A single hot, swollen, extremely painful joint with fever is septic arthritis until proven otherwise — that is an emergency today, not a rheumatology appointment next month.
Inflammatory arthritis, lupus, vasculitis and metabolic bone disease, diagnosed properly and treated with the modern drug ladder — biologics included, at honest prices.
Inflammatory back pain and rheumatoid arthritis respond dramatically when treated early, and poorly when treated late. The gap between a diagnosis at month two and month two years can be the difference between a normal joint and a replaced one.
Free. No obligation. A written opinion within 48 hours.
Inflammatory arthritis and lupus cause their permanent damage in the first one to two years. Patients treated properly inside that window routinely keep normal joints; patients treated with painkillers alone often do not.
Anti-inflammatories mask symptoms while the disease erodes joints. DMARD therapy changes the disease course itself.
Many healthy people carry autoantibodies. Diagnosis needs the pattern — joints, skin, organs — matched to the laboratory.
TB and hepatitis testing before biologics is mandatory practice, not bureaucracy. Any unit skipping it is cutting corners.
The conditions we are asked about most.
Early DMARD strategy and monitoring
Inflammatory back pain, imaging-led diagnosis, biologic escalation
Organ-threatening disease assessed and treated by specialists
Tophi, flares and urate-lowering done properly
Skin and joints treated together
From skin-limited to organ-threatening disease
Fracture-risk assessment and treatment
Detailed condition pages are being added continuously. In the meantime send your reports and you will get the same written opinion within 48 hours, from the same clinical team that reviews every case.
Rheumatology is diagnosis plus a drug ladder: conventional DMARDs first, biologics and JAK inhibitors when they are genuinely needed. Joint injections and imaging complete the toolkit.
Positive antibodies without compatible disease are not a diagnosis. Units that treat lab reports instead of patients over-treat.
Hepatitis, TB and vaccination status checked before any biologic — always.
Biosimilars made in India are legitimate and widely used; a plan that ignores cost is a plan patients abandon.
Immune-suppressing treatment raises infection risk — that is why screening and monitoring exist. Long-term steroids cause bone thinning, weight gain, diabetes and cataracts; the goal is always the lowest effective dose. Pregnancy planning changes every drug choice, so tell your specialist early.
Septic arthritis needs drainage today.
Fever on a biologic needs assessment before travel.
Escalate immunosuppression only after it is treated.
A patient with years of untreated inflammatory arthritis.
Yes — approved through the same regulatory pathway as elsewhere and used across India for years. They are typically far cheaper, which is why a treatment plan that lasts must consider them.
Steroids suppress inflammation brilliantly and damage everything else over time. Modern practice uses them as a bridge, not a destination.
Many patients achieve low disease activity or remission with early, correctly escalated treatment. That is precisely why diagnosis timing matters so much.
No. Start and stabilise here, then continue with your local doctor under a written monitoring plan. We stay available remotely.
Send whatever you already have — reports, scans, photographs. You will get a written opinion with costs within 48 hours.
Your reports go directly to our medical team. We do not share your records with hospitals until you tell us to.
WhatsApp +91 83035 86344 · Phone +91 83035 86344 · Email tibhind@gmail.com
Coordinators available 9:00–20:00 IST. We speak Arabic, English, Russian and Bengali.