Keith Colvine - Rheumatologist

Allevia Specialist Centre, 100 Mountain Road, Epsom, Auckland

Contact Details

Phone (09) 623 1170
Fax (09) 623 1172
Email admin@medspecs.co.nz

EDI: medspecg

Street Address

Mercy Specialist Centre
100 Mountain Road
Epsom
Auckland 1023

Description

Dr Keith Colvine is an experienced Rheumatologist and General Physician (Internal Medicine Specialist). Training as a specialist was in Auckland with a rheumatology fellowship in Bath, Great Britain. He has worked as a Hospital specialist starting 2007 and in private practice starting 2012. Previously he has been Honorary Clinical Senior Lecturer in the Department of Medicine, University of Auckland and was on the board of the NZ Rheumatology Association. Currently he  sits on the Rheumatology Advisory Committee for Pharmac and is the chair of the Medical Specialists Group. 

Dr Colvine has expertise in all components of rheumatological practice (inflammatory and non inflammatory).  He has particular sub-specialty expertise in Ankylosing spondylitis, Sjogren’s syndrome, Psoriatic arthritis, early inflammatory arthritis, use of biological therapy in rheumatic disease and Crystal arthropathies (including calcium pyrophosphate arthritis and gout). 

Dr Colvine is a Southern Cross Affiliated provider and NIB provider. He is not registered with ACC and does not undertake ACC consultations.  Rheumatology practice does not include the management of chronic fatigue or chronic non inflammatory pain. 

What is Rheumatology?
Rheumatology is the specialty of medicine that includes arthritis and autoimmune diseases. Arthritis means inflammation of a joint. A joint is where two or more bones meet and move in relation to each other. They are separated by a rubbery substance called cartilage which is smooth and slippery, allowing for easy movement. Cartilage covers the end of each bone. Tendons and ligaments attach bones to muscles and other bones. Cartilage, tendons and ligaments are enclosed within a membrane around the joint which releases a fluid into the joint space to keep it well lubricated. Autoimmune disease is where an abnormality in the immune system leads to the body’s defence harming its own cells by mistake. A rheumatologist is a doctor who has specialised in this area of medicine. 

Consultants

Referral Expectations

Your GP will refer you to Dr Colvine if they think you may have arthritis or an autoimmune disease and they require a specialist opinion regarding the diagnosis or treatment of the condition.
A history of your symptoms will be taken, as well as a review of any medications you are on (so please bring these with you). You will then be examined which may include a general examination or only examination of your joints, depending on what condition your specialist is looking for. You may have further testing to establish the diagnosis.
The specialist will discuss with you the possible diagnosis and what further tests or treatments are recommended. They will contact your GP about your diagnosis, results of tests and a treatment plan. You may have ongoing follow-up with the specialist or be discharged back to the care of your GP.
A standard new patient assessment is 60 minutes. Follow up appintments are 20-30mins. Telemedicine appointments are available if needed, but it is preferred that the first or new assessment is face to face.
Steroid injections can be used in the clinic and do have an additional cost

You may also be referred to a physiotherapist, orthotist, or occupational therapist.
A physiotherapist provides physical therapy to assist with any disability you have.
An orthotist provides practical aids/footwear to help in overcoming any disability.
An occupational therapist reviews what equipment/advice will assist in activities of daily living if you have a disability.

Tests that may be required during or after your visit to the clinic include the following:
Joint Aspiration
Local anaesthetic is injected into the skin to numb the area and then a needle similar in size to that used to take a blood test is inserted into the space of your joint to take a sample of fluid. This is then sent to the laboratory for testing to aid in the diagnosis of your arthritis.
Skin Biopsy
Some conditions involve a rash and to make the diagnosis a biopsy needs to be taken. Local anaesthetic is injected into the skin to numb the area then a small cutting of skin is removed to be sent to the laboratory and examined under the microscope. The area is treated with a gauze dressing afterwards and usually doesn’t involve having any stitches.
Radiology
X-rays are useful to examine joints and these may be requested of joints that give you pain and sometimes joints that have no symptoms to help with the diagnosis.
An X-ray is a high frequency, high energy wave form. It cannot be seen with the naked eye, but can be picked up on photographic film.
MRI (Magnetic Resonance Imaging) gives even more detailed pictures of joints and organs so may be requested.
An MRI machine does not work like an X-ray or CT; it is used for exact images of internal organs and body structures. This method delivers clear images without the exposure of radiation.
The procedure uses a combination of magnetic fields and radio waves which results in an image being made using the MRI’s computer.

Fees and Charges Categorisation

Fees apply

Fees and Charges Description

Keith is a Southern Cross Affiliated Provider and NIB First Choice Health Partner. Please contact the practice for more information.

Hours

Mon – Fri 8:00 AM – 5:00 PM

These are office opening hours. Please contact the practice.

Procedures / Treatments

Osteoarthritis (OA)
Rheumatoid arthritis (RA)
Fibromyalgia
Systemic lupus erythematosus (SLE)

Disability Assistance

Wheelchair access

Public Transport

The Auckland Transport Journey Planner will help you to plan your journey.

Parking

Parking is available at both locations


https://www.healthpoint.co.nz/private/rheumatology/keith-colvine-rheumatologist/