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Counties Manukau Health Rheumatology

Public Service


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.
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.

Rheumatology Services Provided by Counties Manukau Health
Counties Manukau District Health Board Rheumatology Services are located at Middlemore Hospital, Manukau SuperClinic™, Botany SuperClinic™ and Pukekohe Hospital.


Note: Please note below that some people are not available at all locations.

  • Dr Estee Chan


    Available at Botany SuperClinic™, Manukau SuperClinic™

  • Dr Estine Chow


    Available at Botany SuperClinic™, Manukau SuperClinic™, Middlemore Hospital

  • Associate Professor Peter Gow


    Available at all locations.

  • Dr Rajiv Gupta


    Available at Manukau SuperClinic™, Middlemore Hospital

  • Dr Sunil Kumar

    Rheumatologist, Clinical Head

    Available at Manukau SuperClinic™, Middlemore Hospital

  • Dr Terry Macedo


    Available at Botany SuperClinic™, Manukau SuperClinic™, Middlemore Hospital

  • Dr Mark Sapsford


    Available at Botany SuperClinic™, Manukau SuperClinic™, Middlemore Hospital

  • Dr Ravi Suppiah


    Available at Manukau SuperClinic™

Referral Expectations

Inpatient Care Middlemore Hospital (Ward 7)

Inpatient care is provided for patients with acute (severe) illness associated with rheumatic disorders and also for some patients undergoing rehabilitation. Ward care is provided by a rheumatologist or registrar (a doctor training to become a specialist who is under supervision) and rheumatology nurses.

Outpatient Clinics

Outpatient clinics are held at:

Common Conditions

  • Osteoarthritis (OA)

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

  • Rheumatoid Arthritis (RA)

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

  • Fibromyalgia

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

  • Systemic Lupus Erythematosus (SLE)

    This 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 is a disease for which there is no cure.… More

  • Giant Cell Arteritis/Temporal Arteritis

    Giant cell arteritis (GCA) also known as temporal arteritis, is an inflammatory condition of the blood vessels and can present with headache, jaw claudication, scalp tenderness or other more vague symptoms.… More PDF

  • Gout

    Gout is one of the most common forms of arthritis (joint inflammation).… More PDF

  • Medicine Information Sheets

    Please click on the following links for information sheets on:
    Alendronate (Fosamax)… More PDF

  • Spinal Disorders (subacute backpain)


  • Regional Musculoskeletal Syndrome (soft tissue rheumatism)


  • Joint Injections



There are no charges for services to public patients if you are lawfully in New Zealand and meet one of the Eligibility Directions specified criteria set by the Ministry of Health.  If you do not meet the criteria, you will be required to pay for the full costs of any medical treatment you receive during your stay.

To check whether you meet the specified eligibility criteria, visit the Ministry of Health website.

For any applicable charges, please phone the Accounts Receivable Office on (09) 276 0060.

Document Downloads

Visiting Hours

Visiting times are between 2pm and 8pm.  Visitors are restricted to two at a time.
Children are welcome, but must be supervised by an adult.


Useful links to Rheumatology information

The New Zealand Rheumatology Association (NZRA)
The NZRA is the organisation that represents the rheumatologists of New Zealand. The site has a rheumatologist directory, patient information and general information. 

Health Navigator
Health Navigator has extensive information about Gout, Rheumatoid Arthritis, Osteoarthritis and other health conditions.

Treatment of Gout - Hit the Target
An article about Gout - What is Gout? How to treat? Indications for Uric acid lowering therapy, lifestyle interventions, prevalence and impact of gout and more.

Contact Details

Botany SuperClinic™

East Auckland

More details…

Manukau SuperClinic™

South Auckland

More details…

Middlemore Hospital

South Auckland

More details…

Pukekohe Hospital

South Auckland

More details…

This page was last updated at 12:08PM on August 11, 2020. This information is reviewed and edited by Counties Manukau Health Rheumatology.