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Conditions we treat

Your Health is in Good Hands

If you believe you or your loved one may be suffering from any of the conditions listed below or have any questions, please come visit us

Rheumatoid Arthritis

Rheumatoid arthritis is a chronic autoimmune disease that causes joint pain, stiffness, swelling, and decreased movement of the joints. Small joints in the hands and feet are most commonly affected. Sometimes RA can affect your organs, such as eyes, skin, or lungs.
Treatments for RA can stop joint pain and swelling. Treatment also prevents joint damage. Early treatment will give better long-term results.

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Systemic lupus erythematosus, referred to as SLE or lupus, is a chronic (long-term) disease that causes systemic inflammation which affects multiple organs.

In addition to affecting the skin and joints, it can affect other organs in the body such as the kidneys, the tissue lining the lungs (pleura), heart (pericardium), and brain. Many patients experience fatigue, weight loss, and fever.

Lupus flares vary from mild to serious. Most patients have times when the disease is active, followed by times when the disease is mostly quiet - referred to as remission. Yet, there is much reason for hope. Improvements in treatment have greatly improved these patients’ quality of life and increased their lifespan.

Systemic Lupus Erythematosus

Scleroderma

Scleroderma is an autoimmune disease affecting the skin and other organs of the body. The main finding in scleroderma is the thickening and tightening of the skin and inflammation and scarring of many body parts, leading to problems in the lungs, kidneys, heart, intestinal system, and other areas. There is still no cure for scleroderma, but effective treatments for some forms of the disease are available.

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Vasculitis

Vasculitis is a term for a group of rare diseases that have in common inflammation of blood vessels. These vessels include arteries and veins. There are many types of vasculitis, and they may vary greatly in symptoms, severity, and duration. Most types of vasculitis are rare, and the causes are generally not known. 
Early detection and treatment of severe vasculitis can prevent permanent damage. Detection of vasculitis most often requires blood tests, a biopsy of affected tissue, or angiography.

Gout

Gout is a painful and potentially disabling form of arthritis that has been around since ancient times.

The first symptoms usually are intense episodes of painful swelling in single joints, most often in the feet, especially the big toe. The swollen site may be red and warm. Fifty percent of first episodes occur in the big toe, but any joint can be involved. Fortunately, it is possible to treat gout and reduce its very painful attacks by avoiding food and medication triggers and by taking medicines that can help. However, diagnosing gout can be hard, and treatment plans often must be tailored for each person.

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Calcium Pyrophosphate Deposition (CPPD)

Joint problems caused by crystals of a calcium salt called pyrophosphate may be one of the most misunderstood forms of arthritis. Joint problems are seen with these crystals often are mistaken for gout and other conditions. Proper diagnosis (detection) is important. Untreated calcium pyrophosphate deposition (CPPD) may lead to severe, painful attacks or chronic (long-term) pain and inflammation. Over time, joints may degenerate, or break down, resulting in long-term disability. Some treatment options for arthritis pain do exist, but these do not treat the underlying crystal deposits. Some of the underlying causes are treatable and should be evaluated in people with CPPD.

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Osteoarthritis

Osteoarthritis (also known as OA) is a common joint disease that most often affects middle-aged to elderly people. It is commonly referred to as "wear and tear" of the joints, but we now know that OA is a disease of the entire joint, involving the cartilage, joint lining, ligaments, and bone. 
It is characterized by the breakdown of the cartilage (the tissue that cushions the ends of the bones between joints), bony changes of the joints, deterioration of tendons and ligaments, and various degrees of inflammation of the joint lining (called the synovium).
At present, there is no treatment that can reverse the damage of OA in the joints. Researchers are trying to find ways to slow or reverse this joint damage.

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Osteoporosis

Osteoporosis results from a loss of bone mass (measured as bone density) and from a change in bone structure. Many factors will raise your risk of developing osteoporosis and breaking a bone. You can change some of these risk factors, but not others. Recognizing your risk factors is important so you can take steps to prevent this condition or treat it before it becomes worse.

Age is not the only risk factor for osteoporosis. Lifestyle choices, certain diseases, and even medications can lead to this condition.

A simple test is known as a bone density scan, or DEXA, can give important information about your bone

Newer medications can slow and even stop the progression of bones getting weaker, and can help decrease fracture risk.

Polymyalgia Rheumatica

The typical polymyalgia rheumatica symptoms (what you feel) of PMR are aching and stiffness about the upper arms, neck, lower back, and thighs. These symptoms develop quickly and are worse in the morning.

Polymyalgia rheumatica symptoms respond promptly to low doses of corticosteroids but may recur as the dose is lowered.

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Spondyloarthritis

Spondyloarthritis is a type of arthritis that attacks the spine and, in some people, the joints of the arms and legs. It can also involve the skin, intestines and eyes. The main symptom (what you feel) in most patients is low back pain. This occurs most often in axial spondyloarthritis.

In a minority of patients, the major symptom is pain and swelling in the arms and legs. This type is known as peripheral spondyloarthritis.

People in their teens and 20s, particularly males, are affected most often. Family members of those with spondyloarthritis are at higher risk.

Many people with axial spondyloarthritis progress to having some degree of spinal fusion, known as ankylosing spondylitis. This more often strikes young males.

Non-steroidal anti-inflammatory drugs (commonly called NSAIDs) offer symptom relief for most patients by reducing pain and swelling. Other medicines called biologics, including anti-TNF drugs (TNF blockers) and anti-IL-17 drugs (IL-17 blockers) are effective in patients who do not respond well enough to NSAIDs.

Newer treatments have helped a great deal in controlling symptoms. Frequent fitness activities and back exercises are important in managing the symptoms of Spondyloarthritis.

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Psoriatic arthritis

Psoriatic arthritis is chronic arthritis. In some people, it is mild, with just occasional flare-ups. In other people, it is continuous and can cause joint damage if it is not treated. Early diagnosis is important to avoid damage to joints.

Psoriatic arthritis typically occurs in people with skin psoriasis, but it can occur in people without skin psoriasis, particularly in those who have relatives with psoriasis.

Psoriatic arthritis typically affects the large joints, especially those of the lower extremities, distal joints of the fingers and toes, and also can affect the back and sacroiliac joints of the pelvis and nails.

For most people, appropriate treatments will relieve pain, protect the joints, and maintain mobility. Physical activity helps maintain joint movement.

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Reactive Arthritis

Reactive arthritis is a painful form of inflammatory arthritis (joint disease due to inflammation). It occurs in reaction to an infection by certain bacteria. Most often, these bacteria are in the genitals (Chlamydia trachomatis) or the bowel (Campylobacter, Salmonella, Shigella and Yersinia). Chlamydia most often transmits by sex. It often has no symptoms, but can cause a pus-like or watery discharge from the genitals. The bowel bacteria can cause diarrhea. If you develop arthritis within one month of diarrhea or a genital infection – especially with a discharge – see a health care provider. You may have reactive arthritis.

Sjögren's Syndrome

Sjögren's syndrome is an autoimmune condition that can occur at any age but is most common in older women. Many patients develop Sjögren's syndrome as a complication of another autoimmune disease, such as rheumatoid arthritis or lupus

Symptoms vary in type and intensity, but many people with Sjögren's are able to live normal lives.

Most of the treatment for Sjögren's syndrome is aimed at relieving symptoms of dry eyes and mouth and preventing and treating long-term complications such as infection and dental disease. Treatments often do not completely eliminate the symptoms of dryness.

Most patients with Sjögren syndrome remain healthy, but some rare complications have been described, including an increased risk for cancer of the lymph glands (lymphoma). Thus, regular medical care and follow-up is important for all patients.

The source of patient education material is the "American College of Rheumatology". 
https://www.rheumatology.org/I-Am-A/Patient-Caregiver

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Beatrice Harmon

“Dr Kamari is a great Dr. She listen to your problems and talks to you about your problems and best avenue of treatment. I'm so glad she is in Sherman. Bea Harmon"

Sharon Neilsen

"Dr and staff
Very patient friendly, very helpful and patient oriented"

Sherry Fallon

“Dr Kamari was very caring and listens. She even called me a few hours after my visit to talk further. Highly recommend"

Lily Flores Burgess

"Dr. Kumari is great! She helped me immensely. She is so tenative. If she can't help you with your problem, she'll find someone who can"

Becky Sly

"Very good doctor, I’m glad I found her, she listens and takes her time with you. Dr . kumari is the best."

Kriss Wilkinson Petruzelli

"I am so pleased I found Dr. Kumari, very caring and she listens to what you have to say as well...Her staff is the best!!!"

Erica Milam

"Very good Doctor I'm so grateful I found her"

Michelle Cole

" Absolutely One of the best, most considerate doctors I have been to. She sits with you and truly cares for her clients. Love Dr. Kumari!"

Sherri Bain

"Dr Kumari saw my daughter. She listens and spends time with her patients. Dr Kumari discussed a corse of action in testing to help find out why she is hurting at such a young age.
We had an appointment within a week of my daughters doctor referral.
Her staff is execullant.
Dr Kumari is the type of doctor that will not stop until she is able to help her patients feel better.

*FOLLOW UP*
Dr Kumari recieved test results for my daughter. Within a week of blood results Dr Kumari's staff had made an appointment for my daughter with a Dermotologist to futher investigate why she at 26 she is hurting.
I like that Dr Kumari and her staff take TOTAL care of my daughter and are continuing the course of action in order to help her.
Dr Kumari explained why further testing is needed for a correct diagnoses and asked if we had any questions.
We have no doubt that Dr Kumari will find the source of my daughter's discomfort and appreciate her knowledge."
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