Second opinions in rheumatology
A fresh, evidence-based review of your diagnosis or treatment, with ultrasound where helpful
When a second opinion helps
Rheumatological conditions can be hard to pin down, and it is reasonable to want a fresh pair of eyes. A second opinion can help when a diagnosis remains unclear despite investigations, when treatment is not working as hoped, or when you are facing a significant decision about long-term medication and want to be confident in the plan.
Seeking a second opinion is normal and common. It does not undermine your current team, and many patients find that an independent review either provides welcome reassurance or opens a different way forward.
What a second opinion here adds
Dr Borukhson's second opinions are not limited to reviewing your notes. Where joints, tendons or other soft tissues are involved, she performs point-of-care ultrasound during the consultation itself. That can add objective, present-day evidence to the picture, for example whether active joint inflammation is present or not, rather than relying only on how things looked when previous tests were done.
You leave with a clear, written opinion: what the findings show, whether the current diagnosis fits, and what Dr Borukhson would suggest next. With your agreement, the letter is shared with your GP and existing specialists so everyone stays on the same page.
What to bring
The more background you can share, the more useful the opinion. Helpful items include clinic letters from previous specialists, blood test results, imaging reports (X-ray, ultrasound, MRI or DEXA), and a list of medications you have tried, with a note of what helped and what did not.
Do not worry if you cannot gather everything; the assessment, examination and same-visit ultrasound stand on their own.
How to arrange one
Contact the practice and mention that you are seeking a second opinion. New appointments are from £280 (ultrasound and any procedures are charged in addition and agreed with you first), and next-working-day appointments can almost always be arranged. Many private medical insurers cover second opinions; check with your insurer and obtain pre-authorisation before your visit. Our insurance guide explains how.
Want a clear, independent view?
An unhurried specialist review with same-visit ultrasound where helpful, and a written opinion you can share with your team
Book an appointment