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.
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.
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.
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:
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.