
Care
Integrative Rheumatology
Children & Young Adults (0-22 y.o.)
How It Works: Your Roadmap to Gain & Maintain
Remission
Initial 2 Hour Consult
with Dr. Singla
Roadmap to Remission with a "Rheum-Mate"
OR
As Needed Follow Up Care
Membership (Coming Soon!)
Model
What You Get From this Care
Faster disease & symptom control
Less disease
flares
Less reliance on pharmaceuticals
Realistic coping strategies to build resilience
Community
Step 1
2-Hour Consult with Dr. Singla ​
The
Process
before
during
In addition to a review of their diagnosis, clinical course, and medications, Dr. Singla takes a deep dive into your child's current symptoms, and performs a thorough physical exam. She also reviews your child's nutrition patterns, exercise, sleep, stress, emotional/self-regulation abilities, and social support. ​​
​​Dr. Singla reviews the diagnosis and expectations of your child's illness as well as potential complications and side-effects associated with their diagnosis and medications. ​​
​After discussion of the diagnosis and treatment goals, a customized Game Plan is crafted​​​ blending conventional and complementary therapies. Don't worry, we won't make you do this alone (see Step 2)!
​Labs are collected in the office using pain reduction techniques including numbing cream, ice, the Buzzy Bee, breathing techniques, and aromatherapy based on individual needs. Labs are billed to your insurance company. If you don't have insurance, we have discounted cash pricing as well.
​​Orders for appropriate imaging, medications, and referrals are placed. ​​
​​Auricular acupressure is applied as indicated (if desired).
Dr. Singla communicates your child's diagnosis and plan of care with their primary care provider and specialist(s).
​
​​Dr. Singla calls you about 2 weeks after the initial consult to discuss lab/imaging results and adjusts the Game Plan/Roadmap as needed. Additional questions are also addressed at this time.
after
Step 2
Implementing the Roadmap to Remission with a "Rheum-mate"
The treatment plan and overall goals will be mapped out using a customized Roadmap, which can last anywhere from 2-4 months. It will differ from individual to individual, but may include various elements such as:
-
Starting disease or symptom specific medications and supplements
-
Incorporating movement, exercise, or physical therapy
-
Working with our nutritionist to determine the right calorie and macronutrient balance based on your child's lifestyle and condition.
-
Partnering with our nurse to explore breathwork techniques, meditation, Reiki, or Multi-Vibrational Therapy (MVT).​
​​To help you implement your child's Roadmap, you work with our "Rheum-mate," or integrative health coach, who works with you and your family to provide practical, customized solutions to fit your unique lifestyle, challenges, and schedule. This may include getting guidance on:
-
How to adjust your child (and family's) diet
-
Meal planning and preparation strategies to reduce flare-ups
-
Finding the best way to give them supplements
-
Managing injection anxiety
-
Creating calming nighttime routines​
​​The Roadmap concludes with a follow up visit with Dr. Singla to assess your child's progress and make any necessary adjustments to their treatment plan.
Step 3
Follow-Up Care
Once completing the Roadmap (including the follow up visit with Dr. Singla), you have 2 options to continue ongoing care with Dr. Singla and the Rheum to Grow team:
-
Follow up care as clinically indicated, typically every 4-6 months​ OR
-
Monthly Membership (coming summer 2025!)​
Conditions
-
Juvenile idiopathic arthritis or JIA (formerly known as juvenile rheumatoid arthritis or JRA).
-
Rheumatoid arthritis
-
Systemic lupus erythematosus (SLE)
-
Neonatal lupus erythematosus (NLE)
-
Juvenile dermatomyositis (JDMS)
-
Chronic recurrent multifocal osteomyelitis/chronic non-bacterial osteomyelitis (CRMO/CRNO)
-
Sjogren's syndrome
-
Localized Scleroderma
-
Periodic fever syndromes (also known as autoinflammatory conditions)
-
Henoch-Schonlein purpura
-
Chronic uveitis
-
Evaluation and management of non-inflammatory joint pain (such as growing pains)
-
Transient synovitis
-
Diagnosis and management of a positive ANA
-
Hypermobility syndrome (including Ehlers-Danlos Syndrome)
-
Chronic pain
-
Amplified Musculoskeletal Pain Syndrome
-
Chronic fatigue
-
Raynaud's syndrome
Treated
-
Pediatric patients looking to get an evaluation/work-up for a possible rheumatologic diagnosis plus address integrative options for their condition(s). (This is what makes Rheum to Grow different from a traditional pediatric rheumatology practice!)
​
-
Patients who already have established rheumatology care and want an integrative assessment/recommendations to enhance their overall care.​​
Ideal
For
Pricing
$699
Price* varies depending on child & family's needs.
​
*Discussed during initial 2 hour consultation
OR
$299
Membership (Coming Soon!)