Elite Rheumatology and Arthritis Center, operates under the legal business name Sunshine Specialty Healthcare LLC
Operates under the legal business name Sunshine Specialty Healthcare LLC
Myositis

Elite Rheumatology and Arthritis Center
Dr. Sumalatha Nandikonda, MD
1727 Orlando Central Pkwy, Orlando, FL 32809
Phone/Text: 407-888-5980
Fax: 4078882492
​
“Please note that Elite Rheumatology and Arthritis Center operates under the legal business name
Sunshine Specialty Healthcare LLC”.
What is Myositis?
Myositis is a rare group of autoimmune diseases that cause inflammation and progressive weakness in the skeletal muscles. These muscles are responsible for everyday movements such as walking, lifting objects, swallowing, and even breathing. In some patients, myositis may also affect the skin, lungs, or heart, making early evaluation and care essential.
Because symptoms can overlap with other autoimmune conditions, timely myositis diagnosis and treatment by an experienced specialist is critical to prevent long-term muscle damage and loss of function.
Common Types of Myositis
1. Polymyositis (PM)
Polymyositis causes symmetrical muscle weakness, most commonly affecting the hips, shoulders, neck, and thighs. Patients often notice difficulty standing from a seated position or lifting their arms overhead.
​
2. Dermatomyositis (DM)
Dermatomyositis includes muscle inflammation along with distinctive skin rashes. These may appear as purple or red discoloration on the eyelids, knuckles, chest, or shoulders.
​
3. Inclusion Body Myositis (IBM)
IBM is a slow-progressing form of myositis that typically affects older adults. It may involve weakness in the hands, forearms, and legs and can be less responsive to standard therapies.
Other rare forms include necrotizing autoimmune myopathy and overlap syndromes associated with conditions such as lupus or scleroderma.
Causes and Risk Factors
Myositis is an autoimmune condition in which the immune system mistakenly attacks healthy muscle tissue. While the exact cause is unknown, several factors may increase risk:
-
Genetic predisposition: Certain genes may raise the likelihood of autoimmune disease
-
Age and gender: Polymyositis and dermatomyositis are more common in women aged 40–60, while IBM often affects men over 50
-
Environmental triggers: Infections, medications, or toxin exposure
​
Signs and Symptoms of Myositis
Symptoms vary depending on the type of myositis but often include:
-
Gradual or sudden muscle weakness, especially in the shoulders, hips, and thighs
-
Difficulty climbing stairs, lifting objects, or standing from a chair
-
Fatigue and general weakness
-
Muscle pain or tenderness
-
Difficulty swallowing (dysphagia)
-
Shortness of breath if breathing muscles are involved
-
Skin rashes in dermatomyositis, such as the heliotrope rash or Gottron’s papules
Because symptoms may progress slowly, many patients delay care. Early myositis diagnosis and treatment can significantly improve outcomes.
Early evaluation at the best hospital for myositis can help identify the condition before significant muscle damage occurs. for myositis can help identify the condition before significant muscle damage occurs.
​
How Is Myositis Diagnosed?
Accurate diagnosis is essential to guide treatment and prevent irreversible muscle damage. A comprehensive evaluation typically includes:
-
Medical history and physical examination to assess muscle strength and function
-
Blood tests to measure muscle enzymes and autoimmune markers
-
Electromyography (EMG) to evaluate muscle activity
-
MRI scans to detect inflammation in affected muscles
-
Muscle biopsy to confirm the diagnosis and identify the specific myositis type
Working with a specialist experienced in myositis diagnosis and treatment ensures a thorough and timely evaluation.
​
Myositis Treatment in Orlando
While there is no cure for myositis, myositis treatment in Orlando focuses on controlling inflammation, preserving muscle strength, and preventing complications. Treatment plans are individualized based on disease severity and organ involvement.
Medications
-
Corticosteroids to rapidly reduce muscle inflammation
-
Immunosuppressive medications such as methotrexate, azathioprine, or mycophenolate mofetil
-
In-house biologic therapies with severe or treatment-resistant disease
-
JAK inhibitors for select patients requiring targeted immune therapy
Supportive Care
-
Physical and occupational therapy to maintain mobility and prevent muscle stiffness
-
Speech and swallowing therapy for patients with dysphagia
-
Pulmonary and cardiac monitoring when respiratory or heart muscles are involved
Receiving care at the best hospital for myositis allows for coordinated treatment and close monitoring to adjust therapy as needed.
Living Well With Myositis
With consistent care, many patients can maintain independence and quality of life. Helpful strategies include:
-
Attending regular rheumatology follow-up appointments
-
Participating in gentle, low-impact exercise programs
-
Maintaining a balanced diet to support muscle health
-
Preventing infections and staying up to date with vaccinations
-
Reporting new or worsening symptoms promptly
Access to advanced therapies and ongoing myositis treatment in Orlando plays a key role in long-term disease control.
​
Why Early Treatment Matters
Early diagnosis and prompt myositis treatment in Orlando can:
-
Reduce inflammation and prevent permanent muscle damage
-
Preserve mobility and daily function
-
Lower the risk of lung, heart, or swallowing complications
-
Improve overall quality of life
Choosing the best hospital for myositis ensures comprehensive care from diagnosis through long-term management.
Finding the Right Help for Myositis
Dealing with a rare muscle problem is hard, but you do not have to do it alone. Getting the right myositis diagnosis and treatment early can change how you feel day to day. When you visit the best hospital for myositis, you get a doctor who knows exactly what to do. They will give you the right medicine, help you with physical therapy, and support you every step of the way.
​
Get Care Near You Today
If your muscles feel weak or you have a hard time moving, it is important to see a doctor right away. You can find good myositis treatment in Orlando at the Elite Rheumatology and Arthritis Center, so you do not have to travel far for help. Their local doctors can look at your symptoms and make a plan to build your strength back up. Taking action now helps you stay active and feel better for years to come.
​
Frequently Asked Questions
1. What causes myositis?
Myositis is an autoimmune condition in which the immune system attacks muscle tissue. Genetics and environmental factors may contribute.
2. What are the early symptoms of myositis?
Early symptoms include muscle weakness, fatigue, difficulty lifting arms or climbing stairs, and skin rashes in dermatomyositis.
3. How is myositis diagnosed?
Diagnosis involves blood tests, EMG, MRI, and sometimes muscle biopsy. Accurate myositis diagnosis and treatment requires specialist care.
4. How is myositis treated?
Treatment may include corticosteroids, immunosuppressants, biologic therapies, and supportive care depending on disease severity.
5. Can myositis be managed long-term?
Yes. With early diagnosis, regular monitoring, and appropriate treatment, most patients can control symptoms and maintain mobility.
.
For more information or to schedule an appointment, contact us
Dr. Sumalatha Nandikonda brings extensive experience in treating a wide range of rheumatologic conditions. At Elite Rheumatology and Arthritis Center, we are committed to delivering comprehensive, compassionate care tailored to each patient’s needs.
​
For educational purposes, we have listed a few of the common conditions we treat on our website.If you don’t see your condition listed, please contact us directly—we’re happy to discuss how we can help.
​
Please note that Elite Rheumatology and Arthritis Center operates under the legal business name Sunshine Specialty Healthcare LLC.
​
Dr. Nandikonda’s journey in medicine is defined by a deep commitment to her patients. Before specializing, she spent eight years as a hospitalist, gaining invaluable experience in complex patient care, followed by three years in a dedicated rheumatology clinic. Her passion for the field led her to complete a rigorous two-year fellowship right here in Orlando, training alongside the city's top specialists. With a vision for a more personal approach to medicine, she founded Elite Rheumatology and Arthritis Center. Today, she’s proud to provide the Orlando and Central Florida community with the high-quality, compassionate care they deserve.

