Services

1. OPD services

· Rheumatology

We are a specialized center for rheumatology, where our expert doctors are devoted to the diagnosis and therapy of rheumatic diseases. We deal mainly with immune-mediated disorders of the musco-skeletal system, soft-tissues, inherited connective tissue disorders and with all other diseases affecting joints and connective tissues. We further deal with diseases such as Rheumatoid Arthritis, Gout, Systemic Lupus Erythematosus (SLE), Scleroderma, Ankylosing spondylitis and other degenerative diseases like Osteoarthritis.

Available doctors: Dr.Binit Vaidya, Dr. Shweta Nakarmi, Dr. Jayanti Chamling Rai, Dr. Kalpana Pudasaini, Dr. Manisha Bhochhibhoya, Dr. Narendra Mainali

· Nephrology

Nephrology deals with the kidneys, specifically normal kidney function and kidney diseases. Our nephrologist basically deals with preserving the kidney health and the treatment of kidney diseases through maintaining diet to using medications.

Available doctor: Dr. Anil Pokhrel

· Dermatology

It is the branch of medicine that deals with skin. We at NCRD take care of cutaneous manifestations of various rheumatological diseases especially SLE, psoriasis, vasculitis and scleroderma.

Available doctors: Dr. Shely Rajbhandari

· Orthopedics

It is the field of medicine which focuses on the surgery or manipulation of the musco-skeletal system. We treat our patients operatively and non-operatively with medications, physical therapy, exercise, alternate therapies or by a host of surgical procedures, including some that are minimally invasive and thus less traumatic to the body than traditional open surgery.

Available doctors: Dr. Vijayendra Adhikari

· Dietetics

Dietetics is the science of how food and nutrition affects human health. Here, at NCRD, our focus is nutrition in gout and metabolic syndrome, diet in obesity, intermittent fasting.

Available dietitian: Dt. Prajwala Prajapati

· Neurology

Neurology is a branch of medicine that deals with the disorders of the nervous system. Our nephrologist deals with the diagnosis and treatment of all categories of conditions and disease involving the central nervous system and peripheral nervous system including

their coverings, blood vessels, and all effector tissues, such as muscle. We focus on neurological complications associated with rheumatic diseases such as are peripheral neuropathy, myopathy, myositis, SLE etc.

Available doctor: Dr. Dipesh Shakya

2. Diagnostic service

With latest technologies and equipment dedicated to tests for diseases.

X- ray : X-rays are type of electro-magnetic radiation with the ability to see through a person’s skin and reveal images of the bones beneath it. We mainly focus on X-ray radiography and use safe and appropriate measures so that the diagnostic benefits of x-ray scans significantly outweigh the risks.
Ultrasound:
- Musculoskeletal (MSK) Ultrasound: Ultrasound imaging uses high frequency sound waves transmitted through a handheld device (transducer) to examine organs, tissues and blood vessels.
  A Musculoskeletal (MSK) Ultrasound is a specialized exam that looks specifically at your muscles and joints. MSK ultrasound technologists have special training in looking at joints, muscles, ligaments, nerves, and tendons. A MSK ultrasound is a specialized technique which uses sound waves above 20 kHz to examine muscles and joints.
  It is a safe, non-invasive, inexpensive, sensitive, quick procedure with no radiation hazards. Images are acquired in real time.
  This procedure can even be performed in children.
  Performing MSK ultrasound need special training to identify abnormality in muscles, ligaments, nerves, tendons and joints(both large and small).
Doppler Ultrasound: A transducer is passed lightly over the skin above a blood vessel. It sends and receives sound waves that are amplified through a microphone. The sound waves bounce off solid objects, including blood cells. The movement of blood cells causes a change in the pitch of the reflected sound waves. This is called the Doppler effect. If there is no blood flow, the pitch does not change.
Information from the reflected sound waves can be used to make graphs or pictures that show the flow of blood through the blood vessels.
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Clinical Biochemistry: It usually refers to the analysis of blood plasma or serum. They test the serum for chemicals present in blood. These include a wide array of substances, such as lipids, blood sugar, enzymes, and hormones.
Immunology: This test uses the concept of antigen-antibody interaction as a diagnostic tool. It measures the level of antibodies in the blood, which are useful for confirming a rheumatological diagnosis. It especially includes ENA panel test which was initiated for the first time in Nepal by immunology lab of NCRD at half of the cost and made it affordable to many.
Hematology: This test includes laboratory assessments of blood formation and blood disorders.Works with whole blood to do full blood counts, and blood films as well as many other specialized tests such as ESR, Staining etc.
NailfoldCapillaroscopy: A useful tool, available only at NCRD in Nepal which is used to identify high risk for development of vascular and visceral complications and death of scleroderma patients.

3. Thermography Test

What is a Thermography Test? Thermography is a non-invasive diagnostic tool that uses infrared technology to detect heat patterns and blood flow in the body by using a special camera called microbolometer. By capturing images of temperature variations, it aids in identifying abnormal physiological changes, which can be indicative of health issues such as inflammation, infection, or even cancer. This test is particularly useful for early detection of breast disease and assessing pain and vascular disorders.

4. Iontophoresis Test

What is an Iontophoresis Test? Iontophoresis is a non-invasive method to deliver medication through the skin using a mild electrical current. Primarily used in physical therapy, it helps manage and reduce pain, inflammation, and muscle spasms, especially in conditions like bursitis or tendinitis. This technique can also be employed for hyperhidrosis (excessive sweating) treatment, effectively reducing sweat production in targeted areas such as hands and feet.

5. Physiotherapy

Physiotherapy deals with restoring and maintaining functional movement , reducing pain and promoting health in individuals. Physiotherapist help people affected by injury, illness or disability through movement, exercise , manual therapy ,education and advice. Our area of focus is physiotherapy and rehabilitation in different rheumatic conditions like ankylosing spondylitis, osteoarthritis, rheumatic arthritis, fibromyalgia and degenerative conditions.

Available physiotherapists: Dr. Samikshya Badal

6. Day Care services

A special daycare facility with monitoring and nursing care services to avoid hospital admission for patients requiring biological, cyclophosphamide therapy, glycemic control, or pain management.

7. Pharmacy and Dispensing services

Focusing on not only selling medications but also counseling patients regarding the dose, method of taking them, and possible side effects of the medicines they are using. We also have delivery facilities for medicines inside Kathmandu valley, for the ease of our patients who have difficulty in traveling.

8. Telemedicine facility

Telemedicine with a rheumatologist with the use of telecommunication and information technology to provide clinical health care from Medanta and Fortis Hospital. Also, telemedicine with Rheumatologist Dr. Michael Rezaian from the USA every Sunday for difficult cases since the last one year and that it is free of cost, patients with diagnostic dilemmas can apply through our email.

9. 12 hours helpline services

The main aim of telephone helpline is to provide information and extra clinical advice and support for patients with rheumatic disease. Helpline service can be of use if you have worries about any of the following

If you are experiencing side effects caused by the medication prescribed by Rheumatologist.
If you have ‘Flare-up’ of your symptoms and need further advice.
If you have any worries that cannot wait until the next visit.

10. Web-based clinic

Considering the distance our patients from remote areas must travel on a regular basis for their follow-up appointments, NCRD has come up with an innovative idea to tie-up with local health posts, train the local medical practitioners and provide in-situ disease management services to its patients

11. Home services

Home blood collection service and medicine delivery according to requirements are available.