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Dr Ravi Suppiah - Auckland Rheumatology & Sports Medicine

Private Service

Description

Auckland Rheumatology and Sports Medicine is the private practice of Dr Ravi Suppiah.  Dr Suppiah is a rheumatologist with experience in all areas of rheumatology.  His clinical interests include all musculoskeletal problems, sports medicine, inflammatory and degenerative arthritis and complex autoimmune disease including SLE and systemic vasculitis.  

He has post graduate qualifications in sports medicine (PGDipSportsMed) and a doctorate (MD) in systemic vasculitis. By combining experience in the diagnosis and management of inflammatory and soft tissue problems he is able provide a holistic approach to your overall musculoskeletal needs.  He is also uniquely skilled to discriminate injury from inflammatory disease.  Dr Suppiah routinely uses ultrasound to help in diagnosis, for the assessment of disease activity and for guided joint and tendon injections.

Services that we provide:

  • Assessment, investigation, diagnosis and treatment for rheumatological, musculoskeletal and sports medicine related problems and disorders.


Other services:

  • Joint aspiration and corticosteroid injection
  • Viscosupplementation (Hyaluronic acid - HA) for osteoarthritis
  • Platelet rich plasma (PRP) for osteoarthritis and tendonopathies
  • Diagnostic musculoskeletal ultrasound
  • Ultrasound guided injections (cortisone, PRP and HA injections are done under ultrasound guidance)
  • Nerve and regional blocks (examples include occipital nerve blocks for neck pain and headaches, suprascapular nerve blocks for severe shoulder arthritis and genicular nerve blocks for pain relief of knee OA)
  • Infusions of biological medications (e.g. rituximab, infliximab, tocilizumab) for rheumatic indications
  • Infusions of cyclophosphamide for vasculitis, lupus and other rheumatic indications

Consultants

Referral Expectations

Your GP will refer you to Dr Suppiah 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. 

When arriving at the Northern Clinic, the Rheumatology Clinic is located on the first floor of the building. Please follow the clearly marked signs.

If you are being seen in Greenlane, there is plenty of off street parking onsite and street parking if needed.  We lease rooms from the Auckland ENT Group in their premises (so don't get confused by the signage).  This is an old villa that has been customised into new consulting and in-office operating rooms.

 

At your appointment 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, including an ultrasound of joints during your consultation.

Dr Suppiah will discuss with you the possible diagnosis and what further tests or treatments are recommended. He will contact your GP about your diagnosis, results of tests and a treatment plan. You may have ongoing follow-up with Dr Suppiah or be transferred back to the care of your GP.

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
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.  Frequently the joint will be injected with cortisone through the same needle to treat the joint inflammation.

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.

Common Conditions

  • Rheumatoid Arthritis (RA)

    RA is an autoimmune disease where the body’s immune system attacks the lining of the joints.… More

  • Ankylosing Spondylitis (AS)

    Ankylosing spondylitis (AS) is a form of inflammatory arthritis that predominantly affects the axial skeleton (spine and sacroiliac joints).  Untreated, this condition can lead to progressive loss of movement in the back and fusion of the spine.… More

  • Psoriatic Arthritis (PsA)

    Psoriatic arthritis is a form of inflammatory arthritis associated with the skin condition psoriasis.… More

  • Gout

    Gout is an inflammatory arthritis caused by the deposition of urate crystals in joints.… More

  • Systemic Lupus Erythematosus (SLE)

    SLE is an autoimmune disease where the immune system harms cells of the body.  It can affect the joints, skin, nervous system, kidneys and heart.  It can be managed and usually controlled with medication.… More

  • Polymyalgia Rheumatica (PMR)

    This is a condition that usually only affects people over the age of 50, and causes pain and stiffness in the shoulder and hip girdle.… More

  • Giant Cell Arteritis (GCA)

    Giant cell arteritis is the most common form of vasculitis (inflammation of blood vessels).… More

  • Osteoarthritis (OA)

    Otherwise known as degenerative arthritis. OA occurs when there is a breakdown of the cartilage, leaving the bones unprotected.… More

  • Fibromyalgia

    Fibromyalgia is a syndrome of widespread aches, pains and fatigue.… More

Charges

New patient consultation: $480 incl GST
Follow up consultation: $240 incl GST

Repeat prescriptions for medications relevant to rheumatological conditions are $32.

Joint aspirations, joint and soft tissue injections, nerve blocks, ultrasound for diagnostic purposes, ultrasound guided injections etc. are all charged extra in addition to consultation charge.

Email correspondence, letters for immigration medicals, etc. will be charged according to time spent pro rata to consultation charges.

Auckland Rheumatology and Sports Medicine Ltd is an Affiliated Provider to Southern Cross Healthcare for most services. 

We have a clinical services contract with ACC.  This means that there is no charge for a consultation when referred from a health practitioner and there is a valid ACC claim for an injury.

Parking

Glenfield - There is free patient parking in front of the building.  The site has recently been upgraded and signficant amounts of new parking have been added.

Greenlane - There is free parking in front of and behind the rooms, and free street parking nearby.

Contact Details

Northern Clinic - Southern Cross North Harbour Campus

North Auckland

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242 Great South Road, Greenlane, Auckland

Central Auckland

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This page was last updated at 10:11AM on July 6, 2019. This information is reviewed and edited by Dr Ravi Suppiah - Auckland Rheumatology & Sports Medicine.