Our Treatments

At the forefront of compassionate care, Synergy Rheumatology marries cutting-edge rheumatology treatments with a personal touch. Discover our specialized approach to autoimmune diseases that use personalized treatment plans designed around you.

Rheumatology Treatments in San Diego

Fibromyalgia

Fibromyalgia

This is a terrible syndrome characterized by whole body pain as its most obvious feature, but, at its worst, becomes associated with a variety of symptoms that wreck your quality of life. These range from crushing fatigue, headaches, brain fog, insomnia, irritable bowel syndrome or its symptoms, tingling/numbness without organic explanation, and terrible pain following even the most mild activity.

The challenge with this terrible syndrome is the lack of recognition and lack of treatment options available. This pain is invisible; no one around you, sometimes even your loved ones, will fully understand. Doctors may tell you all the tests are normal and “it’s all in your head”. At worst, some physicians won’t treat you or refer you elsewhere.

Ultrasound

Ultrasound

Welcome to a new dimension of rheumatologic care at Synergy Rheumatology and Wellness. Musculoskeletal ultrasound represents a significant advancement in diagnosing and treating rheumatologic conditions. Dr. Fellows is RhMSUS-certified by the American College of Rheumatology – this credential is awarded following arduous, additional training in ultrasound above usual rheumatology training.

Diagnostic ultrasound is a cornerstone of our practice. This non-invasive and painless technology allows us to visualize the structures inside your body in real-time. It can become crucial to confirming your diagnosis, assessing disease activity, and evaluating the effectiveness of our treatment plan. By using ultrasound, we can make informed decisions about your treatment plan with more precision and confidence than possible without.

Rheumatology and Wellness in Coastal North County, CA
Weight Management

Weight Management

This is a terrible syndrome characterized by whole body pain as its most obvious feature, but, at its worst, becomes associated with a variety of symptoms that wreck your quality of life. These range from crushing fatigue, headaches, brain fog, insomnia, irritable bowel syndrome or its symptoms, tingling/numbness without organic explanation, and terrible pain following even the most mild activity.

The challenge with this terrible syndrome is the lack of recognition and lack of treatment options available. This pain is invisible; no one around you, sometimes even your loved ones, will fully understand. Doctors may tell you all the tests are normal and “it’s all in your head”. At worst, some physicians won’t treat you or refer you elsewhere.

Wellness

Wellness

Welcome to a new dimension of rheumatologic care at Synergy Rheumatology and Wellness. Musculoskeletal ultrasound represents a significant advancement in diagnosing and treating rheumatologic conditions. Dr. Fellows is RhMSUS-certified by the American College of Rheumatology – this credential is awarded following arduous, additional training in ultrasound above usual rheumatology training.

Diagnostic ultrasound is a cornerstone of our practice. This non-invasive and painless technology allows us to visualize the structures inside your body in real-time. It can become crucial to confirming your diagnosis, assessing disease activity, and evaluating the effectiveness of our treatment plan. By using ultrasound, we can make informed decisions about your treatment plan with more precision and confidence than possible without.

Rheumatology and Wellness in Coastal North County, CA
Osteoporosis

Osteoporosis

Osteoporosis is a condition that weakens bones, making them fragile and more likely to break. Managing osteoporosis effectively requires a comprehensive and proactive approach to strengthen bone density and reduce the risk of fractures. Our focus is on providing advanced and personalized care plans to address the specific needs of those living with osteoporosis, aiming to improve bone health and overall quality of life.

At the forefront of our osteoporosis management strategy are advanced treatment options, including both intravenous and injectable therapies.

Joint Pain and Osteoarthritis

Joint Pain and Osteoarthritis

Joint pain and osteoarthritis are common conditions that can significantly affect your daily life, mobility, and overall well-being. Osteoarthritis, the most prevalent form of arthritis, arises from the wear and tear of joint cartilage, leading to pain, stiffness, and swelling. Understanding the impact of these conditions, our goal is to provide effective pain relief and management strategies tailored to each individual’s needs.

A cornerstone of our approach to managing joint pain and osteoarthritis is the use of ultrasound-guided procedures. This state-of-the-art technique allows for precise targeting of medication injections, ensuring maximum efficacy and minimum discomfort. By visually guiding the needle to the exact area of inflammation or damage, these procedures can offer significant pain relief, improved joint function, and a faster return to daily activities.

Rheumatology and Wellness in Coastal North County, CA
Autoimmune Disease

Autoimmune Disease

Autoimmune diseases represent a complex category of conditions where the body’s immune system mistakenly attacks its own tissues. This can lead to a wide range of symptoms and affect various parts of the body. Key diseases within this spectrum include systemic (and discoid) lupus erythematosus, rheumatoid arthritis, psoriatic arthritis, Sjogren’s syndrome, scleroderma, mixed connective tissue disease, sarcoidosis, and many others – each presenting its unique challenges and impacts on patients’ lives. These conditions can cause significant discomfort, pain, and in severe cases, organ damage, emphasizing the importance of specialized care and management.

Conditions Treated

  • Rheumatoid Arthritis (RA): An autoimmune disorder causing inflammation in the joints, leading to pain, swelling, and joint damage.
  • Osteoarthritis (OA): A degenerative joint disease characterized by the breakdown of cartilage, resulting in pain, stiffness, and reduced joint mobility.
  • Lupus (Systemic Lupus Erythematosus): An autoimmune disease that can affect various organs, joints, and skin, leading to inflammation and a range of symptoms.
  • Ankylosing Spondylitis (AS): A type of inflammatory arthritis primarily affecting the spine and sacroiliac joints, causing stiffness and pain.
  • Psoriatic Arthritis (PsA): An inflammatory arthritis associated with psoriasis, involving joint inflammation, skin lesions, and nail abnormalities.
  • Gout: A form of arthritis caused by the buildup of uric acid crystals in the joints, resulting in sudden and severe pain, swelling, and redness.
  • Sjögren’s Syndrome: An autoimmune disorder affecting the glands that produce saliva and tears, leading to dry eyes and mouth, and sometimes joint pain.
  • Systemic Sclerosis (Scleroderma): A connective tissue disease causing thickening and hardening of the skin and, in some cases, internal organ involvement.
  • Polymyalgia Rheumatica (PMR): An inflammatory condition causing pain and stiffness, typically in the shoulders and hips, especially in the morning.
  • Vasculitis: A group of disorders characterized by inflammation of blood vessels, affecting various organs and tissues.
  • Sarcoidosis: An autoimmune disorder characterized by development of invasive collections of immune cells that can involve the lungs, heart, brain, eyes, joints, skin, and many other organs.
  • Antiphospholipid syndrome (APS): A condition often, but not always, seen with lupus and increases the risk of developing blood clots and can harm pregnancies.
  • Lyme Disease: An infection carried by ticks that can wreck havoc on various organ systems including joints.
  • Osteopenia and Osteoporosis: Often age, medication, or hormonal-driven losses in bone density that lead to fragile bones and a significantly increased risk of painful, debilitating fractures.
  • Raynaud’s Phenomenon: An inappropriate reaction to cold temperatures or other stimuli that trigger intense narrowing of blood vessels in the hands and feet, often leading to a white or pale appearance.
  • Inflammatory and Mitochondrial Muscle Disorders: Diseases that either affect the functioning of or directly damage muscle cells that can lead to severe weakness and other organ problems.
  • Immune-related Interstitial Lung Disease (CTD-ILD, IPAF): Often progressive, chronic scarring and inflammation of the lung tissue when occurring as the primary result of or when associated with an autoimmune disorder.
  • Obesity: Management of one’s weight and metabolic state focusing on counseling, nutritional advice, prescription medication, and medical monitoring.

Testimonials

Jerrie Brown

Dr. Fellows is an amazing doctor with incredible bedside manner along with an easy going personality. He’s not the type of doctor that just makes diagnosis, prescribes medication and sends you on your way. Dr. Fellows actually encourages you to participate in your care. He works with his patients as a team not just as your doctor, collaborating and discussing all options for treatment. I would highly recommend Dr. Fellows to anyone seeking rheumatology care. He is one of the best doctors you will ever encounter.

Jerrie Brown

Testimonials