Dr. Yogesh Singh

Dr. Yogesh Singh
Rheumatologist, Bangalore

MBBS, MD, DM (SGPGI, Lucknow)

Dr Yogesh Singh works as a Consultant Rheumatologist and Immunologist at Manipal Hospital, Old Airport Road in Bangalore. He heads the department of rheumatology at Manipal hospital. More than 15 years of experience makes him, specialized in the field of autoimmunity and rheumatology.

He has done MD (Internal Medicine) from the prestigious Kasturba Medical College, Mangalore. Dr. Singh has done DM (Clinical Immunology) from Sanjay Gandhi Postgraduate Institute of Medical Sciences (SGPGI),Lucknow.

SGPGI is one of the premier medical institutes of India. SGPGI provides one of the best training program for rheumatology and immunology in the world. The faculty at department of Immunology, SGPGI is world-renowned and training under them provides an excellent opportunity for learning. Prof. R.N.Misra, Prof. Amita Aggarwal, the faculty at SGPGI are known worldwide for original research work in immunology and rheumatology. SGPGI caters to a population, which is larger than Europe. Training at SGPGI provides exposure to a wide variety of rheumatic conditions and provides a very invaluable experience in diagnosis and treatment of rheumatic diseases. Dr. Singh spent nearly 6 years at SGPGI. Training at SGPGI is unique. At SGPGI, in addition to rheumatology the students are taught basic immunology and lab immunology. Learning basic immunology is important in understanding disease process, understanding treatment interventions. Training in lab immunology provides a unique perspective with regards to understanding lab tests, interpreting lab tests and the fallacies associated with each lab test.

He has received numerous internal scholarships and has numerous international publications to his name. He is the recipient of the prestigious (APLAR) Asia Pacific League of Association for Rheumatology Fellowship for the year 2012. As a part of the APLAR fellowship Dr.Singh worked as a research fellow under Prof.Bhaskar Dasgupta at Southend University Hospital, Southend-on-sea, UK. Prof.Dasgupta is a world authority on large vessel vasculitis and Polymyalgia Rheumatica. Dr.Singh has also spent time as a visiting research fellow under Dr.David Jayne at Lupus and Vasculitis Clinic, Addenbrooke's hospital, Cambridge, UK. Dr.David Jayne is world authority in the field of Lupus and Vasculitis.

Dr.Singh was previously appointed as a Consultant Rheumatologist at Columbia Asia Hospitals, Bangalore.

His areas of interest are connective diseases like SLE (Lupus), Scleroderma (Systemic sclerosis), Myositis and systemic vasculitis.

He is associated with Indian Rheumatology Association and Clinical Immunology Society of India as a member.

Dr.Singh is a compassionate human being. Dr.Singh believes in patient empowerment; practicing ethical and evidence based medicine.

  • Languages :Punjabi, Kannada, Hindi, English

Experience

Senior resident (Honorary), Dept. of rheumatology, M.S.Ramaiah Medical College and Hospital, Bangalore 2003 -  2003

Senior resident, ChanRe Rheumatology and Immunology Centre and Research, Bangalore 2004 -  2004

Senior resident, Dept. of Rheumatology, Manipal Hospital, Bangalore 2004 -  2004

Senior resident, Clinical Immunology, Sanjay Gandhi Postgraduate Institute of Medical Sciences , Lucknow 2005 -  2010

Consultant rheumatologist, Columbia Asia Hospital - Hebbal, Bangalore 2010 -  2012

Consultant rheumatologist, Columbia Asia Referral Hospital - Yeshwantpur, Bangalore 2010 -  2012

Visiting research fellow, Dept of Rheumatology, Southend University Hospital, Southend -on - sea, UK 2012 -  2013

Visiting research fellow,Lupus and Vasculitis Clinic, Addenbrooke's Hospital, Cambridge, UK 2013 -  2013

Consultant Rheumatologist, Manipal Hospital, Bangalore 2013 -  Present

Consultant Rheumatologist, Manipal Hospital - Malleshwaram, Bangalore 2013 -  Present

Specialities

  • Rheumatology

Procedures

  • Arthrocentesis

  • Biological Response Modifier Therapy

  • Biological Therapies

  • Bursa Injections

  • Injection of Tendon

Conditions

  • Ankylosing Spondylitis

  • Antiphospholipid Syndrome (APS)

  • Arthropathy Associated With Reiters Disease

  • Arthropathy Associated With Viral Disease

  • Arthropathy in Behcet's Syndrome

Expertise

  • Areas of special interest and expertise - Early arthritis, SLE /Lupus, Vasculitis, Connective tissue diseases

Education

MD, 2003, Kasturba Medical College, Bangalore, India

DM, 2010, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India

APLAR fellowship, 2013, Southend University Hospital , Southend-on-sea, United Kingdom

Practice Information

Manipal Hospital, HAL Airport Road

Manipal Hospital, HAL Airport Road

98, HAL Airport Road, Bangalore, Karnataka - 560017

MON & WED & FRI - SAT

09:00 AM - 04:00 PM

TUE & THU

09:00 AM - 02:00 PM

Manipal Northside Hospital, Bangalore

Manipal Northside Hospital, Bangalore

Opp. Malleshwaram Railway Station, 71, 11th Main, Malleshwaram, Bangalore, Karnataka - 560003

TUE & THU

05:00 PM - 07:00 PM

Lotus Diagnostic Centre, Bangalore

Lotus Diagnostic Centre, Bangalore

No. 493, CMH Road, Near ICICI Bank ATM , Indiranagar, Bangalore, Karnataka - 560038

WED

05:30 PM - 07:00 PM

Medha Speciality Centre, Bangalore

Medha Speciality Centre, Bangalore

# 156, 2nd "A" Cross, Domlur 2nd Stage, Domlur, Bangalore, Karnataka - 560071

TUE & THU

09:00 AM - 11:00 AM

FRI - SAT

05:30 PM - 07:30 PM

Patient Experience

Your participation in the survey will help other patients make informed decisions. You will also be helping Dr. Yogesh Singh and his staff know how they are doing and how they can improve their services.

Achievements & Contributions

  • Japanese College of Rheumatology Scholarship 2009
  • Asia Pacific League For Rheumatology Scholarship (APLAR) - 2010
  • Primary Immunodeficiency Diseases Consortium Scholarship 2009
  • Asia Pacific League for Rheumatology (APLAR)  fellowship 2012
  • Life Member, Indian Rheumatology Association

Blog

Back pain is very common and most of us during our lifetimes would have suffered from back pain atleast once. The common causes for back pain include sprain / spasm of the muscles/tendons/ligaments surrounding the spine; disc disease (slipped disc in common language). But back pain can be due to arthritis of the joints in about 5% of people with back pain -Inflammatory back pain.  It is important to differentiate inflammatory back pain from common back pain. The treatment and long term outcome of conditions associated with inflammatory back pain is different from conditions causing common back pain. Unrecognized/untreated inflammatory back pain over a period of time causes progressive back pain and restriction of back movements. The changes may become irreversible over a period of time. Therefore it is important these conditions are recognized early and treated.These conditions usually affect individuals below the age of 45 years.

The broad range of conditions associated with IBP is called Sero-negative spondyloarthritis. Ankylosing spondylitis, Reactive arthritis, Psoriatic arthritis, Inflammatory bowel associated arthritis, undifferentiated spondyloarthritis are included under the umbrella term – Sero-negative spondyloarthritis.

What are the features of inflammatory back pain?

- Age at onset < 45 years
- Good response to anti-inflammatory medications/pain killers
- Does not improve with rest; May even become worse at rest
- Morning stiffness for >30 minutes after rising / whole back may feel stiff with difficulty in back movements for at least 30  mins
- Better with movement / activity

How do we recognise seronegative spondyloarthritis / inflammatory back pain (IBP)?

- Did your back pain start when you were aged 40 or under?
- Did your back pain develop gradually?
- Does your back pain improve with exercise?
- Do you find there is no improvement in your back pain when you rest?
- Do you suffer from back pain at night which improves upon getting up?

if at least four out of five parameters are present, possibility of inflammatory back pain is high. In this case, please consult your doctor / rheumatologist.

What is inflammatory back pain?
It is a condition, and is due to inflammation of the vertebrae (back bone), joints of the spine and entheses (the sites of tendon and ligament attachment to bone).

The word arthritis actually means joint inflammation, but the term has acquired a wider meaning and is currently used for any condition or disease causing joint pain. There are more than 100 types of diseases which can cause arthritis.

1. What is arthritis?
The word arthritis actually means joint inflammation, but the term has acquired a wider meaning and is currently used for any condition or disease causing joint pain. There are more than 100 types of disease which can cause arthritis.

2. What are the most common types of arthritis?
Broadly arthritis can classified into one of the three categories
– inflammatory arthritis
- degenerative arthritis
- crystal arthritis


Each joint has 3 components
(a) Bones forming the joints
(b) a covering called synovium which produces fluid called synovial fluid for joint lubrication
(c) cartilage is present in between the bones. It acts like a shock absorbers and prevents the bones from rubbing against each other.

In Inflammatory arthritis there is activation of the synovium causing increased production of synovial fluid causing joint swelling and pain. Rheumatoid arthritis and sero negative spondyloarthritis are the most common types of inflammatory arthritis.
In degenerative arthritis there is wear and tear of the cartilage causing the bones to rub against each other and cause pain . Osteoarthritis is an eg for degenerative joint disease.
Gout is an eg for crystal arthritis. In gout uric acid crystals get deposited in the joint. Uric acid crystals cause intense inflammation in the joints causing pain and swelling.


Can arthritis cause numbness?
Arthritis cannot cause numbness. Numbness is a symptom of nerve disease or neurological diseases.

What are the warning signs or symptoms of arthritis?
The symptoms of arthritis are - pain, swelling , stiffness in and around the joint.
The joint involvement or pattern may vary according to the type of arthirits. For eg; in osteoarthritis knee is the most common joint affected. Due to which it may cause difficulty climbing or coming down the stairs, squatting or getting up. Rheumatoid arthritis commonly affects the hand joints - wrist and the fingers. Due to which It may difficulty in activities like gripping activities, opening jars, opening water taps.

Why do joint make popping or cracking noise?

One of the most common questions in rheumatology clinic is that my joints make popping or cracking noises, should I be worried? Generally, there is no reason for concern if it is not associated with pain or swelling. Popping and cracking sounds are normally due to joint structures rubbing against each other whenever we move a joint. But If you have cracking or popping that is associated with pain or swelling, then you may need to see a doctor as it can be a sign of arthritis, meniscal tear or cartilage injury.


Can I prevent arthritis?
It depends on the type of arthritis.
- Maintaining an appropriate body weight and protecting your joints from injuries or overuse can reduce the risk of osteoarthritis

How is arthritis diagnosed?
Diagnosis of arthritis requires a detailed medical history, physical examination, x-rays, and blood work.

What are the medical treatments of arthritis?
Medical treatment depends on the type of arthritis. Medical treatment is important for inflammatory arthritis and crystal arthritis.

Is exercise recommended for people who have arthritis?
Recent studies have shown that moderate physical exercise, 5 or more days a week can help to reduce the pain and stiffness associated with arthritis.

An activity that produces a slight increase in heart rate or breathing is considered moderate physical activity. Activities like walking, swimming or cycling done at a performed moderate pace works best for people with arthritis.

How does body weight influence arthritis?
Weight control is essential; Weight reduction reduces the load on the joint resulting in reduced pain. In people with osteoarthritis losing just 5% of body weight can significantly reduce pain.

What are the non-medical treatments of arthritis?
Physical therapy
Occupational therapy
Use of Splints or assistive aids like walker or crutches
Patient education and support groups
Weight loss

Can children have arthritis?

It is popular misconception that arthritis is a disease of old age. Arthritis can affect at any age. Even children can have arthritis. The most common type of arthritis in children is called juvenile idiopathic arthritis.

Who is a Rheumatologist?
A Rheumatologist is a specialist physician who has expertise in diagnosing and treating diseases of the joints, muscles and bones.

What do Rheumatologists treat?
• Different types of arthritis including
- Rheumatoid arthritis
- Seronegative spondyloarthritis like Ankylosing spondylitis, Psoriatic arthritis
- Gout
- Calcium pyrophosphate deposition arthritis (CPPD)
- Osteoarthritis
• Tendonitis
• Osteoporosis
• Myositis
• Systemic lupus erythematosus
• Scleroderma
• Vasculitis
• Fibromyalgia

What kind of training do Rheumatologists have?
After completing M.B.B.S and three years of training in either internal medicine or pediatrics (M.D), rheumatologists devote an additional two to three years in specialized rheumatology training.

Excellent article regarding what ophthalmologist want from the rheumatologist. Seven pearls from the article.

Emphasizes the need for improved communication and collaboration between medical specialities.


1. Don’t Ignore Ocular Symptoms

2. When You Get a Referral from Ophthalmologists, Encourage Them to Be as Specific as Possible

3. Be Careful with Those Steroids

4. Enlist an Ophthalmologist’s Help for the Treatment of Dry Eye Disease

5.Don’t Back Off of Therapy Too Quickly

6. Hold Simultaneous Clinics with Your Ophthalmic Colleagues When Ever Possible

7. Expect Certain Treatments to Be Part of the Ophthalmologists’ Armamentarium in the Future


link for the article:

http://www.the-rheumatologist.org/article/7-things-ophthalmologists-want-rheumatologists-to-know/

Colchicine has been used treatment of acute gout, prevention / prophylaxis of gout attacks. It is also used in FMF (Familial Mediterranean Fever), Behcet’s disease, Pseudogout (CPPD). It is a safe drug. It can be associated with serious and life threatening adverse effects in patients with renal failure. The dose needs to be appropriately modified to prevent / minimize the risk of adverse effects. The GOSPEL – 2 studies highlights the importance of  increased awareness among treating physicians about the need for dose modification in patients with renal failure.
 
GOSPEL 2 - Colchicine for the treatment of gout flares in France - a GOSPEL survey subgroup analysis. Doses used in common practices regardless of renal impairment and age.
http://www.ncbi.nlm.nih.gov/pubmed/26919801?utm_content=buffer93c29&utm_medium=social&utm_source=linkedin.com&utm_campaign=buffer

Arthritis and smoking: Rheumatoid arthritis
Tobacco exposure increases the risk of rheumatoid arthritis. In setting of genetic risk ( SE - shared epitope) the risk multiplies. Smoking also decreases the effectiveness of drugs used to treat rheumatoid arthritis.

Smoking - risk factor for developing rheumatoid arthritis that is completely preventable

Bottom line — Stop smoking