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Rheumatology is a multidisciplinary branch of medicine that deals with the investigation, diagnosis and management of patients with arthritis and other musculoskeletal conditions. This incorporates over 200 disorders affecting joints, bones, muscles and soft tissues, including inflammatory arthritis and other systemic autoimmune disorders, vasculitis, soft tissue conditions, spinal pain and metabolic bone disease. A significant number of musculoskeletal conditions also affect other organ systems.

Luton and Dunstable University Hospital

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The Rheumatology Department at the L&D provides a comprehensive general and specialist rheumatology service to the local population and surrounding areas. Following a recent expansion the clinical staff now comprises of six Consultants, two Specialist Registrars and three Specialist Nurse Practitioners. Our team has invested in research and embraced new techniques to benefit our patients, such as ultrasound in the clinic to assist in the early diagnosis of inflammatory arthritis. In addition to the general Rheumatology Clinics we provide the following services:

Flare Clinics – For people with deteriorating inflammatory arthritis, we can offer appointments with a shorter waiting time to see a specialist.

Dedicated Helpline – patients can obtain advice from a nurse.

Biologics Clinic – to improve care for people with unremitting disease, a dedicated clinic to plan and monitor treatment with this highly effective group of drugs.

Early Arthritis Service – providing early aggressive therapy to prevent disability and improve outcomes.

Multidisciplinary Input – occupational therapy, physiotherapy and podiatry.

Health Education Sessions – to enable people to make shared decisions.

Bone Health Service – a new clinic dedicated to osteoporosis and associated conditions, along with reporting of bone density scans, providing advice on management to GPs.

Paediatric Rheumatology – regular local clinics for children and adolescent s with all forms of rheumatoid and soft tissue rheumatic conditions.

Specialist Disease Clinics – speciality disease-specific clinics are planned, along with combined clinics with allied specialities, such as Dermatology and Respiratory Medicine.

Contact us
Outpatient Appointment Department – 01582 561385

Nurse Advice Line – 01582 718305. Please note: messages are picked up Monday to Friday from 9.00 to 12.00 and responded to between 24 and 48 hours.

You can also e-mail the Rheumatology department.

Angel Milton: 01582 497464 – Dr Daniel Fishman (CD)
Saba Noman: 01582 497233 – Dr Vanessa Quick, Dr Marian Chan
Sadiya Patel: 718741– Dr Tanya Baqai, Dr Ramabhadran Balaji, Dr Muhammad Nisar

Please see below for some links to some societies and groups which you may find useful:
Arthritis Care
Arthritis Research UK
British Society for Rheumatology
Children’s Chronic Arthritis Association
Lupus UK
National Ankylosing Spondylitis Society
National Osteoporosis Society
National Rheumatoid Arthritis Association
NICE guidance
Psoriatic Arthritis
Raynauds & Scleroderma Association


Dr Tanya Baqai Consultant Rheumatologist
Julie Begum Specialist Lead Nurse
Dr Marian Chan Consultant
Dr Daniel Fishman General Medicine and Rheumatology/Clinical Director of Rheumatology
Dr Muhammad Nisar Consultant
Dr Vanessa Quick Consultant/ Rheumatologist
Dr Balaji Ramabhadran Consultant/General Medicine and Rheumatology