expert type icon EXPERT

Dr. Tamar Brionez, MD

Advanced Rheumatology of Houston is dedicated to helping those with rheumatologic conditions. Myositis, gout, rheumatoid arthritis, and scleroderma are just a few of the conditions we can help patients diagnose and treat. Additionally, our clinic has several research studies patients may be able to take part in.

Dr. Brionez has more than 10 years of experience in diagnosing and treating rheumatic musculoskeletal disease and systemic autoimmune conditions. She has a Bachelor of Science in Nutritional Sciences from Texas A&M University and completed her Doctor of Medicine at Baylor College of Medicine. Additionally, she completed her Fellowship in Rheumatology at the University of Texas-Health Science Center. Dr. Brionez is board certified in both Internal Medicine and Rheumatology and has been in private practice since 2009.

Dr. Brionez is known for her dedication to her patients and her ability to diagnose complex conditions. She adheres to the highest standards of medical care while relying on cutting-edge technology and the most up-to-date medical research. Dr. Brionez has adopted a holistic view of her patients’ health and is considered a leading specialist in managing complex autoimmune disorders including lupus, rheumatoid arthritis, psoriatic arthritis, scleroderma, osteoporosis, and many others. She is fluent in Spanish and is dedicated to hiring diverse staff to best meet her patients’ needs.
20 years Experience
Dr. Tamar Brionez, MD
  • Houston, TX
  • Baylor College of Medicine
  • Accepting new patients

Numbness in feet and lower legs?

Hello! This could all be secondary to your diabetes and neuropathy from diabetes. Please consult with your PCP and make sure there is tight glycemic control. Thanks so much! Best READ MORE
Hello!

This could all be secondary to your diabetes and neuropathy from diabetes. Please consult with your PCP and make sure there is tight glycemic control.
Thanks so much!

Best regards,

Dr. Brionez

Will an amoxicillin allergic reaction go away on its own?

Hello! Great question - this can sometimes last up to 6 months and occasionally requires low-dose prednisone or NSAIDs. Please visit with your PCP/urgent care or rheumatologist READ MORE
Hello!

Great question - this can sometimes last up to 6 months and occasionally requires low-dose prednisone or NSAIDs. Please visit with your PCP/urgent care or rheumatologist for better direction.
Thanks so much!

Best regards,

Dr. Brionez

How can rheumatoid arthritis be managed?

Hello!

Pain killers should be rarely used. Please see a rheumatologist to get on appropriate disease managing meds.
Thanks so much!!

Best regards,

Dr. Brionez

Is there a permanent cure for arthritis?

Hello! Good question - it depends on the type of arthritis. Yes, most types require medication for disease control or symptom control life long. Please consult with a rheumatologist READ MORE
Hello!

Good question - it depends on the type of arthritis. Yes, most types require medication for disease control or symptom control life long. Please consult with a rheumatologist for a more clear treatment pathway.
Thanks so much!!

Best regards,

Dr. Brionez

I have a severe pain in my joints post my delivery. What could be the cause for this?

Hello! Some people develop inflammatory arthritis post delivery. Please seek the attention of your local rheumatologist to get a correct diagnosis and treatment pathway. Thanks READ MORE
Hello!

Some people develop inflammatory arthritis post delivery. Please seek the attention of your local rheumatologist to get a correct diagnosis and treatment pathway.
Thanks so much!

Best regards,

Dr.

My sister is suffering from sacroiliitis. Will it affect her chances of getting pregnant?

Hello! Any chronic inflammation can affect pregnancy chances. If your sister has Ankylosing Spondylitis, a rheumatologic condition affecting the SI joints, this can also negatively READ MORE
Hello!

Any chronic inflammation can affect pregnancy chances. If your sister has Ankylosing Spondylitis, a rheumatologic condition affecting the SI joints, this can also negatively impact pregnancy. Pls consult with a rheumatologist about the correct diagnosis and treatment pathway.

Thanks so much!

Best regards,
Dr Brionez

Is there a therapy to treat painful swollen joints?

Hello! You might have an auto-immune disorder affecting the joints. Pls see a rheumatologist for correct diagnosis and treatment pathway. Thanks so much!! Best regards, Dr Brionez READ MORE
Hello!

You might have an auto-immune disorder affecting the joints. Pls see a rheumatologist for correct diagnosis and treatment pathway.

Thanks so much!!

Best regards,
Dr Brionez

Why do I get lower back pain just before my periods?

Hello!

This question is best answered by your gynecologist. Some conditions like endometriosis can cause severe pain in and around menses.

Thanks!

Best regards,
Dr Brionez

Frequent hand numbness?

Hello, This could be many things - the top thing that comes to mind is a nerve issue. I suggest seeing a neurologist, getting thorough imaging of the neck and an EMG/NCS of the READ MORE
Hello,

This could be many things - the top thing that comes to mind is a nerve issue. I suggest seeing a neurologist, getting thorough imaging of the neck and an EMG/NCS of the upper extremities.

Thanks so much !

Best regards,
Dr Brionez

Why do I get back pain that worsens while walking?

Hello! This is difficult to answer without an in person exam and evaluation. This could be because of a disc issue in the low back or other active pathology. Please start with READ MORE
Hello!

This is difficult to answer without an in person exam and evaluation. This could be because of a disc issue in the low back or other active pathology. Please start with your PCP for a thorough evaluation.

Thanks so much.

Best regards

How do I know I have Covid per symptoms?

Hello! COVID is very widespread right now and it is best to see your PCP/urgent care clinic/ER and get a thorough evaluation - this will include COVID. Thanks so much! Best READ MORE
Hello!

COVID is very widespread right now and it is best to see your PCP/urgent care clinic/ER and get a thorough evaluation - this will include COVID.

Thanks so much!

Best regards

Pulling feeling?

Hello, Thanks for your question - the symptoms are not ones that I would expect of an autoimmune rheumatologic disorder. Please see your PCP for a thorough evaluation. Thanks READ MORE
Hello,

Thanks for your question - the symptoms are not ones that I would expect of an autoimmune rheumatologic disorder. Please see your PCP for a thorough evaluation.

Thanks so much!

Best regards,
Dr Brionez

What are the deformities that can be detected by an Anomaly scan?

Hello!

Pregnancy related questions are best answers by the OB/GYN.

Thanks so much!

Best regards,
Dr Brionez

Can PCOD be confirmed in a USG?

Hello! PCOS - what your Gynecologist discussed with you - is a gynecological disorder. Your gynecologist will be the best source of information for this condition. Thanks so READ MORE
Hello!

PCOS - what your Gynecologist discussed with you - is a gynecological disorder. Your gynecologist will be the best source of information for this condition.

Thanks so much !

Best regards

Lupus like symptoms, negative ANA?

Hello! With a negative ANA we are not worried about Lupus and the symptoms are not concerning for RA or other rheumatologic disorder. Please work with your PCP to determine the READ MORE
Hello!

With a negative ANA we are not worried about Lupus and the symptoms are not concerning for RA or other rheumatologic disorder.

Please work with your PCP to determine the best course of action and consider seeking the opinion of an in person visit with a board-certified rheumatologist to make sure all bases are covered.

Thanks so much!

Best regards,
Dr Brionez

Is this arthritis?

Hello! Thanks for the question. Your hand pain could definitely be arthritis. The best thing to do is visit with a licensed rheumatologist for a proper evaluation. Thanks so READ MORE
Hello!

Thanks for the question. Your hand pain could definitely be arthritis. The best thing to do is visit with a licensed rheumatologist for a proper evaluation.

Thanks so much!

Best regards,
Dr Brionez

Immunosuppressed and stuck at home?

Hello! Thank you for your question. Although we know that immunosuppressive medications and lupus increase risk of infection, the benefit vs. risk ratio for your family of getting READ MORE
Hello!

Thank you for your question. Although we know that immunosuppressive medications and lupus increase risk of infection, the benefit vs. risk ratio for your family of getting back into the world is a personal decision that each family unit has to make on their own. It is recommended to receive the vaccine, which you and your husband have done. Studies are ongoing for vaccines in our pediatric population and will hopefully be done by end of summer/start of school year. Your question is a tough one with no easy answer.
I wish you the best of luck!

Best regards,

Dr. Brionez

Arthritis like joints and sore sore muscles?

Hello! Thank you so much for your question. Although this arthritis could be simply osteoarthritis or degenerative arthritis (“ old age “) arthritis, it could be something different. The READ MORE
Hello!

Thank you so much for your question. Although this arthritis could be simply osteoarthritis or degenerative arthritis (“ old age “) arthritis, it could be something different.

The best way to figure this out is to visit with your local board certified rheumatologist.

Thanks so much!

Best regards,
Dr Brionez

Behcets Disease?

Hello! Bechets can have inflammatory arthritis as part of the disease symptoms. You might need additional medications. Pls consult your rheumatologist. Thanks so much! Best READ MORE
Hello!

Bechets can have inflammatory arthritis as part of the disease symptoms. You might need additional medications. Pls consult your rheumatologist.

Thanks so much!

Best regards,
Dr Brionez

Health problem?

Hello! It sounds like your mom has a lot of medical issues. This is probably best handled by a group of specialists including an orthopedic surgeon and her PCP to get mom into READ MORE
Hello!

It sounds like your mom has a lot of medical issues. This is probably best handled by a group of specialists including an orthopedic surgeon and her PCP to get mom into good shape.
Thanks so much!

Best regards,

Dr. Brionez