Aaria Rheumatology

Aaria Rheumatology She is recognised for her compassionate

ABOUT AARIA RHEUMATOLOGY
Trusted Rheumatology Specialist in Singapore
Dr. Anindita Santosa is a distinguished rheumatologist with years of experience in caring for adults with rheumatologic and allergic conditions.

Silent Bone Inflammation: The Warning Sign You Can’t FeelNot all inflammation shows up as pain. In many autoimmune condi...
29/11/2025

Silent Bone Inflammation: The Warning Sign You Can’t Feel
Not all inflammation shows up as pain. In many autoimmune conditions, bone marrow inflammation begins quietly, visible only on MRI scans long before joints swell or ache. This “silent” phase can still weaken bone structure and set the stage for arthritis if left unchecked.

Modern imaging now helps rheumatologists see inflammation before it speaks, allowing early treatment that protects mobility, bone strength, and quality of life.

If stiffness or fatigue feels routine, it’s worth a deeper look, because the earliest changes often happen where you can’t feel them yet.

Prevention begins with seeing what the body hides.

If pain had a sound, millions would hear it dailyChronic pain is often silent, but its presence is constant. For many li...
28/11/2025

If pain had a sound, millions would hear it daily
Chronic pain is often silent, but its presence is constant. For many living with autoimmune or rheumatic conditions, every movement, task, or even a simple walk can carry hidden discomfort. Yet because pain is invisible, it is easy for others to overlook or misunderstand.

Awareness begins with listening, not assuming. Compassion allows people to feel seen even when their symptoms cannot be measured or explained.

If you know someone living with chronic pain, you can help by:
Asking how they are feeling, not just if they are fine.
Believing their experiences even when there are no visible signs.
Offering understanding instead of quick advice.
Empathy is the loudest form of support.


Your Genes Aren’t Fixed, How Epigenetics Shapes Autoimmune RiskAutoimmune diseases don’t just “run in families”—they’re ...
27/11/2025

Your Genes Aren’t Fixed, How Epigenetics Shapes Autoimmune Risk
Autoimmune diseases don’t just “run in families”—they’re often switched on by the environment we live in. Through epigenetic changes like DNA methylation and histone modification, everyday exposures—from air pollution and processed food to chronic stress—can rewrite how genes express themselves.

This means two people with the same genetic makeup can experience completely different immune outcomes, depending on how their lifestyle and surroundings influence their biology.

What’s emerging in research is that early intervention matters. Once epigenetic patterns become “locked in,” reversing inflammation becomes harder.

The takeaway? You may inherit risk, but you also inherit control. Every balanced meal, restful night, and stress-free moment sends your body new genetic instructions for repair.

Pain that keeps returning isn’t random, it’s a pattern worth decodingRecurring joint pain is not always coincidence. Whe...
24/11/2025

Pain that keeps returning isn’t random, it’s a pattern worth decoding
Recurring joint pain is not always coincidence. When discomfort appears, fades, and then returns, it may be your immune system following a rhythm of inflammation and recovery. Autoimmune conditions often work in cycles, where flare-ups repeat due to stress, hormonal changes, or even shifts in weather.

Understanding your pain pattern can make it easier to manage. Try keeping a symptom journal and note what happens before a flare—sleep loss, diet changes, or emotional stress can all be clues.

Bring these observations to your rheumatologist. Small details can reveal early signs of inflammation that tests might miss.

Your body leaves messages before pain becomes severe. Learning to read them is the first step toward lasting relief.


The Science of the Unseen: How Doctors Track Inflammation You Can’t FeelNot all healing shows up in the mirror. In autoi...
22/11/2025

The Science of the Unseen: How Doctors Track Inflammation You Can’t Feel
Not all healing shows up in the mirror. In autoimmune care, progress is often microscopic before it’s visible—inside your joints, blood, or immune cells.

Doctors measure this unseen recovery through markers like CRP, ESR, and cytokine levels, along with MRI scans that reveal changes in tissue and bone marrow inflammation. Even subtle improvements—better sleep, steadier energy, or fewer flare-ups—signal that the immune system is learning balance again.

When treatment feels slow, remember: biology moves quietly before it transforms visibly. Every stable blood test or calm morning is evidence your body is healing beneath the surface.

Progress isn’t always loud, but it’s always measurable.

Your joints feel every flight you take, here’s whyIf your knees or ankles ache during a long flight, it is not your imag...
21/11/2025

Your joints feel every flight you take, here’s why
If your knees or ankles ache during a long flight, it is not your imagination. Sitting for hours in a confined space reduces circulation and allows fluid to collect in the joints. Changes in cabin pressure and low humidity can also make inflammation worse for people living with arthritis or autoimmune conditions.

You can make travel easier on your joints by planning small habits that keep circulation active:
🤸‍♀️Stretch or walk down the aisle every hour.
🤸‍♀️Flex your ankles and roll your shoulders while seated.
🤸‍♀️Stay hydrated to prevent stiffness.
🤸‍♀️Choose an aisle seat when possible for easier movement.

Travel should be about new experiences, not pain. Preparation keeps you comfortable in the air and confident when you land.


Menopause isn’t the end, it’s an immune resetMenopause is often seen as an ending, but it is really a transformation. As...
19/11/2025

Menopause isn’t the end, it’s an immune reset
Menopause is often seen as an ending, but it is really a transformation. As hormone levels shift, the immune system also adjusts, learning to find a new balance. For women with autoimmune conditions, this transition can bring temporary changes in symptoms such as joint stiffness, hot flashes, or fatigue.

Your body is not breaking down—it is recalibrating. This is the time to understand what your body needs most and support it with care.

Simple steps can make the transition smoother:
✨Stay physically active to keep joints mobile.
✨Maintain a balanced diet rich in calcium and omega-3.
✨Sleep well and manage stress to reduce inflammation.
✨Schedule regular check-ins with your doctor.

Menopause is not the end of strength—it is a new version of it.

Micro breaks, macro relief: 3-minute routines that reverse inflammationLong sitting hours can quietly trigger inflammati...
17/11/2025

Micro breaks, macro relief: 3-minute routines that reverse inflammation
Long sitting hours can quietly trigger inflammation and muscle stiffness, especially in the back, neck, and knees. Short, consistent breaks throughout the day can help your joints recover and your mind reset. Even a few minutes of movement every hour keeps circulation active and reduces strain from repetitive postures.

Here are a few ideas for your next workday:
💪Roll your shoulders slowly ten times.
💪Stand and stretch your arms overhead.
💪Rotate your ankles while seated to boost circulation.
💪Walk for two minutes between meetings.

Small breaks, done often, protect joints better than long workouts done rarely. Movement is not a disruption to productivity—it is what keeps you able to sustain it.

From Nails to Joints: The Earliest Signal of Psoriatic ArthritisYour nails are more than just cosmetic—they’re small win...
15/11/2025

From Nails to Joints: The Earliest Signal of Psoriatic Arthritis
Your nails are more than just cosmetic—they’re small windows into immune health. In some people, changes in the nails are the earliest sign of psoriatic arthritis, a condition where the immune system affects both skin and joints.

If you notice any of the following, it might be worth a closer look:
Small pits or dents on the nail surface.
White or yellow discoloration under the nail.
Nails separating slightly from the nail bed.
Thickened, uneven texture that feels rough to touch.
These changes happen because inflammation at the nail root mirrors what’s happening in nearby joints, especially in the fingers and toes.

Early attention can make a big difference in managing symptoms before joint pain sets in. Paying attention to small details could help protect long-term mobility.

Young, Active, and Still Achy? It Might Be ArthritisArthritis is often seen as a problem of older adults, but many peopl...
14/11/2025

Young, Active, and Still Achy? It Might Be Arthritis
Arthritis is often seen as a problem of older adults, but many people experience joint inflammation in their 20s, 30s, or 40s without realising it. Early stiffness, swelling, or morning discomfort can all be early signs of autoimmune inflammation rather than age-related wear and tear.

The earlier inflammation is recognised, the easier it is to protect joint function and mobility. Awareness, not age, determines how well your joints age over time.

Watch for these early signs:
🚨Stiffness that lasts more than 30 minutes after waking.
🚨Pain that moves from one joint to another.
🚨Fatigue that feels disproportionate to effort.
🚨Swelling without visible injury.

Joint health is not about age, it’s about attention. Listen early, act early, and move freely for longer.


Your Fatigue Isn’t Just in Your Muscles, It’s in Your MitochondriaIn autoimmune and inflammatory conditions, the real en...
12/11/2025

Your Fatigue Isn’t Just in Your Muscles, It’s in Your Mitochondria
In autoimmune and inflammatory conditions, the real energy drain starts at a cellular level. When your immune system stays activated for too long, the mitochondria—your cells’ energy engines—shift from producing fuel to producing defense. This metabolic switch helps fight infection but leaves you exhausted, foggy, and inflamed.

Scientists call this immunometabolic fatigue—when energy meant for living is redirected toward inflammation.

If you’ve been wondering why rest doesn’t restore you, this could be why. Support recovery by focusing on what recharges your cells: nutrient-dense food, steady sleep, and calming the immune system’s overdrive.

Healing starts where energy is made, not just where pain is felt.

🦴 Unveiling the Hidden Risks of Glucocorticoids: New Guidelines for Bone Loss Prevention 🦴Millions depend on glucocortic...
12/11/2025

🦴 Unveiling the Hidden Risks of Glucocorticoids: New Guidelines for Bone Loss Prevention 🦴
Millions depend on glucocorticoids to manage chronic conditions, but did you know they can significantly harm your bone health? 🩺 Recent guidelines for 2025 have shed light on the urgent need for proactive strategies to prevent bone loss and fractures associated with these medications.
🚨 Key Concerns:
• Rapid Bone Loss: Starts within 3-6 months of glucocorticoid treatment, even at low doses.
• High Fracture Risk: Patients can experience a 5.1% annual risk of vertebral fractures.
🛠️ Toolkits for Bone Protection:
• Advanced Diagnostics: Combining DXA scans with Trabecular Bone Score (TBS) for precise assessment.
• Tailored Treatments: From bisphosphonates to emerging therapies like romosozumab.
💪 Prevention is Key:
• Lifestyle Interventions: Incorporating weight-bearing exercises, calcium and vitamin D supplementation, and fall prevention measures.
📝 Take Action Now: Don't wait for symptoms! Early intervention and comprehensive strategies are essential for safeguarding your bone health. Consult with your healthcare provider for personalized care.
Stay informed and stay healthy! 🦴💪
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Address

6A Napier Road, Gleneagles Medical Centre, #09/11
Central Region
258499

Opening Hours

Monday 09:00 - 13:00
14:30 - 17:00
Tuesday 09:00 - 13:00
14:30 - 17:00
Wednesday 09:00 - 13:00
14:30 - 17:00
Thursday 09:00 - 13:00
14:30 - 17:00
Friday 09:00 - 13:00
14:30 - 17:00
Saturday 09:00 - 12:30

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