Basic Services

Diagnosis and treatment of all rheumatic conditions

Diagnosis

Detailed consultation including history, examination and review of all results to determine what the problem is.

Treatment

Discussion of the appropriate steps to manage the problem including starting new medications, joint or soft tissue injection, diet and exercise.

Ultrasound

Musculoskeletal ultrasound is used routinely as part of diagnosis, monitoring of disease activity and for guided injection.

Monitoring

Most rheumatic conditions are chronic and require regular review of the condition and often also require regular blood test monitoring due to the treatments used.

Injections

Most of our injections are done ultrasound guided 

Cortisone

Corticosteroids injections (often called cortisone injections) are used for many different rheumatic indications.

Cortisone can be injected into inflamed joints, inflamed tendons, inflamed bursas, into the carpal tunnel or into muscle to provide symptom benefit.



Nerve blocks

Usually done for pain relief. Often done when other treatments have failed, and surgery is not an option. This includes occipital nerve blocks to treat neck pain and headaches due to degenerative changes in the cervical spine, suprascapular nerve blocks for end stage shoulder arthritis, and genicular nerve blocks to treat pain from end stage knee arthritis.

Hyaluronic acid

Hyaluronic acid, also known as viscosupplementation is essentially a lubricant that can be put into osteoarthritic joints to provide some symptom relief.

Examples of available products in New Zealand are: Durolane, Monovic, and Synvisc-One.

* Cost not covered by some medical insurance companies

Platelet rich plasma

Platelet rich plasma (PRP) is a product derived from your own blood. The blood is spun down in a centrifuge, and components of blood separated. The section with platelets and plasma is called PRP which can be injected into joints to treat osteoarthritis or into tendons and ligaments to promote recovery. 

* Cost not covered by some medical insurance companies


Infusions

We can facilitate the infusion of biologic medications to treat rheumatic conditions

We can provide infusions of biological medications to treat rheumatic conditions (infliximab, rituximab, tocilizumab).  We can also provide iron infusions and zoledronic acid infusions.

We are also be able to provide intravenous cyclophosphamide for the treatment of certain forms of vasculitis and other serious rheumatic conditions (as long as you are stable enough to be treated in the community).

The biological medications are very expensive. The delivery of infusions requires admission to a day stay facility and several hours of specialised nursing time. Not all insurance policies will fund the high cost of the medication and/or infusion.

If you are an international visitor and need for us to organise an infusion for your biologic medication whilst traveling through Auckland, please contact us.
  

Costs, ACC and Insurance

Each medical insurer in New Zealand has a variety of different policies, offering significantly different levels of treatment cover. Please ensure you are familiar with your policy and exclusions including exclusions for pre-existing conditions so that the cost of private medical healthcare does not surprise you. 

We are an affiliated provider to Southern Cross Health Society for consultations and selected other services.  This means that if you are a Southern Cross member, we will apply for insurance pre-approval and also process claims on your behalf. If there is a shortfall, or a co-payment is needed you will be advised and asked to pay that directly at the time of your consultation.

We are a nib first choice provider and health partner.  This means if you have a nib or AA health policy you will have 100% of your eligible costs covered up to your benefit limit and in line with your policy excess. As a health partner we can do your pre approvals and/or claims on your behalf if you so wish.  Please make this request at the time of making your booking and ensure that you have provided us with all your policy details as this is not a service we currently do automatically.  The most common scenario is that you pay at the time of your consult and then send in the receipt to claim your costs back directly from nib.

All other patients are expected to pay for the consultation and any other relevant charges at the time of consultation and then claim the cost back from their insurer.

If you need a quote for preapproval please

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