Which doctor treats osteoarthritis?
Many people face such a problem as arthrosis. Recently, this disease is very "rejuvenated", if a couple of decades ago, osteoarthritis was the prerogative of people aged, but today the symptoms of this disease can be found in twenty-year-old patients. The doctors associate the disease with a modern way of life and an unfavorable ecological situation.
Unfortunately, many people who suffer from arthrosis of the joints do not pay any attention to the symptoms at the initial stages of the disease, do not give them a significant role and, accordingly, do not rush to see a doctor. This is a very big mistake, which in the future will lead to loss of working capacity, and sometimes to disability, since osteoarthritis is a progressive disease that is incapable of spontaneous regression.
Modern and timely methods of diagnosing arthrosis, complex conservative treatment will help the patient avoid surgical intervention and keep the function of the affected joints.
Often people do not seek medical help and because they do not know which doctor treats arthrosis and where to start their examination: to visit a precinct physician, or immediately contact a specialist?
Causes and risk factors for osteoarthritis
Osteoarthritis is a chronic, progressive, degenerative-dystrophic joint damage, the main symptoms of which are pain and joint function disorder. Arthrosis is the inevitable stage of aging, like age-related skin changes and gray hair. But there are predisposing factors of the disease, which lead to premature lesion of the joints.
Risk factors for arthrosis:
- is a congenital susceptibility to the disease( familial cases of osteoarthritis);
- is overweight and obese;
- joint injury in the past;
- inadequate muscle development, which form the framework for the joints;
- permanent microtraining of joint components( for example, in athletes);
- female gender;
- age over 45 years;
- diseases with metabolic disorders;
- concomitant pathology of the musculoskeletal system.
Specialists who deal with the treatment of arthrosis
When the first symptoms of the disease appear, it is necessary to consult a rheumatologist. Rheumatologist is a doctor of therapeutic profile who is engaged in inflammatory and dystrophic diseases of joints and connective tissue.
A rheumatologist will establish an accurate diagnosis, examine you, determine which joints are affected. Assign laboratory and instrumental diagnostic methods, for example, radiography, ultrasound of affected joints, MRI, CT, densitometry, etc. With the help of a complete examination, a specialist will be able to answer the main question, which stage of osteoarthritis in the patient and what kind of treatment he needs.
Rheumatologist in his practice uses only conservative methods of treatment, he treats joint arthritis with medicines, ointments, injections( intravenous, intramuscular and intra-articular).
Intraarticular injections for arthrosis effectively eliminate inflammation and pain
The therapeutic complex, which is prescribed by a rheumatologist, often includes procedures that go beyond the competence of the doctor. Thus, specialists from other fields of medicine can be involved in the treatment process:
- Manual Therapist;
- the masseur;
- physical training instructor;
ArthrologistWe recommend reading:
Knee Osteoarthritis 2 degrees
In some highly specialized medical centers, arthrosis is treated by an arthrologist. This is a surgical doctor who deals exclusively with joint problems. But such an expert is not always found, and getting to him at the reception is sometimes very difficult.
If the treatment is not started on time or the pathological processes in the joints progress, despite the whole complex of therapeutic measures, when any movements in the joints cause unbearable pain or limb loses its function due to contractures and deformities, only the orthopedic surgeon will be able to help.
Orthopedist is one who treats arthrosis in a far-advanced stage, when conservative therapies are not enough. The doctor performs 2 types of operations:
- organ-preserving( arthroplasty, arthrodesis, joint resection, arthrotomy, arthritis), all these surgical interventions have the purpose to resume the function of the damaged joint, to eliminate pain, while the main principle of organ-preserving surgery is to keep as much of the patient's own tissue as possible;
- arthroplasty, when the treatment of arthrosis no longer makes sense( the joint is completely destroyed), the doctor decides to replace the damaged component with an endoprosthesis, this operation will again give the patient the opportunity to move without pain and difficulty.
Often only endoprosthetics can return a function to damaged joints
When should I see a doctor?
Cautioning you and getting the doctor to seek medical help should have the following symptoms of arthrosis:
- discomfort or joint pain, initially they appear after physical exertion and at the end of the day, gradually acquire a permanent character;
- inability to find a comfortable position for a sick leg at night;
- swelling of the joint, redness of the skin above it;
- a sharp pain in the joint, which does not allow to do the slightest movement( blockade of the joint by a splinter of bone);
- clicks and crunching in the affected joints during movement;
- when it becomes difficult for you to climb and descend the stairs;
- joint deformity.
Osteoarthritis is a disease that progresses steadily without treatment. Therefore, at the first sign of joint damage, consult a doctor, and which specialist you choose is not so important, the main thing is to start. What doctor treats arthrosis?
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?
To which doctor should I apply?
Signs 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;
The choice of the doctor who will take care of the treatment of this disease will depend on:
- the nature of its course;
- features in the context of other diseases.
It is especially necessary to undergo examination and treatment with a specialist of this profile when the true cause of the disease is not clear and is 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 the rheumatologist deals with the treatment. Before the orthopedic physician, the main task is to deal with patients in the postoperative recovery period. The patient needs to be consulted about the correct choice:
- orthopedic product 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 out the direction for radiography;
- to give direction to a narrow specialist.
If a person goes to 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 necessary 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 of other doctors may be necessary: for example, if arthrosis has developed due to a metabolic disorder, endocrinologist consultation is necessary, with excess weight - a nutritionist, with problems with nerves - a neurologist. In the treatment of arthrosis involved:
- instructor of therapeutic physical training;
- the masseur;
A correctly diagnosed diagnosis and the right treatment started on time is the guarantee of a successful result in the therapy of arthrosis. What doctors treat arthrosis? Who is the best person to contact?
If you have joint pain and swelling, habitual movements are hampered - it is likely that these are signs of arthrosis. The most correct decision in this situation is to go to the doctor as soon as possible for diagnosis and treatment. And what doctor treats arthrosis?
The narrowest specialist dealing with the treatment of joint diseases alone is an arthrologist. Unfortunately, arthrologists only accept admission in large diagnostic centers and clinics, a doctor of such a profile is unlikely to be found in a typical city polyclinic. Well, , if you're lucky, and the arthrologist takes it, it's better to go right to him.
In urban polyclinics, arthrosis is treated by one of the following three specialists:
orthopedist( or traumatologist-orthopedist),
Which doctor will treat you depends on a number of factors: both on the availability of a specialist and on the severity of the symptoms of the ailment.
As a rule, a rheumatologist is involved in treatment in the early stages( when there is still no deformation), in the later stages - an orthopedic traumatologist. Rheumatologist - specialist in joints and connective tissue therapeutic profile, that is, he does not lead patients who require surgical interventions. Examination and treatment in a rheumatologist is especially necessary in cases where the cause of the disease is not known exactly( the diagnosis has not yet been specified).
Orthopedist can also deal with the treatment of the initial stages of arthrosis, especially if other possible causes of joint damage( rheumatism, systemic lupus erythematosus and other autoimmune diseases) have already been excluded.
The surgeon treats arthrosis usually only in the absence of a rheumatologist and orthopedist.
To which specialist is best to address in your particular case, the therapist may suggest. The therapist is a general practitioner, and although he treats joint pathology only as a last resort( in small settlements where there is no possibility of treatment with other specialists), he is able to make a preliminary diagnosis, assign an initial examination and refer you to a narrow specialist.
Contact a polyclinic, hospital or private honey. Centre?
If your condition is more or less satisfactory, then you need to visit a polyclinic.
The hospital is sent either in severe cases, when hospitalization is required, or for consultation, but again - in the direction from the clinic.
If you have a shortage of time, but there is a financial opportunity to contact a private medical center, then try to choose a clinic with a good reputation.
Instead of concluding
Which doctor treats arthrosis may depend on the presence of concomitant diseases and the causes of the illness. For example, in case of development of arthrosis against the background of metabolic disturbances, consultation of the endocrinologist is required, in the presence of neurological problems - a neurologist, and in excess weight - a nutritionist. In the course of treatment, LFK instructors, physiotherapists, manual therapists, and masseurs also participate.
Arthrosis of the knee joint: treatment and preventionArthrosis of the knee joint( gonarthrosis) is a disease that over time causes irreversible changes in the cartilage, leading to its gradual destruction due to circulatory disorders and the occurrence of degenerative processes in the joint. Timely medical treatment, physiotherapy, massage and gymnastics can slow the development of gonarthrosis.
How the knee joint is constructed and its function
To understand how and what to treat gonarthrosis, it is necessary to remember a few basic features of knee functioning. This joint is formed by articular surfaces of the femoral and tibia, which are covered with hyaline cartilage. To ensure the congruence of the surfaces in the joint, the medial and lateral menisci are provided. In addition, the knee is strengthened by ligaments( some of them pass into the joint cavity) and the periarthric bag.
Inside the knee is a synovial fluid that provides lubrication of the joint, feeding the surface of the cartilage and preventing friction of the joint surfaces from each other. The peculiarities of the structure of the joint are such that only 2 kinds of movements are performed in it: extension and bending of the knee, and also, if the leg is bent in the knee, rotation around the axis. The knee joint is one of the largest joints of the body, and it is on it that the main load is when the person is standing. It increases significantly when lifting weights, excessive body weight, jumping and running.
The causes of arthrosis
There is a primary and secondary gonarthrosis. The primary form of this disease develops due to anomalies of the femoral or tibia, ligaments or surfaces of the joint. In this case, the knee experiences strong overloads, which provoke the destruction of the cartilage.
Secondary form is caused by injuries and knee diseases. Its main causes are:
- injuries of the knee of a traumatic nature - ruptures of ligaments, sprains, fractures of bones, etc.;
- removal of the meniscus - the wear of hyaline cartilage increases;
- excessive load on the joint in athletes and people engaged in certain types of professional activity or having excess weight.
- inflammatory diseases of the knee joint - arthritis. Long-term arthritis also leads to a disruption of cartilage nutrition and may eventually be complicated by arthrosis;
- metabolic diseases that lead to the deposition of salt in the joint;
- disease of the nervous system or blood vessels, resulting in impaired innervation and nutrition of the knee joint.
Depending on the cause, arthrosis can develop on one or both knees. One-sided process most often occurs due to injuries, operations, and bilateral - with excessive body weight.
What happens in the joint with gonarthrosis?
Disturbance of blood circulation of the joint due to spasm of blood vessels or other causes leads to disruption of microcirculation and hypoxia of cartilaginous tissue, which is accompanied by the gradual death of cartilage elements and its destruction. If the degenerative process affects the synovial membrane, then it begins to produce only a small amount of intra-articular fluid, there is a "dryness of the knee".The particles of the destroyed cartilage in the joint cause reactive inflammation of other cartilage elements and promote the release of liposomal enzymes, which further dissolve and destroy the intraarticular surfaces.
Symptoms of gonarthrosis
- Initial stage. From time to time a person is worried about knee pain, especially if you need to climb or go down the stairs, get up after sleeping off the bed. It has been observed for several years.
- The second stage. Pain sensations and crunching occur when any movement is made. On the roentgenogram, signs of beginning degeneration of articular surfaces are revealed. The volume of movements in the joint is somewhat reduced.
- Third stage. The pain does not pass even at rest, the joints can no longer bend or unbend until the end, resulting in a change in the gait: it becomes "in the garbage".O- or X-shaped deformation of the knee joints is observed.
Which doctor treats gonarthrosis?
This depends on the stage of the disease and the intensity of the pain syndrome. For example, a patient can be referred to an orthopedic traumatologist, a rheumatologist, and in more mild cases of arthrosis - even to a therapist or family doctor. In any situation, the treatment of arthrosis of the knee joint at all stages of the disease should be complex and selected individually.
How to treat arthrosis of the knee?
The exact amount of treatment depends on the stage and severity of gonarthrosis. In any case, its goal is to achieve a stable and long-term remission, and in the early stages and completely cure it, eliminating the effects of the causes that caused it( for example, normalizing body weight).
The main goals of treating knee arthrosis:
- eliminate pain;
- provide cartilage nutrients by slowing or completely stopping its destruction;
- increase the amount of movement in the joint.
In order to reduce a painful attack, to eliminate reactive inflammation and relieve exacerbation, hormonal and non-steroidal anti-inflammatory drugs( injections, tablets, ointments) - diclofenac, indometacin, ibuprofen or NSAIDs of the new generation( movalis, xsefokam) are used.
Chondroprotectors( chondrotic, dona, mucosate) help normalize cartilage nutrition and prevent its further destruction. However, they do not relieve the pain, so patients are not always sure that they help. In fact, these drugs are included in the basic therapy of joint diseases, because they create a fertile soil for the restoration of cartilage and its protection against new injuries. In addition, substitutes for intra-articular fluid and stabilizers for lysosomal membranes are used. If necessary, blockade of the joint can be performed. To improve blood circulation with arthrosis, tablets are prescribed or injections of no-shpy and other antispasmodics.
Physiotherapy and therapeutic gymnastics
On the effectiveness of physical therapy and exercise therapy without exacerbation - this is the best medicine for arthrosis. Physiotherapeutic procedures usually use:
- laser therapy;
- electrophoresis of medicinal solutions;
- impulsive currents;
- paraffin and mud treatment.
At home, it can be warming compresses, knee self-massage or contrasting baths, which also improve blood circulation. LFK provides for the performance of exercises that are performed with a minimum load on the joint. For example, swimming, aqua aerobics, an exercise bike, and also isometric exercises, performed mainly in a lying or sitting position.
X-ray therapy and surgical treatment
X-ray therapy is prescribed for advanced cases of gonarthrosis, severe pain syndrome and ineffectiveness of other treatment methods. If the joint is completely destroyed and can not perform its functions, replace it with an endoprosthesis.
In order to prevent exacerbation and further destruction of cartilage, the following is necessary:
- diet, which helps to normalize body weight and contains all the microelements, vitamins and nutrients necessary for cartilage;
- physical activity. When gonarthrosis can not overload the knee, so running, jumping, long standing on your knees should be replaced by an exercise bike or riding a bicycle, swimming or aqua aerobics. You should also perform a set of exercise exercises on a daily basis, which the doctor will recommend;
- comfortable shoes. In this case, the studs or simply high unstable heels will also contribute to the progression of gonarthrosis, therefore it is desirable to refuse this type of footwear.
Which doctor treats arthrosis
Osteoarthritis is a degenerative-dystrophic joint disease, in which the gradual destruction of articular cartilage occurs. With age, very many face this ailment. However, ignorance of the early manifestations of the disease, as well as of which doctor treats arthrosis, leads to the fact that those who suffer from this problem are treated for help too late, when serious changes have already occurred or the function and performance of the joint have been disturbed.
A little about the disease
The first sign of arthrosis is aching pain in the joint area, which usually occurs after excessive loads or, conversely, after sleep. As the development of pathological processes in the joint, the pain becomes more intense, a characteristic "dry" crunch appears in the joint. Without treatment, arthrosis leads to a significant restriction of mobility of the affected joint and atrophy of nearby muscles.
What kind of doctor treats arthrosis?
Depending on the stage of arthrosis, its treatment can be handled by different specialists.
In the early stages for help, you can consult an orthopedist or an arthrologist. Orthopedist specializes in the diagnosis and treatment of diseases of the musculoskeletal system;arthrologist deals with diseases that affect joints.
After performing a complex examination of the affected joint and determining the degree of damage to the cartilage tissue, these specialists will prescribe effective treatment at one stage or another with the help of conservative therapy.
In the late stages of arthrosis, when conservative methods of treatment no longer bring the required results, only the surgeon can help. Surgical treatment of arthrosis usually involves endoprosthetics, that is, replacement of the affected joint with an artificial one.
Who and how he treats arthrosis in the MART clinic?
Orthopedics traumatologists are engaged in the treatment of arthrosis in the medical center of MART.Individual treatment, which our specialists select after the survey, is aimed at alleviating the pain syndrome, reducing inflammation, improving local metabolism and preventing major structural changes.
The most important role in the treatment of arthrosis is played by physiotherapy - ultrasound, electrophoresis, laser therapy, magnetotherapy, mud therapy. These procedures can eliminate muscle spasms, reduce pain in the joints, relieve inflammation. In a number of cases, physiotherapeutic methods of treatment are used in combination with pharmacotherapy.
No less effective for the removal of pain manifestations of arthrosis are applied in the MART clinic manual therapy, reflexotherapy, kinesiotherapy, hirudotherapy. In addition, in the complex treatment of arthrosis is usually included and therapeutic exercise.
Treatment of arthrosis is a long-term process. However, with the integrated approach and close cooperation between doctors and the patient, it is possible to stop the progression of the disease and achieve a significant improvement in the quality of life of the patient.
Treatment plan for
Registration for 1
reception You can register to us by phone +7( 812) 309-18-32 or leave a request on the site - in this case you will be contacted at a convenient time for you.
Our consultant will answer all your questions and clarify the harassing symptoms to send to the right doctor of our clinic.
Consultation of a doctor 2
A doctor will conduct an examination, discuss with you the symptoms and prescribe the necessary diagnostics. Reception, as a rule, lasts from 30 to 60 minutes.
In our center you will be able to undergo a doctor-appointed diagnosis, including MRI, ultrasound, laboratory tests and much more.
This will help to accurately determine the diagnosis and make an individual course of treatment.
The average course of treatment lasts 2-3 weeks. For one visit, you can go through several procedures. Thus, often you do not have to go to the clinic.
During treatment, curation( periodic observation) by the attending physician is free of charge.
Completion of the 5
course After the course of treatment, our specialists will tell you how to maintain the achieved result.
Recommendations, diagnosis and report on the treatment will be provided in writing. This will be the final document of our joint work on your health.
Checking the results of 6
3 months after the end of the course of treatment, we invite you to a free follow-up checkup. We need to make sure that unpleasant symptoms do not bother you anymore, and the disease has completely receded.
You can ask the questions you are interested in and talk with the attending physician on any topic related to your health.
First-aid doctor, neurologist, reflexologist, deputy head physician for medical work Medical experience: 17 years