expert type icon 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

I have been recently diagnosed with Carpal tunnel. Can this condition be treated?

first off, carpal tunnel can be see in patients with diabetes, underactive thyroid, pregnancy ( just explaining all possible causes) and rheumatoid arthritis Treatment options 1) READ MORE
first off, carpal tunnel can be see in patients with diabetes, underactive thyroid, pregnancy ( just explaining all possible causes) and rheumatoid arthritis

Treatment options
1) bracing wrist esp bedtime
2) steroid injections
3) modify work environment if possible
4) Surgery

How can rheumatoid arthritis be managed?

RA is managed with specific medications such as plaquenil, methotrexate, sulfasalazine and Leflunomide Prednisone may be used in “small doses” newer medications termed Biologics READ MORE
RA is managed with specific medications such as plaquenil, methotrexate, sulfasalazine and Leflunomide
Prednisone may be used in “small doses”
newer medications termed Biologics and jak inhibitors may be necessary
No one knows more about RA than RHEUMATOLOGISTS - please make appt to see one today

I'm only 23 and experiencing knee pain during exercise. Why?

You have to get this checked out
If there is no evidence of RA and I suspect not, recommend a Sports Medicine evaluation

Are there any health supplements that can prevent arthritis?

The matter of fact truthful answer is NO

Suggest that you share these concerns with your doctor and work together for best answers

Can sour food cause arthritis?

It is unlikely that these foods “cause”
Arthritis
Some patients can be sensitive to foods and we advise ‘avoidance’
More research is needed here

Is knee surgery advisable for a 72 year old patient?

There are several factors here - is arthritis severely painful and limiting? What is your fathers general medical condition - Does his doctor feel that his surgical risk is acceptable And, READ MORE
There are several factors here - is arthritis severely painful and limiting?

What is your fathers general medical condition - Does his doctor feel that his surgical risk is acceptable

And, what does Orthopaedic Surgeon think and h ad be all communicate about this

I have pain in my finger joints when I wake up. Could it be arthritis?

Morning stiffness lasting > 45 minutes suggests. Rheumatoid Arthritis
But, other causes of arthritis can be associated with morning stiffness
Ask your doctor about this

Would you recommend homeopathic treatment for rheumatoid arthritis?

There is NO evidence that homeopathic medicine directed toward RA is effective RA can progress and limit function with suboptimal treatment Typical treatment usually requires READ MORE
There is NO evidence that homeopathic medicine directed toward RA is effective

RA can progress and limit function with suboptimal treatment

Typical treatment usually requires plaquenil. Methotrexate, Leflunomide, sulfasalazine

Many times Biologic medicines are necessary

Please consult a Rheumatologist

Is there any treatment for rheumatoid arthritis in alternative medicine?

There are many different medications and treatment strategies
Not every patient responds as others
Please consult with your doctor and share your concerns

Can hip replacement fix hip arthritis?

Total hip replacement is the treatment for severe or end stage hip arthritis

How soon after disc hernia treatment can I exercise?

Depends on whether disc herniation is treated medically or surgically and how rehab and physical therapy goes

What treatment is good for bulging discs?

non operative treatment
1) physical therapy
2) NSAIDS
3) exercise program
4) local steroid injection

Detox

Fibromyalgia, chronic fatigue and IBS are similar yet very different None have a “disease specific treatment” I know of no credible evidence pointing to its efficacy in treating READ MORE
Fibromyalgia, chronic fatigue and IBS are similar yet very different
None have a “disease specific treatment”
I know of no credible evidence pointing to its efficacy in treating fibromyalgia
Please let your doctor and staff be your ally here

What is the treatment for hip arthritis?

Treatment depends on cause but typically physical therapy, exercise routine and meds such as acetaminophen are very helpful

Does a shoulder impingement go away?

It can be successfully treated and managed non-surgically but can recur
At times surgery may be necessary for optimal management

Will I need a hip replacement if I have arthritis?

Only if your arthritis progresses to the point of severe pain and having difficulty walking and doing usual day to day activities

Biologics

I would ask for a second Rheumatology opinion
I would also look for a Clinical Trial that you may be eligible for
Best wishes!

Can osteoarthritis be caused by being overweight?

Unquestionably, weight loss will help osteoarthritis - esp of lumbar spine, hips and knees

How can I fix my hip joint pain?

Your fix includes seeing your doctor, explaining symptoms, getting examined , probable X-ray and acetaminophen or perhaps low dose aleve

Crohn's disease and Lupus

It would be exceedingly uncommon for one to have both Crohns and Lupus However, certain medical treatments for Crohns Disease can cause drug- induced lupus Your doctors can determine READ MORE
It would be exceedingly uncommon for one to have both Crohns and Lupus
However, certain medical treatments for Crohns Disease can cause drug- induced lupus
Your doctors can determine if any testing is indicated