Common Conditions

Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disorder in which the body's own immune system attacks the joint lining, causing swelling and inflammation within the joints. Patients with this condition often experience pain, stiffness and swelling in the affected areas. This condition most commonly affects the hips and knees on both sides of the body, resulting in difficulty walking or moving and a loss of muscle strength.

Lupus/Sjogren's Syndrome/Scleroderma

Lupus, Sjogren's syndrome and scleroderma are autoimmune diseases that involve abnormal reactions of the immune system. Depending on the type and severity of the condition, autoimmune diseases may affect the skin, mouth, connective tissues and lead to general fatigue.

Ankylosing Spondylitis

Ankylosing Spondylitis is a rheumatic autoimmune disorder coupled with chronic inflammatory arthritis that most significantly affects the joints of the spine and sacroilium, although its presence can be felt throughout the entire body. This condition usually presents as chronic pain in the lower spine, sometimes extending through the entire spine, posterior thighs or buttocks.

If you have been diagnosed with Ankylosing Spondylitis, click here to take a free test.

Osteoporosis & Arthritis-Related Fracture Risk

Patients with osteoporosis and arthritis may be at an increased risk of developing fractures, due to the constant stress and weakened nature of the affected bones. As these conditions progress and the bones and joints become less and less protected, the risk of fracture continues to increase. There are certain steps that patients with arthritis and osteoporosis can take to reduce their risk of fractures, including taking anti-inflammatory medications, practicing physical therapy and wearing splints and braces to protect the affected joints.

» Click here for a "10-Year Fracture Risk Calculator"


Fibromyalgia is a chronic condition through which sufferers typically experience pain in their muscles, ligaments and tendons, along with tender points throughout the body and fatigue. It affects about 2 percent of people in the United States, and the risk of developing the condition increases with age. While the exact cause of fibromyalgia remains unknown, researchers have linked the condition to various factors, including genetics, stress, infections and increased pain sensitivity.


Gout is a type of arthritis characterized by too much uric acid in the blood. Uric acid is a natural waste product of the body that is normally filtered out of the bloodstream by the kidneys and excreted during urination. Patients with gout have an abnormal metabolism that reduces the kidneys' effectiveness. Uric acid then accumulates in the blood and forms painful crystalline deposits in one or more joints or soft tissues, usually in the feet and legs. The most commonly affected joints are the big toe and knee.

Other Conditions

Dr. Madan also treats several other rheumatology conditions, including:

  • Polymyositis
  • Dermatomyositis
  • Vasculitis
  • Polymyalgia Rheumatica


Infusion Therapy

Infusion therapy is a unique treatment method that delivers medication directly to damaged or diseased areas of the body for patients whose condition is so severe that it does not respond to oral administration. This type of treatment is often effective for patients with osteoporosis, rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis and more, and can help relieve pain, swelling and stiffness in the joints and muscles.

Infusion therapy most commonly involves intravenous drug administration, but may refer to intramuscular or epidural injections, depending on the type and severity of each patient's individual condition. The solution administered during treatment may consist of nutrients, antibiotics, chemotherapy or other types of medication. Your doctor will customize your infusion therapy program based on your condition. Infusion treatments are provided in a comfortable room with the physician present to ensure safe and effective results. With our unique in-office program, patients are able to continue working and following their normal life s while receiving the specialized care they need.

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