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Address

5920 W. William Cannon Dr. Building 6, Suite 150
Austin, TX 78749
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Office hours

Mon: 8AM – 5PM
Tues: 8AM – 5PM
Wed: 8AM – 5PM
Thur: 8AM – 5PM
Fri: 8AM – 5PM
Weekends: Closed

Phone

Phone: (512) 298-1645

Fax: (512) 298-1795

Accepted insurance

- Aetna
- Blue Cross/Blue Shield (BCBS)
- Champ VA
- Cigna
- CMS
- Connected Senior Care Alliance
- Friday
- GEHA
- Humana
- Medicare
- Multiplan
- Oscar
- Railroad Medicare
- Smarthealth
- Tricare
- Triwest
- United Healthcare
- WellMed
- Worker's Compensation
- Private Pay

What Is Rheumatoid Arthritis?

Rheumatoid arthritis is a chronic rheumatic disease and one of many autoimmune diseases that can affect the joints, connective tissues, and other parts of the body. It develops when the immune system mistakenly attacks healthy tissue, particularly the lining surrounding the joints.

Unlike osteoarthritis, which is primarily associated with cartilage wear, rheumatoid arthritis is an inflammatory form of arthritis. The disease often affects multiple joints on both sides of the body, especially the wrists, hands, elbows, knees, feet, and sometimes the hip.

More than 1.3 million Americans live with rheumatoid arthritis. Early diagnosis is important because ongoing inflammation can damage cartilage, bones, connective tissues, and soft tissues around the affected joints.

How Does Rheumatoid Arthritis Affect the Body?

Rheumatoid arthritis causes the immune system to attack the synovium, the tissue lining each joint. As inflammation builds, affected joints may become painful, swollen, stiff, warm, or red.

Over time, severe inflammation can damage cartilage and bones and weaken nearby muscles. Some patients also develop rheumatoid nodules, which are firm areas beneath the skin. Because rheumatoid arthritis is a systemic rheumatic disease, it may also affect the eyes, skin, blood vessels, lungs, and other parts of the body.

The disease does not look the same for every patient. Some patients have periods when symptoms are controlled, while others experience flares that lead to severe pain, stiffness, swelling, and difficulty completing normal activities.

Causes and Risk Factors

The exact cause of rheumatoid arthritis is unknown, but several factors may increase risk:
  • Family history and genetics
  • Being female
  • Smoking
  • Age
  • Certain environmental exposures
  • Certain ethnic backgrounds may carry a higher risk

Common Symptoms

Common symptoms include:
  • Joint pain affecting several joints
  • Morning stiffness lasting longer than 30 minutes
  • Swelling around affected joints
  • Tenderness or redness
  • Reduced range of motion
  • Fatigue
  • Muscle weakness
  • Rheumatoid nodules

Treatments

Treatment may include:
  • Rheumatology-directed medications
  • Rehabilitation and therapy
  • Joint injections
  • Activity and lifestyle changes
  • Pain management services
  • Regular blood tests and monitoring
  • Surgeries for severe joint damage when necessary

Rheumatoid Arthritis Treatment in Austin, TX

Rheumatoid arthritis usually requires ongoing treatment because it is a chronic condition. For many patients, comprehensive care includes a rheumatologist who treats the underlying autoimmune disease and a pain management doctor who addresses persistent symptoms.

A rheumatologist, whom Greater Austin Pain Center can refer patients to, may use medications to reduce inflammation, protect the joints, and limit disease progression. Greater Austin Pain Center can support patients in Austin, TX, whose pain continues to affect movement, sleep, work, or everyday life despite appropriate rheumatology treatment.

Rheumatology Medications

Rheumatology doctors may treat rheumatoid arthritis with disease-modifying medications, biologics, and other treatments that influence immune system activity. The appropriate treatment depends on disease severity, health history, symptoms, and other factors.

These medications can require regular blood tests, appointments, and careful monitoring. Some biologic medications are administered by infusion. Patients receiving these treatments should work closely with the rheumatology practice managing their disease and verify insurance coverage for ongoing treatment and services.

Joint Injections

Joint injections can treat pain and inflammation in a particularly symptomatic joint. For some patients, an injection can provide additional relief while a rheumatologist continues to treat the underlying rheumatic disease.

Greater Austin Pain Center provides joint injections for areas including the knees, hip, shoulder, wrist, ankle, and sacroiliac joint.

Learn More About Joint Injections

Physical Therapy

Physical therapy can help patients maintain motion and strengthen the muscles supporting painful joints. A physical therapist may also help patients change movement patterns to place less stress on areas affected by arthritis.

Greater Austin Pain Center can coordinate rehabilitation when appropriate as part of a broader treatment plan.

Pain Management Support

Some patients continue suffering from significant pain even while rheumatology treatment is controlling disease activity. Pain management can provide additional support without replacing the rheumatologist responsible for treating the autoimmune disease.

Depending on the affected joints and source of pain, treatment may include injections, medication management when appropriate, rehabilitation coordination, or other non-surgical services. Greater Austin Pain Center focuses on personalized attention and quality care designed to help patients remain active and support their overall well-being.

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Do I Need a Rheumatologist or Pain Management Doctor?

Rheumatology and pain management address different parts of rheumatoid arthritis, so many patients benefit from both.

A rheumatologist is a physician who specializes in rheumatic disease, autoimmune diseases, inflammatory arthritis, and other rheumatologic diseases. Most rheumatology doctors complete an internal medicine residency before advanced training in rheumatology. A board-certified rheumatologist can diagnose rheumatoid arthritis, monitor disease activity, and treat the autoimmune process. Greater Austin Pain Center can refer you to a rheumatologist if deemed necessary.

A pain management doctor focuses more directly on pain and functional limitations. Greater Austin Pain Center is not a rheumatology practice. Instead, our doctors support patients who need additional help with joint pain, chronic pain, stiffness, or reduced mobility.

This multidisciplinary approach can provide more comprehensive care without forcing patients to choose between specialties. Rheumatology focuses on controlling the disease, while pain management treatment can address symptoms that continue to interfere with daily life.

What Conditions Fall Under Rheumatology?

Rheumatology covers more than 200 different diseases involving the joints, muscles, bones, connective tissues, and immune system. Rheumatologists treat many specific conditions in addition to rheumatoid arthritis.These include several forms of arthritis and autoimmune diseases, such as:

  • Lupus and systemic lupus erythematosus
  • Sjogren's syndrome
  • Gout
  • Osteoporosis
  • Osteoarthritis
  • Inflammatory arthritis
  • Other rheumatic diseases

Lupus is a chronic autoimmune disease that may affect multiple body systems. Sjogren's syndrome is another autoimmune disease that often affects moisture-producing glands but may also involve joints, muscles, and other tissues. Gout is a rheumatic disease caused by uric acid crystals collecting within a joint.

Rheumatology doctors may also treat osteoporosis when weakened bones and fracture risk require specialist care. In some patients, rheumatic disease can affect muscles, bones, and soft tissues at the same time, making an accurate diagnosis particularly important.

Because rheumatoid arthritis, lupus, Sjogren's syndrome, gout, and other rheumatic diseases can share symptoms, patients should not assume every episode of joint pain has the same cause. A rheumatologist can diagnose these specific conditions and recommend the appropriate treatment.

Rheumatology care may overlap with internal medicine, orthopedics, pain management, rehabilitation, and other health services depending on what each patient needs.

Choosing a Rheumatoid Arthritis Doctor in Austin, TX

Rheumatoid arthritis often requires years of appointments and follow-up treatment, so finding the right doctor and rheumatology practice matters. When comparing rheumatoid arthritis doctors in Austin, TX, patients should consider more than location alone.

Look for:

  • Board-certified training in rheumatology
  • Specific experience treating rheumatoid arthritis
  • Experience managing biologic and other high-risk medications
  • Insurance participation
  • Access to required blood tests and treatment services
  • Availability for regular appointments
  • Clear communication
  • Personalized attention
  • Coordination with other physicians
  • Coordination with other physicians

Rheumatology is commonly pursued after training in internal medicine. Patients can review a physician's internal medicine background, current rheumatology credentials, and professional license when evaluating a practice.

For a new patient, it is also helpful to ask how the practice schedules the first appointment, whether an insurance referral is required, and which medical records should be sent in advance. A new patient with severe symptoms may want to ask how the rheumatology practice handles urgent concerns between appointments.

Quality care should include clear explanations and regular monitoring. Quality care also means giving patients enough information to understand why a test, medication, referral, or procedure is being recommended. A strong rheumatology practice should encourage patients to participate in treatment decisions about their health.

Accessibility matters as well. Rheumatology treatment can require frequent follow-up, so patients in Austin, TX should consider whether the physician, laboratory services, and other necessary treatment facilities are practical to access over time.

Woman at elevators in front of San Antonio Eye Specialists sign.

When Can Rheumatoid Arthritis Lead to Surgery?

Most patients with rheumatoid arthritis are treated with medications, rehabilitation, and other non-surgical options. However, severe disease can eventually damage bones, cartilage, tendons, muscles, and other structures enough that surgeries need to be discussed.

Different surgeries may be considered depending on the affected joints and the type of damage. These surgeries can include procedures to repair tendons, remove damaged tissue, stabilize a joint, or replace a severely damaged hip or knee.

Surgeries do not treat the underlying autoimmune disease. A rheumatologist still needs to oversee rheumatoid arthritis before and after orthopedic surgeries, and medication adjustments may be necessary around the time of a procedure.

At Greater Austin Pain Center, our doctors focus on non-surgical treatment whenever appropriate. When severe structural damage continues to cause suffering despite treatment, we can discuss whether referral to an orthopedic surgeon should become part of the care plan.

Surgery is not the first treatment option for most patients. Our goal is to treat pain using appropriate alternatives and support patients before surgeries become necessary whenever possible.

Preparing for Your First Rheumatology Appointment

A rheumatology appointment often involves a detailed health review because the doctor may need to assess symptoms throughout the body.

Patients can prepare by bringing:

  • Previous medical records
  • A current medication list
  • Prior blood tests
  • Imaging reports
  • A list of symptoms and when they began
  • Family history of autoimmune diseases
  • Insurance and referral information

The physician may ask which joints hurt, how long stiffness lasts, whether swelling or redness occurs, and whether symptoms affect other parts of the body. This information can support early diagnosis and help the doctor choose appropriate testing.

Regular appointments are an important part of quality care because rheumatoid arthritis can change over time. Patients should discuss new symptoms, medication side effects, changes in health, and treatment concerns with their rheumatology practice.

Testimonials

5 gold stars

"I am so relieved I could cry! Finally a pain specialist who listens, cares, and wants to help! Dr. Alan Silberberg has given me so much hope! As someone who has seen pain specialists for decades in different states, this is where you want to come. You NEED him in your life! My only regret is not coming in sooner."

Sarah Jean C.
5 gold stars

"The staff is very friendly and I was seen on time. The intake process was seamless and efficient. Dr. Jarzombeck is always very kind and thorough in her explanations. These folks are a pleasure to work with. I highly recommend Greater Austin Pain Center and Dr. Jarzombeck!"

Kim D.
5 gold stars

"Everyone is always very nice and courteous. Dr. Julia is amazing! He is friendly, kind and caring and so easy to talk with.  All the office staff I have had contact with has always been courteous and kind as well. Would highly recommend coming here!"

Lesley C.

Frequently Asked Questions

How do doctors diagnose rheumatoid arthritis?

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Doctors diagnose rheumatoid arthritis by reviewing symptoms, the pattern of affected joints, medical history, examination findings, blood tests, and sometimes imaging.

Blood tests can identify inflammation and antibodies associated with rheumatoid arthritis, although no single test can diagnose every patient. A rheumatologist may also evaluate patients for lupus, Sjogren's syndrome, gout, and other rheumatic diseases before confirming a diagnosis.

Is rheumatoid arthritis the same as osteoarthritis?

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No. Rheumatoid arthritis is an autoimmune rheumatic disease in which the immune system attacks healthy tissue in and around the joints.

Osteoarthritis is primarily associated with cartilage degeneration. Both forms of arthritis can cause joint pain and stiffness, but doctors treat them differently because the underlying disease processes are different.

What is the difference between rheumatoid arthritis and lupus?

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Both rheumatoid arthritis and lupus are autoimmune diseases, but they can affect the body differently. Rheumatoid arthritis primarily targets the joints, while systemic lupus erythematosus can affect the joints, skin, kidneys, blood vessels, lungs, and other tissues.

A rheumatologist can diagnose lupus, rheumatoid arthritis, Sjogren's syndrome, and other rheumatologic diseases when symptoms overlap.

Can gout be mistaken for rheumatoid arthritis?

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Both gout and rheumatoid arthritis can cause severe joint pain, redness, swelling, and inflammation. However, gout occurs when uric acid crystals collect in a joint, while rheumatoid arthritis results from an abnormal immune system response.

A rheumatologist can diagnose gout and identify which disease is causing symptoms before treatment begins.

Can rheumatoid arthritis be treated without surgery?

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Yes. Most patients begin with non-surgical treatment. Rheumatologists use medications to control the rheumatic disease, while rehabilitation, joint injections, and pain management services can support symptom control and mobility

.Surgeries are generally considered when severe structural damage causes significant loss of function or suffering despite other treatment.

When should I see a doctor for rheumatoid arthritis symptoms?

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Make an appointment if persistent joint pain, swelling, redness, or stiffness affects several joints or repeatedly interferes with everyday life.

Early diagnosis can lead to earlier treatment and may help protect the joints from progressive damage. Patients who already have rheumatoid arthritis but continue suffering from pain may benefit from additional support from a pain management physician alongside their rheumatologist.

Lunch & Learn With Our Doctors

Curious about interventional pain treatments in Austin, TX? Join our doctors for an in-person lunch and learn session to find out more about these treatments and ask any questions you may have. This event will be 12–1pm, sign up below to receive more details and RSVP.

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Get Help With Rheumatoid Arthritis Pain in Austin, TX

Rheumatoid arthritis can affect work, sleep, movement, relationships, and overall health. Patients do not have to address those challenges with one specialty alone.

Greater Austin Pain Center provides quality care and personalized attention for patients in Austin, TX who need help with arthritis-related pain alongside existing rheumatology treatment. Our doctors can work with the broader care team to support function and provide comprehensive care based on each patient's needs.

Schedule an appointment at Greater Austin Pain Center in Austin, Kyle, Dripping Springs, or San Marcos to discuss treatment options that may complement your rheumatology care.

Schedule an Appointment

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