How can Dr Clunie help you?
Rheumatologist and metabolic bone physician - Dr Gavin Clunie MD FRCP, is a leading specialist in bone, musculoskeletal and autoimmune rheumatic diseases. Dr Clunie looks after people with all kinds of muscle, bone and joint conditions. He is an experienced diagnostician of musculoskeletal problems and a senior consultant at NHS Addenbrookes Hospital Cambridge, and also sees patients privately.
CONDITIONS I TREAT
“A LOT OF PEOPLE COME TO SEE ME BECAUSE THEY ARE REFERRED FOR TREATMENT FOR THE CONDITIONS DESCRIBED BELOW, OR BECAUSE THEY ARE SUFFERING FROM UNEXPLAINED PAIN WHICH I CAN HELP ACCURATELY DIAGNOSE”
Back Pain
& its causes
The majority of the population will suffer with back pain at one time in their lives! The range of conditions that cause back pain at different ages is different. Most causes of back pain are simple problems, not sinister or chronic. In some cases, specialist rheumatology review is recommended for chronic, severe, lifestyle limiting pain, and very effective treatment is available.
Arthritis
Joint inflamation
Inflammatory arthritis can be acute, or chronically progressive and damaging to joints. It's really important to notify your doctor if your pains continue and for your doctor to recognise whether it's an inflammatory arthritis. If missed and not treated early, it can cause permanent joint damage and disability.
Osteoporosis
Fragile skeleton
Osteoporosis is a condition that causes fragility of the skeleton leading to broken bones. To tell if someone has osteoporosis and what their fracture risk is, a specialist consultation, a Bone Density Scan called a DXA (or 'DEXA') scan, some blood tests, and in an older person, a falls risk assessment are required.
Widespread pain - central pain sensitization or something else?
Widespread pains can mean someone has central pain sensitization (CPS). But some conditions can be mistaken for CPS (some call fibromyalgia), and often a delay in the diagnosis of chronic diseases which cause pain or multiple different diagnoses, can lead understandably to confusion, anxiety, frustration & onwards in a vicious cycle.
Autoimmune Connective Tissue Diseases (including ‘Lupus’)
Apart from the brain, the body's immune system is probably the least understood body organ system by people. It is a complicated fluid organ system consisting of interacting cells & molecules which protects the body from micro-organisms like bacteria and viruses. Disease occurs when the system 'thinks' there is something invading the body to fight, but there isn't.
Polymyalgia Rheumatica & Giant Cell Arteritis
Polymyalgia Rheumatica (PMR) is a complex condition associated with older adults. Giant cell arteritis (GCA) is a condition where the larger arteries become inflamed, narrow and get blocked preventing blood getting to vital places in the body - like the eye and brain. Both conditions require a skilled rheumatologist to diagnose.