Dr Puneet Srivastava, Senior Consultant Rheumatologist

02/09/2025

गठिया बाई: इसे हल्का मत समझिए
गाँव-कस्बों में “गठिया बाई” नाम सुनते ही लोग इसे साधारण जोड़ दर्द मान लेते हैं। सच यह है कि यह बीमारी साधारण नहीं है। यह रूमेटॉइड आर्थराइटिस है – एक ऐसी स्थिति जो शरीर के अपने ही जोड़ों पर हमला करती है।
यह रोग चुपचाप बढ़ता है। धीरे-धीरे जोड़ नष्ट होते हैं। मरीज चलना-फिरना तक खो सकता है। और सबसे खतरनाक बात – यह सिर्फ बुजुर्गों में नहीं, 20 से 40 साल के नौजवानों और खासकर महिलाओं में भी हो रहा है।
आज भी लोग तेल-मालिश, झाड़-फूंक और दर्द की गोली से काम चलाते हैं। जब तक सही इलाज शुरू होता है, तब तक बीमारी अपना काम कर चुकी होती है। यही लापरवाही लोगों को उम्र भर के लिए अपंग बना रही है।
सच्चाई यह है कि आधुनिक दवाएँ – DMARDs और Biologics – इस बीमारी को जड़ से नियंत्रित कर सकती हैं। लेकिन जागरूकता की कमी और महंगे इलाज के कारण ज़्यादातर मरीज इससे वंचित रह जाते हैं।
गठिया बाई कोई मामूली दर्द नहीं है। यह देश की उत्पादक आबादी को कमजोर कर रही है। एक महिला अगर घर का काम न कर पाए या एक पुरुष कामकाज से दूर हो जाए, तो पूरा परिवार प्रभावित होता है। यह केवल स्वास्थ्य समस्या नहीं, सामाजिक और आर्थिक संकट भी है।
इसलिए ज़रूरी है कि इसे “बुढ़ापे का दर्द” कहकर न टाला जाए। सरकार को महंगी दवाएँ योजनाओं में शामिल करनी होंगी और मीडिया को सही जानकारी गाँव-गाँव पहुँचानी होगी।
गठिया बाई को हल्का समझना, समाज को भारी नुकसान पहुँचा रहा है।
✍️ डॉ. पुनीत श्रीवास्तव
कंसल्टेंट रूमेटोलॉजिस्ट – Cosmos Hospital, मुरादाबाद
Srigyan Rheumatology Clinic, गाज़ियाबाद
Avantika Hospital, Indirapuram, Ghaziabad
Ex Consultant Rheumatologist, NHS England

MBBS,MRCP ( Internal Medicine )
MRCP ( Rheumatology)(UK), Fellowship in Metabolic bone diseases ( Derby, UK), EULAR ( CTD), Trained in MSK ultrasound and advanced pain management ( King’s Lynn , UK) ECFMG (USA)

31/08/2025

🔎 Hiring Now: Rheumatology Assistant
📍 Location: Srigyan Rheumatology Clinic, Noida
🕐 Full-Time | Immediate Joining

Srigyan Rheumatology Clinic, a leading centre of excellence in arthritis and autoimmune care, is inviting applications for the position of Rheumatology Assistant.

👨‍⚕️ Role Overview:
We are looking for a compassionate and dedicated assistant to support our consultant rheumatologist in daily outpatient operations, patient coordination, medical documentation, and clinical workflow.

✨ Key Responsibilities:

Assist with patient history intake and basic clinical documentation
Coordinate investigations, prescriptions, and follow-ups
Help maintain electronic medical records (EMR)
Support in clinical procedures as required
Communicate effectively with patients regarding treatment plans, appointments, and instructions
🩺 Ideal Candidate:

B.Sc. (Life Sciences/Nursing) or relevant background
Prior experience in outpatient clinic setting preferred
Good communication skills in English and Hindi
Basic understanding of autoimmune and musculoskeletal disorders is a plus
Proficiency with computers and medical software is desirable
🌟 Why Join Us?

Opportunity to work in a specialty clinic with a reputed UK-trained rheumatologist
Structured learning and exposure to evidence-based clinical care
Supportive, patient-focused work environment
📨 To Apply:
Email your CV to srigyanclinic@gmail.com
📞 For inquiries: Call/WhatsApp at 9625710077 or Direct message us on messenger.

29/08/2025

पीठ का दर्द दो तरह का होता है।
एक तो साधारण दर्द – जैसे खेत-खलिहान में काम करने से, वजन उठाने से, या ज्यादा सफ़र करने से। इसमें आराम करो तो दर्द दब जाता है, और काम करो तो बढ़ जाता है।

दूसरा है गठियावाला दर्द। इसमें खेल ही उल्टा है –
सुबह उठते ही कमर पत्थर जैसी अकड़ी मिलती है।
चलने-फिरने से, हल्की कसरत से आराम मिलता है।
लेकिन आराम करने से दर्द और पकड़ लेता है।
कभी-कभी नितम्ब और जांघ तक भी दर्द फैल जाता है।
कई बार तो आधी रात को दर्द उठाकर बिठा देता है।

अगर ये दर्द महीनों तक बना रहे, रोज़ सुबह-सुबह नींद हराम करे, और उम्र भी जवान (20 से 40 बरस) हो, तो समझ लो यह गठिया की चोट है।

“पीठ का दर्द अगर महीनों तक बना रहे, सुबह-सुबह अकड़न दे, आराम करने से और बढ़े, और रोज़-रोज़ नींद खराब करे — तो समझ लो ये गठिया का दर्द है।

ऐसे में हड्डी-गठिया का असली डॉक्टर रूमैटोलॉजिस्ट ही है।
ना मालिश, ना झाड़-फूँक, ना हड्डी चटकाने वाला — सीधे-सीधे रूमैटोलॉजिस्ट को दिखाइए। तभी सही इलाज मिलेगा।”

25/08/2025

गठिया बाई का नया इलाज – बायोलॉजिकल दवा

पहले के ज़माने में गठिया बाई पकड़ ले तो आदमी की ज़िंदगी बिगड़ जाती थी। हाथ-पैर अकड़ जाते, जोड़ टेढ़े-मेढ़े हो जाते, और रोज़ के काम करने में भी दिक्कत। गाँव-गली में लोग मान लेते थे कि अब ये बीमारी ठीक हो ही नहीं सकती।

अब दौर बदल गया है। बायोलॉजिकल थेरेपी नाम की नई दवा आ चुकी है। ये सीधे उस बीमारी की जड़ पर वार करती है, जहाँ से सूजन और दर्द उठता है। नतीजा – दर्द घटता है, सूजन बैठती है और मरीज फिर से कामकाज लायक हो जाता है।

ये दवा इंजेक्शन या ड्रिप से दी जाती है। हर किसी को नहीं, बल्कि उन्हीं को जिनको पुरानी दवाओं से आराम नहीं मिला। डॉक्टर जाँच-पड़ताल करके ही तय करते हैं कि किसे ये इलाज देना है।

बायोलॉजिकल दवा से बहुत से लोग, जो पहले चारपाई से उठ नहीं पाते थे, अब बिना सहारे चल-फिर रहे हैं और खेत-खलिहान तक संभाल पा रहे हैं। हाँ, दवा महंगी है और इंफेक्शन का खतरा रहता है, इसलिए इसे हमेशा अच्छे डॉक्टर की देखरेख में ही लेना चाहिए।

अब गठिया बाई लाचारी की बीमारी नहीं रह गई। सही इलाज मिले तो आदमी पहले जैसा जी सकता है।

24/08/2025

The Disease of Kings and Monarchs: Gout

If ever there were a condition that revealed the sins of the table and the arrogance of the throne, it is gout. Not cholera, not plague, not the poor man’s tuberculosis, but gout—the ailment that crowned kings not with laurels but with swollen, crimson toes. The poets might call it “the king of diseases,” but in truth it was more like a court jester with claws, mocking monarchs at midnight when the feast was long over and the bones of venison lay stripped on golden platters.

Consider Henry VIII, England’s bloated thundercloud of a king. His appetite was as legendary as his temper. By middle age he had become a rolling mountain of flesh, tormented by ulcers, boils, and, most poetically, by gout. His courtiers had to winch him onto horseback, like carpenters hoisting cargo. Here was a monarch who could dissolve marriages and reorder religion, but could do nothing about the molten agony in his toe. Perhaps the Reformation itself was less the work of theology and more the handiwork of uric acid.

Meanwhile, in France, Louis XIV, the Sun King himself, was laid low not by plots or uprisings, but by his own dining table. Versailles was the temple of excess: roasted swans, rivers of Burgundy, towers of confectionary. The Sun King’s physicians offered leeches and bleeding, as though draining a few pints of blood might appease the devil stabbing at his joints. And so Louis limped through his glory, dazzling the world by day, hobbling in pain by night.

Even the loftiest intellects were humbled. Sir Isaac Newton, who deciphered the secrets of gravity and revolutionised mathematics, was reduced in old age to a sour, aching figure, nursing his feet. Gravity explained the fall of apples, but it could not explain why his body had turned against him. Historians speak of his legendary temper, but it takes no imagination to see that the true culprit may have been the wolf gnawing at his bones.
What is most comical is that gout was once paraded as proof of privilege. Portraits survive of gouty gentlemen with their inflamed feet perched upon velvet cushions, looking as though pain itself were a sign of pedigree. To have gout was to announce: I eat too well, I drink too richly, and I am no peasant gnawing turnips. It was less an illness than a social marker, a scarlet letter of indulgence.

Today, the crown has slipped. Gout has been dethroned and, like all monarchs, has found itself exiled among the commoners. It now stalks the beer-bellied accountant, the cola-slurping IT worker, the middle-class clerk with his fried chicken dinners. Uric acid no longer spares anyone—democracy has arrived, even in disease.

Yet the story remains delicious. A few needle-shaped crystals, invisible to the eye, dictated the tempers of monarchs, perhaps even the fate of empires. Wars may have been delayed, treaties abandoned, policies reversed—not only by human ambition but by a stabbing pain in the royal toe. History, it turns out, is not only written by victors; sometimes it is written by urate.

23/08/2025

Carpal Tunnel Syndrome (CTS) is a common condition that happens when a major nerve in the wrist, called the median nerve, gets squeezed as it passes through a narrow space in the wrist known as the carpal tunnel.

Typical symptoms include:
Numbness, tingling, or a “pins and needles” feeling in the thumb, index, and middle fingers
Pain in the wrist or hand, sometimes shooting up the arm ,Weakness in the hand, making it harder to grip objects

It’s often seen in people who do repetitive hand movements—like typing, using a computer mouse, or even household chores.

Treatment Options

Lifestyle adjustments: avoiding repetitive strain, using wrist splints especially at night.

Medications: painkillers or anti-inflammatory tablets can help temporarily.

Physiotherapy exercises: hand and wrist stretches may reduce pressure.

Cortisone Injection: A Reliable Option
One of the most effective and affordable treatments is a cortisone injection into the wrist.
It directly reduces the swelling and pressure on the median nerve.
Relief can be quick and long-lasting, often working within days.
Many people avoid or delay surgery with this simple treatment.

Compared to surgery, it’s far less invasive, inexpensive, and safe when given by a trained doctor.

In short, cortisone injection is a time-tested, reliable solution for carpal tunnel syndrome, especially in the early to moderate stages. Surgery is only considered if injections and other measures fail.

21/08/2025

“PRP Therapy: Quackery in a Lab Coat, Science on Sick Leave”

PRP therapy has become the latest circus trick in modern medicine. Draw some blood, whirl it around in a shiny machine, then inject it back into the aching joint with a flourish — and somehow, this is marketed as cutting-edge science. In reality, it’s nothing more than an expensive game of catch and release with your own platelets.

The real comedy, though, is not the process but the sales pitch. Learned doctors — the same ones who scoff at grandma’s home remedies — are now enthusiastically peddling this glorified placebo as if it were liquid gold. All dignity and scientific rigour seems to evaporate the moment money enters the syringe.

What does the evidence say? Nothing flattering. What does the patient get? Hope packaged in a syringe, relief lasting barely longer than the credit card swipe. What does the doctor pocket? Let’s not pretend we don’t know.

So if someone offers you PRP(PRP: Platelets, Rupees, and Placebos) for arthritis, smile, decline, and use that cash more wisely. A spa day, a treadmill, or even a good dinner out will do more for your joints — and for your mood. At least you’ll walk away with something tangible, not just a hole in your wallet and a needle mark.

Call now to connect with business.

19/08/2025

15/08/2025

"Freedom isn’t a gift we unwrap once a year—it’s a responsibility we carry every day. Jai Hind! 🇮🇳"

31/07/2025

जोड़ो और मांसपेशियों में दर्द, सूजन एवं जकड़न से निदान अलीगढ़ में शनिवार 📌2 अगस्त 2025 को डॉ. पुनीत श्रीवास्तव अलीगढ़ में दिल्ली -NCR के सुप्रसिद्ध गठिया रोग विशेषज्ञ
🔹 ओ.पी.डी.- प्रत्येक माह के पहले शनिवार को 🔹
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🏥शनिवार 2 अगस्त 2025
⏰ समय: सुबह 10:00 AM से 4:00 PM तक
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👨‍⚕️डॉ. पुनीत श्रीवास्तव - गठिया रोग विशेषज्ञ
Senior Consultant Rheumatologist
MBBS, MRCP (UK), MRCP (Rheumatology)
EULAR (Switzerland), ECFMG (USA),
Regs. No.: DMC 56020, MCI 11-40599
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सभी तरह के आर्थराइटिस, क्रॉनिक पेन (दीर्घ स्थायी पीड़ा) और ऑटोइम्युन रोगों के उपचार के विशेषज्ञ 🚨 शीघ्र परामर्श लें यदि आपको:
🔴 गठिया (ऑर्थराइटिस) है
🔴 चिकिनगुनिया बुखार के बाद जोड़ों में दर्द रहता है?
🔴 6 हफ्तों से ज्यादा जोड़ों में दर्द है?
🔴 घुटनों में सूजन या अकड़न रहती है?
🔴 रोज सुबह 30 मिनट से ज्यादा जोड़ों में अकड़न रहती है?
🔴 कमर या गर्दन में दर्द रहता है?
🔴 आपके परिवार में किसी को गठिया (ऑर्थराइटिस) है?
🔴 हाथ, पैर, सर्दियों में नीले पड़ जाते हैं?
🔴 बार बार मुँह में छाले होते हैं या अत्यधिक बाल झड़ते हैं?
🔴 मासपेसियों में कमजोरी या सूजन रहती है?
🔴 हर समय यकान रहती है या शरीर में बुखार महसूस होता है?
👉 समस्या को नजरअंदाज न करें। सही समय पर उपचार आपको गंभीर समस्याओं से बचा सकता है।
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📍 🏥 अशोक मैमोरियल 'सुखसागर' हॉस्पीटल
Address: जी.टी रोड, न्यू एटा चुंगी, ज्वालापुरी पुलिस चौकी के पास, संजय गांधी कॉलोनी, अलीगढ़, उत्तर प्रदेश 202001
Google Map location: https://g.co/kgs/y7M6KF3
अपॉइंटमेंट के लिए आज ही संपर्क करे : +91-7906752234, +91-9410017075

Follow for More:🌐 WWW.SRIGYANCLINIC.ORG
Follow on Social Media:
https://www.facebook.com/srigyanrheumatologyclinic/

#रुमेटोलॉजी #अलीगढ़ #गठियारोगविशेषज्ञ #गठिया #मांसपेशियोंकादर्द #जोड़ोंकादर्द #अशोकमैमोरियलहॉस्पिटल

27/07/2025

🔎 Hiring Now: Rheumatology Assistant
📍 Location: Srigyan Rheumatology Clinic, Noida
🕐 Full-Time | Immediate Joining

Srigyan Rheumatology Clinic, a leading centre of excellence in arthritis and autoimmune care, is inviting applications for the position of Rheumatology Assistant.

👨‍⚕️ Role Overview:
We are looking for a compassionate and dedicated assistant to support our consultant rheumatologist in daily outpatient operations, patient coordination, medical documentation, and clinical workflow.

✨ Key Responsibilities:

Assist with patient history intake and basic clinical documentation
Coordinate investigations, prescriptions, and follow-ups
Help maintain electronic medical records (EMR)
Support in clinical procedures as required
Communicate effectively with patients regarding treatment plans, appointments, and instructions
🩺 Ideal Candidate:

B.Sc. (Life Sciences/Nursing) or relevant background
Prior experience in outpatient clinic setting preferred
Good communication skills in English and Hindi
Basic understanding of autoimmune and musculoskeletal disorders is a plus
Proficiency with computers and medical software is desirable
🌟 Why Join Us?

Opportunity to work in a specialty clinic with a reputed UK-trained rheumatologist
Structured learning and exposure to evidence-based clinical care
Supportive, patient-focused work environment
📨 To Apply:
Email your CV to srigyanclinic@gmail.com
📞 For inquiries: Call/WhatsApp at 9625710077

05/07/2025

As a doctor working in a private setup—whether it's my clinic or a hospital—certain questions and concerns from patients come up time and again. Many are understandable, some are difficult, and a few challenge our clinical decisions. I’m sharing a few of these common queries and how I approach them—practically, honestly, and respectfully.

🔹 1. “Doctor, the tests are expensive. Can I just try the medicine first and see if it works?”

🟢 My approach:
I explain that in rheumatology, many diseases mimic each other. Guesswork can be dangerous. The right test ensures the right medicine—and saves money and health in the long run.
🗣️ “Dawayi agar galat baithe to nuksaan zyada hoga, test se humein confirm hota hai ke kya bimari hai aur kaunsi dawayi sahi rahegi.”

🔹 2. “I got these tests done last year. Why repeat them again?”

🟢 My approach:
Disease patterns change. Inflammatory markers fluctuate. What was normal a year ago may not be the same today.
🗣️ “Jab se symptoms badhe hain tab ka test hi humein asli tasveer dikhata hai.”

🔹 3. “Spine ka X-ray ho gaya hai, MRI kyun chahiye?”

🟢 My approach:
X-ray shows bone changes. MRI shows inflammation, which is often invisible on X-ray. Especially important in early-stage spondyloarthritis.
🗣️ “MRI se humein bimari ke shuruaati lakshan dikh jaate hain, X-ray sirf der se hone waale badlav dikhata hai.”

🔹 4. “Aap test isliye kara rahe hain kyunki aapko clinical diagnosis ka bharosa nahi?”

🟢 My approach:
Clinical skills are vital, but tests support or confirm what we suspect. In rheumatology, many diseases overlap.
🗣️ “Doctor ke tajurbe ke saath test milke diagnosis pakka karte hain—ye team ka kaam hai, shak ka nahi.”

🔹 5. “Agar test negative aaya to kya?”

🟢 My approach:
A negative test doesn't always rule out disease. Many autoimmune diseases are diagnosed based on clinical signs, not just lab reports.
🗣️ “Report negative hone ka matlab ye nahi ke bimari nahi hai—kabhi kabhi report mein kuch nahi dikhta par lakshan sab kuch keh dete hain.”

💬 Bottom Line:
Patients deserve transparency and respect. I make sure I don’t sound dismissive—every concern is valid. But I also gently shift the focus toward evidence-based care, not shortcuts. Because in chronic rheumatic diseases, clarity now saves suffering later