Exceptional Services From a Trusted Rheumatology Center
On-Site X-Ray Services
Our practice is equipped with a state-of-the-art digital X-ray unit. On-site X-ray allows your physician to evaluate your X-rays and review them during your visit. This will allow us to make a diagnosis and tailor the treatment decisions in a timely fashion. Digital technology displays the X-ray images on a large computer screen at any computer in our office. The ability to alter the exposure and size of the image allows your physician to focus on areas of interest, often preventing additional exposure to more radiation by repeating x-ray studies. X-ray images are stored on secure servers and can be accessed at any time, and this provides the opportunity to compare them with recently obtained X-rays. Upon your request, X-rays can be burned on a DVD disc allowing other physicians to review them
Exceptional Services From a Trusted Rheumatology Center
On-Site X-Ray Services
Our practice is equipped with a state-of-the-art digital X-ray unit. On-site X-ray allows your physician to evaluate your X-rays and review them during your visit. This will allow us to make a diagnosis and tailor the treatment decisions in a timely fashion. Digital technology displays the X-ray images on a large computer screen at any computer in our office. The ability to alter the exposure and size of the image allows your physician to focus on areas of interest, often preventing additional exposure to more radiation by repeating x-ray studies. X-ray images are stored on secure servers and can be accessed at any time, and this provides the opportunity to compare them with recently obtained X-rays. Upon your request, X-rays can be burned on a DVD disc allowing other physicians to review them
Biologic Therapy
In recent years, significant advances have occurred in the management of rheumatologic diseases such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, vasculitis, and osteoporosis. Many of our patients get to benefit from the administration of biologics such as Enbrel, Humira, Cimzia, Remicade, Actemra, Orencia, Xzeljanz, Benlysta, and Aprelimast for the management of their diseases.
Patients who are diagnosed with osteoporosis can benefit from Actonel, Boniva, Fosomax, Reclast, Forteo, and Prolia. These new medications prevent many fractures and disabilities every year.
For additional information, please refer to www.rheumatology.org/I-Am-A/PatientCaregiver, where you can find different treatment options.
Biologic Therapy
In recent years, significant advances have occurred in the management of rheumatologic diseases such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, vasculitis, and osteoporosis. Many of our patients get to benefit from the administration of biologics such as Enbrel, Humira, Cimzia, Remicade, Actemra, Orencia, Xzeljanz, Benlysta, and Aprelimast for the management of their diseases.
Patients who are diagnosed with osteoporosis can benefit from Actonel, Boniva, Fosomax, Reclast, Forteo, and Prolia. These new medications prevent many fractures and disabilities every year.
For additional information, please refer to www.rheumatology.org/I-Am-A/PatientCaregiver, where you can find different treatment options.
Comprehensive Evaluation and Management
Greater Washington Arthritis, Rheumatology and Osteoporosis Center is a single specialty rheumatology practice in Woodbridge, VA, which is focused on the diagnosis and management of adults with various rheumatic conditions such as arthritis, fibromyalgia, osteoporosis, gout, rheumatoid arthritis, and autoimmune diseases.
At Greater Washington Arthritis, Rheumatology and Osteoporosis Center, we are committed to providing each patient with individualized, highest-quality, comprehensive, cutting-edge, and evidence-based medicine therapeutic options. We share a vision about how to deliver our best services to those who need them in our community. The evolution of technology and new advances in the field of rheumatology sustains the hope that we can make a significant difference in our patient’s daily life. Our staff is committed to assisting you with this care in a friendly environment.
In our practice, we have been and always will be dedicated to making a difference in the lives of our patients, not only by providing the best therapeutic option but also by focusing on early detection of conditions such as osteoporosis to prevent comorbidities leading to disability.
Our weekly meetings allow for opinion exchange on difficult cases; this professional interaction brings added value to our patient care.
To achieve superior diagnostic and therapeutic outcomes, we will utilize the state-of-the-art bone densitometer machine for the management of osteoporosis and modern ultrasound machines for joint and soft tissue evaluation and injections.
Remember, here at the Greater Washington Arthritis, Rheumatology and Osteoporosis Center, your convenience is very important to us; with this in mind, we implemented an on-site infusion unit.
Comprehensive Evaluation and Management
Greater Washington Arthritis, Rheumatology and Osteoporosis Center is a single specialty rheumatology practice in Woodbridge, VA, which is focused on the diagnosis and management of adults with various rheumatic conditions such as arthritis, fibromyalgia, osteoporosis, gout, rheumatoid arthritis, and autoimmune diseases.
At Greater Washington Arthritis, Rheumatology and Osteoporosis Center, we are committed to providing each patient with individualized, highest-quality, comprehensive, cutting-edge, and evidence-based medicine therapeutic options. We share a vision about how to deliver our best services to those who need them in our community. The evolution of technology and new advances in the field of rheumatology sustains the hope that we can make a significant difference in our patient’s daily life. Our staff is committed to assisting you with this care in a friendly environment.
In our practice, we have been and always will be dedicated to making a difference in the lives of our patients, not only by providing the best therapeutic option but also by focusing on early detection of conditions such as osteoporosis to prevent comorbidities leading to disability.
Our weekly meetings allow for opinion exchange on difficult cases; this professional interaction brings added value to our patient care.
To achieve superior diagnostic and therapeutic outcomes, we will utilize the state-of-the-art bone densitometer machine for the management of osteoporosis and modern ultrasound machines for joint and soft tissue evaluation and injections.
Remember, here at the Greater Washington Arthritis, Rheumatology and Osteoporosis Center, your convenience is very important to us; with this in mind, we implemented an on-site infusion unit.
Joint Injections
There are many treatment options available for your rheumatologic care. Dr. Monshie will discuss all of your treatment options and the potential risks and benefits of each treatment. These injections include viscosupplements and steroid (cortisone) injections.
Intra-articular steroid injections can serve as a potent anti-inflammatory agent and create significant pain relief. The joint injection may be performed under an ultrasound guide.
Joint Injections
There are many treatment options available for your rheumatologic care. Dr. Monshie will discuss all of your treatment options and the potential risks and benefits of each treatment. These injections include viscosupplements and steroid (cortisone) injections.
Intra-articular steroid injections can serve as a potent anti-inflammatory agent and create significant pain relief. The joint injection may be performed under an ultrasound guide.
Musculoskeletal Ultrasound
Ultrasonography is an imaging instrument that uses high-frequency sound waves to generate imaging. Ultrasound is becoming more available in rheumatology clinics. Dr. Monshie has training in performing musculoskeletal (MSK) ultrasound studies. Musculoskeletal ultrasound is used to help evaluate fluid-containing structures, cartilage, soft tissues, and bone surfaces and diagnose multiple MSK injuries, including injuries to tendons, ligaments, and joints; it is also utilized to guide procedures.
The procedures performed under ultrasound guidance have shown to have better therapeutic outcomes based on different studies, allowing the provider to follow the needle track advancing into the tissue and inject the medication to the right place and avoiding injecting into adjacent anatomies, such as blood vessels and nerves.
Besides providing an excellent injection guide, ultrasound is very convenient to use especially in patients who have claustrophobia. It can be performed in the office and does not have any side effects such as exposure to X-ray radiation; most importantly, it is a dynamic study, and using Doppler technology is able to quantify the amount of blood flow to tissue to detect inflammation.
Musculoskeletal Ultrasound
Ultrasonography is an imaging instrument that uses high-frequency sound waves to generate imaging. Ultrasound is becoming more available in rheumatology clinics. Dr. Monshie has training in performing musculoskeletal (MSK) ultrasound studies. Musculoskeletal ultrasound is used to help evaluate fluid-containing structures, cartilage, soft tissues, and bone surfaces and diagnose multiple MSK injuries, including injuries to tendons, ligaments, and joints; it is also utilized to guide procedures.
The procedures performed under ultrasound guidance have shown to have better therapeutic outcomes based on different studies, allowing the provider to follow the needle track advancing into the tissue and inject the medication to the right place and avoiding injecting into adjacent anatomies, such as blood vessels and nerves.
Besides providing an excellent injection guide, ultrasound is very convenient to use especially in patients who have claustrophobia. It can be performed in the office and does not have any side effects such as exposure to X-ray radiation; most importantly, it is a dynamic study, and using Doppler technology is able to quantify the amount of blood flow to tissue to detect inflammation.
On-Site Infusion Service
On-Site Infusion Suite is an innovative alternative to expensive care at hospitals and is more convenient for patients; and will be provided at the Greater Washington Arthritis, Rheumatology and Osteoporosis Center very soon. If you are currently receiving Remicade, Rituxin, Orencia, Actemra, Simponi Aria, and Benlysta for management of your disease such as rheumatoid arthritis, lupus, psoriatic arthritis, or vasculitis or if you are required to receive Boniva, Reclast for management of osteoporosis, you won’t have to go to other infusion facilities to get your care.
We will consult with you regarding the best treatment for your particular condition. Newer biologic medications may be used in the treatment of a variety of illnesses such as rheumatoid arthritis or lupus; these important new therapies have changed the treatment of many immunologic-based diseases and have given new hope to many patients.
Greater Washington Arthritis, Rheumatology and Osteoporosis Center has a dedicated staff that will provide the best care for the infusion patient. We want your experience to be a positive one, and we think you will find our staff and facilities pleasant, friendly, and accommodating.
Our staff is experienced and knowledgeable, and we work hard to give the best care possible. The rooms are equipped with reclining chairs, and you will find the atmosphere comfortable and relaxing.
If you are scheduled for Intravenous Infusion Treatment, you should be present 10-15 minutes before your appointment and may be required to stay 30-60 minutes after the infusion treatment. The time needed for your infusion will depend on the medication. Times will range between one hour for most medications and up to 3 hours for others.
If you need premedication for your infusion, and if this is your first infusion session, please bring a family member or friend with you.
On-Site Infusion Service
On-Site Infusion Suite is an innovative alternative to expensive care at hospitals and is more convenient for patients; and will be provided at the Greater Washington Arthritis, Rheumatology and Osteoporosis Center very soon. If you are currently receiving Remicade, Rituxin, Orencia, Actemra, Simponi Aria, and Benlysta for management of your disease such as rheumatoid arthritis, lupus, psoriatic arthritis, or vasculitis or if you are required to receive Boniva, Reclast for management of osteoporosis, you won’t have to go to other infusion facilities to get your care.
We will consult with you regarding the best treatment for your particular condition. Newer biologic medications may be used in the treatment of a variety of illnesses such as rheumatoid arthritis or lupus; these important new therapies have changed the treatment of many immunologic-based diseases and have given new hope to many patients.
Greater Washington Arthritis, Rheumatology and Osteoporosis Center has a dedicated staff that will provide the best care for the infusion patient. We want your experience to be a positive one, and we think you will find our staff and facilities pleasant, friendly, and accommodating.
Our staff is experienced and knowledgeable, and we work hard to give the best care possible. The rooms are equipped with reclining chairs, and you will find the atmosphere comfortable and relaxing.
If you are scheduled for Intravenous Infusion Treatment, you should be present 10-15 minutes before your appointment and may be required to stay 30-60 minutes after the infusion treatment. The time needed for your infusion will depend on the medication. Times will range between one hour for most medications and up to 3 hours for others.
If you need premedication for your infusion, and if this is your first infusion session, please bring a family member or friend with you.
On-Site Bone Density Scan
We have the state-of-the-art upgraded Hologic Discovery dual X-ray absorptiometry (DXA) system with advanced features, including Vertebral Fracture Assessment (VFA). As a result, we are capable of assessing patients who may benefit from an appropriate evaluation, prevention, diagnosis, and management of osteoporosis. In this era of constrained health care resources, there is a definite need for an efficient and measurable system for a well-balanced disease management.
Now is obviously the time to get serious about the timely diagnosis of osteoporosis and recognize it as a major public health issue. Bone mass, measured by bone densitometry (DXA), is an invaluable aid in the diagnosis and management of osteoporosis. Those of us who evaluate and treat patients with this disease know the difficulties faced by people who are diagnosed, the challenges of its management, and the devastating consequences of hip and vertebral fractures.
To millions of Americans, osteoporosis is a “great unknown.” The need to educate and make patients aware of the seriousness of this disease is critical, and an appropriate diagnosis is therefore crucial.
We have made a long-term commitment to provide a comprehensive program with an emphasis on quality, education, prevention, and treatment of osteoporosis and other metabolic bone disorders. We continue our quality services to the patients and physicians in the community and improve public awareness and skills of health care professionals in the field of osteoporosis.
On-Site Bone Density Scan
We have the state-of-the-art upgraded Hologic Discovery dual X-ray absorptiometry (DXA) system with advanced features, including Vertebral Fracture Assessment (VFA). As a result, we are capable of assessing patients who may benefit from an appropriate evaluation, prevention, diagnosis, and management of osteoporosis. In this era of constrained health care resources, there is a definite need for an efficient and measurable system for a well-balanced disease management.
Now is obviously the time to get serious about the timely diagnosis of osteoporosis and recognize it as a major public health issue. Bone mass, measured by bone densitometry (DXA), is an invaluable aid in the diagnosis and management of osteoporosis. Those of us who evaluate and treat patients with this disease know the difficulties faced by people who are diagnosed, the challenges of its management, and the devastating consequences of hip and vertebral fractures.
To millions of Americans, osteoporosis is a “great unknown.” The need to educate and make patients aware of the seriousness of this disease is critical, and an appropriate diagnosis is therefore crucial.
We have made a long-term commitment to provide a comprehensive program with an emphasis on quality, education, prevention, and treatment of osteoporosis and other metabolic bone disorders. We continue our quality services to the patients and physicians in the community and improve public awareness and skills of health care professionals in the field of osteoporosis.
Ultrasound Therapy
Are you suffering from back pain or pain in the shoulder, neck, knee, or hand pain? All debilitating conditions make life experiences challenging and painful. Now there is a drug-free, noninvasive solution to help you get back to enjoying life.
Cold laser could be helpful in relieving short-term pain for osteoarthritis, acute and chronic neck pain, soft tissue injuries, heel pain, acute lumbar muscle sprain, tendinopathy, and possibly chronic joint disorders.
Therapeutic effects of low-level laser light irradiation include: Increase cellular metabolism and collagen production, better blood/ lymphatic flow and drainage, and reduced inflammation. The energy emitted provides a temporary increase in microcirculation, resulting in relief of local muscle and joint pains, relaxation of muscles in muscle spasms, and relief of stiffness associated with arthritis.
Ultrasound therapy has three primary benefits too; the first is the speeding up of the healing process from the increase in blood flow in the treated area; the second is the decrease in pain from the reduction of swelling and edema and the third is the gentle massage of tendons or ligaments in the area.
Ultrasound Therapy
Are you suffering from back pain or pain in the shoulder, neck, knee, or hand pain? All debilitating conditions make life experiences challenging and painful. Now there is a drug-free, noninvasive solution to help you get back to enjoying life.
Cold laser could be helpful in relieving short-term pain for osteoarthritis, acute and chronic neck pain, soft tissue injuries, heel pain, acute lumbar muscle sprain, tendinopathy, and possibly chronic joint disorders.
Therapeutic effects of low-level laser light irradiation include: Increase cellular metabolism and collagen production, better blood/ lymphatic flow and drainage, and reduced inflammation. The energy emitted provides a temporary increase in microcirculation, resulting in relief of local muscle and joint pains, relaxation of muscles in muscle spasms, and relief of stiffness associated with arthritis.
Ultrasound therapy has three primary benefits too; the first is the speeding up of the healing process from the increase in blood flow in the treated area; the second is the decrease in pain from the reduction of swelling and edema and the third is the gentle massage of tendons or ligaments in the area.
Viscosupplementation
There is no cure for "wear-and-tear" arthritis in the knee known as osteoarthritis (OA). However, there are different therapeutic options to help alleviate pain, improve range of motion, and patient’s quality of life.
Viscosupplementation is an FDA-approved procedure and will be considered in patients whose other therapeutic modalities in the management of knee Osteoarthritis have failed. In this procedure, hyaluronate, a lubricating, gel-like substance is injected into the knees allowing bones to move over each other more easily and serve as a shock absorbent.
Based on the type of viscosupplement used, a patient may require three to five injections for optimal response.