EXPERT
Nikita Goswami
Rheumatologist (Pediatric)
Dr. Nikita Goswami practices Pediatric Rheumatology in Phoenix, AZ. Pediatric rheumatologists treat child patients who suffer from pain in the musculoskeletal system, have symptoms of arthritis, or an autoimmune disorder. Dr. Goswami evaluates and treats a variety of joint, muscle, and bone disorders; including autoimmune disorders, such as lupus, juvenile rheumatoid arthritis, scleroderma, Kawasaki disease, post-infectious arthritis, chronic vasculitis, and inflammatory disorders of the muscle, eye, or other organs. Dr. Goswami also is trained in the evaluation of prolonged fever, unexplained complaints of chronic musculoskeletal pain, weakness, poor appetite, fatigue, and/or loss of function or skills.
11 years
Experience
Nikita Goswami
- Phoenix, AZ
- Ross University
- Accepting new patients
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How long does it take to fully recover from ankle replacement surgery?
As a pediatric rheumatologist, we don't do joint replacement surgeries. I recommend speaking to your doctor or surgeon for more information.
How long does it take to recover from arthritis hand surgery?
This depends on what surgery is being performed and why. As rheumatologist our role is to treat your arthritis and try to get it into remission before surgery so it's is stable. READ MORE
This depends on what surgery is being performed and why. As rheumatologist our role is to treat your arthritis and try to get it into remission before surgery so it's is stable. I would ask the surgeon about recovery timing as this is more their forte. However, with surgery sometimes rheumatoid arthritis may become more active as it can activate the immune system.
How to help hand cramps from remote learning?
Hand cramps are usually from muscles and not from active arthritis. I would suggest working on occupational therapy to strengthen muscles and ensure you have full mobility of joints. READ MORE
Hand cramps are usually from muscles and not from active arthritis. I would suggest working on occupational therapy to strengthen muscles and ensure you have full mobility of joints. Usually if you have had active joint disease then possibility of muscle weakness or atrophy and need to build up strength!
How do I receive my Lupus medication with the shortage now?
I recommend you speak to your rheumatologist about this further. They may be able to direct you to get the medications.
Will the government use of hydroxychloroquine for covid-19 affect Lupus sufferers?
Hydroxychloroquine is no longer recommended for treatment of individuals infected with COVID 19.
Should people with rheumatic conditions worry about running out of medicine?
Any patients on medication should refill their medications before running out. I recommend refilling 5-7 days before you are out. If you haven't received your refill and you are READ MORE
Any patients on medication should refill their medications before running out. I recommend refilling 5-7 days before you are out. If you haven't received your refill and you are approaching the weekend or a holiday then I recommend calling during business hours.
What can cause joint pain in adolescents?
There can be lots of different causes for join pain. Sometimes it's mechanical versus autoimmune. I encourage you to follow up with his primary care physician for further evaluation. READ MORE
There can be lots of different causes for join pain. Sometimes it's mechanical versus autoimmune. I encourage you to follow up with his primary care physician for further evaluation.
What exercises can you do for pediatric rheumatic disease?
Any child with a rheumatic disease can perform exercises/sports of their liking. Activity is encouraged as tolerated. In patients with arthritis, swimming is encouraged due to READ MORE
Any child with a rheumatic disease can perform exercises/sports of their liking. Activity is encouraged as tolerated. In patients with arthritis, swimming is encouraged due to lack of gravity it makes it easier to move joints better. Alternatively may try aquatic therapy until mobility improves and then transition to physical therapy. This is something that can be discussed on a case by case basis with their rheumatologist as every child's condition is different.
Do hand spasms indicate arthritis in the future?
Hand spasms are usually due to muscles and not the joint. Stretching, massaging and strengthening muscles can be helpful.
Knee and joints pain
I recommend further evaluation from a physician. In the mean time encourage strengthening exercises for quadriceps, core, gluten and hamstrings. Try bicycle, leg raises, crunches, READ MORE
I recommend further evaluation from a physician. In the mean time encourage strengthening exercises for quadriceps, core, gluten and hamstrings. Try bicycle, leg raises, crunches, and elliptical (if you have access).
Knee and joints pain
Unfortunately, I recommend you go to a physician for a full exam. You may need to work on strengthening your muscles around the joints that are popping. Consider physical therapy READ MORE
Unfortunately, I recommend you go to a physician for a full exam. You may need to work on strengthening your muscles around the joints that are popping. Consider physical therapy for guidance on how to approach muscle strengthening. Popping is not a sign of arthritis necessarily. You may take ibuprofen as needed for pain relief.
What are the symptoms of gout?
As a pediatric rheumatologist. I encourage you to seek an adult rheumatologist for further questions/clarification. Gout doesn't exist in pediatric patients.
Are kidney transplants common in kids with lupus?
Kidney transplants can occur in pediatric patients with Lupus. I would encourage you to discuss this further with your child's nephrologist.
How can I prevent juvenile arthritis in my daughter?
Autoimmune conditions run in the family. Your daughter is at increased chance of developing a type of an autoimmune disease such as thyroid disease or celiac disease. There isn't READ MORE
Autoimmune conditions run in the family. Your daughter is at increased chance of developing a type of an autoimmune disease such as thyroid disease or celiac disease. There isn't anything that can be done to prevent this. Just monitor and try to live everyday to the fullest!
What's the best diet for juvenile arthritis?
The best diet recommendations is a well rounded diet with veggies, fruits and protein. It's hard in children to place diet limitations and it doesn't work for everyone. The evidence READ MORE
The best diet recommendations is a well rounded diet with veggies, fruits and protein. It's hard in children to place diet limitations and it doesn't work for everyone. The evidence points there may be some correlation to being gluten or dairy free which can help. Additionally, adding turmeric naturally in drinks or cooking has an anti inflammatory effect as well.
My daughter is taking corticosteroids for her lupus. Is this really recommended?
Unfortunately, steroid play a large role in controlling inflammation in Lupus while allowing for other medications to take over. They will be weaned and I recommend you continue READ MORE
Unfortunately, steroid play a large role in controlling inflammation in Lupus while allowing for other medications to take over. They will be weaned and I recommend you continue to follow up closely with her rheumatologist. The fatigue is also a symptom of Lupus.
What are the symptoms of juvenile arthritis?
Joint pain, swelling or morning stiffness are the most common symptoms of arthritis. They occur daily in the same joints for 6 weeks or more in order to meet criteria for JIA.
A 12 year old with lower back pain?
Back pain can be musculoskeletal (muscle related) or joint related. I encourage you to take him to his primary care physician for further evaluation.
Could my child have juvenile RA?
If the stiffness persists more than 6 weeks then I would recommend further evaluation by your primary care provider.
What happens if Lyme disease is left untreated?
Monitor for any rash initially and take him to his pediatrician for treatment. If no rash develops some patients can develop 1 joint with arthritis, most commonly the knee. I would READ MORE
Monitor for any rash initially and take him to his pediatrician for treatment. If no rash develops some patients can develop 1 joint with arthritis, most commonly the knee. I would just monitor since you succeeded in take the tick off as it's unlikely to occur.
