Which doctor treats arthrosis of the knee joint

To which doctor should I go for the treatment of osteoarthritis?

Treatment of arthrosis of joints Many people of different ages suffer from various joint diseases, especially arthrosis, which affects large joints. The majority of the patients, faced with a similar problem, do not know what kind of doctor you need to make an appointment. And this is no accident, since in Russia with the treatment of joints everything is quite confusing. Let's try to figure out which doctor is treating arthrosis.

To whom to contact?

A doctor who is involved in the prevention, diagnosis and treatment of joint diseases, is called an arthrologist. Such a specialist is easy enough to find in most Western clinics. When a patient addresses to such a doctor for the first time, the arthrologist asks the patient about the symptoms, concomitant diseases, studies the medical history, and also assigns diagnostics. Diagnostic measures include ultrasound and x-rays of affected joints, rheumatological tests and laboratory diagnostics. If necessary, a doctor of this specialization can perform various intraarticular or periarticular manipulations, for example, the administration of hormonal drugs into the joint cavity of patients or blockade with the help of analgesics.


However, as already mentioned, everything is somewhat different in Russia. An arthrologist is not in every state clinic, and even if there is such a doctor in your outpatient clinic, the record to him is stretched for many months ahead. Therefore, in Russian hospitals it makes sense to treat osteoarthritis at different stages from different more accessible specialists.
To which doctor can I make an appointment? In Russian polyclinics, you can go to:
- orthopedist;
- rheumatologist;
- the surgeon.
Each doctor treats arthrosis at different stages in his own way. The question arises, when and to whom to turn for the most effective treatment.

Which doctor should I choose?

Which doctor treats joint arthrosis? Osteoarthritis at different stages manifests itself in different ways, so to get the most effective treatment, it is advisable to familiarize yourself with the symptoms in advance. Firstly, because it is desirable to start treatment from the earliest stage of the disease and not postpone it for later. Secondly, the queues in Russian polyclinics have not yet been delivered to anyone. Therefore, in order not to waste your time, it is better to know exactly who to turn to.
If osteoarthritis is at an early stage of development, then you should register with a rheumatologist. The initial stage of the disease is characterized by easy and rapidly stopping pains in the area of ​​the affected joints, which can appear at the beginning of movement or after intensive physical exertion. Osteoarthritis at this stage is also characterized by fatigue in joints after exercise. If such a description suits what you feel, then it is worthwhile to contact a rheumatologist who, after diagnosis( examination of the joints and X-ray), will give recommendations for treatment: prescribe medications and prescribe the necessary procedures. Preparations for the treatment of arthrosis of the knee joint( the most common osteoarthritis) and folk methods of treatment that you want to use should be discussed with a rheumatologist.
In case the arthrosis is characterized by long and prolonged pains( osteoarthritis of 2 degrees and higher), one should consult an orthopedist. It is this doctor who can prescribe a therapeutic massage and exercise therapy.
Osteoarthrosis after Stage 2 has the following symptoms:
- the patient constantly feels slight fatigue in the area of ​​joints.
- a feeling of pressure appears in the affected joints( especially after intensive work).
- even with a small amplitude of movement, the patient feels a sharp pain in the joints.
- a crunch appears in the affected joint.
- it becomes more difficult to bend / unbend the limb in the joint.
If arthrosis has already largely "patted" the joints, then you should consult a surgeon. In more advanced stages( 3-4) the pain does not leave the patient, even if he is at rest. Sometimes, in such cases, when the cartilage of the joints is completely destroyed, the limb becomes impossible to bend. Then after examination and diagnosis, the surgeon can offer surgery( and at the last stage without it at all do).

It's easier to warn than to heal!

The causes of arthrosis can be different, so this disease occurs in elderly people and in very young people. And if osteoarthritis, caused by joint injuries, can not be prevented, alas, it can not be, then from the other reasons provoked can be defended. Prevention is much easier than treatment. Let's see what to do in order not to look for a doctor who heals joints.
First of all, you need to balance your motor mode. It's good to go jogging, walking, swimming, skiing, etc. You can choose the sport that you like best to enjoy it. Movement improves blood microcirculation around the cartilages well, which helps improve the supply of cartilage( which itself is devoid of blood vessels) with oxygen and nutrients. If the arthrosis has already begun to manifest, it is worth consulting with a rehabilitator. Such a doctor will help create an exercise program, taking into account the individual characteristics of the patient. This doctor rather does not cure arthrosis, but helps with movement to slow down the development of the disease. As a rule, exercises are aimed at relieving excess load from the joints.
Joints should be kept warm and avoid supercooling of the body.
It is also important to monitor your diet, it should be complete, and for your weight, because obesity adversely affects the condition of the joints. The causes of arthrosis of the knee joint, the most common type, are different, but obesity is not the last place in their list. Remember, extra pounds - an extra burden on the joints. Therefore, when a doctor begins to treat joints, he can send a patient to a nutritionist to develop a weight loss program.
To prevent osteoarthritis, it is important to observe the regime of the day: enough to sleep, eat well, walk in the fresh air and get positive emotions.
It is also important to strengthen muscles and ligaments. This in many respects will help to avoid microtraumas of joints, which can provoke arthrosis.
Pay attention to your shoes, it should be comfortable. The heel must be stable, and the shoes themselves fit in size.
These recommendations will help protect joints and prevent osteoarthritis. Agree that they are simple enough to observe them constantly and enjoy the movement of healthy joints constantly. Which doctor treats the disease with arthrosis?

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Osteoarthritis is a degenerative-dystrophic disease. It is necessary to know which doctor treats arthrosis, in which there is a malnutrition and gradual destruction of the cartilage of the surface of the joints. In general, this anomaly affects large joints. So what kind of doctor should I contact?

The problem of arthrosis of the knee joint

To which doctor should I apply?

Symptoms of arthrosis are:

  • pain and swelling of the joints;
  • difficulties with the implementation of the usual movements.

In this case, the most correct solution will be an early visit to the doctor for diagnosis and treatment. A specialist who treats dystrophic diseases is an arthrologist, however such doctors accept patients only in large multidisciplinary clinics. In ordinary city polyclinics for the treatment of arthrosis one should contact one of such specialists as:

  • orthopedist or traumatologist-orthopedist;
  • rheumatologist;
  • Surgeon.

The choice of a physician who will take care of the treatment of this disease will depend on:

  • the nature of its course;
  • severity;
  • features in the context of other diseases.
The doctor

It is especially necessary to undergo examination and treatment with a specialist of this profile when the true cause of the disease is unclear and not diagnosed. In other words, when a person for many years did not attach importance to the slow development of chronic arthrosis, as a result of which such phenomena appeared:

  • movement is accompanied by pain;
  • there were severe inflammatory pains.

It is in such cases that a rheumatologist deals with treatment. Before the orthopedic physician, the main task is to deal with patients in the postoperative recovery period. The patient needs advice about the right choice:

  • orthopedic products to facilitate movement;
  • knee and elbow pads;
  • brace, corsets and other additional tools.

Orthopedist also works with patients who are diagnosed with advanced chronic arthrosis of the third degree. In the absence of an orthopedist and rheumatologist, a surgeon is taken for the treatment of arthrosis. He studies the extent to which the disease affects the adjacent muscle tissue, on the basis of which he decides on the probable surgical intervention. To what doctor to address in a specific case, the therapist who is the expert of a wide profile can advise. He treats the pathology of the joints only in cases where there is no possibility of treating other specialists. The therapist can:

  • make a preliminary diagnosis;
  • appoint an initial examination;
  • indicate the need to collect the necessary tests;
  • write a direction for radiography;
  • to give direction to a narrow specialist.

If a person has contacted a polyclinic after receiving an injury with fear of arthrosis, he needs to visit a traumatologist.

Actually, he at first and will lead the process of treatment, further rehabilitation is performed by an orthopedist or rheumatologist. In the absence of deformity, namely at an early stage of the disease, the rheumatologist is treated for the treatment of arthrosis. At the late stage, an orthopedic trauma specialist is needed. Rheumatologist is a doctor who treats patients who do not need surgery.

Where to go for treatment?

If the patient's condition is not bad, he can go to the polyclinic. The patient is referred to the hospital in those cases when hospitalization is needed or about counseling, but this is done only after the direction from the clinic has been given. If there is not enough time, but if you have enough money, you can apply for help in a private medical institution. It is necessary to approach the choice responsibly - qualified care will be provided only in a clinic with an impeccable reputation.

There are times when consultations with other doctors may be necessary: ​​for example, if arthrosis has developed due to metabolic disorders, endocrinologist consultation is necessary, with excess weight - a nutritionist, with problems with nerves - a neurologist. In the treatment of arthrosis involved:

  • physiotherapist;
  • instructor of therapeutic physical training;
  • the masseur;
  • chiropractor.

A correctly diagnosed diagnosis and the right treatment started in time is the guarantee of a successful result in the therapy of arthrosis.

SpinaZdorov.ru

Which doctor treats arthrosis at different degrees of it

Arthrosis is a slowly progressive disease. In other words, once started, it gradually affects the entire joint. Medicine is still unknown methods of treatment that could completely overcome this disease. But if arthrosis is detected in the initial stages, it is possible to suspend or slow its development.

Therefore, it is so important to seek medical help at the first sign of joint problems. But it is in this matter that the majority of patients have difficulties, because few of the people uninitiated in medicine know which doctor treats arthrosis.

Osteoarthritis gradually deprives a person of the joy of movement. The most important thing in his treatment - in time to seek help from a specialist. What kind of doctor should you prefer: a therapist, an arthrologist or an orthopedist?

Doctors of the following specialties are engaged in diagnostics and treatment of joint diseases:

  • therapist;
  • arthrologist;
  • orthopedist-traumatologist.
  • 2 Arthrologist
  • 3 Orthopedist-traumatologist
  • 4 Joint counseling

Therapist

This is the first specialist to whom patients are rushing to address any indisposition, including the first arisen joint pain. Unfortunately, in most regional polyclinics this is also the only doctor who can consult about the disease of arthrosis. The reason is, in a simple shortage of narrow specialists, as an arthrologist.

Therapist

A visit to the therapist will be as follows:

  • survey;
  • inspection;
  • referral to general and biochemical blood analysis;
  • direction for radiographic examination;
  • referral for advice to a specialist;
  • diagnosis;
  • treatment designation.

Survey

During the interview, the doctor specifies the characteristics of the pain( when it begins, how much continues, what provokes it), the presence of hereditary bone and joint diseases, lifestyle( profession, bad habits).This allows the therapist to mentally outline the range of alleged diseases.

Inspection

During the examination, the doctor determines whether the shape of the joint has changed, whether there are points of soreness, whether the local body temperature is increased. Then the mobility in the joint is checked.

The general and biochemical analysis of blood

They allow to define or determine there is an inflammatory reaction in an organism and what she character.

Radiographic examination of

If the therapist does not have a physician as an arthrologist or rheumatologist, the therapist can give directions for the radiographic examination of the affected joint.

Referral to a specialist in

It is mandatory at levels 3 and 4 of arthrosis when there is a significant impairment of mobility in the joint, a decrease in the quality of life of the patient, or the issue of disability is being resolved.

Diagnosis

Set based on an analysis of all the preceding steps. The doctor must indicate the degree of arthrosis( 1, 2, 3 or 4).

Treatment

Since the therapist treats doctors who use only conservative methods, that is, non-surgical methods, the treatment prescribed by him will be effective only at 1,2 degrees of arthrosis. In the event that the patient has an advanced stage( 3 or 4), then medication will play only a supporting role.

X-ray

Recommendations for the 1st stage of the stage may include:

  • lifestyle changes( increased physical activity through walking, swimming, oriental health exercises, for example, qi-gun);
  • reduction in excess weight;
  • advice to take calcium preparations, glucosaminoglycans, chondroitins( Artra, Terra-flex, Don).

Treatment of arthrosis of the 2nd degree includes:

  • the entire range of measures recommended above;
  • administration of non-steroidal anti-inflammatory drugs;
  • exercise complex exercise therapy for strengthening the muscles around the joint;
  • physiotherapy;
  • wearing a bandage( knee, elbow) to reduce the load on the joint when moving.

Advantages of treatment of the therapist:

  • is a doctor of walking distance, that is, it is included in the staff of even the smallest polyclinic;
  • has in its arsenal effective regimens for treating initial degrees of arthrosis.

Disadvantages of therapeutic care:

  • a large flow of patients forces the doctor to give each patient a minimum amount of time, which can cost a correct diagnosis;
  • is ineffective in the late stages of arthrosis.

Arthrologist

Arthrology is a narrow medical specialty that deals with the study, diagnosis and treatment of joint diseases, including arthrosis.

Of course, it will be ideal if the patient, at the first signs of malaise in the joints, will be able to contact this specialist.

Advantages of consultation of the arthrologist:

  • rich experience and narrow specialization allows the doctor to establish the diagnosis already at the earliest - stage 1;
  • ability to refer a patient to additional blood tests helps to avoid diagnostic errors;
  • because this is a narrow specialization, the doctor always has the most advanced treatment regimens.

The main disadvantage of an arthrologist is that it is very difficult for him to get a consultation. Such specialists are not in all polyclinics, and admission to a private clinic can be very expensive.

The diagnosis by an arthrologist practically does not differ from that of a physician-therapist. However, a narrow joint specialist may have a greater choice of treatment methods. In addition to the recommendations to take those other drugs, the arthrologist can prescribe:

  • massage;
  • manual therapy;
  • consultation of a nutritionist, genetics, rheumatologist;
  • recommend intraarticular injections of anti-inflammatory drugs, hyaluronic acid.

Orthopedist-traumatologist

This is a doctor of surgical specialty. He advises patients with severe forms of arthrosis, when the joint is destroyed so that it becomes a cause of disability. According to medical standards, an orthopedist is required to take patients with 3 and 4 degrees of arthrosis.

On reception at the doctor the orthopedist

The main advantage of an orthopedist in treatment is the possibility of using surgical methods of treatment, including modern endoprosthetics. Especially relevant is this method of treatment for arthrosis of the hip and knee joints.

Joint counseling of

Knowledge of the patient about which doctor treats arthrosis is necessary in order to timely recognize this insidious disease. However, the success of treatment to a large extent depends on the timely interaction of physicians of all three specialties. Prevention and treatment of the initial stages of the disease should be carried out with the active participation of the therapist, since it is closest to the patient. Correctly prepared plan of preventive measures and early diagnosis many times reduce the occurrence of arthrosis and their transition to more severe degrees.

In difficult cases or when the hospital's capabilities do not allow for a full diagnosis and effective treatment, the therapist should direct the patient to the arthrologist on time, and if the patient has already come with the advanced stage of arthrosis, then to the orthopedist. In addition, narrow specialists can take patients without referral, if the patient came to them for primary treatment.

Modern technology of joint prosthetics is so well developed that it allows to improve the quality of life and restore freedom of movement even to patients with completely destroyed joints, which for years have been bedridden.

Osteoarthritis is cunning, but you can cope with it. To do this, you just need to seek medical help on time.

VashPozvonochnik.ru

Which doctor treats knee joints: arthritis and knee pain

Pain and mobility restriction in the knee joints can be observed with a variety of pathological processes that are characterized by inflammation, swelling and thinning of the cartilaginous tissue. Most often, the disease develops at the age of 50 to 60 years. At a younger age, pain in the knee joints can be associated with traumatic tissue damage, sprains, knee cap traumas and bursitis. Choose which doctor heals knee joints is difficult enough. For this it is necessary to undergo a special examination, during which the potential cause of unpleasant sensations and the limitation of the amplitude of physiological mobility will be revealed. The most elementary type of examination is an X-ray photograph showing the structural changes in cartilage and bone tissue. To exclude rheumatoid inflammatory reactions, a biochemical and general blood test is assigned, the titer of the reactive protein is investigated.

When receiving detailed survey data, the question of which doctor heals the knee joint becomes more limited. Depending on which anatomical part of the knee is the pathological focus, therapy can be recommended in the therapist, surgeon or orthopedist. All these specialists use a very limited arsenal of medical measures, the purpose of which is to eliminate the pain syndrome. It may be recommended surgical surgical intervention to remove the bursa or ligament ligament, a puncture for pumping exudate or blockade with hormonal drugs. All these methods do not guarantee complete recovery, since they do not affect the restoration of the physiological structure of the affected tissues.

We suggest you to find out which doctor heals knee joints without surgical intervention, using manual therapy techniques and guarantees complete recovery and restoration of physiological mobility.

Which doctor treats knee arthritis?

When you contact a city polyclinic, the answer to the question about which doctor treats knee arthritis will depend on the etiology of the inflammatory process. If these are the consequences of rheumatism, then it is advisable to consult a therapist or rheumatologist. With systemic lesions of the cartilaginous tissue, you can be helped by a specialist at our clinic for manual therapy. You will be assigned a complex of manual effects with the help of osteopathy and therapeutic massage, acupuncture and physiotherapy. After the complete course of treatment, the pain syndrome is eliminated completely, the movement is unlimited.

For the entire period of treatment a special diet is recommended, which provides a full-fledged intake of protein and trace elements into the body. All these substances are necessary for the restoration of cartilaginous tissue and bone tissue of the heads entering the cavity of the joint of bones.

Which doctor treats pain in the lap injury field?

More than half of patients with pain syndrome in the knee joint area seek help after suffering injuries. These can be bruises, ruptures and sprains of the ligamentous apparatus, posttraumatic arthrosis and bursitis. Which doctor treats knee pain after trauma in an urban polyclinic? This is most likely an orthopedist, and in his absence a surgeon is a traumatologist. The standard of treatment at the same time includes a tight bandage, the taking of pain medications, physiotherapeutic procedures and various ointments with non-steroidal anti-inflammatory drugs that make up them.

Which doctor treats knee pain in our clinic for manual therapy? This manual therapist, who already during the initial consultation offers an individually designed rehabilitation scheme to prevent the development of contractures and post-traumatic bursitis. It is usually recommended to rest for a period of acute pain. To alleviate the condition of the patient, therapeutic massage and acupuncture are used, with the help of which the pain syndrome is eliminated. Regenerative processes in damaged tissues are activated.

In the future, after the question of which doctor heals pain in the knees, is solved, a rehabilitation course of restoring the joint tissues is carried out. For this purpose, therapeutic massage and special sets of physical exercises are prescribed.

Doctor who heals knees and knee joints

A doctor who treats knee joints can recommend patients compliance with work and rest. In particular, when carrying out active measures to restore cartilaginous tissue, long static loads are not recommended. It is also important to pay attention to the mass of your body. Every additional 5 kg of weight is exerted by an increase in compression pressure on the knee joints by 15%.Therefore, a doctor who heals the knees can prescribe an unloading diet in order to eliminate excess pressure and further destruction of the cartilaginous tissue.

In the process of treatment methods of therapy of concomitant diseases can be used. In some patients arthritis of the knee joints, bursitis and sprains can be associated with a violation of the setting of the feet. Most often suffer from flat feet. Less often, trauma is caused by clubfoot in adults.

In our clinic of manual therapy you will receive a full-fledged qualified medical care. Our efforts are aimed at eliminating the cause of pain in the knees, and not masking pathological symptoms.

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