Rheumatology covers a broad range of diseases that involve inflammation or degeneration of connective tissues, particularly joints, muscles, bones, and ligaments. Many of these diseases are considered autoimmune in nature, which is when the body’s immune system turns on itself and mistakenly attacks itself, leading to inflammation and damage.
Some of the more well known rheumatic diseases are rheumatoid arthritis, lupus, scleroderma, osteoarthritis, vasculitis, and gout, although there are many more. Rheumatic conditions often lead to pain, stiffness, and swelling and can severely impact quality of life. Because these diseases affect more than one organ, treatment often involves comprehensive multidisciplinary collaboration to address the complex and chronic nature of these diseases.
One of the most common rheumatic diseases is osteoarthritis which can occur in any place where there is a bone, for example, the spine. When it comes to spinal osteoarthritis chronic pain, diagnostic agreement between a first and second opinion varied from 53% to 96%, and agreement on the need for surgery ranged from 0% to 83%. These wide variations show that a second opinion can have value1.