Control your joint pains with Dr. Harindu Wijesinghe

Dr. Harindu Wijesinghe (MBMS, MD, MRCP) is a Consultant in Rheumatology, Rehabilitation and Sports Medicine. He returned from Australia after a fellowship at Concord Hospital in Sydney, and the New South Wales Institute of Sports Medicine. His expertise is in management of Arthritis, neck pain, back pain, sports injuries and other soft tissue injuries.

In an interview with the Sunday Island, Consultant Rheumatologist and specialist in sports medicine attached to the Nawaloka Hospital, Dr. Harindu Wijesinghe spoke on multiple causes of pain and management strategies. Early diagnosis key to battling painful disease

What motivated you to become specialised in rheumatalogy?

As a rheumatologist, my motivation to specialize in rheumatology stemmed from a deep interest in the complexities of autoimmune diseases and musculoskeletal conditions. Also, my interest in sports and sports injuries.

I was driven by the challenge of diagnosing and treating these conditions to improve the quality of life for my patients.

Why did you choose to specialise in pain and rheumatalogy?

I choose to focus on pain management in rheumatological condition’s because I believe that managing pain is a crucial aspect of treating rheumatic conditions. By focusing on both pain management and rheumatology, I aim to provide comprehensive care that improves the physical and emotional wellbeing of my patients. If you’re treated early and respond to the drugs ,you stand a good chance of getting back to where you were.

What do you think are some of the most important issues in rheumatalogy?

Some of the most important issues in rheumatology include early diagnosis and treatment of rheumatic diseases, managing chronic pain effectively, and staying updated on the latest research and treatment options in the field.

What are some of the non medicinal methods you use to reassure patients who are experiencing discomfort?

Non-medicinal methods are as important as drugs and we use them extensively. We reassure patients and provide education about their condition, offering lifestyle modifications such as weight loss , muscle strengthening plans , exercise and stress management techniques.

How do you define success as a rheumatologist

I define success as a rheumatologist by the improvement in the quality of life of my patients. Success is achieved when patients experience reduced pain, increased mobility, and better overall health outcomes under my care.

What do you think due some of the most common rheumatic issues and why?

Some of the most common rheumatic issues include osteoarthritis, rheumatoid arthritis, lupus, gout, and fibromyalgia. These conditions can arise due to a combination of genetic, environmental, and lifestyle factors. Also soft tissue injuries and sports injuries like tennis elbows , shoulder rotator cuff , knee injuries , heel and Achilles problems are also common .

What is your primary approaches to pain management for patients with chronic conditions?

My primary approach to pain management for patients with chronic conditions involves a multidisciplinary approach. Most important is properly diagnosing the condition and how it affects the patient’s daily activities. After this treatment includes a combination of medications, physical therapy, occupational therapy, counseling, and lifestyle modifications to help patients manage their pain effectively.

What advice do you give patients with autoimmune disorders who are considering pregnancy?

For patients with autoimmune disorders considering pregnancy, my advice would be to consult with their rheumatologist and obstetrician to develop a comprehensive treatment plan. It is important to ensure that the autoimmune condition is well-managed before and during pregnancy to minimize risks to both the mother and the baby. Regular monitoring and communication with healthcare providers are key to a successful pregnancy for patients with autoimmune disorders.