Services
Evaluation, treatment and the support around it
Patients with rheumatological and immune-related problems often need more than a consultation. These are the elements DIRA brings together.
Service pages
Explore each service in detail
Each of these has its own page covering what it involves, who it helps and the questions patients ask most.
Arthritis Treatment
Living with arthritis can make simple everyday activities such as walking, climbing stairs, working, or even getting out of bed uncomfortable. At DIRA, we focus on helping patients understand their joint problems and receive personalised care based on their symptoms, condition, and overall health.
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Immunology & Rheumatology Treatment
Autoimmune and rheumatic conditions can affect more than just your joints. Persistent joint pain, stiffness, swelling, fatigue, muscle discomfort, skin changes or unexplained inflammation may sometimes be linked to an underlying immune-system disorder.
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Physiotherapy & Rehabilitation
Pain, stiffness, muscle weakness or difficulty moving can affect your work, your exercise, your sleep and your everyday activities. Whether you are recovering from an injury, managing joint pain or living with a long-term musculoskeletal condition, the right physiotherapy can improve movement and function.
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Pharmacy Service
Getting the right medicines at the right time is an important part of your healthcare journey. Our pharmacy service is designed to make accessing prescribed medicines more convenient, while keeping patient safety and medication awareness at the centre of care.
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Day Care Infusion & Diagnostics
Managing a chronic condition or undergoing regular treatment can mean several hours in a hospital, or repeated visits for investigations and therapy. Our day care service is designed to make planned treatment and essential investigations more convenient and comfortable, without the need for an overnight stay.
Read moreSpecialist Consultation
Comprehensive evaluation for established, suspected and complex rheumatological or immune-related conditions.
Second Opinions
A fresh specialist assessment, where an existing diagnosis or treatment plan needs clarifying.
A second opinion can help answer questions that are difficult to resolve in a single consultation:
- Is this really autoimmune?
- Is the diagnosis correct?
- Do I need all these investigations?
- Is my treatment appropriate?
- What should happen next?
Clinical Immunology & Allergy Evaluation
Assessment of suspected immune-mediated and allergic conditions, with emphasis on identifying whether the immune system is actually responsible for the symptoms.
The aim is to avoid both missing a genuine disorder and over-investigating symptoms that have another explanation.
Rheumatology Care
Diagnosis and management of inflammatory and autoimmune diseases affecting joints, muscles, skin, spine, blood, nerves, lungs, kidneys and other organs.
Chronic Pain Management
Pain that continues for months or years can affect almost every aspect of life. The cause is assessed before the treatment is chosen.
We assess whether pain is:
- Inflammatory
- Mechanical
- Musculoskeletal
- Nerve-related
- Disease-associated
- Or due to a combination of factors
Treatment may combine medical management, physical rehabilitation, lifestyle measures and other appropriate interventions. The aim is not simply to reduce a pain score — it is to restore function.
Physiotherapy & Rehabilitation
For patients requiring structured rehabilitation, physiotherapy can be integrated with medical management.
Available on site
The focus may include:
- Improving mobility
- Strengthening
- Joint protection
- Functional recovery
- Posture and movement
- Maintaining independence
- Safe return to activity
Laboratory & Diagnostic Support
Access to appropriate laboratory investigations and diagnostic support for evaluation and monitoring.
Available on site
The principle is simple: test when the clinical question requires it — not simply because a test is available.
Pharmacy Support
Convenient access to prescribed medications where available, helping improve continuity and reduce fragmentation of care.
Available on site
Multidisciplinary Care
Some immune-mediated diseases require input from more than one speciality. Where appropriate, DIRA coordinates that care.
Coordination may involve:
- Pulmonology
- Nephrology
- Dermatology
- Neurology
- Gastroenterology
- Paediatrics
- Cardiology
- Orthopaedics
- Pain & Rehabilitation
- Psychology