General Practitioners

• Osteoporosis
• Arthritis
  Osteoporosis is a common condition in this country and is a major cause of spine and hip fractures. The definition of osteoporosis is a decrease in bone strength defined as a decreased bone density. Because hip fractures have a significant increase in mortality, the diagnosis and prevention/treatment of osteoporosis is a major issue. Risk factors for developing this silent and often, preventable disease include advancing age, female sex, low weight, previous spontaneous or low trauma fracture (an injury that would not be expected to cause a fracture), hip fracture in a mother or father, smoking, corticosteroid use, Rheumatoid arthritis, diabetes, 3 or more alcoholic drinks per day and a low bone density. A machine to measure bone density is available to our patients. Regular screening in high risk individuals can help detect those patients who need treatment to prevent or slow down osteoporosis, thereby decreasing the risk of fractures and disability. Typically treatments include weight bearing exercise, calcium, vitamin D (Dr. Zashin can do a blood test to determine if your Vitamin D level is adequate), Evista, Miacalcin, Boniva, Fosamax, Actonel, Reclast and Forteo.
• Fibromyalgia
  Fibromyalgia (pronounced fi-bro-my-al-juh) is a very common and often undiagnosed cause of musculoskeletal pain. The condition affects nearly 4 million Americans, mostly women between the ages of 20 and 50, but it can occur in people of all ages.
• Rheumatology
  This Web site provides general information about arthritis and related musculoskeletal conditions, and the Rheumatology practice of Scott Zashin, MD. The use of information contained on this Web site does not constitute the offering of medical advice. Accordingly, neither this Web site nor the use of information from the Web site creates a patient-physician relationship between you and Scott Zashin, MD nor any of the staff of Scott Zashin, MD.

Internists

• Internal Medicine
  Rheumatologists are experts in diseases that affect the joints, muscles and connective tissue. They have special training in Internal Medicine and Rheumatology. Dr. Zashin is not only Board Certified in both Internal Medicine and Rheumatology, but has also been distinguished as a Fellow in both specialties. To achieve the designation of Fellow, Dr. Zashin has served and presently serves as faculty at the University of Texas, Southwestern Medical School. In addition, he has published numerous articles on topics related to arthritis. Dr. Zashin lectures to doctors around the country on arthritis related issues.
• Kidney Stones
  Jul 31, 2008 … Scott J. Zashin MD, said “Taking too much Vitamin D may increase your risk for kidney stones, although the typical amount included in a …

Neurologists

• Multiple Sclerosis
  In a review published in the Clinical Rheumatology 2014 doctors Younger, Parkitny and McClain concluded that LDN is a promising treatment for not only fibromyalgia but chronic pain conditions that have inflammation. These include Chrohns disease, multiple sclerosis and CRPS (complex regional pain syndrome). They postulate that its benefit is due to its anti-inflammatory effect on the central nervous system via action on microglial cells.

Endocrinologist

• Diabetes Care
• Thyroid
  There is no laboratory test to diagnose fibromyalgia. It is often a “diagnosis of exclusion,” meaning that your doctor will try to rule out other causes of the symptoms. Conditions that must first be ruled out include lupus, rheumatoid arthritis, thyroid disease, and sleep apnea. A diagnosis of fibromyalgia may be confirmed by identifying a number of “tender points,” which are certain areas of the body that are painful to the touch.

Radiologist

• MRI
  Our office facilities include an in-house X-ray lab, staffed by a licensed Radiology Technician. If Dr. Zashin orders X-rays, they can be taken, developed and reviewed during your office visit. If more comprehensive film studies are needed, such as an MRI, there are imaging facilities located on the Presbyterian Hospital of Dallas and Plano campuses, or you may choose another imaging center.
• Radiology
  Chrissy, MLT, MRT — X-ray and Clinical Staff. Chrissy is our X-ray technician. She also handles patient calls and helps with nursing activities in the office and lab. Chrissy is a licensed medical radiology technologist and a licensed medical technician who has worked in laboratories and clinical settings ranging from emergency clinics and hospitals to private practices. She joined Dr. Zashin’s practice in February 1993. An avid reader who was born and raised in Houston, Texas, Chrissy is a busy mom with a teenaged son and a Scottish Terrier named Jakki.
• X-Rays

Surgeons

• Gangrene
  R – Raynaud’s phenomenon. Raynaud’s phenomenon is a condition in which the small blood vessels of the fingers or toes narrow in response to cold temperatures or emotional upset. As the vessels contract, the skin turns white, then blue. As blood flow returns, the skin become reddened. Raynaud’s (pronounced ray-noze) phenomenon can occasionally damage the tissue, which may result in skin ulcers, scarring or gangrene.

Dermatologists

• Lesions
  Discoid lupus. Discoid lupus is identified by a skin rash with raised, red, scaling areas. These lesions sometimes leave scars, and are typically seen on the face, scalp and other sun-exposed areas. Most people with discoid lupus do not have internal organ involvement, as is seen with the systemic form of the disease.
• Psoriasis
  About 10 percent of Americans with psoriasis also have the arthritic form of the disease. Abnormalities of the fingernails and toenails in patients with psoriasis increase the likelihood that they will develop the arthritic form of the disease. Psoriatic arthritis strikes men and women equally, and is usually diagnosed between the ages of 30 and 50. Among people who have first-degree relatives (parents and siblings) with psoriatic arthritis, there is an increased risk of developing the disease.

Physical Therapists

• Physical Therapy
  Early, aggressive treatment is essential in many rheumatologic conditions, and is a key component of Dr. Zashin’s treatment plan. Appropriate, early treatment — which may include a regimen of medication, physical therapy and/or rest — can help to preserve function and mobility, relieve or control pain, and improve the ability to perform activities of daily living. These are the foundations of effective arthritis treatment.