Blog Archive

A Closer Look at Rheumatoid Arthritis Jan 18th, 2022

In the United States, around 1.5 million people have rheumatoid arthritis (RA). Though the condition primarily affects the joints, it can cause other issues as well. For example, one year after diagnosis, your risk of a heart attack or stroke is 60% higher than that of a person without RA. ...

Who’s at Risk for Psoriatic Arthritis? Dec 23rd, 2021

About 1.5 million people in the United States have psoriatic arthritis (PsA). Roughly 30% of people with psoriasis develop PsA. At Rheumatology Solutions, our team of expert providers want to help our psoriasis patients understand their risk for psoriatic arthritis and limit it as much as possible.  Psoriatic arthritis  Not...

Things You Might Not Know About Living with Lupus Nov 7th, 2021

About 1.5 million people in the United States have lupus, and the majority, about 90%, of them are women. There are four types of lupus, but most cases are systemic lupus.  At Rheumatology Solutions, our providers treat numerous patients with systemic lupus. Our treatment plans vary and depend largely on...

Can Your Diet Increase Your Risk of Gout? Oct 1st, 2021

Gout is a painful form of arthritis, usually affecting the joint in your big toe. It’s caused by a condition called hyperuricemia, which involves having too much uric acid in your body.  Although there are several risk factors for gout, quite a few of them are modifiable, including your diet. ...

How Arthritis Affects Your Overall Health Sep 1st, 2021

According to findings released by the Centers for Disease Control and Prevention, almost 55 million adults in the United States have arthritis. Osteoarthritis is the leading form of the disease, but psoriatic arthritis, rheumatoid arthritis, and lupus are also common types. Though all forms of arthritis affect your joints, other...

COVID-19 in San Antonio / Bexar County, 15 August 2021 Aug 15th, 2021

Source:  https://covid19.sanantonio.gov/Reports-Statistics/Dashboards-Data https://covid19.sanantonio.gov/Reports-Statistics/Dashboards-Data/Vaccination-Statistics#vaccinations-statistics https://www.ksat.com/news/local/2021/08/01/leading-sa-ut-health-sa-doctor-says-97-of-covid-19-patients-in-area-hospitals-are-unvaccinated/   7- Day average of new cases:  1,391 per day 27,918 new cases in the last 30 days Total cases: 259,636 Hospitalized patients with COVID-19:  1,299           Patients in the ICU:  333           Patients on ventilators:  214  ...

Third Dose of the Pfizer and Moderna COVID-19 Vaccines Aug 15th, 2021

On 12 August 2021 the FDA expanded the emergency use authorization for the Pfizer and Moderna COVID-19 vaccines to include a 3rd injection for people whose immune system are moderately to severely impaired.    The third dose of the vaccine must be at least 28 days after the second injection...

Arthritis Benefits of IV Infusion Therapy Aug 12th, 2021

The appeal and advantages of IV infusion therapy aren’t always obvious at first glance. However, many arthritis patients find that IV infusion therapy carries benefits they hadn’t expected. In this post, we’ll explore some of those benefits.  The highly trained and specialized providers at Rheumatology Solutions understand the toll that...

Diagnosed with Gout? 5 Important Management Tips Jul 7th, 2021

Gout is one of the most common types of arthritis, with about eight million people in the US diagnosed. Most of the time, gout affects the joint of your big toe, though other joints can be involved. Almost everyone who has gout has comorbidities such as obesity, type 2 diabetes,...

Immunosuppressant Medications and COVID-19 Vaccination Jun 26th, 2021

Patients with autoimmune rheumatic disease are often treated with medications called DMARDs (disease modifying antirheumatic drugs) that suppress the immune system.  DMARDs are necessary to prevent pain, swelling, damage, dysfunction, disability and even death.     The underlying rheumatic condition and the medication to treat it can increase the risk for...

Good Health Simply Jun 19th, 2021

I am Dr. Thomas Hoffmann.  I'm a Rheumatologist who treats auto-immune diseases like lupus or RA where the body's immune system overreacts and attacks joints or organs in the body.  Inflammation is a central part of this process.  I was also a Special Forces Medic in the Army and learned...

5 Signs of Systemic Sclerosis Jun 17th, 2021

Systemic sclerosis is sometimes called scleroderma. “Sclero” is from a Greek word that translates to “hard,” and “derma” from a Latin one that means “skin.” The word origin gives you a good idea of one aspect of the disease. Systemic sclerosis is an autoimmune rheumatic disease.  As our name suggests,...

What to Do About Psoriatic Arthritis May 17th, 2021

At Rheumatology Solutions, our dedicated staff has expertise in treating numerous inflammatory conditions, including psoriatic arthritis. If you have psoriasis and you’re concerned about whether or not you’re developing psoriatic arthritis, we may be able to help you. Psoriatic arthritis is a chronic condition, and there is no cure, but...

The Role of Joint Injections in Managing Your Arthritis Apr 11th, 2021

Regardless of the form, it’s difficult to live with arthritis. You want to retain mobility and range of motion for as long as possible, but also limit the severity of your symptoms. Luckily, there are treatments and lifestyle changes you can make that help with both.  At Rheumatology Solutions, our...

COVID update March 2021 Mar 16th, 2021

COVID has spread worldwide and is the largest public health crisis of the century.  There are more than 100 million cases and more than 2.5 million deaths.  This occurred in spite of modern medicine.  However, much has been learned.  We now have vaccines, have treatments, and more advances are coming. ...

Recognizing the Symptoms of Sjӧgren's Syndrome Mar 15th, 2021

Sjӧgren’s syndrome is an autoimmune disorder affecting about four million Americans. Autoimmune disorders are often difficult to diagnose, and Sjӧgren’s syndrome can be difficult to recognize. However, there are symptoms that may prompt you to see a rheumatologist if you recognize them.  The experts at Rheumatology Solutions are aware of...

Janssen COVID-19 Vaccine Feb 28th, 2021

The Janssen (Johnson and Johnson) COVID-19 vaccine is administered as a single intramuscular injection.  It received FDA Emergency Use Authorization on 27 Feb 2021 for individuals age 18 and up.  It is a replication incompetent recombinant adenovirus type 26 vector expressing the SARS-CoV-2 Spike protein.  In other words, this is...

5 Benefits of Exercise When You Have Joint Inflammation Feb 15th, 2021

You already know that exercise is good for you. It helps you maintain a healthy weight, keeps your muscles toned, and improves cardiovascular health. But, when your joints are swollen and painful, exercise is probably the last thing you want to do.  At Rheumatology Solutions, our team of experts encourages...

Pseudogout Versus Gout: There Is a Difference Jan 17th, 2021

Arthritis is a term used to refer to more than 100 different conditions, and among them are gout and pseudogout. The fact that they are both arthritis is just one of many similarities between gout and pseudogout. However, there are good reasons to be aware of the differences, especially when...

Moderna COVID-19 Vaccine Dec 18th, 2020

The Moderna COVID-19 vaccine is administered as an intramuscular injection on day 0 and again 1 month later.  The full benefit from the vaccine occurs 2 weeks after the second injection. It provides a 95.6% reduction in risk of COVID-19 in people aged 18-64 and 86.4% reduction in patients aged...

The Best Treatment Options for Vasculitis Dec 13th, 2020

Your body’s immune system is its defense system. When you have an autoimmune disorder, your defenses turn against you. If you have vasculitis, your immune system attacks your blood vessels.  The experts at Rheumatology Solutions have expertise in treating several autoimmune disorders, including the various forms of vasculitis. Although scientists...

Pfizer-BioNTech COVID-19 Vaccine Dec 13th, 2020

The Pfizer-BioNTech COVID-19 vaccine is administered as an intramuscular injection on day 0 and again on day 21.  The full benefit from the vaccine occurs 2 weeks after the second injection.  It has FDA emergency use authorization for people ages 12 and up.  This vaccine is not a live virus...

The Importance of Getting Your Vaccinations Nov 3rd, 2020

Do you wonder if vaccines are dangerous? Have you read articles that raised concern about the safety of vaccines for people with chronic conditions? Has someone told you that the flu vaccine can cause you to get the flu?  At Rheumatology Solutions, our staff of experts would like to take...

Benefits of Vitamin and Nutritional Supplements Oct 1st, 2020

Studies show that the usage of dietary supplements is at an all-time high. Vitamin and nutritional supplements can support your body in many ways from basic health care to helping with a rheumatic condition.  At Rheumatology Solutions in San Antonio, Texas, you can look to our board-certified physicians and the...

Skin Care Tips for Systemic Sclerosis Sep 1st, 2020

Systemic sclerosis is better known as scleroderma, and it’s a chronic autoimmune condition that affects your tissues. When your body makes and collects too much collagen, the protein in your connective tissues, it sustains multiple types of damage, but skin symptoms are widespread in patients.  About 300,000 people suffer from...

The Best Treatment Options For Lupus Aug 13th, 2020

Finding out you have lupus can be worrisome and confusing. You probably have questions like “How did I get this?” or “What are my options?” While lupus is chronic and does not currently have a cure, it is treatable. Lupus is an autoimmune disease, meaning your immune system attacks healthy...

Naloxone treatment for Opioid Overdose Aug 5th, 2020

On 23 July 2020 the FDA announced that it is requiring new warnings for opioid pain medications.  It is now recommended that as a routine part of prescribing opioids, health care professionals should discuss the availability of naloxone with every prescription, including refills. Naloxone reverses the effects of opioids and...

How You Can Protect Your Joints From the Effects of Gout Jul 14th, 2020

If you're one of the eight million Americans with gout, you probably experience severe pain in one of your joints (most commonly, your big toe).  At Rheumatology Solutions in Northeast San Antonio, we frequently treat patients with gout. We can’t cure it for good, but we can keep it from...

Why Treating the Symptoms of Rheumatoid Arthritis Is So Important Jun 24th, 2020

Around 1.3 million Americans live with rheumatoid arthritis (RA), one of the most common autoimmune conditions in the United States. RA develops when your body's immune system becomes faulty and attacks the synovial membranes that line the insides of your joints and produce lubricating fluids. RA causes pain, stiffness, and...

COVID 19 Update 29 May 2020 Jun 2nd, 2020

            I am Dr Thomas Hoffmann.  This is an update to my thoughts on COVID from late March.  The basics of the virus have not changed. The pandemic is now world-wide. The differences in responses around the world in combination with growing knowledge of the...

How IV Infusion Therapy Can Help With Your Chronic Pain May 26th, 2020

Rheumatic disease includes more than 200 musculoskeletal and autoimmune conditions. Though each rheumatic disease has its own defining characteristics, they all share three hallmark symptoms: pain, inflammation, and stiffness. Rheumatic conditions are also progressive with symptoms that continue to worsen if you don’t get the best treatment. One of today’s most...

COVID 19 Mar 29th, 2020

COVID thoughts 29 March   Hi, I’m Dr. Thomas Hoffmann. I am a Rheumatologist and prior Special Forces medic. Here are my thoughts on COVID and interpreting the conflicting opinions in the media. As a Rheumatologist, I regularly provide care for people with immune problems. As a prior Special Forces...

Reducing Your Risk of Infection Mar 14th, 2020

In the midst of influenza season, and with the novel Coronavirus COVID-19 spreading in US communities, many of you have asked what measures you can take to minimize your risk.  This list incorporates those measures recommended by the CDC for your protection: If you are coughing/sneezing, limit risk to others...

Prescription Update: Hydrocodone Oct 5th, 2014

Prescription Update: Hydrocodone Effective October 6th, 2014 hydrocodone containing products were classified as schedule II medications. Schedule II medications are the most tightly controlled prescriptions available. There are many regulations in place to restrict access to these medications. The goal of these regulations are to prevent abuse, misuse, diversion, and...