expert type icon EXPERT

Dr. Allen Samuels, MD

Rheumatologist | Rheumatology

Dr. Allen Samuels is a rheumatologist practicing in Bethlehem, PA. Dr. Samuels 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. Samuels treats diseases similar to orthopedists but does not perform surgery. Often times, research is conducted to find potential alternatives for the patients illness.
40 years Experience
Dr. Allen Samuels, MD
  • Lebanon, PA
  • Med Coll of Pa, Philadelphia Pa
  • Accepting new patients

Question

Strongly recommend that you see an “academic” rheumatologist, usually located at University health care systems, medical students, medical residents and possibly rheumatologists READ MORE
Strongly recommend that you see an “academic” rheumatologist, usually located at University health care systems, medical students, medical residents and possibly rheumatologists in training (Fellows) for a definitive diagnosis and treatment plan. Best of luck, success

ANA Tests

Possibly, more likely ANA fluctuates as can diagnosis, symptoms

Is it fatal?

Unlikely, depends on lupus severity and treatments that may suppress the immune system. Would discuss with your rheumatologist best course of action.

Is this a sore caused by lupus or sjögren's

Could be secondary to either diagnosis or others. Best to have it further evaluated by dermatology, biopsy, rheumatology.

Immunosuppressed and stuck at home?

Moderate, Cellcept is immunosuppressive, plaquenil is NOT. Consider having COVID 19 antibody levels assessed. If low, COVID antibody infusions will be helpful for prevention, READ MORE
Moderate, Cellcept is immunosuppressive, plaquenil is NOT. Consider having COVID 19 antibody levels assessed. If low, COVID antibody infusions will be helpful for prevention, minimizing the severity of COVID infection. Paxlovid treatment is an option if he contract COVID infection if treated early.

Carpal tunnel and arthritis?

Careful examination and possible imaging, starting with X-ray, possible electrodiagnostics

positive ANA Antibodies and dsDNA

Depends on your symptoms, additional necessary lab results.

Arthritis like joints and sore sore muscles?

Possible rheumatologist autoimmune disease, thyroid, basic age, gender appropriate recommended screening

High Crp

Depends on numerous factors, environmental, infection exposure risk, are you working with young children, Parvovirus, can mimic inflammatory conditions “look a likes”, RA , Seronegative READ MORE
Depends on numerous factors, environmental, infection exposure risk, are you working with young children, Parvovirus, can mimic inflammatory conditions “look a likes”, RA , Seronegative status doesn’t exclude possible Sjogren’s, spondylitis, psoriatic arthritis.

Voltaren gel?

Actual hip “joint” pain is most often in the groin, thigh and can radiate to the knee. If it works over your hips, it would be ok to use there.

What is good for arthritis in the ankle?

Depends on whether it is degenerative joint disease or inflammatory, e.g. Rheumatoid, gout, tendinitis, plantar fasciitis, Achilles tendinitis. X-ray and labs would be helpful READ MORE
Depends on whether it is degenerative joint disease or inflammatory, e.g. Rheumatoid, gout, tendinitis, plantar fasciitis, Achilles tendinitis. X-ray and labs would be helpful to figure out the best treatment.

How to Treat Knee Gout?

Would avoid Indocin due to your older age, which may aggravate Crohn's.

How can you tell if you are in remission?

No anatomical deformities of joints, no morning stiffness, pain, or swelling, and labs may be useful in addition to updated XRAYS.

Sjogren's syndrome

A second rheum opinion and additional labs may be helpful.

Joint pain?

You may be spondylitis for which there are many treatment options.

Behcets Disease?

Consider reevaluation; Rx options are voluminous,?including Otezla, TNF inhibiter; Enbrel/Humira, JAk inhibitor, etc.Rx good luck!

Can you get rheumatoid arthritis in the upper spine?

It can, not typical for RA (cervical RA occurs)

Muscle aches?

Rheumatologist

Biologics

Multiple “drug failures” triggers my concern for whether you are correctly diagnosed