Rheumatology in France

Rheumatology is a branch of medicine that focuses on the diagnosis and therapy of conditions that affect joints, bones, tendons, ligaments, and muscles, including those known as rheumatic diseases, or autoimmune conditions. Physicians who have had special training in rheumatology are called rheumatologists. Some of the conditions that rheumatologists diagnose and treat include:

Chronic back pain, Lupus, Inflammatory arthritis of the hips, knee, or shoulders, Rheumatoid arthritis, Tendinitis, Osteoporosis, Psoriatic arthritis, Osteoarthritis, Giant cell arteritis, Bursitis, Scleroderma, Behcet’s disease, Polymyalgia rheumatic, Paget’s disease, Polymyositis, Dermatomyositis, Ankylosing spondylitis, Gout, Reiter’s syndrome, Sjogren’s syndrome, Reactive arthropathies, Sarcoidosis, Idiopathic juvenile arthritis.

While rheumatologists diagnose and treat rheumatic diseases, they do not perform surgery. They perform examinations and procedures that help them diagnose, manage, and treat rheumatic conditions. These include:

• Complete physical exams.
• Lab tests, which usually involve taking samples of joint fluid, urine, or blood to check for anti-cyclic citrullinated peptides (anti-CCP) antibodies, synovial fluid, rheumatoid factor, erythrocyte sedimentation rate (ESR), and C-reactive protein.
• Imaging tests, such as X-rays, CT scans, MRIs, bone density scans (DXA), or ultrasounds.
• Lumbar punctures.
• Joint aspiration.
• Synovial biopsy.
• Joint injections.
• Bursal injections.
• Hyaluronic acid injections.

How Long Should I Stay in France?

Rheumatology procedures are usually performed on an outpatient basis, meaning you should be able to leave the hospital or clinic on the same day. Depending on your condition and the type of procedure you will have, you may also be allowed to travel home immediately after. However, it is generally recommended that you stay for 2 to 7 days as you may need to attend a follow-up appointment to discuss the test results with your rheumatologist (if you undergo a diagnostic test) or to monitor your condition.

What's the Expected Recovery Time?

The recovery time depends on your specific condition. After the rheumatology procedure itself, you may not need any downtime, although you will need to take it easy for at least two days after some procedures, such as a lumbar puncture. If your condition causes painful symptoms, your rheumatologist will also recommend that you rest until the pain and discomfort subsides. Make sure to discuss your recovery timeline, including when you can return to work and perform strenuous activities.

What Aftercare is Required?

Your rheumatologist will likely prescribe you medications. It is important that you take the medications as directed. You may also be suggested to see undergo physical therapy or occupational therapy. Physical therapists will teach you exercises that can help you move your joints and improve their strength, while occupational therapists can teach you how to ease the strains on your joints when performing your day-to-day activities. Lifestyle changes are important as well, such as maintaining a healthy weight and staying active. Since most rheumatic diseases are long-term diseases, you probably will need regular checkups.

What's the Success Rate?

With cutting-edge technology, continuous research, and a better understanding of the joints, bones, tendons, ligaments, and muscles, rheumatology procedures are now more accurate and safer. The procedures are also highly successful, giving patients higher satisfaction rates and improvement in their quality of life. 

Are there Alternatives?

The alternatives depend on your specific condition. It is best that you talk to your general physician first, who will be able to refer you to the relevant specialist. If you require surgery, for instance, you need joint replacement surgery, your rheumatologist will refer you to an orthopedic surgeon.

Rheumatology in and around France

About France

France, renowned for its architecture, art, cinema, cuisine, fashion, literature, music, and wine, with the most significant attraction being its glorious capital city, Paris - home to the famous Eifel Tower. With its small medical tourism industry, France sees far fewer medical tourists than its neighbors Germany and Spain, however, many travel each year for Rheumatology procedures among other popular procedures. Other than Paris, popular locations for private medical centers, include Bordeaux, Lyon, and Montpellier.

Popular Parts of France

France has welcomed more than 80 million visitors in the past few years. The country does have a lot to offer, from culture to iconic landscapes, making it an ideal place to spend a memorable holiday. 

• Paris, the capital of France, is an international center of culture, fashion, art, and gastronomy. Hundreds of writers have written about their love of this city, and it is easy to see why. With thousands of years of history, the city is filled with iconic monuments. Some of the most famous and most visited landmarks are the Eiffel Tower, Arc de Triomphe, and Notre Dame. This stunning city is also known for its art nouveau cafes with pretty chairs lining the terrace and the beautiful banks of the Seine that are perfect for romantic walks. 
• Bordeaux is known for its wine, lively restaurant scene, and the futuristic La Cité du Vin. Tourists can take a tour of a winery and taste some of the world’s best wines. Complete the wine tour by visiting La Cité du Vin, an ultra-modern cultural center that provides comprehensive information about wine production. Other than the wine, there are countless things that tourists can do in this city. Visit Place de la Victoire, a pretty square with amazing architecture, or visit Musée D’Aquitaine to see historical collections from all around the Aquitaine region.
• Lyon is the third-largest city in France and it is famous for its cuisine and historical landmarks. The city was an important area for silk production and had lots of trade with Italy and tourists can see the Italian influence in the city’s architecture. The city attracts travelers to come and visit its many museums such as the Museum of Fine Arts of Lyon, Museum of Miniatures, and Textile Museum. Tourists who love cinema will be delighted to explore the Lumiere Institute. Since Lyon is famous for its gastronomic scene, tourists should taste its famous specialties in a Bouchon.
• Nice is the second-largest tourist destination in France. Located on the Mediterranean coast, the city is brimming with stunning beaches, hilltop lookouts, and glamorous restaurants. Thanks to its Mediterranean climate, it is always filled with sun-seekers all year round. The city in the past also attracted many artists such as Henri Matisse, Marc Chagall, Pablo Picasso, and Pierre-Auguste Renoir. The city pays tribute to the artists in its top museums, the Musée Chagall and the Musée Matisse.
• Marseille is the second most populated city in France. Found by Greek sailors in 600 BC, it is one of the oldest cities in Europe. With a complex history, it is now a melting pot of different cultures. Discover the city by shopping in one of the colorful markets like the Noailles market. Do not forget to visit the Calanques to admire its beauty, wander around the interesting Mucem, get lost in Le Panier, and stroll around the scenic Corniche.     

Weather and Climate in France

France generally enjoys mild summers and cold winters except in the Mediterranean area, which enjoys mild winters and hot summers. Spring starts in March and ends in April and the streets in spring are bursting with colors, making it a beautiful time to visit the country. It rains a lot during this season but the weather will start to brighten up in April. The temperature ranges between 7.5 °C in early March and 13.6 °C in May. June is when the summer starts and this season is a high season for tourism. The average temperature in summer is around 24 °C and the season experience little rainfall (around 11 days every month). 

Autumn lasts from September to November. With an average of 12 °C, the temperature is still pretty mild to enjoy some outdoor activities. The temperature will slowly decrease in November when it reaches an average of 7.5 °C. Autumn is also the season of grape harvests, meaning it is a great time for wine tours. Winter is during the months of December to February and the weather can be really cold during this season with an average temperature of 5 °C. Despite the cold, December can be a delightful time to visit the country since it is one of the most festive months in France.

Getting Around in France

France has 34 airports, but the busiest are the airports in Paris: Paris Charles de Gaulle and Orly. Paris Charles de Gaulle Airport is the largest airport in France and the second largest in Europe. The airport serves domestic and international flights. It connects France with almost every country around the globe. It also serves budget airlines such as EasyJet and Norwegian Air Shuttle. While Charles de Gaulle airport serves as the main airport, Orly Airport serves as a secondary hub for domestic and overseas territories flights. 

Traveling around France is easy. The wide range of airports let tourists travel around the country quickly by domestic flights. The country also has a great rail system since it is the creator of the earliest high-speed train system. The TGV (Train a Grande Vitesse) connects 150 cities in the country and Europe. It speeds up to 200 miles per hour. Other than the TGV, there are also Intercity trains, TER, and AutoTrain. The easiest way to buy train tickets is online. The prices vary widely but you will get good bargains if you book early. Before getting on the train, remember to validate your ticket in yellow machines known as compostage de billets.

Taxis can be found easily around France and you can hail a taxi from a taxi rank (station de taxi) outside railway stations, airports, or main areas in cities. You can also hail one directly from the street or by telephone. The taxis are metered and the base fare is around €4.10. If there are more than four passengers, there will be an extra fee of €2.50 and the driver can charge an extra €2 if you have a lot of luggage and Taxis are usually more expensive in Paris.

Tourist Visas in France

France is a member of the Schengen Agreement. Therefore, holders of ordinary passport from 62 countries including Australia, Malaysia, Singapore, and the United States do not need a visa to enter the country for short stays of up to 90 days. Other nationals not listed need to apply and obtain a visa before entering the country. It is advisable to always check at the nearest France embassy or consulate for a France visa.

Additional Information

1. Local Currency: The official currency in France is the Euro (€). US$1 converts to €0.85.
2. Money & Payments: ATMs (known as DAB - distributeurs automatiques de billets) are widely available in the country, particularly in airports, train stations, and street corners. Credit and debit cards are accepted almost everywhere, including shops, supermarkets, restaurants, and hotels. Tipping can sometimes be mandatory, usually around 10% in restaurants.
3. Local Language: French is the official language. Most people in large cities will speak English, especially in hotels and tourist sites. But it is better to know some French.
4. Local Culture and Religion: France has a diverse religion under secular principles. The major religion in the country is Christianity, but other religions such as Islam, Buddhism, and Judaism are freely practiced. 
5. Public Holidays: There are 11 official public holidays in France, including New Year’s Day, Easter Monday, Bastille Day, and Christmas Day.