Rheumatology

Medical specialization focusing on the diagnosis and treatment of diseases of the joints, bones and spine, as well as inflammatory diseases of the muscles, connective tissue and blood vessels.


Rheumatic diseases do not always manifest themselves with a set of symptoms characteristic of them, often disguised as other pathologies. To this end, a comprehensive outpatient service for the diagnosis and treatment of diseases of the joints and the musculoskeletal system as a whole was created at the K+31 clinic.

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When to See a Rheumatologist

A consultation with a rheumatologist is necessary if there are symptoms indicating a pathology of a rheumatic nature. Make an appointment if you have any of the following health problems:

A rheumatologist is engaged in the diagnosis, treatment and prevention of diseases characterized by systemic or local lesions of connective tissues. Among them: rheumatoid arthritis, acute rheumatic fever, psoriatic arthritis, systemic lupus erythematosus, systemic scleroderma, dermatomyositis, spondyloarthritis (Bechterew's disease), Sjögren's syndrome.

  • Joints creak and hurt
  • There is pain in the muscles, general weakness, aggravated by physical exertion
  • Temperature rises for no reason
  • Rashes appeared
  • You feel stiffness in the spine, especially after a night's sleep
  • Dizzy often
  • Swollen limbs in the morning
  • There is shortness of breath, discomfort and pain in the sternum when inhaling and exhaling
  • The skin turns blue and pale in the cold
  • Nodules appear on and under the skin
  • Weight loss for no reason

The problem is that many of these symptoms are also characteristic of other diseases. Only a qualified rheumatologist with extensive practical experience can recognize the pathology, identify its cause and prescribe the correct treatment. These are the specialists who work in our medical center.

Making an appointment with a rheumatologist via the Internet will allow you to save time and prepare for the appointment properly.

People whose close relatives suffer from rheumatoid arthritis or diffuse (systemic) connective tissue diseases are also at risk. Signing up for a consultation with a rheumatologist is also worth it for those who often have a sore throat, suffer from chronic tonsillitis, or have had an STI (sexually transmitted infection).

When to See a Rheumatologist

What does a rheumatologist treat?

A rheumatologist treats more than 100 pathologies: autoimmune diseases, local and systemic connective tissue diseases, vascular lesions. The specialist’s competence includes the treatment of rheumatological diseases:

  • Systemic lupus erythematosus
  • Systemic scleroderma
  • Sjögren's syndrome
  • Cross syndromes
  • Vasculitis in infectious and tumoral, autoimmune diseases
  • Rheumatoid arthritis
  • Juvenile arthritis
  • Psoriatic arthritis
  • Rheumatism
  • Osteoporosis
  • Gout
  • Osteoarthritis
  • Antiphospholipid syndrome
  • Osteoarthritis
  • Arthropathy in non-rheumatic diseases

Our medical center employs a qualified rheumatologist who treats even advanced rheumatological diseases with a large area of damage to cartilage, bones, ligaments and complications.

What does a rheumatologist treat?

How is an appointment with a rheumatologist

A timely visit to a rheumatologist allows you to identify joint disease at the initial stage of development, which significantly increases the chances of effective treatment. During the initial examination, an experienced doctor can identify dangerous pathologies of the joints, bone and muscle tissue, and the cardiovascular system. A timely visit to a rheumatologist will help you maintain your health, and maybe even your life.

At the first appointment, the doctor listens to the patient’s complaints, asks what diseases he has suffered during his life, whether there have been injuries, what his living and working conditions are (whether it is related to hazardous work).

Next, the doctor conducts a diagnosis: examines the patient using physical examination methods: palpation, auscultation and percussion. At this time, the patient stands, lies or makes certain movements.

Methods for diagnosing rheumatological diseases

Depending on the results of the initial examination, the rheumatologist may prescribe clinical tests and hardware studies to the patient:

  • General and biochemical blood test
  • Ultrasound of joints and soft tissues
  • Magnetic resonance imaging and computed tomography of organs
  • ECG
  • Ultrasound of the heart, echocardiogram (echocardiogram)
  • Blood test for ANF (antinuclear factor)
  • Synovial fluid examination
  • Biopsy and puncture of joints
  • Arthroscopy

Having received the research results, the doctor draws up an individual therapy regimen and subsequently adjusts it.

The Rheumatology Center in Moscow is equipped with the latest medical equipment, which allows us to carry out all diagnostic methods and obtain the most reliable results. We work seven days a week and seven holidays, so you can contact a rheumatologist any day.

Depending on the results of the initial examination, the rheumatologist may prescribe laboratory tests and hardware tests to the patient:

  • General and biochemical blood test
  • Ultrasound of joints and soft tissues
  • MRI and CT
  • ECG
  • EchoCG (echocardiogram)
  • Blood test for ANF (antinuclear factor)
  • Synovial fluid examination
  • Biopsy and puncture of joints
  • Arthroscopy

Having received the research results, the doctor draws up an individual therapy regimen and subsequently adjusts it.

The Rheumatology Clinic in Moscow is equipped with the latest medical equipment, allowing us to conduct all types of research and obtain the most reliable results.

How is an appointment with a rheumatologist
Treatment methods in rheumatology

There is no universal remedy for the treatment of rheumatic diseases. Each disease from this group requires an individual approach and the development of a specific treatment regimen. Each patient's body reacts for treatment in your own way. In our medical care centers in the rheumatology department, therapy is prescribed after an appointment, examination and consultation with a rheumatologist.

Complex therapy includes taking non-steroidal anti-inflammatory drugs (NSAIDs), helping to relieve pain in joints and muscles, and drugs to strengthen the immune system. Physiotherapy is prescribed to normalize local blood flow, relieve swelling and improve general condition. Note that this treatment method does not stop the progression of the disease, but only facilitates its course.

In some cases, the doctor prescribes basic medications - glucocorticosteroids. They are fast and efficient relieve inflammation and also stop deformation of joint tissues. But these substances are toxic, so they are taken strictly as prescribed by the doctor. While taking glucocorticosteroids, the patient should undergo regular diagnostic tests. tests aimed at assessing liver and kidney function.

Systemic rheumatic diseases are distinguished by a set of symptoms and signs: rapid generalization inflammatory process, increasing joint pain and duration of the acute period. Today, innovative treatment methods are used to intensify treatment:

  • Anti-cytokine therapy is the use of biological drugs that block the body’s production of cytokines (inflammatory mediators)
  • Pulse therapy - administration of ultra-high doses of prednisolone over several days
  • Intensification is indicated in the treatment of such dangerous pathologies as systemic vasculitis, ankylosing spondylitis, lupus erythematosus.

The rheumatology department of our clinic employs doctors of the highest qualification category. If you need paid medical care in Moscow, make an appointment with a doctor by phone or leave an online application on the Center's website. Here you can find out more details about additional services, conditions of hospitalization, and also read patient reviews.

To get a consultation

Fill out the form, our managers will contact you within 15 minutes

Our doctors

Smitienko Ilya Olegovych
Experience 21 year
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Smitienko
Ilya Olegovych
Leading rheumatologist
Zykova Anastasia Sergeevna
Experience 11 years
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Zykova
Anastasia Sergeevna
Doctor rheumatologist, nephrologist
Gromova Margarita Alexandrovna
Experience 15 years
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Gromova
Margarita Alexandrovna
Rheumatologist
Biryuk Ekaterina Sergeevna
Experience 6 years
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Biryuk
Ekaterina Sergeevna
Rheumatologist, therapist, specialist in ultrasound diagnostics of joints
Konshu Nadezhda Vyacheslavovna
Experience 9 years
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Konshu
Nadezhda Vyacheslavovna
Rheumatologist
Giletko Victoria Sergeevna
Experience 5 years
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Giletko
Victoria Sergeevna
General practitioner, rheumatologist
All specialists
2GIS Award
2GIS Award

This award is given to clinics with the highest ratings according to user ratings, a large number of requests from this site, and in the absence of critical violations.

«Good place» according to Yandex
«Good place» according to Yandex

This award is given to clinics with the highest ratings according to user ratings. It means that the place is known, loved, and definitely worth visiting.

Our doctors are laureates of the ProDoctors Award
Our doctors are laureates of the ProDoctors Award

The ProDoctors portal collected 500 thousand reviews, compiled a rating of doctors based on them and awarded the best. We are proud that our doctors are among those awarded.

Make an appointment at a convenient time on the nearest date

Reviews 42

Correct and professional support. Thank you!
25.11.2025
Sh. Viktor Nikolaevich
A very knowledgeable and innovative doctor. Thank you so much!
24.11.2025
Y. Alla Borisovna
A very professional and expert doctor. She provides evidence-based advice and answers all questions about treatment and related health issues. She's dynamic and open to dialogue—I would definitely recommend her!
22.11.2025
N. Olga Mikhailovna
Thank you for the professional reception!
18.11.2025
M. Olesya Nikolaevna
I would like to wholeheartedly thank Anastasia Sergeevna Zykova, a nephrologist, for her excellent care of my appointment on October 27, 2025. A.S. Zykova is an extremely professional physician who not only attentively addressed my nephrology questions but also explained the necessary procedures for my immediate family members. She was very engaging and engaged, despite it being the end of the workday and my late arrival (which I regret, as I was the last patient on shift). We discussed all issues thoroughly, despite the time constraints. I am eager to continue my follow-up with her. Sincerely, the team of Clinic K+31, V.G. Alexandrova.
10.11.2025
V.G. Alexandrova
Amazing doctor, attentive, professional in his field
04.11.2025
B. Maria Valerievna

About doctor:

Smitienko Ilya Olegovych

Ten years ago, Ilya Olegovich gave me the chance to breathe, not sit under the weight of a serious diagnosis! Sometimes I feel like he's a psychotherapist, not a rheumatologist. I feel incredibly calm with him. I wish him good health!
19.10.2025
S. Yulia Evgenievna

About doctor:

Smitienko Ilya Olegovych

A very attentive doctor who delves into the problem.
13.10.2025
Kh. Tatyana Mikhailovna
Many thanks to Ilya Olegovich Smitienko for a careful examination, detailed commentary on the results of the studies, explanations and clear, understandable recommendations. A high-class professional.
28.08.2025
H. Elena Vyacheslavovna

About doctor:

Smitienko Ilya Olegovych

The most attentive and erudite doctor who has ever examined me, thank you very much!! I visited this clinic at the beginning of the month, I had stabbing, paroxysmal pain in the joints. The appointment was with Zykova Anastasia Sergeevna. In general, I liked everything, they greeted me warmly. The appointment was held in a friendly atmosphere. Diagnostics were prescribed. As it turned out, I had arthralgia, immediately after the diagnosis was established, a further course of treatment was created. They treated me politely and in a calm atmosphere.
25.08.2025
Anonymously
Hello. My impressions after the consultation are the most positive. Everything is specific, to the point, professional, moreover - doubts and worries have been removed. The doctor gave a positive attitude and confidence in the success of the treatment. This is my first visit. I received some appointments for research. As soon as they are ready, I will sign up for a follow-up appointment.
22.08.2025
K. Natalia Dmitrievna

About doctor:

Smitienko Ilya Olegovych

Ilya Olegovich was very friendly and professional! He studied all my medical documents very carefully and immediately offered a modern and effective method of treatment, which other doctors did not even mention! Thank you from the bottom of my heart!
14.08.2025
P. Denis Alexandrovich

About doctor:

Smitienko Ilya Olegovych

Wonderful doctor Gromova Margarita Aleksandrovna. Attentive. She explained everything competently and clearly and prescribed treatment. Thank you very much for coming to your Clinic K+31.
08.08.2025
Anonymously
Anastasia Sergeevna adjusted my therapy taking into account my renal failure, thank you very much for your professionalism and attention! You have helped me a lot and continue to help me, I trust you completely.
04.07.2025
S. Nadezhda Ruvimovna
The most attentive and erudite doctor who has ever examined me, thank you very much!!
04.07.2025
S. Nadezhda Ruvimovna
I would like to express my deep gratitude to Margarita Aleksandrovna Gromova for her professionalism, sensitive attitude towards the patient, and recommendations for treatment!
02.07.2025
M. Yulia Vladimirovna
I liked it very much.
02.07.2025
S. Irina Avtandilovna
I express my deep gratitude when contacting Margarita Aleksandrovna Gromova, a very attentive approach and professionalism, I want to emphasize separately the well-coordinated teamwork of doctors - phlebologist, traumatologist, vascular surgeon to establish a diagnosis, which was organized by the doctor during the examination. From the bottom of my heart, thank you very much!
11.02.2025
Nina Petrovna G.
I want to say a huge thank you to the doctor and the man from God, he accurately determined the diagnosis at the first appointment, prescribed the right treatment and got me back on my feet in a short time, my diagnosis was livedoid vasculopathy, a very rare disease, in my city no one could diagnose correctly, the chief rheumatologist of the city sent me to Ilya Olegovich, thanks to her for her life-saving advice! Ilya Olegovich, I always remember you with admiration!
22.02.2024
Anton Afanasyev

About doctor:

Smitienko Ilya Olegovych

Anastasia Sergeevna, thank you very much! You are a real expert in your work! Only you approached my problem professionally, competently, and delicately. You know how to listen, draw conclusions, and help. I am very grateful to you!
04.12.2023
Klim Yulia Viktorovna
Many thanks to Ilya Olegovich Smitienko for his professionalism, attention and readiness to always come to the rescue. I have been seeing Dr. for over 3 years. Very well chosen treatment. In emergency cases, I always use feedback. There has never been such a case that Ilya Olegovich did not respond and help. Thanks again.
20.07.2023
Irina Yurievna Vasilyeva

About doctor:

Smitienko Ilya Olegovych

I want to express my sincere gratitude for the professionalism, kind attitude and respect for patients to the doctors Gromova M.A., rheumatologist, and orthopedist Pavlov D.E. There would be more such specialists. And I also want to thank the administrators for their sensitive attitude towards patients.
10.07.2023
Anush Kayanovna

About doctor:

Gromova Margarita Alexandrovna, Pavlov Dmitry Eduardovich

I want to write a review about the wonderful doctor Smitienko Ilya Olegovich. A few years ago I was diagnosed with rheumatoid arthritis and in a rather bad condition (in the morning I couldn’t get dressed on my own, I couldn’t lift a cup of tea with one hand, my joints were constantly inflamed and I took painkillers twice a day) fell into the hands of this man. He was able to bring me to a consistently good level. Now I feel great. Thank you for your help, professionalism and attention. With all my heart I wish you success in your professional activities! Prokhorova L.A.
27.11.2022
Prokhorova Ludmila

About doctor:

Smitienko Ilya Olegovych

I visited a rheumatologist-nephrologist Zykova Anastasia Sergeevna. Very caring and systematic doctor. Approaches the problem of the patient comprehensively. I received answers to all my questions. Thanks a lot!
31.10.2022
Danilova Irina Viktorovna
I was at the appointment with the rheumatologist Ilya Olegovich and the gastroenterologist Tatyana Viktorovna. Professional and qualified doctors. Confidently make certain and correct conclusions, seeing the indicators. You feel confident that you are in the hands of experienced and knowledgeable professionals. Do not prescribe unnecessary tests. Reassure and say that you have already passed everything. This is important because you want to fool less and the emotional background is very important.
06.06.2022
Anonymously

About doctor:

Perehodtseva Tatyana Victorovna, Smitienko Ilya Olegovych

The rheumatologist is a qualified specialist, diagnosed, prescribed pills. I feel good after the treatment. The doctor was wearing a mask.
05.04.2022
Anonymously

About doctor:

Smitienko Ilya Olegovych

I had a consultation with a rheumatologist. The appointment was quick and efficient. Doctor Smitienko Ilya Olegovich is professional, ordered tests.​
15.02.2022
Anonymously

About doctor:

Smitienko Ilya Olegovych

I express my special gratitude and gratitude to Smitienko Ilya Olegovich, for high professionalism, sensitivity and attention to patients! Competent diagnosis of the disease and assistance provided to me and my daughter (18 years old)! Huge human THANKS!
28.06.2021
Chernysheva Valeria Alekseevna

About doctor:

Smitienko Ilya Olegovych

I had problems with joints, I was looking for a rheumatologist and decided to choose Ilya Olegovich, I came to him for the second time. At the doctor's appointments, I liked everything. He did what was needed: examination, consultation and, of course, made a diagnosis, giving me 20-30 minutes. At the first appointment, he prescribed medication, and at the next appointment, after the tests, he changed some funds. I think Smitienko I.O. - a modern doctor, knows a lot and at the same time communicates normally, that is, without using complex terms. After 3 weeks, I again need to contact him.
06.04.2021
Anonymously

About doctor:

Smitienko Ilya Olegovych

A very competent and thinking doctor! Thank you so much!
16.08.2019
Elena

About doctor:

Smitienko Ilya Olegovych

I visited Ilya Olegovich on suspicion of rheumatoid arthritis. Signed up purposefully to him, on the advice of the traumatologist Alan Vasilyevich Shadyan. I am very glad that I was not too lazy and followed the advice, although this department is not so close to home. It is very comfortable to talk to Ilya Olegovich, he is always polite, asks clear questions and carefully explains the reasons for the symptoms, why such and such tests need to be done, what are the risks and what is the correct way of treatment. Many thanks!
27.05.2019
Daniel

About doctor:

Smitienko Ilya Olegovych

With great gratitude I express my gratitude to my attending physician, a professional in his field, a wonderful person - Smitienko Ilya Olegovich. I have been seeing Ilya Olegovich for more than 8 years with a diagnosis of Takayasu's arteritis. Thanks to his competence, literacy, use of modern techniques in work, sensitive and attentive attitude, we have achieved excellent results in confronting the disease, and the quality of my life is no different from that of an absolutely healthy person. Thank you, doctor, for your excellent work, the positive that you convey to patients, kindness and faith in the result. It is very rare to meet a doctor today who has so many wonderful qualities, but I was lucky. You are a truly excellent doctor! It is a great happiness that such a skillful, talented doctor met on my way.
09.01.2019
Irina L.

About doctor:

Smitienko Ilya Olegovych

I would like to express my heartfelt gratitude and gratitude to the wonderful doctor Smitienko Ilya Olegovich for his high professionalism and human responsiveness. God bless you health and good luck in your noble cause!
19.09.2018
Nariman Aliyev

About doctor:

Smitienko Ilya Olegovych

My favorite doctors work here. And for me this is the main factor in choosing a medical institution. Smitienko I.O., Osipova I.A., Atyasova E.V., Kaplan V.I. -super professionals, thank them very much!
18.02.2017

About doctor:

Smitienko Ilya Olegovych

I want to express my deep gratitude to Ilya Olegovich Smitienko! Thank you for the professionalism and humanity that you show to your patients! I have aortoarteritis Takayasu. I have been seeing Ilya Olegovich for 7 years. During this time, I gave birth to a healthy child, I lead an active lifestyle, I feel 100%! Thanks to this wonderful doctor who inspires great optimism and faith in a bright future !!! Thank you from the bottom of my heart.
23.01.2017
Anastasia

About doctor:

Smitienko Ilya Olegovych

An excellent doctor - a professional, responsible, attentive, benevolent, I meet such a doctor for the first time in my life, Man of the future !!!
14.07.2016
ALEXANDROV TATIANA IVANOVA

About doctor:

Smitienko Ilya Olegovych

With this doctor about my systemic illness (rheumatoid arthritis). We have been in contact for more than 7 (seven) years, after him the whole family moved to the clinic "Petrovskie Vorota". I would like to note the doctor's attentiveness, his indifference to the patient's problem, the most effective assistance provided to him and the constant improvement of professional knowledge and skills. There would be more such doctors! Somehow, everything has changed for the better in the work of all structures of the clinic from April - May 2015 to the present day. Well done, keep it up! The whole family ourselves will be treated at the "Petrovskie Vorota" and will recommend it to all our friends and acquaintances.
08.06.2016
VAZHERKINA LARISA ALEXANDROVNA

About doctor:

Smitienko Ilya Olegovych

I express my deep gratitude to the Man with a Capital Letter Smitienko Ilya Olegovich! Thanks to his professionalism and knowledge of his business, my daughter was born! With the diagnosis of Takayasu's aortoarteritis, I have been seeing him for 6 years! We achieved remission ... And now I am a happy wife and mother! Thank you to your center for the friendly and helpful staff!
11.02.2016
KALUNINA ANASTASIA VLADISLAVOVNA

About doctor:

Smitienko Ilya Olegovych

Ilya Olegovich pulled me out of the afterlife. In the literal sense .. With CRP 186 and C OE 92, daily temperature 38, specialists of different profiles, including rheumatologists, could not make a diagnosis for 3 months. Doctor Smitienko did it at the very first appointment. Returned from a Mediterranean cruise a week ago! I am a healthy person! Thank you, Ilya Olegovich !!
16.10.2015
BRIGHT T.P.

About doctor:

Smitienko Ilya Olegovych

Being a patient of Ilya Olegovich at the time when he worked in another medical center and moved with him to the Petrovskie Vorota MC, I want to express my deep gratitude for his attention, sensitivity and help in my treatment over the years.
11.07.2015
BORIN YU.B.

About doctor:

Smitienko Ilya Olegovych

Many thanks to the Medical Center, which made it possible to finally find competent doctors (they have been looking for them for more than 3 years, and this is in Moscow!) And prescribed treatment, which immediately worked ... Now twitching pains in the legs do not bother and you can sleep peacefully all night. Special thanks to doctors Smitienko Ilya Olegovich and Akulova Elena Mikhailovna for comprehensive advice and help!
06.04.2015
MIKHAILOVA RAISA MIKHAILOVNA

About doctor:

Smitienko Ilya Olegovych

Dear employees of the Med Center, I wish you a Happy New Year, I wish you all the best and, as expected, Health. I especially want to tell Ilya Olegovich Smitienko. Ilya Olegovich, you are a Doctor of Life for me! For three years I feel like a man, but once I could not breathe. Each reception you have is a new breath of Health. Every time I run to you for an appointment, because I know that I will receive not only answers to my questions, but also moral support. I wish that your tactfulness, benevolence, mind did not dry out. You are truly a person who can only be called a DOCTOR in capital Letters. My whole family adores you and expresses to you, as I do with them, Many thanks to you for all your efforts for me!)
30.12.2014
KOVALEVA ANTONINA

About doctor:

Smitienko Ilya Olegovych

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Почему К+31?
К + 31 — full-cycle multidisciplinary medical centers, including the possibility of providing medical services of European quality level.
К + 31 — are leading doctors and diagnostics using high-tech equipment from world manufacturers (Karl Storz, Olympus, Siemens, Toshiba, Bausch&Lomb, Technolas, Zeiss, Topcon).
К + 31 — is ethical. The staff of K+31 clinics maintain open relationships with patients and partners. An individual approach to each patient is the basis of our service standards.
К + 31 — is modernity. On call 24/7: call center operators will answer your questions at any time and book you an appointment with doctors. Contact us by phone, through the feedback form on the website and WhatsApp.

Our clinics

K+31 Petrovskie Vorota

1st Kolobovsky pereulok, 4

74999993131

Subway
9
Tsvetnoy Bulvar
10
Trubnaya
By a car
Moving along Petrovsky Boulevard, turn onto st. Petrovka, right after - on the 1st Kolobovsky per. Municipal parking
Opening hours
Mon-Fri: 08:00 – 21:00
Sat-Sun: 09:00 – 19:00
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