Thriving with Arthritis and Autoimmune Diseases -with Dr. Diana Girnita

Dr. Diana Girnita MD, PhD

Thriving with Arthritis and Autoimmune Diseases is an evidence-based podcast dedicated to helping people understand, manage, and live well with arthritis and autoimmune diseases. Hosted by Dr. Diana M. Girnita, MD, PhD, a double board-certified physician in Internal Medicine and Rheumatology with a PhD in Immunology, the podcast bridges modern rheumatology with lifestyle and integrative medicine. The show covers a wide range of conditions, including rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, lupus, Sjögren’s disease, gout, and other inflammatory and immune-mediated disorders. Each episode provides clear explanations of diagnosis, lab testing, imaging, medications, biologics, and emerging therapies—alongside practical strategies for nutrition, exercise, sleep, stress regulation, and chronic pain management. Listeners hear conversations with experts in rheumatology, immunology, nutrition, physical therapy, and mind-body medicine, as well as real patient stories that highlight the challenges of diagnosis, flares, remission, and long-term disease management. Dr. Girnita brings over 20 years of clinical and academic experience, including advanced postdoctoral training at Harvard University and the University of Pittsburgh. She is widely recognized for combining rigorous scientific medicine with a whole-person approach that treats not just disease activity, but the person living with the disease. An educator with a global reach, Dr. Girnita has accumulated over 30 million views across YouTube and social media, where she delivers clear, science-based education on autoimmune and inflammatory diseases. Her work has been featured in The New York Times, Medscape, and other major medical publications. Thriving with Arthritis empowers patients to make informed decisions, navigate the healthcare system with confidence, reduce inflammation, prevent complications, and reclaim quality of life.

  1. MAR 30

    The Surprising Link Between Vaccines and Polymyalgia Rheumatica - a True Patient Story

    This episode features a heartfelt discussion with Ms. Dorothy, a patient diagnosed with polymyalgia rheumatica (PMR), shedding light on the symptoms, diagnosis, treatment, and importance of awareness for this often misunderstood disease. If you or a loved one experiences sudden muscle pain or stiffness after age 50, this conversation offers vital insights into timely intervention. Key topics: The early signs and symptoms of polymyalgia rheumatica and related conditionsThe personal journey from misdiagnosis to effective treatmentHow prednisone and proper medical guidance can restore functionalityThe importance of recognizing giant cell arteritis symptomsTelemedicine as a viable and preferred approach for managing chronic conditionsPractical advice for patients suspecting they have PMR or similar symptomsTimestamps:  00:06 - Introduction to arthritis misconceptions and PMR overview 00:23 - The sudden onset of severe muscle pain and confusion 01:12 - Ms. Dorothy's experience with initial symptoms and delayed diagnosis 02:02 - Possible vaccine influence on symptoms 03:01 - Ignored symptoms and escalation of pain 04:13 - The critical moment: awakening unable to move and emergency room visit 05:00 - Blood tests reveal inflammation markers (CRP and sed rate) 05:58 - Initial treatment with steroids and subsequent improvement 07:44 - Challenges in getting timely specialist care and internet research discovery 08:40 - The role of telemedicine and remote diagnosis 10:05 - The impact of treatment: regained mobility and function 11:34 - Side effects of steroids and managing dosage 12:04 - Recognizing signs of giant cell arteritis and importance of quick action 14:23 - Benefits of virtual consultations versus traditional visits 16:17 - Advice for listeners experiencing sudden weakness or stiffness after age 50 17:12 - Encouragement to seek medical attention early and not dismiss symptoms as aging 17:39 - Final words of reassurance and importance of proper treatment Resources & Links:  https://rheumatologistoncall.com/2022/11/24/five-common-signs-of-polymyalgica-rheumatica/ Support the show More info about Dr. Diana Girnita, MD PhD Website: https://rheumatologistoncall.com/Email: Contact@rheumatologistoncall.comYoutube: https://www.youtube.com/@rheumatologistoncallLinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/Instagram: https://www.instagram.com/rheumatologistoncall/Facebook Page: https://www.facebook.com/RheumatologistOncall/Facebook Group: https://www.facebook.com/groups/3685130571554200

    18 min

  2. MAR 23

    Ankylosing Spondylitis - What Patients and Doctors Often Miss

    Most people don’t realize that ankylosing spondylitis (AS) isn’t just a bad back — it’s a systemic inflammatory disease that can silently attack multiple areas of your body.  If you or someone you love experiences chronic back stiffness, pain that improves with activity, or nighttime waking, this episode could save you years of struggle. Dr. Vishnuteja Devalla, a leading rheumatologist specializing in autoimmune conditions, breaks down the misconceptions and hidden signs of AS, revealing how early diagnosis can transform outcomes.  You'll discover why AS affects nearly 40% of women, not just men, and how systemic inflammation increases the risk of osteoporosis, eye problems, and even bowel disease — often before back pain even appears. We delve into the differences between mechanical back pain and inflammatory pain, and clear up confusing terms like axial spondyloarthritis, radiographic vs. non-radiographic forms, and why blood tests like HLA-B27 don’t tell the full story on their own.  If you’ve been dismissed or misdiagnosed, this episode arms you with the questions to ask and the evidence to advocate for yourself. Learn about the life-changing treatments available: NSAIDs, biologics, JAK inhibitors, and emerging therapies — plus why exercise is your best ally, not your enemy. The stakes couldn’t be higher: early intervention can prevent long-term damage, improve quality of life, and eliminate the fear of fusing or ending up in a wheelchair.  Whether you’re battling persistent back pain or supporting a loved one through diagnosis, this episode offers clarity, hope, and practical steps to take control of AS today.  Don’t let decades of misdiagnosis define your life — knowledge is your best weapon.   Chapters & Key Notes:  00:00 - Introduction: Overview of ankylosing spondylitis (AS) and its impact.00:28 - Guest Introduction: Understanding AS.01:21 - AS Explained: Systemic inflammatory condition affecting the spine and sacroiliac joints.02:10 - AS vs. Mechanical Back Pain: Differences and key features.04:19 - Clarifying Terms: Axial spondyloarthritis, radiographic vs. non-radiographic.06:10 - Beyond the Spine: Effects on eyes, gut, skin, and osteoporosis.07:52 - Early Signs & Red Flags: Importance of early diagnosis.10:00 - Diagnostic Tools: Blood tests, imaging, and HLA-B27 gene testing.14:42 - Myth Busting: Gender effects, progression, and treatment possibilities.17:32 - Treatment Journey: From NSAIDs to biologics and emerging therapies.23:41 - Mental Health & Support: Addressing psychological well-being.28:14 - Resources & Specialist Connections: How to get help and support.Connect with Dr. Vishnuteja Devalla: https://rheumatologistoncall.com/our-team/dr-vishnu Support the show More info about Dr. Diana Girnita, MD PhD Website: https://rheumatologistoncall.com/Email: Contact@rheumatologistoncall.comYoutube: https://www.youtube.com/@rheumatologistoncallLinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/Instagram: https://www.instagram.com/rheumatologistoncall/Facebook Page: https://www.facebook.com/RheumatologistOncall/Facebook Group: https://www.facebook.com/groups/3685130571554200

    29 min

  3. MAR 14

    Why Doctors Kept Dismissing My Joint Pain — And How I Got Diagnosed With Psoriatic Arthritis at 26

    Can you get arthritis in your 20s? The answer is yes — and Ayda's story proves it. In this powerful episode of THRIVING WITH ARTHRITIS, Dr. Diana Girnita sits down with Ayda, who was diagnosed with psoriatic arthritis at age 26 after months of severe joint pain, swollen fingers, and dismissive medical encounters. If you're a young adult experiencing unexplained joint pain, fatigue, or skin symptoms — this episode was made for you. Ayda opens up about the moment she knew something was deeply wrong, the frustration of being told "you're too young for arthritis," and the long road to finally receiving a proper diagnosis.  Together, she and Dr. Girnita unpack what psoriatic arthritis really looks like in young adults, why it's so often missed, and what you can do right now to advocate for yourself. In this episode, you'll learn: What the early warning signs of psoriatic arthritis look like in your 20s and 30sWhy blood tests alone can't diagnose autoimmune arthritis — and what a clinical exam actually revealsHow to talk to your doctor when you feel dismissed or unheardThe truth about biologic medications, injections, and long-term side effectsWhether telemedicine or telehealth can effectively assess joint disease (spoiler: yes)How diet, lifestyle, and anti-inflammatory habits can reduce flaresWhat happened when Ayda finally started the right treatment — and got her life backThis episode is essential listening for anyone navigating a new autoimmune diagnosis, struggling with chronic joint pain, psoriasis or wondering whether their symptoms could be more than just stress or overuse. Whether you've been recently diagnosed with psoriatic arthritis, rheumatoid arthritis, or are still searching for answers — you are not alone, and help is available. Subscribe for upcoming episodes on living well with arthritis and autoimmune disease.  💬 Leave a comment — have you experienced dismissal from doctors? Share your story below.  Support the show More info about Dr. Diana Girnita, MD PhD Website: https://rheumatologistoncall.com/Email: Contact@rheumatologistoncall.comYoutube: https://www.youtube.com/@rheumatologistoncallLinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/Instagram: https://www.instagram.com/rheumatologistoncall/Facebook Page: https://www.facebook.com/RheumatologistOncall/Facebook Group: https://www.facebook.com/groups/3685130571554200

    34 min

  4. FEB 4

    Evidence Based Tips to Reduce Inflammation in Rheumatoid Arthritis

    In this episode, Melissa Schenkman, MPH, MSJ, Founder of YMyHealth,  and Dr. Diana Girnita  discuss a real-life roadmap for people with chronic illnesses like Rheumatoid arthritis (RA). They are also discussing Dr. Girnita's new book “Thriving with Rheumatoid Arthritis” and the science behind lifestyle medicine: how the gut microbiome communicates with your immune system, why fiber and short-chain fatty acids matter, and how sugar, salt, and even certain vegetables can influence inflammation in sensitive people. We also cover conditions that can mimic Rheumatoid arthritis (RA), like celiac disease, and why “Dr. Google” can increase fear instead of clarity. If you want practical, evidence-based steps—without the overwhelm—this conversation will leave you feeling informed, empowered, and hopeful. Key points discussed in the episode Why Dr. Girnita wrote “Thriving with Rheumatoid Arthritis” after ~20 years in practice: moving from purely textbook science to patient-centered insights, patterns, and real-world outcomesThe core message: thriving vs. surviving: RA is a chronic condition, but it doesn’t have to define your life or identityPatients are different: response to treatment and lifestyle changes varies widely—personalization mattersGut microbiome + immune system connection: the gut contains trillions of bacteria; a large portion of the immune system sits near the gut lining, so gut signals can drive systemic inflammationFiber as an anti-inflammatory tool: fiber supports beneficial gut bacteria and leads to the production of short-chain fatty acids (SCFAs) that help “calm” immune overreactivityWhat SCFAs do (in plain language): they act like immune messengers that reduce overactivation and may lower systemic inflammationSugar and inflammation: excess added sugar can increase pro-inflammatory pathways and may shift gut bacteria toward patterns associated with more inflammationSalt and immune activation: high salt intake may push immune cells toward a more pro-inflammatory state; practical advice includes removing the salt shaker and using spices (garlic, turmeric, rosemary, thyme) insteadNightshade vegetables: in some people (not everyone), foods like tomatoes/eggplant/peppers may worsen symptomsCeliac disease can mimic RA: joint pain and small-joint symptoms can resemble RAViruses as potential triggers: EBV (mono) and COVID were discussed as possible immune triggers in genetically predisposed people The “Dr. Google” warning: online information can mislead, catastrophize, and amplify fear—use curated, reputable medical sources and avoid absorbing others’ worst-case experiences as your future.Bigger takeaway: genetics load the gun, but lifestyle pulls (or doesn’t pull) the triSupport the show More info about Dr. Diana Girnita, MD PhD Website: https://rheumatologistoncall.com/Email: Contact@rheumatologistoncall.comYoutube: https://www.youtube.com/@rheumatologistoncallLinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/Instagram: https://www.instagram.com/rheumatologistoncall/Facebook Page: https://www.facebook.com/RheumatologistOncall/Facebook Group: https://www.facebook.com/groups/3685130571554200

    50 min

  5. JAN 26

    How Rheumatoid Arthritis Speeds Aging—and How to Push Back

    What if rheumatoid arthritis doesn’t just cause joint pain—but quietly speeds up how fast your entire body ages? In this episode of Thriving with Arthritis, Dr. Diana Girnita sits down with Dr. Neha Bhanusali, from the University of Central Florida, with additional training in lifestyle medicine and culinary medicine, to explore the powerful and often overlooked connection between chronic inflammation, biological aging, and rheumatoid arthritis. In this conversation, we move beyond trends and misinformation to focus on what actually matters for patients living with Rheumatoid arthritis (RA) and other autoimmune diseases. Key Chapters & Takeaways RA and accelerated aging (“inflammaging”): chronic inflammation can accelerate biological aging—even in relatively young patients.Chronological age vs biological age: Why many RA patients feel older than their peersWhy labs don’t always match symptomsThe truth about methylation tests and anti-aging supplementsMedications plus lifestyle—not one or the otherMovement when you’re in painWhy muscle matters in RANutrition without perfectionGut health, fiber, and fermented foodsSupplements: what’s reasonable and what’s riskyWeight, inflammation, and GLP-1 medicationsMenopause and autoimmune diseaseChronic stress, sleep, and immune agingThe top 3 lifestyle pillars for RA and healthy agingNeha Bhanusali is a board-certified rheumatologist with advanced training in lifestyle and culinary medicine. She also shares practical, plant-forward education on her YouTube channel @PlantForwardMD. https://www.youtube.com/@PlantForwardMD If you want evidence-based guidance that helps you live better—not just treat labs, subscribe to Thriving with Arthritis. Support the show More info about Dr. Diana Girnita, MD PhD Website: https://rheumatologistoncall.com/Email: Contact@rheumatologistoncall.comYoutube: https://www.youtube.com/@rheumatologistoncallLinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/Instagram: https://www.instagram.com/rheumatologistoncall/Facebook Page: https://www.facebook.com/RheumatologistOncall/Facebook Group: https://www.facebook.com/groups/3685130571554200

    50 min

  6. JAN 21

    Why Psoriatic Arthritis Goes Misdiagnosed for Years | GLP-1 Medications & Inflammation Breakthrough

    Psoriatic arthritis (PsA) is the most commonly misdiagnosed form of inflammatory arthritis—and it's costing patients years of their lives. In this episode of Thriving with Arthritis, Dr. Diana Girnita and Dr. Vishnuteja Devalla explain why psoriatic arthritis symptoms are often mistaken for fibromyalgia, osteoarthritis, and other conditions, leading to diagnostic delays. Discover the red flags doctors miss, the latest biologic treatments revolutionizing Psoriatic arthritis (PsA) care, and the groundbreaking connection between GLP-1 medications (like Tirzepatide, Zepbound, Mounjaro, Ozempic, and Wegovy) and reduced inflammation in autoimmune disease.  Could these diabetes and weight-loss drugs be a game-changer for patients with inflammatory arthritis? What You'll Learn: Why does psoriatic arthritis take an average of 5-7 years to diagnose correctlyThe subtle signs, symptoms, and the connection with other parts of the body like eyes, tendons, and the gutHow insurance companied dictate care in choosing your treatmentCutting-edge biologic therapiesThe emerging science behind GLP-1 receptor agonists and systemic inflammation reductionWhy traditional healthcare models fail chronic disease patients—and what we're doing differentlyKeywords: psoriatic arthritis diagnosis, PsA symptoms, GLP-1 inflammation, GLP-1 autoimmune disease, rheumatoid arthritis vs psoriatic arthritis, biologic treatment psoriatic arthritis, inflammatory arthritis misdiagnosis, telehealth rheumatology, chronic inflammation treatment. Support the show More info about Dr. Diana Girnita, MD PhD Website: https://rheumatologistoncall.com/Email: Contact@rheumatologistoncall.comYoutube: https://www.youtube.com/@rheumatologistoncallLinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/Instagram: https://www.instagram.com/rheumatologistoncall/Facebook Page: https://www.facebook.com/RheumatologistOncall/Facebook Group: https://www.facebook.com/groups/3685130571554200

    1h 3m

  7. 11/14/2025

    Autoimmune Diseases: Signs, Myths, Realities, New Treatments and the AI challenges

    In this episode, Dr. Diana Girnita and Dr. Vishnu Devala explore the complexities of autoimmune diseases, discussing their causes, symptoms, and the latest treatments. They delve into the role of gut health, environmental triggers, and the potential of AI in transforming diagnosis and treatment. The conversation also addresses common myths and misconceptions, offering insights into managing these conditions effectively. Takeaways Autoimmune diseases can affect various body systems, not just joints.AI has potential but cannot replace rheumatologists.Gut health plays a significant role in autoimmune conditions.Vaccines do not increase the risk of autoimmune diseases.Lifestyle changes can significantly impact autoimmune disease management.CAR T cell therapy shows promise for autoimmune treatment.Genetic testing for autoimmune diseases is not recommended for everyone.Environmental triggers can influence autoimmune disease onset.Women are more prone to autoimmune diseases due to biological factors.Misinformation about autoimmune diseases is widespread and harmful.Chapters 00:00:00 Introduction to Autoimmune Diseases00:03:00 Role of AI in Medicine00:06:00 Gut Health and Autoimmunity00:09:00 Vaccines and Autoimmune Diseases00:12:00 Lifestyle Changes and Management00:15:00 New Treatments and CAR T Cell Therapy00:18:00 Genetics and Autoimmune Diseases00:21:00 Environmental Triggers00:24:00 Women and Autoimmune Diseases00:27:00 Combating Misinformation Support the show More info about Dr. Diana Girnita, MD PhD Website: https://rheumatologistoncall.com/Email: Contact@rheumatologistoncall.comYoutube: https://www.youtube.com/@rheumatologistoncallLinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/Instagram: https://www.instagram.com/rheumatologistoncall/Facebook Page: https://www.facebook.com/RheumatologistOncall/Facebook Group: https://www.facebook.com/groups/3685130571554200

    55 min

  8. 04/07/2025

    Living with Sjogren’s Syndrome: Dr. Girnita's approach in treating a complex autoimmune disease

    In this inspiring episode of Thriving with Arthritis, Dr. Diana Girnita, board-certified rheumatologist and founder of Rheumatologist OnCall, is interviewed by Raha Saber—a courageous woman navigating life with Sjogren’s Syndrome. Raha shares her powerful journey through years of misdiagnosis, and how she ultimately found answers, support, and strength. Raha reached out to Dr. Girnita after years of following her content on Youtube and Instagram and asked her to share her approach on treating this complex autoimmune disease. Dr. Girnita breaks down what Sjogren’s Syndrome really is, why it’s often misunderstood or overlooked, and how a comprehensive, holistic approach can make a meaningful difference in managing this autoimmune disease.  The conversation blends medical expertise with real-life experience to shed light on integrative treatments, nutrition, supplements, and mindset shifts that can help patients thrive. Whether you’re living with Sjogren’s, caring for someone who is, or simply seeking expert guidance on autoimmune health, this episode delivers education, empowerment, and encouragement. What You’ll Learn: The real-life challenges of living with Sjogren’s SyndromeCommon signs, symptoms, how is Sjogren's disease diagnosedWhy diagnosis is often delayedThe role of anti-inflammatory diets, supplements, and stress managementHow to advocate for yourself as a patientExpert advice from a top expert rheumatologist on managing Sjogren’s holisticallyCheck out Dr. Girnita's Youtube channel to learn more about Sjogren's Disease. https://www.youtube.com/playlist?list=PLnLTV1sl8cpyrIZmRfZ6hHt897QLYJwel Support the show More info about Dr. Diana Girnita, MD PhD Website: https://rheumatologistoncall.com/Email: Contact@rheumatologistoncall.comYoutube: https://www.youtube.com/@rheumatologistoncallLinkedIn: https://www.linkedin.com/in/diana-girnita-md-phd-07b57810/Instagram: https://www.instagram.com/rheumatologistoncall/Facebook Page: https://www.facebook.com/RheumatologistOncall/Facebook Group: https://www.facebook.com/groups/3685130571554200

    45 min
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5
out of 5
10 Ratings

About

Thriving with Arthritis and Autoimmune Diseases is an evidence-based podcast dedicated to helping people understand, manage, and live well with arthritis and autoimmune diseases. Hosted by Dr. Diana M. Girnita, MD, PhD, a double board-certified physician in Internal Medicine and Rheumatology with a PhD in Immunology, the podcast bridges modern rheumatology with lifestyle and integrative medicine. The show covers a wide range of conditions, including rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, lupus, Sjögren’s disease, gout, and other inflammatory and immune-mediated disorders. Each episode provides clear explanations of diagnosis, lab testing, imaging, medications, biologics, and emerging therapies—alongside practical strategies for nutrition, exercise, sleep, stress regulation, and chronic pain management. Listeners hear conversations with experts in rheumatology, immunology, nutrition, physical therapy, and mind-body medicine, as well as real patient stories that highlight the challenges of diagnosis, flares, remission, and long-term disease management. Dr. Girnita brings over 20 years of clinical and academic experience, including advanced postdoctoral training at Harvard University and the University of Pittsburgh. She is widely recognized for combining rigorous scientific medicine with a whole-person approach that treats not just disease activity, but the person living with the disease. An educator with a global reach, Dr. Girnita has accumulated over 30 million views across YouTube and social media, where she delivers clear, science-based education on autoimmune and inflammatory diseases. Her work has been featured in The New York Times, Medscape, and other major medical publications. Thriving with Arthritis empowers patients to make informed decisions, navigate the healthcare system with confidence, reduce inflammation, prevent complications, and reclaim quality of life.

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