Dr. Thomas P. Olenginski, MD?

Dr. Thomas P. Olenginski, MD

Rheumatologist | Rheumatology

3/5(4)

100 N Academy Ave Danville PA, 17822 Show map

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About

Dr. Thomas Olenginski is a rheumatologist practicing in Danville, PA. Dr. Olenginski specializes in the treatment of musculoskeletal diseases and systematic autoimmune conditions that can affect the bones, muscles or bones. Eventually, if not treated, these illnesses can also impact the skin, eyes, nervous system and internal organs. Dr. Olenginski treats diseases similar to orthopedists but does not perform surgery. Often times, research is conducted to find potential alternatives for the patients illness.

Education and Training

Penn State University BS Pre-Medicine 1980

Pa State Univ Coll Of Med- Hershey Pa 1984

Penn State

Pennsylvania State University College of Medicine 1984

Board Certification

American Board of Internal Medicine

Rheumatology (Internal Medicine)

ISCD-certified clinical densitometrist

Internal MedicineAmerican Board of Internal MedicineABIM- Rheumatology

Provider Details

Male English

Dr. Thomas P. Olenginski, MD

Dr. Thomas P. Olenginski, MD's Expert Contributions

My Answers

Sjogren's syndrome
To start out with, we would indicate that primary Sjogrens syndrome occurs in someone with out an underlying connective tissue disease whereas secondary Sjogrens syndrome is linked to conditions such as rheumatoid arthritis, lupus, scleroderma, etcetera In regards to the ANA DNA and SSA, I am unfamiliar with that type of laboratory reporting but understand that it is a common assay. With your DNA, the question I would ask is whether you could have lupus because lupus is strongly associated with an anti DNA. Having said that, sometimes we will do a minor salivary gland biopsy to further substantiate the clinical diagnosis of Sjogrens syndrome Quite honestly, most rheumatologists put a patient with Sjogrens on Plaquenil. Having said that, I do not think that there is substantial evidence that clearly supports that. Often times however when we are treating Sjogrens in someone with some other connective tissue disease use of Plaquenil is more directed to the underlying disease than Sjogrens itself And again, from a treatment aspect I would simply question the necessity of 5 mg of prednisone In summary, I find Sjogrens to be very very challenging because there are so many other conditions the cause dryness. That being said, we have tests of salivary and tear flow, serologic lab testing, and minor salivary gland biopsy to help substantiate the diagnosis Thomas P. Olenginski, M.D., FACP Staff Attending Physician Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 5702716416 Fax 5702142924 From Patient Question answers8331791636050dc923a237d76b039d9e0c69db57fd2c9expert.findatopdoc.com Sent Thursday, June 26, 2025 448 PM To Olenginski Md, Thomas P. tpolenginskigeisinger.edu Subject External You Have a New Question Sjogrens ... External Be careful with links and files. If suspicious, use the Report Message button on your menu bar on Outlook. Questions? Call 5702718092. You have a new patient question! All you have to do is reply to this email to answer. All questions and answers are for informational purposes only. 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Dr. Olenginski Question Alert You Have A New Patient Question Simply reply to this email with your answer. Sjogrens syndrome Hi, I am a 44 year old man. Two months ago, a sunny day, I got a bilateral painless swelling rash in my parotid gland. I havent had any moth or eye dryness or other signs. But in my blood test ana193 antidsdna153 and anti ssbro71 other parameter and also urine analysis is normal. My doctor says that I have Sjogrens syndrome and prescribe hydoxychloroquine sulfate and prednissolone 5 mg a day. I am very worried about it. Please help and guide me in this problem. Thank you Age 44 Gender Male Duration 00200 Medications none Conditions none Reply to this email to answer, or Loginhttpsd2ysdq04.na1.hubspotlinks.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 to see all questions. cidimage002.png01DBFE59.74E60E20 Image removed by sender. IT IS SAFE TO PARTICIPATE. Answering this question does not constitute medical advice or establish a doctorpatient relationship. All questions and answers are for informational purpose only. All question submitters are advised to seek the care of their local medical provider. Find A Top Doc, 1350 Ave of the Americas, New York, NY 10019, United States Of America, 866 664DOCS Unsubscribehttpshs21704458.s.hubspotemail.nethspreferencescenterendirect?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 Manage preferenceshttpshs21704458.s.hubspotemail.nethspreferencescenterenpage?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 IMPORTANT WARNING The information in this message and the documents attached to it, if any is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message and the documents attached to it, if any, destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. disclaimer001 READ MORE
Is lupus cancer or not?
Lupus is most certainly not a cancer It is an autoimmune disease whereby recognition of self verses non self is dysregulated, leading to immune activation and the formation of immune complexes that can affect essentially any organ system in the body. This can manifest as skin rashes, fever, lymphadenopathy, mouth ulcers, weight loss, inflammation of the heart and lung and kidney, arthritis, an involvement of the nervous system. Thomas P. Olenginski, M.D., FACP Staff Attending Physician Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 5702716416 Fax 5702142924 From Patient Question answers10345461636050414aecf41710df16a0fe2dddee5ed632expert.findatopdoc.com Sent Friday, June 13, 2025 348 PM To Olenginski Md, Thomas P. tpolenginskigeisinger.edu Subject External You Have a New Question Is lupus cancer or ... External Be careful with links and files. If suspicious, use the Report Message button on your menu bar on Outlook. Questions? Call 5702718092. You have a new patient question! All you have to do is reply to this email to answer. All questions and answers are for informational purposes only. 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Dr. Olenginski Question Alert You Have A New Patient Question Simply reply to this email with your answer. Is lupus cancer or not? Is lupus cancer? Age 52 Gender Female Duration 10151998 Medications Plaquenil, predisone Conditions Lupus SLE Reply to this email to answer, or Loginhttpsd2ysdq04.na1.hubspotlinks.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 to see all questions. cidimage004.png01DBFE2E.821D7180 Image removed by sender. IT IS SAFE TO PARTICIPATE. Answering this question does not constitute medical advice or establish a doctorpatient relationship. All questions and answers are for informational purpose only. All question submitters are advised to seek the care of their local medical provider. Find A Top Doc, 1350 Ave of the Americas, New York, NY 10019, United States Of America, 866 664DOCS Unsubscribehttpshs21704458.s.hubspotemail.nethspreferencescenterendirect?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 Manage preferenceshttpshs21704458.s.hubspotemail.nethspreferencescenterenpage?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 IMPORTANT WARNING The information in this message and the documents attached to it, if any is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message and the documents attached to it, if any, destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. disclaimer001 READ MORE
Fix weakness?
There are many different causes of weakness The proton typical cause that rheumatologists look for would be called idiopathic inflammatory myopathy, whereby immune activation leads to inflammatory deposits within the muscle itself or at the edges of the muscle near the blood vessels. Conditions such as polymyositis or dermatomyositis are the prototypes. In such cases patients are floridly weak, with inability to raise there arms over their head, with inability to get off the floor, with inability to go up steps and sometimes with inability to swallow There are many neurological conditions that can cause weakness There are certain medications that I patient may react to and contribute to weakness Several Endocrinology conditions including hypothyroidism or an excessive cortisone can lead to weakness Someone who is very anemic can feel weak someone who has electrolytes are off can be week someone who is dehydrated can be week, etcetera Additionally, rheumatologists see many patients who are weak or feel weak because of deconditioning or reduced activity levels or because of a prolonged illness were they are immobile In addition to the history that the patient and physician discuss, the physical examination is vital to determining the cause because in many instances were someone feels weak, muscle strength maybe normal indicating that we should look for some of the causes listed above In instances of inflammatory muscle weakness, a blood test called CK will be markedly elevated And in the evaluation of weakness, we often do a neurophysiological test called an EMG which can help determine the cause of weakness Finally, at times we may need to arrange a muscle biopsy to determine the cause In summary there are many causes of weakness but careful evaluation should be able to identify the cause and potential treatments Thomas P. Olenginski, M.D., FACP Staff Attending Physician Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 5702716416 Fax 5702142924 From Patient Question answers14620401636050f206f05251dc56dcbbac1a8a0dc75824expert.findatopdoc.com Sent Sunday, June 15, 2025 813 AM To Olenginski Md, Thomas P. tpolenginskigeisinger.edu Subject External You Have a New Question Fix weakness? ... External Be careful with links and files. If suspicious, use the Report Message button on your menu bar on Outlook. Questions? Call 5702718092. You have a new patient question! All you have to do is reply to this email to answer. All questions and answers are for informational purposes only. Image removed by sender.httpsd2ysdq04.na1.hubspotlinks.comCtcGG113d2ySdq04VXfY0l3YMBmNW4BL7SL3MzqQ15xRzZN5q1hk43qn9gW7lCdLW6lZ3mjW90CktC3DyVdFW5kTLWF7HgCCCW1bd1Tb4XVHgMm35cf3cz7W2cFT2z6WkVJQN13Ql6lYVT8hW2nJR5s5tSX04W7F5hX82KpR5KW6CncBp49v4fCW4hWBHY34b20W8qYZCy19W2kTW6JCyZ07w1RptN99pNzF8GD61W590xp55SSBrnW7Y87r81W4xrW2Skr97ctymnW2BKtTQ6jV2mDW3TN47p76gtnW2RdfD5xWq84W8h1jC3XKRyXN2DZyxSRnRrrW4J99CC8xBVkMW617QY4mHSS7W4gTjTR6Zj89wf6fvJv04 One of your patients has asked you a question Click here to view this request onlinehttpsd2ysdq04.na1.hubspotlinks.comCtcGG113d2ySdq04VXfY0l3YMBmNW4BL7SL3MzqQ15xRzZN5q1hhW5nXHsW50kHH6lZ3pTW3MNRK3B1t2VW2Pg79t2M0NscN5sz96ZG7j1dW4d4lgH7ds816W1VN2l5KjKxqW3G5z41687y8cW9h3FF7SgXvkW8XwGC490836vW1prgdw38LsX4MrCHhJ2SXzrW8QqQGK6m1qKMW469ghY8tngNXW5FBbw8y6z1W4mFVHL4Mr3c2V8T6Zt670VfWW93kR834qtGL5W2KjqDK7MwT7W8m8Xjy4zCRTyW5NgyJ96ZPLChW4Y2C38dn8m3W4sq6c66RvRv9W8l30L6ZS9SHW1RWnKM39fVBKVpHFzn5TvRnSW6F8NGC8jC6lLVpXf202ykDPGW6TwdKV5vBxrpW8b1DWx4JQvqlMQZXysq9LpsW7lYTw68xdyLHN8L0BvbbCFdpW7mV8G759gFs3f6VyZ04 Image removed by sender. Dr. Olenginski Question Alert You Have A New Patient Question Simply reply to this email with your answer. Fix weakness? I feel pretty weak sometimes. I think that Ill solve it by eating but I keep eating and eating way more than I should and I still feel so weak mostly in my legs. Are there some kitchenfree foods that I can eat? I dont have access to a kitchen or really a microwave Im also a picky eater so a list of options could be helpful. 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Find A Top Doc, 1350 Ave of the Americas, New York, NY 10019, United States Of America, 866 664DOCS Unsubscribehttpshs21704458.s.hubspotemail.nethspreferencescenterendirect?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 Manage preferenceshttpshs21704458.s.hubspotemail.nethspreferencescenterenpage?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 IMPORTANT WARNING The information in this message and the documents attached to it, if any is confidential and may be legally privileged. It is intended solely for the addressee. Access to this message by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution or any action taken, or omitted to be taken, in reliance on it is prohibited and may be unlawful. If you have received this message in error, please delete all electronic copies of this message and the documents attached to it, if any, destroy any hard copies you may have created and notify me immediately by replying to this email. Thank you. disclaimer001 READ MORE
Sjogren's/Degenerative Disc Disease
There is no direct relationship or correlation between Sjogrens and cervical arthritis. Cervical arthritis is very common so we are going to see that in many of the conditions that we treat. Best wishes and happy fourth Get Outlook for iOShttpsaka.mso0ukef READ MORE
Winter pain in hand?
from everything that you tell me, I suspect that you have a traumatic arthritis, meaning that an injury or accident could have damaged areas within the joint or near the joint, thus starting the degenerative or wear and tear process that many of us will get when we are older. I would advise you to see either a rheumatologist or an orthopedic hand surgeon That way your problem could be accurately diagnosed and then appropriate treatment begun I hope this helps you and I wish you well Thomas P. Olenginski, M.D., FACP Staff Attending Physician Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 5702716416 Fax 5702142924 READ MORE
What are the treatment options for rheumatoid arthritis?
There are different classes of medication's to treat rheumatoid arthritis. Medication's called traditional disease, modifying drugs include hydroxychloroquine, sulfasalazine, methotrexate, and leflunomide. Sometimes non-steroid anti-inflammatory drugs are used and or low-dose prednisone The biggest advance over the last 20 years has been the use of water called biologic disease, modifying drugs and also a class of medicines called Jak inhibitors The anti-tnf drugs include Enbrel, Humira, Remicade,Cimzia, and Simponi There is a medication called Orencia in a class by itself There are two medications that inhibit a protein called interleukin six and those drugs are Actemra and Kevzara There is a drug called rituximab which inhibits the development of B cells, cells that produce antibodies. Finally, there are three medication's called Jak inhibitors and they include Xeljanz, Olumiant and Rinvoq In summary, there are many options to treat rheumatoid arthritis and I wish you the best Get Outlook for iOSREAD MORE
Why does my son get knee pain without injury?
Most of the conditions that we see is rheumatologists are unrelated to accident or injury. Knee pain may be related to the kneecap or to the attendance and ligaments around the knee joint. And knee pain can be structural and can be related to abnormalities of the meniscus or degeneration of cartilage or specific types of inflammation such as juvenile arthritis or rheumatoid arthritis or psoriatic, arthritis, etc. I think the most important thing is to get an accurate diagnosis and then get appropriate recommendations for how to manage this I hope you are able to do that and I hope your son's knee pain resolves Get Outlook for iOSREAD MORE
What is the youngest age that someone developed a rheumatic disease?
Children can develop juvenile inflammatory arthritis or other inflammatory / vasculitic syndromes in infancy Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE
What should I expect at first visit to a rheumatologist?
I think you will be surprised at how extensive your evaluation is likely to be You will probably be checked in for your appointment by a nurse who will ask you about the reason for your visit and inquire as to whether you're taking any prescription medication's. When the rheumatologist comes in he or she will take your medical history meaning the signs and symptoms that you've been having that prompted this appointment. The doctor will also his or her questions looking for clues to identify what might be causing your problem. Doctor will inquire about details of your past medical history, including any chronic medical illnesses and any surgeries you've had and again the doctor will verify your medicines and allergies additionally the doctor will take a family history of illness and inquire about details of your social history, including job, smoking, alcohol, history, whether you exercise, etc. The doctor will likely ask you to put on a gown and you will have a medical examination and after that here she will come back and talk to you about what the likely causes of your signs or symptoms are and whether any specific testing needs to be done to determine the cause.additionally the doctor may initiate some treatment and arrange for a follow up appointment Get Outlook for iOSREAD MORE
What can cause joint pain in adolescents?
Thank you for the question Some joint pain in adolescence will be related to hypermobility and other hypermobility syndromes A common cause of joint pain particularly affecting the knees is something that we call patellofemoral syndrome or anterior knee pain where the kneecap abnormally tracts and irritates the femur causing pain. This is very responsive to physical therapy and a home exercise program Joint pain can be a manifestation of 1 of the types of juvenile inflammatory arthritis Joint pain can be related to growing pains Sometimes joint pain can be an early sign or signal of the possibility of a malignancy Sometimes infections can be causes of joint pain, including Lyme disease and others I think the most important thing to emphasize is to use your pediatrician or primary care physician as the initial resource Have a good day Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE
Should people with rheumatic conditions worry about running out of medicine?
We do not want any of our patients to run out of medicines that are maintenance medicines, medicines designed to be taken on a regular basis We reconcile medicines with each visit and we try to determine which pharmacy the patient uses and whether they have a certain prescription plan that requires 30 versus 60 verses 90 days of medicine Additionally, if someone is going to be away and they are traveling , we obviously want them to have an adequate supply of medication I hope that helps Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE
Why does my child get skin rashes and muscle soreness often?
Very interesting question and a very difficult question to give you a precise answer. In Rheumatology, there are a number of conditions that can be associated with a rash and muscle symptoms, particularly muscle weakness. One would be dermatomyositis, which is a condition causes a very characteristic rash pattern, and also causes rather significant Muscle weakness. Lupus is also a condition they can muscular skeletal pain with or without weakness and with or without swelling in association with variety rashes. Auto immune rashes are sun, sensitive, meaning sun exposure tends to worsen or cause rashes to flare. In regard to the muscle symptoms, the real important question clinically is whether there is any muscle weakness. I would trust that your family physician, and or pediatrician would be able to evaluate that and determine whether there was anything suspected that would require a pediatric rheumatologist. I hope that helps and I hope you have a nice day. READ MORE
What exercises can you do for pediatric rheumatic disease?
Similar to adults, range of motion exercises to maintain flexibility are important. Swimming and aqua therapy is especially useful and makes it easier than more traditional exercising. Walking a very good exercise. Likewise, exercise and/or effort to strengthen the muscles, particularly of the thighs will yield very good results. READ MORE
Does working a computer job lead to rheumatic diseases?
Computer work can lead to the development of carpal tunnel syndrome and what we might term overuse syndromes where repetitive activities cause tendonitis, particularly at the elbow. READ MORE
Do hand spasms indicate arthritis in the future?
Hand spasms are not directly related to any form of arthritis that 1 might have an there hand They maybe related to overuse or repetitive activity. Arthritis in the hand is either related to degeneration of the cartilage, a condition we call osteoarthritis. Rheumatoid arthritis is a common inflammatory arthritis that can affect the synovial lining of the joints and cause significant pain swelling and difficulty using the joints Carpal tunnel is a condition where the nerve running through the wrist, the median nerve, gets pinched and symptoms of numbness and tingling emerge Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE
What is the best treatment for lupus?
Thank you for your question The most important point I would emphasize would be to have your son see a rheumatologist because we are the lupus experts and we work cooperatively with primary care physician's and other subspecialists in the care of patients lupus Lupus is a systemic illness that can cause a variety of symptoms including fever, weight loss, rash, photosensitivity, Raynaud's phenomenon, inflammation of the lining of the heart and or lungs - pleural pericarditis, arthritis, and importantly lupus can involve the kidney. Lupus can also be associated with an increased risk of blood clotting tendencies. We always say that we treat lupus based on the manifestations that the patient has. For example in someone with a rash, joint pain and or arthritis, fatigue and or weight loss, we might consider in that is circumstance low-dose prednisone and a drug called hydroxychloroquine or Plaquenil Patients with predominantly skin disease are managed with topical steroids, injections into the lesions, and Plaquenil Patients who have arthritis are treated with Plaquenil and or methotrexate Patients who have other manifestations are treated some times with a combination of prednisone and medications that might include methotrexate, Imuran, CellCept, Benlysta, Saphnelo, or Voclosporin In other situations we might consider using a drug called rituximab or cyclophosphamide Finally, to emphasize, I would state that we have many new treatments available to manage lupus and we are usually able to do so. Again, I would recommend that your son sees a rheumatologist because we are trained to understand and recognize and treat and manage in follow patients with lupus I hope your son is well and stays well! Best wishes! Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE
How to treat lupus?
I am sorry your son is ill but I hope that he can see a pediatric rheumatologist and get a treatment plan As you know, lupus can cause many different signs and symptoms. These can include fever, weight loss, lymph node enlargement, mouth ulcers, pleurisy and pericarditis, Raynauds phenomenon , neurological, kidney involvement ( different forms ), anemia and low platelet counts, etcetera The treatment really depends on what we call the manifestation; in other words we will treat the patient based on what organ systems are involved If someone has a rash and arthritis, we might use a drug called hydroxychloroquine or Plaquenil For more serious involvement, prednisone may need to be used and other immunosuppressive medication ( methotrexate, Imuran, CellCept, leflunomide, Benlysta, Saphnelo ) The outlook for patients with lupus today is better than it was 25 to 30 years ago I hope your son does well. Best wishes! Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE
What are the symptoms of gout?
Gout is a very common inflammatory condition While typically thought of as something that only men get, we do see gout in women often in women who are taking diuretics for hypertension or fluid problems or blood pressure Gout occurs because the kidney does not excrete enough uric acid. Less commonly gout occurs because of someone simply producing too much uric acid. The symptoms of gout are typically rather severe pain swelling of a joint and significant warmth and redness about the joint. While classically described as affecting the great toe, gout can involve many different joints including the ankle knee and wrist elbow and others. Gout occurs progressively unless the uric acid burden is treated medically. The most common medications that are used to lower uric acid our medications such as probenecid, allopurinol, or febuxostat. Acute attacks can be treated with nonsteroid anti-inflammatory drugs or short courses of prednisone. While colchicine has been described as being helpful in treating acute gout, it is my personal opinion that it is easier to treat with nonsteroidals or prednisone, because colchicine often causes diarrhea. Our goal is typically to lower uric acid levels 5.5 or below Sometimes, patients will have deposits of uric acid in their elbows or around their hands or forearms....... we call these tophi. Additionally, if gout is not effectively controlled, a serious erosive bone-injuring arthritis can occur. And, many think that poorly treated gout can contribute to chronic kidney disease. All of these things are preventable with the use of uric acid lowering therapy and getting the uric acid to an appropriate level I will conclude with the reassurance that we can diagnose and treat gout very effectively in almost all our patients. Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE
What could be the cause of my joints pain?
Thank you for your question Joint pain and in particular ankle pain can have many potential causes If 1 had an ankle injury in the past this could potentially lead to what we call a post traumatic osteoarthritis When we use the term inflammatory arthritis we are talking about conditions such as rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis and others. Typically these conditions cause very marked morning stiffness and inflammatory swelling around the joints affected Ankle pain commonly can relate to tendonitis and this has typically determined by listening to a patient's symptoms and then examining them and then doing further testing Joint pain can caused by infection but I doubt that that is the cause of your symptoms simply because that cause rash acute pain swelling fever chills and is a medical emergency The ankle can be affected by osteoarthritis and we would suspect that if we thought the range of motion of the ankles were less than normal and x-rays supported the diagnosis with joint space narrowing and bone spurring called osteophytes My advice to you would be to see your primary care physician and determine what can be done and or get a referral to a specialist I hope you get feeling better and wish you well! READ MORE
Is rheumatoid arthritis serious?
thank you for your question Rheumatoid arthritis is a symmetric polyarthritis that has the potential for systemic manifestations - what that means is the pattern of arthritis is typically what is on 1 side is also on the other side and it involves many joints. Patients with rheumatoid arthritis can develop nodules under the skin, they can develop inflammation that affects the lining of the long and or the heart, what we term pleural pericarditis and the condition can be associated with dryness of the eyes and dryness of the mouth related to what we call secondary Sjogren's syndrome. There are other manifestations that are less common The treatment of rheumatoid arthritis changed dramatically in 1999 Late in 1998 the drugs Enbrel and Remicade were approved and revolution ionized our treatment approach I am old enough to tell you that I practiced before that. Of time and prior to that time we did not have the treatments available that we do today The general philosophy of treatment in rheumatoid arthritis is to begin with what we call a traditional disease modifying antirheumatic drug - this would be drugs like Plaquenil, sulfasalazine, methotrexate, and leflunomide We try with the use of these medicines to reduce the amount of pain, swelling, and stiffness and hope to return that patient to his or her previous level of function The standard treatment really today is methotrexate. Methotrexate can be administered by oral tablets that are taken once weekly. Additionally, the drug can be administered by self-injection subcutaneously and that method is typically more effective and better tolerated than the pills If 1 does not achieve an acceptable response to methotrexate, then we typically try to get approval to use 1 of the biologic agents - so initially we had ENBREL and Remicade; then we saw the approval of Humira, Cimzia, Simponi. Additionally other type drugs were developed called Orencia, Actemra, Kevzara, rituximab, Xeljanz, Olumiant, and Rinvoq In this combination of treatments, we are usually able to markedly reduce pain and swelling, return the patient to their usual function, and prevent joint damage that can be seen on x-ray Unquestionably, our patients with rheumatoid arthritis today do better than 20 years ago and it is likely that we are going to see more advances in therapy over the next few years. Is rheumatoid arthritis serious ? I think the answer is yes But, rheumatoid arthritis is much more treatable today and our patients do much better today than 20 to 30 years ago Best wishes and good luck Thomas P. Olenginski, M.D., FACP Staff Attending Physician - Geisinger Medical Center, Danville PA Department Rheumatology HiROC FLS Physician Champion BMD Committee Chairperson 570-271-6416 Fax: 570-214-2924 READ MORE

Expert Publications

Data provided by the National Library of Medicine

Areas of expertise and specialization

General Rheumatology, especially Diagnosis and Treatment of Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing Spondylitis, Systemic Lupus Erythematosus, Vasculitis, and other Connective Tissue DiseasesDiagnosis and Treatment of Osteoporosis, Glucocorticoid-Induced Osteoporosis, Secondary Fracture PreventionCertified Clinical Densitometrist, CCD - Bone Density Test (DXA) InterpretationUse of Polarized Microscopy Examination in the Diagnosis of GOUT and PSEUDOGOUTSkillful use of Biological Treatments for Rheumatoid Arthritis, Psoriatic Arthritis, Ankylosing SpondylitisSkillful use of Immunosuppressive Treatments for Systemic Lupus Erythematosus and Vasculitis and MyositisDiagnostic and Therapeutic Arthrocentesis and Joint InjectionsMusculoskeletal Radiography and collaboration with Musculoskeletal Radiologists to enhance carerheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, vasculitis, and gout/pseudogout

Faculty Titles & Positions

Assistant Professor of Medicine Lewis Katz School of Medicine - Temple University 2010 - 2018
Assistant Professor of Medicine Geisinger Commonwealth School of Medicine 2018 - Present
Attending Physician Geisinger Rheumatology - Danville 2001 - Present
Attending Physician Guthrie Clinic Rheumatology - Sayre 1998 - 2001
Rheumatologist Arthritis Center, Susquehanna Health System - Williamsport 1991 - 1998

Awards

Phi Beta Kappa 1980 Penn State University Chapter
Nathan Sussmann Medical Professional Award 2007 Arthritis Foundation - PA
Laureate Award 2019 American College of Physicians - PA Eastern Region
Community Service Award 2009 Bucknell University

Treatments

Psoriasis
Osteoporosis
Arthritis
Fibromyalgia
Osteoarthritis
Lupus
Pain

Professional Memberships

American College of Rheumatology
International Society of Clinical Densitometry
Bone Health and Osteoporosis Foundation
American Society of Osteoporosis Providers
Member American College of Physicians
Fellow American College of Rheumatology
Member International Society of Clinical Densitometry

Fellowships

Geisinger Medical Center , Rheumatology 1991

Charities and Philanthropic Endeavors

Lewisburg Youth Basketball League 2004-2014
Vice President Lewisburg Youth Basketball League 2004-2006
Supervisor of Officiating, Lewisburg Youth Basketball League 2004-2014
Member St. Paul's United Methodist Church - Lewisburg 2022 - present
PIAA Basketball Official x 16 years, retired 2021

Fellowships

Rheumatology Fellowship - Geisinger Medical Center - 1989-1991

Professional Society Memberships

ACR, Bone Health & Osteoporosis Foundation, Int\'l Society of Clinical Densitometry, American Association of Osteoporosis Providers, where he is also on the Board of Directors

Articles and Publications

published over 50 publications Lectures: Public speaking locally, invited speaker at ACR Nat\'l meetingMeet the Professor for a 3 year period, related to OsteoporosisInvited speaker at Nat\'l Osteoporosis Foundation MeetingsLecture responsibilities at Geisinger to Internal Medicine Residents and Medical Students, teaching responsibilities to Fellows at Geisinger as well.Honors/Awards:ACR

What do you attribute your success to?

People that supported him/family/wife/2 boys

Areas of research

General Rheumatology: especially RA

Rheumatology Fellowship Education

Osteoporosis

Glucocorticoid-Induced Osteoporosis

Bone Denisty Testing / DXA

Vertebral Fracture Assessment

Fracture Lisison Service (FLS) and High-Risk Osteoporosis Clinic (HiROC)

Dr. Thomas P. Olenginski, MD's Practice location

Geisinger Medical Center

100 N Academy Ave -
Danville, PA 17822

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New patients: 570-271-6211, 570-271-6416, 570-271-6002, 570-271-5845

Fax: 570-271-5845

Mon:09:00 AM - 05:00 PM
Tue:09:00 AM - 05:00 PM
Wed:09:00 AM - 05:00 PM
Thu:09:00 AM - 05:00 PM
Fri:09:00 AM - 05:00 PM
Sat:Closed
Sun:Closed

Dr. Thomas P. Olenginski, MD's reviews

(4)

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Patient Experience with Dr. Olenginski

3.0

Based on 4 reviews

Dr. Thomas P. Olenginski, MD has a rating of 3 out of 5 stars based on the reviews from 4 patients. FindaTopDoc has aggregated the experiences from real patients to help give you more insights and information on how to choose the best Rheumatologist in your area. These reviews do not reflect a providers level of clinical care, but are a compilation of quality indicators such as bedside manner, wait time, staff friendliness, ease of appointment, and knowledge of conditions and treatments.

Media Releases

Get to know Rheumatologist Dr. Thomas P. Olenginski, who serves patients in Pennsylvania.

A board-certified and fellowship-trained rheumatologist, Dr. Olenginski has consistently demonstrated a commitment to improving the lives of those facing a range of rheumatic conditions. His clinical interests encompass a wide spectrum of conditions, including rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, vasculitis, and gout/pseudogout. One area of particular focus for him is osteoporosis, especially secondary fracture prevention.

Back in the early days of his academic career, he earned his medical degree from The Penn State College of Medicine, showcasing his early commitment to healthcare. Subsequently, he completed his residency and a fellowship in rheumatology at Geisinger Medical Center, where he honed his clinical skills and gained invaluable experience in the specialized field of rheumatology. Furthermore, his status as an ISCD-certified clinical densitometrist highlights his expertise in the assessment of bone health, particularly in the context of osteoporosis and glucocorticoid-induced osteoporosis.

An expert in his field, the doctor is board-certified in rheumatology and internal medicine by the American Board of Internal Medicine (ABIM). The ABIM is a physician-led, non-profit, independent evaluation organization driven by doctors who want to achieve higher standards for better care in a rapidly changing world.

Rheumatology is a branch of medicine devoted to the diagnosis and treatment of rheumatic diseases. Physicians who have undergone formal training in rheumatology are called rheumatologists. Rheumatologists treat arthritis, autoimmune diseases and osteoporosis.

Outside of practicing medicine, Dr. Olenginski enjoys golfing and traveling and spending time with family and friends. He and his wife Jessica have twin sons and 2 grandchildren. He loves to follow Penn State sports and was PIAA basketball official for 16 years and spent 10 years as a volunteer in Lewisburg Youth Basketball League.

Nearby Providers

Dr. Eric D. Newman M.D.100 N Academy Ave Danville PA 17822
Dr. Duane E. Davis M.D.100 N Academy Ave Danville PA 17822
Dr. Brian A. Delvecchio D.O.100 N Academy Ave Danville PA 17822
Dr. David M. Pugliese D.O.100 N Academy Ave Danville PA 17822
Dr. Jana Laura Antohe MDGeisinger Medical Center 100 N Academy Ave Danville PA 17822
Dr. Lindsay J Ledwich DORheumatology Foss Clinic Geisenger Medical Ctr Danville PA 17822