs to be reevaluated
Maybe something else is at play
Good Luck
Is there a permanent cure for arthritis?
There are > 100 forms of arthritis
We know more about some than others
No cause has been found
Ongoing research continues around the world
Let your doctor be your advocate
We know more about some than others
No cause has been found
Ongoing research continues around the world
Let your doctor be your advocate
