Expert care for every condition

At the Grady Asthma and Allergy Center, we offer advanced diagnostic testing to identify allergies. Our board-certified allergists work closely with patients to develop customized asthma treatment plans, including the latest biologic therapies. Our goal is to offer comprehensive care and ensure long-term symptom management through a variety of medication and treatment options

Trauma can take a toll on your mental health. Our counselors help you navigate the emotional challenges, including depression, so you can focus on healing both physically and mentally.

No matter what your ear, nose, or throat condition, Grady offers the right treatment option for you. We provide:

• Audiology: Diagnosis and treatment of hearing loss and tinnitus.
• Otology: Expertise on diseases of the ear and its connecting structures. Treatment of balance disorders, infections, ear pain, tumors of the ear, and facial nerve disorders, including medication or surgery.
• LPR Testing: State-of-the-art tests for laryngopharyngeal reflux (LPR), a condition in which stomach acid travels up the esophagus and reaches the throat.

No matter what your urological condition, Grady offers the right treatment option for you. We provide:

• Medication therapies: Experienced application of a wide range of medications to treat different disorders — from infections to cancers.
• Radiation therapies: Focused radiation therapy to treat some kinds of cancers and tumors, often in conjunction with medication therapies or chemotherapies.
• Reconstruction: World-class experience performing complex reconstructive surgery on the kidney, ureter, bladder, urethra, and male genitals.

No matter what your dermatologic condition, Grady offers the right treatment option for you. We offer:

• Botulinum toxin (Botox): Botulinum toxin injections are used to treat conditions like hyperhidrosis or excessive sweating and Raynaud’s disease, a rare blood vessel disorder. The injections are not offered for cosmetic purposes.
• Infusion therapy: Intravenous infusions are used to treat autoimmune dermatologic conditions and other conditions. Infusion therapy is offered in the dermatology center.
• Light therapy: UV light therapy is offered for many skin conditions, including psoriasis, vitiligo, itch, and other disorders. It works by slowing down cell growth and inflammation that causes skin problems
• Medication: Patients are cared for through the prescription of one or more medications to treat their dermatologic conditions.
• Surgery: Surgical treatment is offered for some dermatologic conditions like skin cancers, cysts, keloids, and hidradenitis suppurativa.

Grady’s Rheumatology Center provides advanced care, including joint injections and biologic drug infusions, for a variety of autoimmune and musculoskeletal conditions. With a multidisciplinary team and access to the latest medical technology, Grady offers comprehensive, expert care for complex rheumatic diseases.

No matter what your eye care needs, Grady offers the right treatment option for you. We offer:

• Consultations and surgeries: Diagnosis and treatment of virtually all eye conditions, injuries, and diseases; both medically and, when aggressive treatment is required, through surgery.
• Eye examinations: The conduction of eye examinations and identification of issues.
• Glaucoma and cataract screenings: Screenings that can help to determine if you need medical treatment for glaucoma or cataract.
• Orbital and oculoplastic surgery: Reconstructive surgery focuses on the eyelids, eyebrows, the bone around the eye, and the tear system. The procedure is commonly done to correct and treat injuries and diseases of the eye, eyelid, and surrounding areas.
• Refractive surgery: The procedure is used to improve the refractive state of the eye and decrease the need for correction through glasses or contact lenses. It can include cornea remodeling, lens implantation, or lens replacement.

Grady GI Center performs a wide variety of procedures. Some of the most common include:

• Swallow procedures: Tests conducted to properly diagnose the cause of painful swallowing.
• Endoscopy: Procedure that uses an endoscope to examine the interior of a hollow organ or cavity of the body. Endoscopes are inserted directly into the organ. For example, an ERCT is used to diagnose diseases of the gallbladder, biliary system, pancreas, and liver.
• Colonoscopy: Endoscopic examination of the large bowel and the distal part of the small bowel with a tiny camera attached to a flexible tube passed through the anus. Learn more about colonoscopy and bowel prep here.
• Surgery: The center typically prefers to use robotic laparoscopic surgery to correct structural issues in the GI tract because it is minimally invasive and results in quicker healing and recovery and shorter hospital stays. Colorectal surgery deals with disorders of the rectum, anus, and colon. Occasionally, open or traditional surgery is required.

Pain management

No matter what your pain, Grady offers the minimally invasive right treatment option for you. We provide:

• SwMedication: A wide variety of non-narcotic medical treatments to alleviate pain and help patients manage their discomfort.
• Spine and joint injections provide temporary pain relief by sending powerful medications such as steroids to the source of your pain  to relieve pain and improve function and quality of life. We often do epidural steroid injections to alleviate radicular pain (pain down an arm or leg from a spinal nerve root).
• Nerve blocks are injections that can be used to help diagnose and manage pain arising from specific nerves. Injection of medications, such as local anesthetics and steroids, directly by a nerve can provide temporary pain relief and improve function and quality of life.
• Radiofrequency ablations use electrical currents produced by a radio wave to heat a small area of nerve tissue to decrease pain signals from that area. This is usually performed for pain originating from joints in the spine once the source has been verified.
• Chemical neurolysis is an injection of a chemical like ethanol to destroy a sensitive nerve, in hopes of providing long-term pain relief.
• Spinal cord stimulations are implanted devices that electrically stimulate the spinal cord to relieve pain. This can be used for select causes of chronic neuropathic pain (e.g. post-laminectomy pain syndrome, complex regional pain syndrome).

Grady’s Liver Clinic offers extensive counseling and education about hepatitis so patients understand their infections and their treatment options. Our liver assessments use a combination of imaging, other diagnostic tools, and lab testing to determine each patient’s condition and choose a course of treatment. Imaging sometimes includes Fibroscan®, also called transient elastography, a non-invasive way to measure liver stiffness.

The liver clinic offers antiviral medication for hepatitis C and assists with medication approvals and support during treatment. We also offer vaccinations for hepatitis A and B.

Grady diagnoses the types of asthma and allergies you have and counsels you on the steps you can take to manage your condition. This includes environmental allergies (like exposure to pollen, dust mites, mold, or animal dander), food allergies (learn more about food allergies), drug allergies, and asthma (learn more about asthma).

Grady treats countless ENT disorders, including:

• Hearing loss: While most types of hearing loss cannot be reversed, our team can usually help improve what people do hear. Learn more about hearing loss here.
• Difficulty breathing through nose: Up to 75 percent of Americans have a deviated septum, which makes one nasal passage narrower. Some patients suffer from chronic sinusitis, adenoids, and polyps, which can also block the nasal passages. Learn more about sinusitis and deviated septums here.
• Ringing in the ears: Up to 20 percent of Americans experience a noise or ringing in the ears, a condition called tinnitus. Learn more about tinnitus here
• Head, neck cancer: These cancers account for about 4 percent of all cancers in the U.S. and are more than twice as common among men. Learn more about head and neck cancer here.
• Goiter, thyroid cancer: The thyroid gland might be larger than usual for many reasons, and most of the time it is not cancer. Learn more about goiter and thyroid cancer here.
• Facial trauma: Also known as maxillofacial trauma, this is any physical trauma to the face. It can involve soft tissue injuries like burns and bruises or fractures that damage the nose, jaw, or eye.

Grady treats countless urological diseases and disorders, including:

• Kidney stones: Kidney stones have many causes and can be painful, but are typically treatable with medication or, in serious cases, with surgery. Learn more about kidney stones here.
• Prostate conditions: Common prostate problems can include frequent urination, difficulty urinating, and an inability to urinate. Learn more about prostate conditions here.
• Urinary discomfort: Several conditions can cause painful urination or result in blood in urine, including urinary tract infections or urethritis. Learn more about urinary tract infections here.

There are countless dermatologic conditions, and Grady treats them all. The ones we treat most often include:

• Acne: The most common skin condition in the United States, acne affects teenagers and adults and can leave scars on the skin. Prescription medications, and dermatologic treatments are advised for serious conditions. Learn more about acne here.
• Autoimmune connective tissue disease: Autoimmune diseases like skin lupus and dermatomyositis often involve facial rashes, scaly rashes on sun-exposed areas of the body, lesions, hair loss, or scarring. The condition can usually be treated with medication. Learn more about skin lupus and dermatomyositis here.
• Drug eruptions: Adverse drug reactions can result in skin reactions, itching, and changes in nails. Medical treatment may be needed. Learn more about drug eruptions here.
• Eczema (including allergic contact dermatitis): Over 30 million Americans suffer from some type of eczema, which is actually a group of conditions that cause the skin to become red, itchy, and inflamed. Treatment can reduce symptoms and discomfort. Learn more about eczema here.
• Hair loss or alopecia: There are several types of hair loss. Several are treatable with medicines. Learn more about hair loss here.
• Hidradenitis suppurativa: This is an autoinflammatory disease (not infectious) that usually begins as pimple-like bumps and painful boils on the skin and may progress to cause scars. This disease commonly affects the underarms, groin, and buttocks. Treatments, including medicines and surgery, can prevent flares and reduce discomfort. Learn more about hidradenitis suppurativa here.
• Infectious diseases of the skin: Infections of the skin can be caused by bacteria, fungus, viruses, or parasites. The most common types include boils, warts, ringworm, impetigo, and scabies. Learn more about infectious skin diseases here.
• Keloids: These raised scars sometimes occur where the skin has healed after an injury. While they are not harmful, a dermatologist may be able to minimize them through treatment. Learn more about keloids here.
• Nail disease: Injuries or disease can cause toenails or fingernails to grow in unusual ways, be discolored, or be otherwise distorted. Nail conditions are often associated with other medical conditions.
• Psoriasis: A common condition, psoriasis is thought to be an immune system problem that results in a rash on the skin, nails, and joints. Treatment can reduce symptoms and discomfort. Learn more about psoriasis here.

Rheumatic disease — sometimes called musculoskeletal diseases — affects your joints, tendons, ligaments, bones, and muscles. There are more than 200 rheumatic diseases. Some that we commonly treat include:

• Lupus: Patients with lupus — also known as systemic lupus erythematosus — have immune systems that attack healthy tissue, leading to illness and damage to joints, skin, kidneys, blood cells, the heart, and lungs. Learn more about our lupus treatment here.
• Rheumatoid Arthritis (RA): Rheumatoid arthritis (RA) occurs when your body’s immune system targets your joint linings. RA affects joints on both sides of the body, such as both hands, both wrists, or both knees. It can also affect the skin, eyes, lungs, heart, blood, or nerves. Learn more about rheumatoid arthritis.
• Psoriatic Arthritis (PsA): Psoriatic arthritis (PsA) is an autoimmune disease and a form of inflammatory arthritis that can affect the millions of people who have psoriasis. PsA typically affects your skin and joints, which can become swollen, stiff, painful, and damaged over time. Learn more about psoriatic arthritis.
• Gout: Gout is a kind of arthritis that occurs when you have too much uric acid in your blood and it forms sharp crystals in one or more joints. The condition usually affects the big toe, but develops in your knee, ankle, foot, hand, wrist, or elbow. Attacks are sudden and cause serious pain that lasts days. Learn more about gout.
• Vasculitis:  This inflammation damages the lining of affected blood vessels, causing narrowing, the formation of blood clots (thrombosis), and blockage. As a result, the oxygenated blood supply to certain tissues may be restricted, potentially resulting in pain, tissue damage, and, potentially, organ malfunction. Learn more about vasculitis.

The Grady Diabetes Center treats both forms of diabetes and the associated complications, including:

• Type 1 diabetes: People with Type 1 diabetes cannot produce insulin. Their bodies’ immune system attacks and destroys the pancreatic cells that produce the hormone insulin. Learn more about Type 1 diabetes here.
• Type 2 diabetes: The most common type of diabetes, Type 2 occurs when a person’s blood glucose or blood sugar is too high. In Type 2 diabetes, a person’s body does not produce enough insulin or does not use insulin well. Learn more about Type 2 diabetes here.
• Diabetic retinopathy: This is a common cause of vision loss among people with diabetes and a leading cause of blindness among working-age adults. Learn more about diabetic retinopathy here.
• Diabetic neuropathy: This is a type of nerve damage that can occur in diabetics. Typically, high blood sugar can injure nerves throughout the body, commonly in legs and feet. Learn more about diabetic neuropathy here.
• Foot ulcers: Open sores or wounds occur in about 15 percent of diabetics, most commonly on the bottom of the foot. Learn more about diabetic foot ulcers here.

We have the skills to treat virtually every eye condition, including:

• Astigmatism: A common condition that causes blurred vision, astigmatism occurs when the cornea (the clear front cover of the eye) is irregularly shaped or sometimes because of the curvature of the lens inside the eye. Learn more about astigmatism here.
• Blepharitis: A common eye disorder, blepharitis is caused by bacteria or a skin disorder and it can affect people of any age. Most commonly, blepharitis presents as an inflammation of the eyelid. Learn more about blepharitis here.
• Cataract: A cataract is the clouding of the lens in the eye that affects vision. Most cataracts are related to aging and are common in older people. Learn more about cataract here.
• CMV retinitis: Cytomegalovirus retinitis (CMV retinitis) is a serious viral eye infection of the retina, the light-sensing nerve layer that lines the back of the eye. It is most often found in people with weakened immune systems.
• Corneal abrasion: A corneal abrasion is a superficial scratch on the clear lens at the front of your eye. This cornea can be scratched by contact with dust, dirt, sand, or other materials. Learn more about corneal abrasions here.
• Corneal Dystrophy: Corneal dystrophies are a group of rare, genetic diseases that affect the cornea, the front part of your eye. They may cause significant vision impairment.
• Diabetic retinopathy: The most common cause of vision loss in people with diabetes, diabetic retinopathy is a leading cause of blindness among working-age adults. Learn more about diabetic retinopathy here.
• Dry eye: Dry eye is not just an annoyance. It can cause inflammation, blurred vision, and even blindness in extreme cases. Learn more about dry eye here.
• Glaucoma: This is a group of eye conditions that damage the optic nerve. The damage is often caused by high pressure in your eye. Glaucoma is one of the leading causes of blindness for people over 60 years of age. Learn more about glaucoma here.
• Keratoconus: Keratoconus is an eye disorder in which your cornea thins over time. The cornea also bulges out to form a cone-like shape. Learn more about keratoconus here.
• Macular degeneration: Sometimes called age-related macular degeneration, this is a medical condition that may blur a patient’s vision or block vision in the center of the visual field. Learn more about macular degeneration here.
• Retinal detachment: This is an emergency situation in which the retina pulls away from its normal position. The longer retinal detachment is untreated, the greater the risk of permanent vision loss.
• Retinal vein occlusion: This is a blockage of the small veins that carry blood away from the retina. It is typically caused by high pressure within the eye.
• Retinitis pigmentosa: This is the name for a group of rare, genetic conditions that involve the breakdown and loss of cells in the retina. Typically, patients suffering from retina pigmentosa have difficulty seeing at night and lose peripheral vision. Learn more about retinitis pigmentosa here.
• Strabismus (crossed eyes): Strabismus is most common in children. It is when the eyes don’t line up, or they are crossed. The eyes (one or both) may turn inward, outward, turn up, or turn down.
• Uveitis: This eye inflammation affects the tissue in the eye wall and can present with eye redness, pain and blurred vision. Learn more about uveitis here.

The Grady GI Center treats an array of GI disorders, including functional disorders (in which the gastrointestinal (GI) tract looks normal but doesn’t work properly), and structural disorders (in which the bowel looks abnormal and doesn’t work properly). Sometimes, the structural abnormality needs to be removed surgically.

Common functional conditions we treat include:

• Achalasia, a rare disorder of the esophagus that makes it difficult to swallow solids and liquids. The condition may be accompanied by heartburn and chest pain. Learn more about achalasia here.
• Constipation means it is hard to have a bowel movement. It is usually caused by inadequate “roughage” or fiber in the diet, or a disruption of the regular routine or diet. Learn more about constipation here.
• Irritable bowel syndrome (IBS), also called spastic colon, irritable colon, or nervous stomach, is a condition in which the colon muscle contracts more often than normal. It may be triggered by certain foods, medicines, and emotional stress. Learn more about irritable bowl syndrome here.

Common structural conditions we treat include:

• Anal fissures are splits or cracks in the lining of the anal opening. The crack exposes underlying muscles that control the passage of stool through the anus. An anal fissure is painful, and can lead to bleeding or spasm after bowel movements. Learn more about anal fissures here.
• Perianal abscesses can occur when the small anal glands in the anus become blocked, and bacteria present in the glands cause an infection. When pus develops, an abscess forms.
• Anal fistula often follows drainage of a perianal abscess. It is an unusual passageway from the anal canal to a hole in the skin. Body wastes traveling through the anal canal are diverted through this channel, causing itching, irritation, pain, and bleeding. They usually need surgery. Learn more about anal fistulas here.
• Colitis is a broad name for conditions that cause inflammation of the bowel. Colitis causes diarrhea, bleeding, and stomach cramps. Learn more about colitis here.
• Colon polyps and cancer. Each year 130,000 Americans are diagnosed with colorectal cancer. Thanks to early detection and treatment, colorectal cancer is one of the most curable forms of the disease. Learn more about colon cancer screenings here.
• Diverticular disease is the presence of small pouches in the muscular wall of the large intestine that form in the bowel. They usually occur in the sigmoid colon, the high-pressure area of the lower large intestine. It is often caused by too little roughage (fiber) in the diet. Learn more about diverticular disease here.
• Esophageal disorders include gastrointestinal reflux disease (GERD), a kind of severe form of heartburn that can develop into more serious conditions, including cancer. Other esophageal disorders include strictures and swallowing issues. Learn more about GERD here.
• Gallbladder diseases include gallstones, hard deposits that form in the gallbladder’s fluid; cholecystitis, an inflammation of the gallbladder, and cholestasis, any condition that stops or slows the flow of bile from the liver. Learn more about gallstones here.
• Hemorrhoids are swollen blood vessels along the anal opening, caused by chronic pressure from straining during a bowel movement, persistent diarrhea, or pregnancy. Learn more about hemorrhoids here.
• Liver disease is the most common diseases that cause the liver to malfunction include hepatitis A, hepatitis B, and hepatitis C, all infections caused by a virus; cirrhosis, chronic liver damage caused by a variety of things; hemochromatosis, an inherited condition that leads to high iron levels in the blood, and stones or form in the bile duct. Learn more about liver disease here.
• Pancreatitis is a progressive disease with a high risk of permanent problems. Patients typically have chronic pain, diarrhea, malnutrition, or diabetes. Learn more about pancreatitis here.
• Small bowel disorders can include GERD and other conditions. Symptoms typically include bleeding.
• Stomach disorders ranging from GERD to cysts can cause chronic pain, nausea, and vomiting. Learn more about ulcers here.

Some wounds take longer to heal than others. Grady’s wound care specialists treat chronic, slow-healing, and complex wounds to help prevent infection and speed up recovery. Common conditions we treat include:

• Diabetic ulcers, pressure sores, and other chronic wounds that won’t heal properly
• Surgical wounds that require extra care to avoid complications
• Traumatic wounds, such as deep cuts, abrasions, or injuries from accidents. Learn more about our Trauma Center here.
• Radiation wounds and skin reactions from cancer treatment
• Burn injuries. Learn more about our dedicated Burn Center here.

There are countless causes of chronic pain and Grady treats them all. The ones we treat most often include:

• Herniated discs occur when a piece of a disc is pushed outside the edge of the disc. Sometimes this can cause pressure against or irritation of a spinal nerve root which may result in pain down the arm or leg. When this involves pain down the leg, it is usually referred to as ‘sciatica’.
• Back pain is the single leading cause of disability worldwide. Though caused by many things, conditions most commonly leading to the problem include muscle or ligament strain caused by heavy lifting or awkward movements. Other causes include arthritis, poor posture, obesity, and stress. Learn more about back pain here.
• Neck pain is common, and typically is the symptom of prolonged straining, sleeping in an uncomfortable position, stress, wearing heavy necklaces, or osteoarthritis. In some cases, it can be a symptom of a more serious problem. Learn more about neck pain here.
• Joint pain can be chronic discomfort, pain or inflammation involving a part of a joint, including the bone, ligaments, tendons, cartilage, or muscles. It may be caused by strain or a condition like arthritis. Learn more about joint pain here.
• Neuropathic pain can originate from the nerves themselves and feels like pins/needles, burning, or electricity..  This may happen due to injury to the nerve from multiple causes including, but not limited to, medical conditions (e.g. Diabetes), compression (e.g. Carpal Tunnel Syndrome), and trauma (e.g. Complex Regional Pain Syndrome)
• Cancer pain can be caused by the tumor pressing on a nerve, bone, or other organ or by cancer treatment (e.g. chemotherapy, radiation, surgery).
• Chronic trauma pain: Often, people who have suffered traumas experience chronic pain. For example, people injured in automotive accidents often experience ongoing pain long after their original injuries have healed.  Also, people who suffer from post-traumatic stress, such as military veterans and individuals who have experienced physical or emotional trauma during their lives, often suffer from chronic pain. Learn more about chronic trauma pain here.

The Grady Liver Clinic provides comprehensive care for people with chronic hepatitis C, the most common bloodborne infection. About 2.4 million Americans live with hepatitis C. Half of them do not even realize they are infected, and most show no symptoms.