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
What meds help fibromyalgia?
FDA indicated drugs for Fibromyalgia
1) Lyrica
2) Cymbalta
3) Savella
Other drugs used - gabapentin ; amitriptyline, nortriptyline, venlafaxine
1) Lyrica
2) Cymbalta
3) Savella
Other drugs used - gabapentin ; amitriptyline, nortriptyline, venlafaxine
Does hip arthritis require hip replacement?
Total hip replacement should be considered when
1) Severe Pain
2) marked joint space narrowing ( bone on bone )
3) inability to walk and perform usual tasks
1) Severe Pain
2) marked joint space narrowing ( bone on bone )
3) inability to walk and perform usual tasks
Cervical fusion issues after 10 years?
I am very concerned about your symptoms
Suggest
1) see Spine Surgeon ASAP
2) MRI cervical spine with and without contrast
Please seek medical attention as advised
Suggest
1) see Spine Surgeon ASAP
2) MRI cervical spine with and without contrast
Please seek medical attention as advised
My son suffers from chronic paronychia of his fingers?
Perhaps an Infectious Disease specialist can add more value and assistance
What exercise is good for osteoporosis?
Weight bearing activities like Walking is best
How long does it take to recover from ankle arthritis surgery?
Defer to Orthopaedic Surgeon / physical therapist
What causes hand tingling and numbness?
The most common reason is Carpal Tunnel Syndrome
Would suggest using wrist brace at night
Would suggest using wrist brace at night
Health problem?
Your mother needs a complete exam and evaluation to get to the bottom of this
What cream is good for bursitis?
You can try topical Diclofenac that is available over the counter
Knee fluid?
Most important test on fluid is CELL COUNT Less than 2000 cells - likely non inflammatory Greater than 2000 / inflammatory cause consider Gout, Pseudogout, Lyme Disease, rheumatoid READ MORE
Most important test on fluid is CELL COUNT
Less than 2000 cells - likely non inflammatory
Greater than 2000 / inflammatory cause
consider Gout, Pseudogout, Lyme Disease, rheumatoid arthritis, psoriatic arthritis,
This is likely to recur but wish you well
Less than 2000 cells - likely non inflammatory
Greater than 2000 / inflammatory cause
consider Gout, Pseudogout, Lyme Disease, rheumatoid arthritis, psoriatic arthritis,
This is likely to recur but wish you well
Elbow pain?
The tip of the elbow is the Olecranon The bump could be a remnant of mild trauma The lump could be a bursitis although the swelling is often “soft and squishy” Gouty deposits READ MORE
The tip of the elbow is the Olecranon
The bump could be a remnant of mild trauma
The lump could be a bursitis although the swelling is often “soft and squishy”
Gouty deposits can form here
rheumatoid nodules can form here
If we evaluate such a bump, we might use ultrasound in the office, we might try to aspirate the nodule and look at the aspirate under a polarizing microscope
We may opt to watch and wait to see if it enlarges
Really depends on wishes of patient and other diagnostic options
The bump could be a remnant of mild trauma
The lump could be a bursitis although the swelling is often “soft and squishy”
Gouty deposits can form here
rheumatoid nodules can form here
If we evaluate such a bump, we might use ultrasound in the office, we might try to aspirate the nodule and look at the aspirate under a polarizing microscope
We may opt to watch and wait to see if it enlarges
Really depends on wishes of patient and other diagnostic options
Hand and feet joint swelling?
Most patients with RA will have positive RF factor and/or positive CCP Your Rheumatologist must feel you have psoriatic arthritis with the use of Cosentyx Not everyone will respond READ MORE
Most patients with RA will have positive RF factor and/or positive CCP
Your Rheumatologist must feel you have psoriatic arthritis with the use of Cosentyx
Not everyone will respond to treatment for PsA
Other options include Rinvoq, Tremfya, Skyrizi, Taltz, Enbrel, Remicade, Cimzia, Simponi, Stelara
I would hang in there with your rheumatologist and discuss other treatment options
Your Rheumatologist must feel you have psoriatic arthritis with the use of Cosentyx
Not everyone will respond to treatment for PsA
Other options include Rinvoq, Tremfya, Skyrizi, Taltz, Enbrel, Remicade, Cimzia, Simponi, Stelara
I would hang in there with your rheumatologist and discuss other treatment options
Can fibromyalgia be cured?
Fibromyalgia is a treatable illness There is no cure but it is generally accepted that the chronic pain is due to central pain sensitization, which means that ongoing pain signaling READ MORE
Fibromyalgia is a treatable illness
There is no cure but it is generally accepted that the chronic pain is due to central pain sensitization, which means that ongoing pain signaling by brain and spinal cord is not dampened by normal brain inhibitory signals
Treatment includes patient education, exercise, yoga, tai chai, cognitive behavioral therapy, and physical therapy
Symptom-based treatments include Cymbalta, Lyrica, Gabapentin and Savella
You should be able to get relief with this approach
There is no cure but it is generally accepted that the chronic pain is due to central pain sensitization, which means that ongoing pain signaling by brain and spinal cord is not dampened by normal brain inhibitory signals
Treatment includes patient education, exercise, yoga, tai chai, cognitive behavioral therapy, and physical therapy
Symptom-based treatments include Cymbalta, Lyrica, Gabapentin and Savella
You should be able to get relief with this approach
Will an amoxicillin allergic reaction go away on its own?
yes but a short course of prednisone ( say 2 weeks) is likely to facilitate improvement and less pain and less swelling and better function
I've had a right hand shake for 20 years plus?
This may be “essential or familial tremor”
Best resource is a Neurologist
Best resource is a Neurologist
I have numbness after facial shingles?
You have what is called post-herpetic Neuralgia as the shingles virus has irritated the nerves in that location
Treatment options include Lyrica or Gabapentin
Treatment options include Lyrica or Gabapentin
Should I see a doctor for shoulder joint pain?
If the pain persists and limits usual activities, I would see your doctor
What are the starting signs of arthritis?
Joint Pain, Stiffness, Swelling, Reduced Range of Motion of joints
Can physical therapy help hip arthritis?
Physical therapy can help relieve pain, it can improve your function and therapist can give you instructions on a home program of care
How do you help ankle arthritis?
First, you want to know what type of arthritis you have, what are the treatment options, and what are long term implications
