Dr Deepika Vijay Ponnuru

MD(General medicine) DM(Rheumatology) NIMS
Consultant Rheumatologist @Apollo Hospitals, Seshadripuram,
Optima Arthritis and Rheumatology Clinics, Bangalore.

[Aravind Palraj @Rheumat_Aravind]

Reproductive care is not optional in rheumatology.

Planned conception during disease quiescence, pregnancy-compatible treatment and coordinated multidisciplinary care can substantially improve maternal and fetal outcomes.

Excellent review by Dr. Parimi VP and @12VRavindran

Reference: Reproductive Rheumatology: Status, Opportunities and Challenges. touchREVIEWS in RMD. 2026.
doi:10.17925/rmd.2026.5.2.1

#ReproductiveRheumatology @IhabFathiSulima @docakx @APLAR_org @DurgaPrasannaM1 #Rheumatology #AutoimmuneDisease #Pregnancy #WomensHealth

[Aravind Palraj @Rheumat_Aravind]

🚨 Hydroxychloroquine Retinopathy — 2024/25 Screening Updates

🔹 Safe dose: ≤5 mg/kg (real body weight)
🔹 Screen: baseline in 1st yr, then annually after 5 yrs (earlier if risk factors)
🔹 Preferred tests: OCT, FAF, VF (10-2 / 24-2 / 30-2 for Asians)
@IhabFathiSulima @DrAkhilX @CelestinoGutirr
#Rheumatology #Ophthalmology #HCQ

[Dr Nilesh Nolkha @nileshnolkha]

“Ayurveda cured my RA” — said no patient after 3 years.
“Herbal powders” that actually have hidden steroids.
RA is not about pain alone — it’s a silent destroyer.

Why choosing Ayurveda or Homeopathy for RA can cost you your joints (and more).
Let’s break the myths.

⸻

Myth: “Ayurveda & Homeopathy will cure RA”
Truth: Most patients switch back to modern medicine after 2–3 years when they realize:
• The disease isn’t gone
• Deformities have started
• Lungs or eyes are affected

RA is a lifelong immune disease — it’s controlled, not cured.

⸻

3/ Myth: “I left modern meds to avoid steroids”
But did you know?
Many “herbal” ayurvedic powders in India are laced with steroids — unlabeled, unmonitored, unsafe.
Patients end up with diabetes, bone damage & adrenal suppression.

What you ran from, you walked right into.
Without even knowing.

⸻

4/ Myth: “I’m feeling better so it’s working”
RA can naturally go silent for weeks or months — that doesn’t mean healing.
You may feel better, but damage continues inside.
By the time symptoms return, joints are often irreversibly damaged.

Don’t mistake silence for safety.

⸻

5/ Myth: “Modern medicine is toxic and slow”
Modern rheumatology aims for:
• Minimal/no steroids
• Inflammation-free joints
• Near-normal life
• No deformities or lung damage

It’s science. It monitors, adapts, protects.
Not just temporary pain relief.

⸻

6/ Who’s the expert?
Rheumatologist = 15+ years of training
(Biology > MBBS > MD > DM Rheumatology)

BAMS/BHMS = 4–5 years, no rheumatology specialization

When a rheumatologist says: “We can’t cure RA, but we can give you your life back,”
That’s honesty — not failure.

⸻

7/ Final Thought:
Modern medicine doesn’t promise magic — it promises control.
Your joints, lungs, eyes — all need protection.
Don’t trade long-term health for short-term illusions.

Choose evidence. Choose expertise.

#RheumatoidArthritis #AyurvedaMyths #Nirjaramultispecialityclinic
#freedomfrompain

[IRA @IndianRheum]

Here is a GIF Summarising
How to recognise #Rheumatic #Diseases
#Awareness #Lupus #Scleroderma #Psoriasis #RheumatoidArthritis #ankylosingspondylitis #myositis #April #MCTD

[IRA @IndianRheum]

If You or someone you know has these symptoms Please contact your Nearest Rheumatologist

[IRA @IndianRheum]

💫#Rheumatic diseases can involve any organ
🖐🏻#Raynaud’s Phenomenon and blood vessels
👁️ red #eye/ pain or #dryness
🫀🫁 with Difficulty in #breathing, #Chest pain
#Renal involvement
💪🏻🧠🩸#Muscle, Brain, Nerves or Blood
Everything can be involved

[IRA @IndianRheum]

💫#Rheumatic diseases might present with
🦴#Joint pain and #swelling
☺️#Rash
🤒 #Fever
🤕 #Fatigue
#Awareness regarding these symptoms can lead to early diagnosis and effective management of Rheumatic diseases

[IRA @IndianRheum]

🧵Alert
The Indian Rheumatology Association celebrates April As the Rheumatology Awareness Month 🤗
We will be sharing info on rheumatic diseases throughout the month
The 1st tweetorial is on How to recognise rheumatic Diseases
#Awareness #Lupus #Myositis #Rheumatology

[Dr Deepika Vijay Ponnuru @drdeepikasai]

2022 ACR/AAHKS Guidelines for Management of Antirheumatic Medications Among Patients Undergoing Total Joint Arthroplasty https://t.co/bcIgm4J5ZG