Rheumatology Clinics and Services

Musculoskeletal Pain Program

A Pediatric Pain Medicine clinic is also available for the diagnosis and treatment of childhood amplified musculoskeletal pain syndromes, including juvenile fibromyalgia, reflex sympathetic dystrophy, reflex neurovascular dystrophy, and complex regional pain syndrome type I. A multidisciplinary team approach is used, including rheumatology, anesthesiology, nursing, physical and occupational therapy, pediatric psychology and social services.

Clinical Services

Joint Injections
Intra-articular joint injections with long-acting corticosteroids are available in the procedure room within the clinic space. These can be done with topical and subcutaneous analgesia and monitored light sedation (oral midazolam). For multiple joint injections and those requiring deeper sedation, anesthesia services are available on the Children’s of Alabama campus at the Benjamin Russell Hospital for Children.

Orthopedic surgery colleagues are available for radiographically-guided deep joint corticosteroid injections (hip, sacroiliac, subtalar, shoulder). Temporomandibular joint corticosteroid injections are performed under general anesthesia at UAB by Dr. Peter Waite and colleagues in the Department of Oral and Maxillofacial Surgery.

Radiographic Imaging
Temporomandibular Joint (TMJ) MRI Imaging can be scheduled in advance with or without sedation at Children's of Alabama or at Children's South, 1940 Elmer J. Bissell Road, Birmingham, AL 35243.

X-ray imaging
Same day X-rays are available in Children's Park Place near Pediatric Rheumatology clinic.

Blood drawing services by those skilled in dealing with children are available in Children's Park Place near the Pediatric Rheumatology clinic.

Infusion Center

Contact phone number: 205-638-7084

A dedicated 7-bed infusion suite is available Monday through Friday, 8 a.m. - 4:30 p.m. for monitored infusions of a variety of anti-rheumatic intravenous therapies, including:
 Infliximab (Remicade) – 2 hour infusion (plan for a 3 - 4 hour stay)
 Abatacept (Orencia) – 30 minute infusion (plan for a 1-1/2 hour stay)
 Rituximab (Rituxan) – 5-7 hour infusion, depending on size of child
 Cyclophosphamide (Cytoxan) – 5 hour infusion (plan for a 6 - 7 hour stay)
 Methylprednisolone (Solumedrol) – 1 hour infusion (plan for 1-1/2 hour stay)
 Intravenous immunoglobulin (IVIg) –2 -7 hour infusion, depending on dose,

What to know:
One parent is allowed per child
Parent is to remain with child
Importance of keeping appointments (See contracts below)
No siblings will be allowed
Length of infusions (see medication list above)
Suggested items to bring include books, hand held video games, laptop computers, and homework

Contract for keeping appointments:
Contract in English
Centro de Tratamiento de Infusión de Park Place

Adolescent Transition Clinic

Dr. Peter Weiser conducts a transition clinic once a month on Friday mornings at Kirklin Clinic at UAB. Dr. Weiser follows transitioning late teenage patients for one year to prepare them for transition to the care of adult rheumatologists.

The Kirklin Clinic is located at 2000 6th Avenue South. Click here for directions.

Pediatric Spondyloarthritis Clinic

The Pediatric Spondyloarthritis Clinic at Children’s of Alabama provides continuity of care for children diagnosed with juvenile spondyloarthritis, a subset of juvenile idiopathic arthritis (JIA). Spondyloarthritis is an inflammatory rheumatic disease that involves both the joints and the sites where the ligaments and tendons attach to the bonesediatric rheumatologist  Matthew Stoll, M.D., Ph.D., directs the weekly clinic. Currently, more than150 children are being treated for spondyloarthritis  at Children’s.
Children who are referred to the Spondyloarthritis Clinic benefit from continuity of care from a physician with targeted clinical expertise in this area. Treatment regimens include both conventional therapeutic drugs and newer biologic therapies. Patients are also able to participate in research that will help advance understanding of pediatric spondyloarthritis. In addition, the clinic provides screening and treatment specifically for temporomandibular joint arthritis (TMJ.)
To be evaluated by Dr. Stoll, please contact the office at 205-638-9438.