Dr. Abhijeet Bhosikar

Clinical services

Specialist rheumatology services in Pune

Services are organised around the three things that determine long-term outcome in rheumatic disease: getting the diagnosis right early, measuring disease activity objectively, and delivering immunosuppression safely over many years.

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The first three months of inflammatory arthritis are the highest-value window in all of rheumatology. Patients with new joint swelling are seen on a fast-track pathway with same-visit examination, bedside ultrasound where needed, and a definite plan rather than a wait-and-watch approach.

  • Priority appointment slots for new joint swelling under 12 months' duration
  • Structured 28-joint count documented at baseline for objective tracking
  • Anti-CCP, RF, ESR, CRP and safety screening ordered on the first visit
  • Treatment started at the visit the diagnosis is made, not weeks later

Connective tissue diseases affect many organs at once and change over time. Care is organised around a scheduled surveillance calendar — kidney, lung, heart and eye checks that happen on time whether or not the patient feels unwell — because the complications that matter most are silent early.

  • Full autoantibody profiling and subtype-specific risk mapping
  • Scheduled organ surveillance: urine at every visit, annual lung function and echocardiography where indicated
  • Coordination with nephrology, pulmonology, dermatology and ophthalmology
  • Written flare-action plans so patients know exactly when to call

Biologics and targeted synthetic DMARDs have transformed severe rheumatic disease, but they demand careful preparation. Every patient is screened for latent tuberculosis and hepatitis, vaccinated where possible, and given a clear monitoring schedule and infection-safety briefing before the first dose.

  • Latent TB (IGRA or Mantoux plus chest X-ray) and hepatitis B/C screening before initiation
  • Vaccination review and catch-up prior to immunosuppression
  • Biosimilar options discussed openly, including cost
  • Structured infusion or injection scheduling with defined monitoring bloods

Blind injections miss the target more often than most patients realise. Ultrasound guidance confirms needle placement, allows simultaneous aspiration for crystal analysis and culture, and makes injection of small or deep structures both safer and more effective.

  • Knee, shoulder, wrist, ankle, hip bursa and small-joint injections
  • Diagnostic aspiration with polarised microscopy and culture
  • Same-visit relief for a single stubbornly active joint
  • Clear limits set on how often steroid injection is repeated

Bone loss is preventable and treatable, yet most Indian patients are only diagnosed after a fracture. This clinic assesses fracture risk formally, corrects vitamin D and calcium first, and selects therapy based on absolute risk rather than on the DEXA number alone.

  • DEXA interpretation with FRAX 10-year fracture risk calculation
  • Screening for secondary causes of bone loss
  • Bone protection started alongside — not after — long-term steroid therapy
  • Falls-prevention and resistance-training guidance

Most gout in India is treated only during attacks, which is why patients keep having them for decades. This clinic runs a treat-to-target protocol: urate is measured, therapy titrated to a defined number, and prophylaxis given during initiation so patients stay on treatment long enough to clear the crystals.

  • Crystal confirmation by joint aspiration where feasible
  • Allopurinol or febuxostat titrated to a serum urate target below 6 mg/dL
  • Colchicine prophylaxis during the first three to six months to prevent initiation flares
  • Review of diuretics, kidney function and cardiometabolic risk

Back pain in a young adult that is worse at night, better with exercise and accompanied by long morning stiffness is inflammatory until proven otherwise. Sacroiliac MRI is used to make the diagnosis years before X-ray changes appear, so treatment starts while the spine is still fully mobile.

  • ASAS-criteria assessment for inflammatory back pain
  • Sacroiliac MRI interpretation and correct HLA-B27 contextualisation
  • BASDAI and ASDAS scoring to justify and track biologic therapy
  • Physiotherapy programme prescribed alongside medication, not instead of follow-up

Most women with rheumatic disease can have healthy pregnancies, but the planning has to start months before conception, not after a positive test. Medication is switched to pregnancy-compatible options, disease is stabilised, and specific antibody risks are identified in advance.

  • Pre-conception review three to six months before trying to conceive
  • Washout and substitution of methotrexate, leflunomide and mycophenolate
  • Anti-Ro/La and antiphospholipid antibody risk assessment
  • Aspirin and heparin protocols for obstetric APS, with high-risk obstetric coordination

Rheumatic disease needs regular review, which is difficult for patients travelling from outside Pune. Teleconsultation covers report interpretation, dose titration and flare triage for established patients, while first assessments and any visit needing examination or injection stay in person.

  • Suitable for stable follow-up, report review and medication adjustment
  • Reports can be shared ahead of the call for a properly prepared consultation
  • Digital prescription issued after the consultation
  • In-person review advised whenever examination or imaging is needed
Reception desk and patient waiting area at Dr. Abhijeet Bhosikar's rheumatology clinic in Ravet, Pimpri-Chinchwad

The point of all of it

Treatment succeeds when you stop planning your week around your joints

Every service on this page exists to move one number: the amount of your life that the disease decides. Remission is the target, and it is a realistic one for most patients treated early.

Fees & practicalities

What to expect on cost and duration

Consultation fees vary with the hospital's current schedule — please confirm with reception when booking. What is fixed is the time allocated and the honesty about what treatment will cost over a year.

First consultation

Around 30–45 minutes. Full history, complete joint examination, review of any previous reports, and a written plan for investigation or treatment.

Follow-up review

Around 15–20 minutes. Disease activity scored, bloods reviewed, dose adjusted, and the next review date set explicitly.

Teleconsultation

For established patients. Share reports in advance so the call is spent on decisions rather than on reading. Digital prescription issued afterwards.

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