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Tulsi Multi Speciality Clinic
Rheumatology at Tulsi Multi Speciality Clinic, Lalitpur
Rheumatology

Rheumatologist in Lalitpur, Kathmandu Valley — Arthritis (Bath Rog), Gout and Autoimmune Care

Rheumatology care at Tulsi Multi Speciality Clinic, Lalitpur (Kathmandu Valley), Nepal, is provided by consultant rheumatologist Dr. Krishna Adhikari (NMC No. 13049): diagnosis and long-term management of arthritis and Bath Rog (बाथ रोग), joint pain (jorni dukhai), gout and high uric acid, rheumatoid arthritis, lupus and other autoimmune rheumatic diseases.

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At a Glance

Rheumatologist in Lalitpur, Kathmandu Valley: Dr. Krishna Adhikari treats arthritis (bath rog), gout and high uric acid, rheumatoid arthritis and lupus.

What is a rheumatologist? (रुमाटोलोजिस्ट)

A rheumatologist is a doctor who diagnoses and treats diseases of the joints, muscles and bones, and systemic autoimmune diseases such as lupus, without surgery. Rheumatologists first train in internal medicine (or paediatrics) and then train further in rheumatology. These diseases cause pain, swelling and stiffness, and some also affect the skin, eyes and internal organs. Treatment is mainly medicine, joint injections, physiotherapy referral and regular follow-up. At Tulsi Multi Speciality Clinic in Lalitpur, Kathmandu Valley, the rheumatologist is Dr. Krishna Adhikari (NMC No. 13049).

What is rheumatology?

Rheumatology is the branch of medicine that investigates, diagnoses and manages rheumatic and musculoskeletal diseases: conditions of the joints, muscles, bones, tendons and ligaments. They are usually caused by a problem in the immune system, inflammation, infection, or joints, muscles and bones slowly deteriorating. In everyday words, rheumatology means the care of joint, muscle and bone diseases, many of them long-term, and of some autoimmune diseases, such as lupus and rheumatoid arthritis.

Rheumatologist meaning in Nepali

रुमाटोलोजिस्ट भनेको जोर्नी, मांसपेशी र हड्डीका रोग तथा लुपसजस्ता अटोइम्युन रोगहरूको निदान गरी शल्यक्रिया (अप्रेसन) नगरी उपचार गर्ने विशेषज्ञ डाक्टर हो। यी रोगहरूको उपचार गर्ने चिकित्सा विज्ञानको शाखालाई रुमाटोलोजी भनिन्छ।

What diseases does a rheumatologist treat?

There are more than 100 types of arthritis and musculoskeletal conditions. Those Dr. Krishna Adhikari sees at the clinic include:

  • Rheumatoid arthritis (रुमाटोइड आर्थराइटिस)
  • Gout and high uric acid (गाउट)
  • Osteoarthritis (ओस्टियोआर्थराइटिस), which is common and becomes more common with age: see the main types of arthritis
  • Lupus (SLE) (लुपस): see also lupus and pregnancy
  • Ankylosing spondylitis (एन्काइलोजिङ स्पोन्डिलाइटिस): back pain and stiffness that usually starts before age 45
  • Psoriatic arthritis (सोरियाटिक आर्थराइटिस)
  • Fibromyalgia (फाइब्रोमायल्जिया)
  • Vasculitis (भास्कुलाइटिस)
  • Sjögren's syndrome and other connective tissue diseases

Why would you be referred to a rheumatologist?

A doctor may refer you when joint symptoms suggest a rheumatic disease, but you can also book directly. The questions below list the signs to look for, and when to see an orthopedic doctor instead.

What is a rheumatology test?

Rheumatology tests are the blood tests and scans a rheumatologist uses to find the cause of joint, muscle and autoimmune symptoms. Common blood tests are ESR, CRP, rheumatoid factor (RF), anti-CCP, ANA and uric acid; sometimes an X-ray or ultrasound is added. Which tests you need depends on your symptoms.

Approved by Dr. Krishna Adhikari, Consultant Rheumatologist (NMC No. 13049), on 28 September 2026.

What to Expect

Your visit at Tulsi Multi Speciality Clinic begins with a thorough consultation. Our rheumatologist will carefully review your medical history, listen to your symptoms, and perform a detailed clinical examination of your joints, muscles, range of motion, and overall musculoskeletal health. Depending on your condition, diagnostic tests such as blood work (uric acid, RA factor, anti-CCP, ANA, CRP, ESR), imaging (X-ray, ultrasound, MRI), or specialized autoimmune panels may be recommended to confirm diagnosis. After assessment, you will receive a clear, personalized treatment plan that may include medication management, lifestyle and dietary guidance, joint injections, physiotherapy referrals, and structured follow-up monitoring to track your progress.

Benefits

- Early diagnosis of rheumatoid arthritis, osteoarthritis, gout, lupus, and other Bath Rog conditions - Evidence-based treatment aimed at long-term control of joint pain and better mobility - Early treatment to lower the risk of permanent joint damage and deformity - Treatment for inflammation, swelling and morning stiffness - Monitoring and treatment of flare-ups of autoimmune and inflammatory conditions - Personalized dietary guidance for gout and high uric acid management - Regular follow-up of your symptoms and physical function - Lifestyle support to stay active, independent, and productive - Coordinated multi-specialty care when joint conditions overlap with skin, kidney, or internal medicine issues - Care from an NMC-registered rheumatologist (NMC No. 13049) in Lalitpur, Kathmandu Valley

How to Prepare

- Bring previous medical records, lab reports (blood tests, uric acid, RA factor, ANA, CRP, ESR), X-rays, MRI scans, or any imaging from past consultations - Make a list of all current medications, supplements, and any allergies - Write down your symptoms — when they started, which joints are affected, time of day they're worst, and what makes them better or worse - Note any family history of arthritis, gout, lupus, psoriasis, or autoimmune disease - For suspected gout: try to recall recent diet changes (red meat, alcohol, seafood) and previous uric acid levels - Wear loose, comfortable clothing that allows easy examination of affected joints (knees, ankles, wrists, fingers) - Arrive 10 minutes early to complete new-patient registration - Inform us in advance if you are pregnant, breastfeeding, or have kidney, liver, or heart conditions - Bring a family member or friend if mobility is difficult or if you'd like support during the consultation

Frequently Asked Questions

Bath Rog (बाथ रोग) is the common Nepali term for rheumatic diseases — a group of conditions that cause pain, swelling, and stiffness in the joints, muscles, and bones. It includes rheumatoid arthritis, gout, lupus, osteoarthritis, and other autoimmune and inflammatory disorders. Treatment depends on the exact diagnosis but typically involves medication to reduce inflammation and pain, disease-modifying drugs to slow progression, lifestyle and dietary changes, and long-term follow-up. At Tulsi Multi Speciality Clinic, our NMC-registered rheumatologist in Lalitpur, Kathmandu Valley finds the cause and plans Bath Rog treatment for each patient.
You should see a rheumatologist if you experience joint pain (jorni dukhai) lasting more than 6 weeks, morning stiffness for over 30 minutes, joint swelling or warmth, sudden severe pain in the big toe or ankle (possible gout), unexplained fatigue with joint symptoms, skin rashes with joint pain, or if blood tests show high uric acid, positive RA factor, or positive ANA. Early diagnosis can lower the risk of permanent joint damage. Book a rheumatology appointment at Tulsi Multi Speciality Clinic via WhatsApp, Viber, or by calling our Lalitpur clinic.
A rheumatologist treats joint and muscle conditions caused by inflammation, autoimmune disease, or metabolic problems — such as rheumatoid arthritis, lupus, gout, and Bath Rog — using medication and long-term management. An orthopedic doctor focuses on injuries, fractures, mechanical joint problems, and surgical treatments like joint replacement. If your joint pain comes with stiffness, swelling, fatigue, or affects multiple joints, you should see a rheumatologist. If your pain is from an injury, accident, or needs surgery, you should see an orthopedic specialist. Our rheumatologist at Tulsi Multi Speciality Clinic will refer you to the right specialist if needed.
If high uric acid has caused gout, treatment combines medicine to settle an attack, often medicine that lowers uric acid such as allopurinol or febuxostat, and changes to diet and drink. A high uric acid result on its own does not always mean gout, and whether it needs medicine is decided by your doctor. Our guide "Gout (गाउट) and High Uric Acid: Meaning in Nepali, Symptoms, Diet and Treatment" explains the treatment and diet in full.
Usually not for good. Rheumatoid arthritis (RA) is a long-term condition, but treatment, usually starting with a DMARD, aims to bring it into remission or near remission (few or no symptoms). Early diagnosis and the right treatment can ease symptoms and prevent joint damage or disability. Our guide "Rheumatoid Arthritis: Symptoms, Diagnosis and Treatment in Nepal" explains more.
Foods and drinks linked to gout include red meat, organ meats such as liver, shellfish and some fish such as sardines, meat-based gravies and soups, alcohol (especially beer) and sugary drinks. Daal (lentils), beans, spinach and other purine-rich plant foods have not been found to raise the risk of an attack. Diet helps but does not replace the medicine your doctor prescribes. Our guide "Gout (गाउट) and High Uric Acid: Meaning in Nepali, Symptoms, Diet and Treatment" sets out the evidence food by food.
Lupus, or Systemic Lupus Erythematosus (SLE), is a chronic autoimmune disease where the immune system mistakenly attacks healthy tissues, affecting the skin, joints, kidneys, blood, brain, and other organs. Common symptoms include persistent fatigue, joint pain and swelling, a butterfly-shaped rash across the cheeks and nose, sensitivity to sunlight, hair loss, mouth ulcers, fever, and chest pain. Lupus is more common in women, especially aged 15–45. Early diagnosis matters, because treatment aims to prevent or slow organ damage. Our rheumatologist at Tulsi Multi Speciality Clinic, Lalitpur, may order tests such as ANA, anti-dsDNA and complement levels, and provides long-term lupus management.
No, this is a common misconception. While osteoarthritis is more common with age, many forms of arthritis affect young adults and even children. Rheumatoid arthritis often starts between ages 30–50. Ankylosing spondylitis (back arthritis) commonly affects men in their 20s and 30s. Lupus mostly affects women aged 15–45. Juvenile arthritis affects children under 16. Gout often appears in middle-aged men. If you're young and have persistent joint pain or stiffness, don't ignore it — early diagnosis at Tulsi Multi Speciality Clinic can lower the risk of lasting joint damage.
Diagnosing rheumatic conditions usually requires a combination of clinical examination and laboratory or imaging tests. Common tests include blood tests for inflammation (ESR, CRP), autoimmune markers (RA factor, anti-CCP, ANA, anti-dsDNA), uric acid levels, complete blood count, kidney and liver function, and sometimes joint fluid analysis. Imaging tests like X-rays, ultrasound, or MRI may be ordered to assess joint damage. At Tulsi Multi Speciality Clinic in Lalitpur, Kathmandu Valley, our rheumatologist will recommend only the tests necessary for your specific symptoms and guide you through the entire diagnostic process.
Often not completely. Many rheumatic diseases are long-term (chronic). Treatment can help control many of them, and some people reach remission (few or no symptoms). In gout, lowering uric acid and changing diet help prevent new attacks. In rheumatoid arthritis and lupus, early treatment aims to calm the disease and prevent damage to joints and organs. In osteoarthritis, medicines and physiotherapy help with pain and movement. The aim of treatment at Tulsi Multi Speciality Clinic is to control symptoms, prevent joint damage and keep you active.
Many patients with Bath Rog, arthritis, and joint conditions report that their symptoms worsen during cold weather — particularly in Nepal's winter months (December to February). Cold and damp weather can increase joint stiffness, pain, and inflammation, especially in rheumatoid arthritis and osteoarthritis. While cold weather doesn't cause the disease, it can trigger flare-ups. Tips include keeping joints warm with layered clothing, gentle indoor exercise, warm compresses, staying hydrated, and not skipping your prescribed medication during winter. At Tulsi Multi Speciality Clinic, we help patients prepare for seasonal flare-ups with adjusted treatment plans.
You can book a rheumatology consultation at Tulsi Multi Speciality Clinic, Lalitpur, via WhatsApp, Viber, by calling the clinic directly, or by filling out the appointment form on our website. We accept walk-in patients during his consulting hours, but booking in advance is recommended to reduce waiting time. If one joint suddenly becomes very painful, swollen, hot or red, or painful joints come with a fever, get medical help straight away. For a gout attack or an autoimmune flare-up, call us or message us on WhatsApp or Viber. For breathing difficulty, chest pain or a high fever, go to a hospital emergency department straight away. Dr. Krishna Adhikari consults from 4:00 PM, Sunday to Friday; the clinic is closed on Saturdays.
Rheumatology care at Tulsi Multi Speciality Clinic, Lalitpur (Kathmandu Valley), Nepal, is provided by consultant rheumatologist Dr. Krishna Adhikari (NMC No. 13049): diagnosis and long-term management of arthritis and Bath Rog (बाथ रोग), joint pain (jorni dukhai), gout and high uric acid, rheumatoid arthritis, lupus and other autoimmune rheumatic diseases.
Your visit at Tulsi Multi Speciality Clinic begins with a thorough consultation. Our rheumatologist will carefully review your medical history, listen to your symptoms, and perform a detailed clinical examination of your joints, muscles, range of motion, and overall musculoskeletal health. Depending on your condition, diagnostic tests such as blood work (uric acid, RA factor, anti-CCP, ANA, CRP, ESR), imaging (X-ray, ultrasound, MRI), or specialized autoimmune panels may be recommended to confirm diagnosis. After assessment, you will receive a clear, personalized treatment plan that may include medication management, lifestyle and dietary guidance, joint injections, physiotherapy referrals, and structured follow-up monitoring to track your progress.
- Bring previous medical records, lab reports (blood tests, uric acid, RA factor, ANA, CRP, ESR), X-rays, MRI scans, or any imaging from past consultations - Make a list of all current medications, supplements, and any allergies - Write down your symptoms — when they started, which joints are affected, time of day they're worst, and what makes them better or worse - Note any family history of arthritis, gout, lupus, psoriasis, or autoimmune disease - For suspected gout: try to recall recent diet changes (red meat, alcohol, seafood) and previous uric acid levels - Wear loose, comfortable clothing that allows easy examination of affected joints (knees, ankles, wrists, fingers) - Arrive 10 minutes early to complete new-patient registration - Inform us in advance if you are pregnant, breastfeeding, or have kidney, liver, or heart conditions - Bring a family member or friend if mobility is difficult or if you'd like support during the consultation
Rheumatic and autoimmune conditions are typically chronic and require ongoing monitoring, not just one-time treatment. After your initial consultation at Tulsi Multi Speciality Clinic, your rheumatologist will schedule regular follow-up visits — usually every 4 to 12 weeks initially, then less frequently once your condition is stable. Follow-ups include reviewing your response to medication, monitoring side effects, repeating relevant blood tests (such as uric acid, liver and kidney function, inflammatory markers), and adjusting your treatment plan as needed. For gout patients, dietary follow-up and uric acid monitoring are essential. For autoimmune conditions like lupus and rheumatoid arthritis, long-term disease monitoring helps lower the risk of flare-ups and joint damage. Get medical help straight away if one joint suddenly becomes very painful, swollen, hot or red, or if painful joints come with a fever. Contact our clinic if you notice new swelling, a rash, or side effects from medication: call us or message us on WhatsApp or Viber. For breathing difficulty, chest pain or a high fever, go to a hospital emergency department straight away.
Rheumatology is provided by Dr. Krishna Adhikari (MBBS, MD (Internal Medicine), Fellowship in Clinical Rheumatology). All doctors at Tulsi Multi Speciality Clinic are registered with the Nepal Medical Council (NMC).
You can book Rheumatology online through our website, call us, or message us on Viber or WhatsApp. Appointments are confirmed within 24 hours.
All doctors providing Rheumatology at Tulsi Multi Speciality Clinic are registered with the Nepal Medical Council (NMC). You can verify their registration on nmc.org.np.
Consultations at Tulsi Multi Speciality Clinic are available in Nepali, English and Hindi. You can ask for your preferred language when booking.

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