What kind of doctor can treat arthritis and arthritis

To identify the disease is very simple. Listen to your body, if you notice swelling, pain and stiffness of movement, it's time to think about medical care. However, not everyone knows what kind of doctor treats osteoarthritis and arthritis. We'll tell you who to contact to restore health to the joints.

Timely treatment ensures fast recovery, so delay the visit to the clinic should not be. Remember, the longer you postpone the trip to the hospital, the more suffering bone-articular system.

artist and osteoarthritis

The specificity of the disease

Arthrosis and arthritis — a serious pathology, violating the normal functioning of musculoskeletal system. Despite the fact that both the disease related to joints, there are differences.

  • Arthritis is an inflammatory process which occurs in the body. Infection, poor immunity, metabolic disorders are all causes of the appearance and gout. By the way, affects not only the joints but internal organs.
  • Osteoarthritis is a disease of bones and joints. It is characterized by progressive destruction of articular cartilage. While the disease progresses, there is a significant deformation of musculoskeletal system, occur inflammation.

In addition to the main features and course of illness differ by age group. If arthritis affects young body up to 40 years, the arthritis appears in older people. The recommendation of the researchers is an annual preventive examination for early detection of the disease.

When you need to go to the doctor

Diseases related to the musculoskeletal system, require urgent treatment under the supervision of a doctor. To seek help you should when you have these symptoms:

  1. Sharp pain. Also characterized by constant dull pain, regardless of physical activity.
  2. Crunch. Particularly when walking, squats.
  3. Discomfort. Usually occurs in the late afternoon or at low load. Over time, this phenomenon manifests itself with surprising regularity.
  4. Nocturnal pain. You Wake up and can't find a comfortable position to the joint stopped hurting.
  5. Deformation. Changes are visible even to the naked eye. In addition, starts swelling and swelling.

Immediate treatment in the hospital requires and discoloration of the skin over the problem area. It becomes reddish or crimson hue.

Visit your doctor if you become difficult to lift my leg while walking up the stairs.

To what expert to address

doctor

Many people, when faced with the disease don't even know which doctor to go. The patient is in the dark: make an appointment for General or specialist narrow profile?

Remember, treatment of arthritis and osteoarthritis should be supervised by different doctors.

Therapist

As soon as you detect signs of illness, visit your physician. The doctor will carry out an initial examination and ask questions about the nature of pain, its duration, and way of life. During the examination, the specialist will identify the presence or absence of inflammation.

After the diagnosis and preliminary diagnosis the physician will write a referral narrow profile. His specialization includes inspection and observation, not only in standard lesions, but psoriatic arthritis pain in the groin area, hip and knee, arthritis of the fingers and hands, forearm, feet.

Prepare for the fact that diagnosis you will need to pass x-rays and tests.

Rheumatologist

The duties of the doctor-rheumatologist includes inspection, survey and examination of the patient. For accurate diagnosis a doctor must prescribe:

  • x-rays;
  • Ultrasound;
  • computed tomography (CT);
  • os densitas test;
  • a blood test.

Basically this doctor helps in the treatment of rheumatoid and rheumatic arthritis.

arthrolog

Everything that is connected with arthritis and osteoarthritis, treated by this doctor. Consultation with a doctor, especially at an early stage, ensures recovery. In addition to the examination and diagnosis, a doctor may:

  • to make therapeutic massage;
  • to hold a chiropractic;
  • to write a referral to a rheumatologist, geneticist;
  • assign classes special gymnastics (physical therapy).

Also a specialist with experience may inject anti-inflammatory drugs.

For the treatment of arthritis and osteoarthritis, the doctor will prescribe the best therapies.

Podiatrist

A specialist with surgical bias. Patients come to see him, having the last stage of osteoarthritis, which is characterized by complete or almost complete destruction of the joints.

The specialization of the orthopedic surgeon comes in and conducting operations. In modern medicine, the procedure is carried out in two ways:

  1. Preserving the body. Doctors retain the joint, thus resume the lost functions, increased performance, and is pain.
  2. The endoprosthesis. Held in extreme cases where the damaged joint cannot be saved, and can only be replaced.

Usually, the endoprosthesis is indicated for osteoarthritis of the hip and knee joints.

Diagnosis

diagnosis of the disease

Before treatment, the doctor always conducts a full examination of the patient, because in most cases, arthritis has an infectious origin.

General diagnosis of osteoarthritis involves a range of activities:

  • history
  • the testing of blood and other biomaterials;
  • ultrasound and magnetic resonance imaging (MRI);
  • the x-rays.

If necessary, the doctor can appoint carrying out computer tomography. Arthrosis and arthritis occurs in different parts of the body, so for diagnostics using special methods.

The ankle

To detect the disease carried out a survey of patient examination. If the doctor needs additional information, he sends the patient for x-rays.

The last stage of osteoarthritis is characterized by the appearance of formations in the bone area. If the disease of the bone structures is started, the patient is additionally administered a CT scan of the ankle joint, and for the study of soft tissues is a MRI.

If necessary, the doctor will write you a referral to an endocrinologist, a rheumatologist.

The knee joint

Knee arthritis in medicine is called gonarthrosis. If you came in with severe pain, stiffness and crunching when you walk, it is likely to developing the disease. Gonarthrosis is diagnosed on the analogy of the elbow and shoulder arthritis and includes:

  1. Clinical analysis of blood. Patients noted an increased erythrocyte sedimentation rate, high number of leukocytes. These indicators reflect the inflammatory process that is typical in arthritis.
  2. The blood biochemistry. In rheumatoid arthritis, the clinical picture looks like this: the increased value of C-reactive protein, globulins and immunoglobulins, seromucoid. This increase indicates the presence of arthritis.
  3. An x-ray. This study is one of the most common to identify arthritis. In the picture you can see the change of shape of the joints, seal bone. However, this method has a negative side — x-ray only shows the bones.
  4. MRI. Magnetic resonance imaging gives a complete picture of the disease of the joint. It shows not only bones but soft tissue. With the help of MRI can detect arthritis at an early stage.

Also diagnosis of osteoarthritis of the knee joint is performed using computed tomography (CT) and ultrasound.

Do not think that having received the results of the survey, you can begin self-treatment. It is dangerous and could further aggravate the condition.

Arthrosis of the temporomandibular joint (TMJ)

Such a diagnosis a doctor makes after clinical, x-ray examination. By the way, if you notice signs of TMJ seek medical help from a dentist-orthopedist.

The first stage of diagnosis — the inspection history collection. The doctor will ask questions about pain, examines the oral cavity, check the range of motion.

In the second phase the patient is issued a direction on an x-ray. The picture shows the detected changes in the maxillofacial joint. Also useful will be the CT scan. As necessary can be carried out advanced techniques.

If the received data is insufficient, the doctor may refer you for a visit to the orthodontist, a rheumatologist.

how to diagnose arthritis

The hip joint

Clinical examination arthrosis of the joint includes:

  • x-rays of the pelvis;
  • axial radiograph;
  • in special cases, ultrasound, CT, MRI.

The doctor will perform an external examination of the patient's articulation and questioning of the patient.

Sometimes to complete the diagnostic picture is assigned to arthrocentesis with synovial fluid analysis.

The calving of the cervical spine

If you notice any of the symptoms of osteoarthritis, immediately contact a specialist. As stated, timely diagnosis is the key to quick recovery.

To diagnose arthritis, carry out x-ray examination of the neck in several projections. If necessary, the doctor may advise to undergo additional imaging and angiography.

Coxarthrosis

Is a disease of the musculoskeletal system, affecting all the component components of the joint. Diagnosis of osteoarthritis is performed by:

  • survey;
  • external inspection;
  • collecting history.

For accurate diagnosis requires radiography and MRI of the damaged joints. If necessary, appointed by ultrasound.

Treatments

To treat arthritis in the early stages is possible without surgery. Experts recommend to follow these preventive and therapeutic interventions:

  • exercises exercise;
  • physical therapy — ultra high frequency therapy, laser;
  • the intake of painkillers in the form of tablets and ointments, injections;
  • avoiding harmful habits;
  • proper nutrition.

These methods promote recovery at an early stage, when the doctor revealed arthritis. Unfortunately, in most cases, the threat the disease is diagnosed in the later stages, when the person begins to experience severe pain. In such cases, physical exercise and diet to get rid of the disease is impossible.

If you have found running 2 or 3 degree of osteoarthritis, will only urgent surgical intervention.

Traditional medicine knows many ways of fighting the disease. Cocktails with gelatin, soda baths are good only at the initial stage of arthritis.

Drug therapy

Remember that to cure arthritis completely impossible, but to slow down the development of disease in your power. Medicines used for the treatment, divided into the following groups:

  1. For treatment of joints.
  2. Painkillers.
  3. Non-steroidal drugs.
  4. Corticosteroids.

Drugs for treatment of joints necessary for the identification of osteoarthritis. They prevent the degeneration of cartilage, thus slowing the progression of the disease.

Painkillers is necessary only in severe pain. Doctors do not advise their long-term use, because the pills are addictive.

Non-steroidal drugs is important in drug therapy — they relieve inflammation and pain. However, their use is accompanied by an impressive list of contraindications from stomach problems to hypertension.

Corticosteroids are prescribed to enhance immunity and prevent inflammation.

arthrosis surgery

Surgical treatment

In the later stages of arthritis and osteoarthritis, in addition to medications, surgery will be scheduled.

  1. Arthroplasty is the most effective method of treatment. While surgery is replacement of diseased joint with the implant. After surgery, a long rehabilitation process, in which the prosthesis survives.
  2. Osteotomy. Method is used if you need to postpone joint replacement for any reason. During surgery, the doctor performs artificial fracture for the purpose of uniform distribution of load on cartilage. The effect of the interference is temporary, on average, lasts up to 5 years.
  3. Arthrodesis. Not common procedure associated with removal of articular surfaces and bone connection in the correct state of the fixing device.

After surgery and rehabilitation, she can do sports and live a full life.

Physical therapy and exercise therapy

Such methods are good for prevention of arthritis and osteoarthritis, and postoperative recovery. In the Internet you can find video, more methods and techniques doctors Evdokimenko and Bubnovsky. Experts have developed a set of exercises for the treatment of ankle, knee and hip arthrosis.

No need to self-medicate, consult a doctor so that he has made for you the individual technique. Often physiotherapy is carried out in specially equipped rooms under the guidance of experts.

Physical therapy for arthritis needs to be in combination with other methods. Most often, patients are administered the following treatments:

  • chiropractic;
  • amplipuls;
  • paraffin baths;
  • traction;
  • the thermal effect.

When severe inflammation the doctor may prescribe cold therapy. It is conducted at home using ice or a special spray.

If exercise or physical therapy you feel pain, take a short break in treatment, agreeing with the doctor.

osteoarthritis and atrit massage

Massage

Used as a preventive measure to improve blood circulation. After a course of massage enhances the mobility of the joint, pain disappears and the swelling goes.

Depending on the condition of the patient the doctor prescribes one of these types:

  • dot only affects certain areas;
  • General runs all over the body;
  • self-massage — is carried out to the patients independently.

Remember, self massage should be as gentle, not to cause pain and bruising.

Arthritis is a serious disease requiring immediate therapy. Treatment is prescribed orthopedic therapist, arthrolog — these doctors spetsializiruyutsya on the articular ailments. Do not delay with the visit to the doctor, because the delay may only worsen the condition.

24.06.2019