Rheumatology Services

Rheumatology Services

Rheumatic diseases affect your joints, muscles and bones and typically causes pain, swelling and stiffness in most cases. The most common rheumatic diseases are osteoarthritis, gout, rheumatoid arthritis, and lupus. The prevalence of these diseases is substantial and projected to grow. According to the Centers for Disease Control and Prevention (CDC), in 2013 there was an estimated 52.5 million U.S. adults suffering from arthritis and other rheumatic conditions.

Are you at risk for Rheumatic Disease?

Some people are at higher risk for developing a rheumatic disease based on factors of genetics, environmental attributes, gender and age; however, rheumatic disease can develop in people of any age, sex or race.

Most people have experienced muscle or joint swelling or discomfort in their lives; however, if you experience symptoms of rheumatic disease or are concerned that pain is not resolving as you would expect, we recommend seeking an evaluation from your primary care doctor. If there is indication of an underlying rheumatic condition present, he/she will refer you to our rheumatologist for further evaluation and diagnosis.

Early detection and treatment is key to managing your symptoms, as well as, the prevention of further joint damage.

Types of Rheumatic Diseases

Rheumatic disease can occur in the shoulder, hands, knees, joints or hands.
Your symptoms and treatment will vary depending on the type of rheumatic condition you may be experiencing. Rheumatology care at Orange Regional Medical Group offers diagnosis and treatment of autoimmune conditions, including but not limited to:


Osteoarthritis is the most common type of arthritis and is categorized by the breakdown of the joint’s cartilage. This breakdown causes the bones to rub against each other, causing stiffness, pain and loss of movement.

Rheumatoid Arthritis

Most often affecting the joints of patient’s hands and feet, this chronic disease is caused by an inflammation of the lining of joints. Long-term joint damage is often a result as the patient experiences chronic pain and loss of function.


Gout is a type of arthritis where microscopic crystals of uric acid develop on the joints causing inflammation, swelling and pain – often occurring in the big toe.


Systemic Lupus Erythematosus causes chronic inflammation of joints, muscles and other parts of the body.


Also commonly referred to as systemic sclerosis, this disease occurs due to an abnormal overproduction of collagen in the skin.


Polymyositis is a rheumatic disease that can cause inflammation and muscle weakness affecting the whole body.

Meet Our Rheumatologists

Our expert group of Board-certified rheumatologists will evaluate your symtoms for underlying rheumatic disease to diagnose and provide treatment for a wide-array of conditions. Meet our Rheumatologists.

Dr. Bella Fradlis of Orange Regional Medical Group's Rheumtology DepartmentDr. Bella Fradlis
Prior to joining Orange Regional Medical Group, Dr. Bella Fradlis was an Assistant Professor of Medicine at Albert Einstein School of Medicine and an Attending Physician at Montefiore Medical Center. She served as the rheumatology liaison for the Hidradenitis Suppurativa clinic at Montefiore. She works with patients that have a variety of diseases including lupus, rheumatoid arthritis, scleroderma, myositis, gout, vasculitis, psoriatic arthritis as well as osteoarthritis.

Dr. Fradlis received her medical training at Stony Brook University School of Medicine. She then completed an internship year at Long Island Jewish Hospital and went on to her internal medicine residency training at Columbia University Medical Center – New York Presbyterian Hospital. After working for one year as an Attending Physician and Instructor of Clinical Medicine for the Hospitalist Division at Columbia, she went on to complete a clinical rheumatology fellowship at Columbia University Medical Center. She is a member of the American College of Rheumatology and is fluent in Russian and English.

Jowairiyya Ahmad, M.D. of Orange Regional Medical Group Primary Care team.Dr. Jowairiyya Ahmad
Dr. Ahmad recently completed her fellowship training from Thomas Jefferson University, Philadelphia and joined the medical staff at Orange Regional Medical Center. Dr. Ahmad has experience in managing and treating patients with rheumatologic diseases such as rheumatoid arthritis, spondylo arthritis, systemic lupus erythematosus, scleroderma, myositis, ANCA-associated vasculitis, osteoarthritis, gout and osteoporosis.

Dr. Ahmad completed her internal medicine residency training at Mount Sinai School of Medicine, NY. After completing her geriatric fellowship at Montefiore Medical Center NY, she ventured to complete rheumatology fellowship at Thomas Jefferson University, Philadelphia. During fellowship, she has been fortunate to work at the Lupus Center of excellence at Thomas Jefferson University, dedicated in providing comprehensive care improving the quality of life for lupus patients. She had active participation in the scleroderma program, research in autoimmune diseases, musculoskeletal ultrasound course and elective in the department of rheumatology at Nemours Children’s Hospital Delaware. She also has a special interest in geriatric rheumatology and has authored a book chapter in Reichel’s care for the elderly 7th edition.

Dr. Ahmad is a member of American College of Rheumatology and is Board-certified in Internal Medicine by the American Board of Internal Medicine. Dr. Ahmad has presented in national meetings at American College of rheumatology (ACR) and American Medical Director Association (AMDA). Her contributions to medical literature include publications in Journal of Clinical Rheumatology, International Rheumatology, International Journal of infectious disease and Journal of American Medical Director Association.

Schedule a Primary Care appointment in Middletown or Monroe for a Rheumatology referral if you suffering from unresolved muscle and joint pain. 

Preparing For Your Visit

Learn more about what you can expect from your visit to our Orange Regional Medical Group, what to bring, how to schedule an appointment, and more!

Patient Guide

Learn more about what you can expect from your visit to our Orange Regional Medical Group, what to bring, how to schedule an appointment, and more!

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Billing & Insurance

Orange Regional Medical Group is a participating provider in many health plan networks - find the list here as well as information about billing and insurance.

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Outpatient Building
707 East Main Street
Middletown, NY 10940



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