Dr. Gary Meenagh

Consultant Rheumatologist


Treatable Conditions

Once diagnosed, most conditions can be treated using a personalised management plan created by Dr. Meenagh. The following links provide further information about each type of condition. Patients suffering from these conditions may also find the information available in our useful links section helpful.

Ankylosing Spondylitis

Ankylosing Spondylitis

An inflammatory disorder affecting mainly the spine and occasionally joints elsewhere. It is more common in men.

Anti-Phospholipid Syndrome

A rare condition resulting in increased likelihood of blood clotting. Occasionally associated with other conditions like lupus. Sometimes leads to recurrent early miscarriage.

Calcium Pyrophosphate Disease (Pseudogout)

This condition leads to a build-up of calcium pyrophosphate crystals and can result in joint pain and swelling particularly in the knee and wrist joints.

Carpal Tunnel Syndrome

Carpal Tunnel Syndrome

Pain and tingling in the hand, wrist and forearm especially at night-time, often interfering with sleep pattern.


Widespread joint and muscle pain associated with fatigue and sleep disturbance.


A common disorder due to a build-up of monosodium urate which is deposited in the lining of joints and tendons. It can cause severe pain and swelling very acutely. Sometimes linked with drug therapy for other conditions.

Joint Hypermobility Syndrome

A rare connective tissue disorder leading to laxity of joints and soft tissues. May be associated with widespread aches and pains.


Inflammatory disorder affecting various body tissues including joints, skin and occasionally internal organs. Much more common in women.



The commonest form of arthritis - affects predominantly the weight-bearing joints in the body resulting in a slow degenerative process.


A reduction of bone mineral density can result in increased fragility of bone and subsequent fracture with either no or minimal trauma. Common in women after the menopausal age.

Patello-femoral pain Syndrome

Patello-femoral pain Syndrome

Narrowing of the space behind the knee-cap can result in pain particularly on weight-bearing and climbing stairs etc.

Polymyalgia Rheumatica (PMR)

An inflammatory disorder affecting the muscles of the shoulder and thigh girdle. Usually occurs in patients over 50. Sometimes associated with temporal artery inflammation. Responds very well to steroid therapy.

Psoriatic Arthritis

This is a serious form of joint inflammation which affects patients with psoriasis or a family history of psoriasis.

Raynaud's Phenomenon

This is a condition with spasm of the blood vessels carrying blood to the peripheries of the hands and feet. It causes colour changes and tingling. Rarely associated with underlying connective tissue disorders.

Reactive Arthritis

A rare inflammatory form of arthritis which can come on after a relatively mild infectious process. Often is self-limiting and does not require long-term treatment usually.

Rheumatoid Arthritis

Rheumatoid Arthritis

This severe form of inflammation arthritis often targets the small joints of the hands and feet initially and can be symmetrical in distribution. It requires treatment with drugs to suppress the immune response.


This is a rare connective tissue disorder which can manifest in various ways and involve several organs including skin, lungs, kidney. It requires drugs to suppress the immune response.

Sjögren's Syndrome

Dry eyes, dry mouth and the presence of specific antibodies in the blood. A mild condition usually but can be associated with rheumatoid arthritis.


A rare inflammatory disorder affecting blood vessels and can be a very serious condition, sometimes life-threatening. It requires very potent drugs to suppress the immune response.

Call now to book an appointment on

  • 028 9068 7444Ulster Independant Clinic
  • 028 9066 7878Kingsbridge Private Hospital
  • 028 9268 0940Orthoderm Clinic

Published Texts

Musculoskeletal Sonography

Musculoskeletal Sonography

Technique, Anatomy, Semeiotics and Pathological Findings in Rheumatic Diseases.

more publications

Hand pain

Pain in the hands is often associated with Carpal Tunnel Syndrome.

Shoulder Pain

Shoulder pain can be associated with Polymyalgia Rheumatica.

Useful Links

American College of Rheumatology

Arthritis and Musculoskeletal Alliance

Arthritis Care

Arthritis Research UK

more useful links