Pediatrics - Rheumatology
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If your child often complains of pain in their joints, muscles, or bones, they could be suffering from a rheumatologic condition. These symptoms can be puzzling, but a pediatric rheumatologist can help. When seeing patients, our goal is to evaluate the problem and then provide care as needed. From infancy to 26, we treat those suffering from a variety of rheumatologic and inflammatory conditions.
At Boston Medical Center our Pediatric Rheumatology team can help you obtain the best treatment for your child. Read more:
Meet Dr. Ezra Cohen, Rheumatologist
Dr. Cohen is a Harvard Medical School graduate who specializes in Juvenile Arthritis, Lupus, Arm, and Leg Pain, Fevers, and Dermatomyositis. He completed his residency in Pediatrics at both Massachusetts General Hospital and Boston Children's Hospital; both located in Boston, Massachusetts. Dr. Cohen is certified within the American Board of Pediatrics and fluent in both English and Spanish. In addition, he also conducts clinical trials in order to further his research. Read more about Dr. Ezra Cohen.
Podcast: Pediatric Rheumatology at BMC
In this segment, Ezra Cohen MD, shares how the expert clinical team in Rheumatology at Boston Medical Center can now help children with Rheumatoid conditions. They excel in research and training and use a comprehensive, multidisciplinary approach to meet the needs of every patient, including children.
Yawkey Center 617.414.4841
Conditions We Treat
Fibromyalgia is a chronic pain condition which causes symptoms like joint stiffness, aching, fatigue, and disrupted sleep, among others. Most common in females, fibromyalgia is commonly diagnosed during adolescence.
Juvenile dermatomyositis is an inflammatory skin disease. Common symptoms include muscle weakness and a rash around the eyelids and knuckles.
Juvenile idiopathic arthritis is the most common form of arthritis. Children with this condition often complain of pain and stiffness in the morning. Subtypes include oligoarthritis, polyarthritis, systemic, enthesitis-related, juvenile psoriatic arthritis, and undifferentiated.
Lupus, a disease of the immune system, can affect all different parts of the body including the joints, skin, kidneys, and blood. Systemic lupus erythematosus is the most common form.
Juvenile scleroderma describes a group of conditions that causes the skin to harden and become tight.
If left untreated, Lyme disease may cause significant swelling, usually in a single joint such as the knee.
Vasculitis is an umbrella term for a number of conditions which cause inflammation of the blood vessels.
Painful or swollen joints, Arm or leg pain, Unexplained or periodic fevers.
Treatments & Services
At Boston Medical Center we offer numerous complementary and alternative treatments for pain and fatigue related to pediatric rheumatology. Some of these treatments are described below:
Complementary and alternative treatments
For pain and fatigue
Medications and infusions
To treat arthritis, lupus and other autoimmune conditions
Trigger point injections for neck, shoulder and back pain
Trigger point injections are a safe and very effective remedy for painful muscles around the neck, shoulders, and back. A small needle is inserted into the muscle and releases the "knot," an action which usually leads to lasting relief for up to 2 months. It can be thought of as a very strong massage.
Ultrasound-guided steroid injections for painful or swollen joints:
For conditions such as arthritis, sometimes steroid injections are required to relieve pain and swelling in a joint. Dr. Cohen is formally certified in musculoskeletal ultrasound, which reduces the pain of joint injections and increases their safety and effectiveness.
Holistic care and complementary therapies
To improve function and a child's sense of well-being: We take a great interest in the overall wellbeing of our patients, and Dr. Cohen has special training in mindfulness meditation. In addition, he emphasizes the importance of diet and nutritional supplements.
INTERX® is a non-invasive treatment that can be used to relieve pain and restore function in many areas of the body. INTERX® is a safe, drug-free technology that delivers targeted stimulation to an affected area. The virtually painless treatment gives off a comfortable stimulation to help release endorphins and dynorphins. The result? Natural pain relief and accelerated recovery. There are currently no known side effects related to INTERX®, and in addition to pain relief, patients often report of improved sleep, gut health, mental clarity, mood, and energy.
Juvenile Arthritis, Lupus, Arm and Leg Pain, Fevers, Dermatomyositis
Mary Gawron, RN