What doctor treats arthritis and arthrosis

Throughout the life of the person moves due to the movable connection of bones. Joints perform a variety of functional load and have a different range of motion, depending on their location. Under the influence of a number of causes functional ability of the bone joints is reduced, which leads to the occurrence of diseases of the joints. The development of osteoarthritis entails destructive changes in the structure of the articular surfaces, hyaline cartilage and synovial fluid. The absence of symptoms in the early stages often does not allow to diagnose the disease and begin treatment. As the game progresses, these diseases bring great suffering to the patient.

doctor

What are the features and how osteoarthritis is diagnosed?

Typical signs of this illness are identical to the symptoms of many other diseases of the musculoskeletal system:

  1. Stiffness of joints in morning hours and after prolonged rest.
  2. Pain syndrome that develops in parallel with the degenerative changes in damaged bone connection.
  3. The appearance of clicks, creak and crackle when performing sudden movements.
  4. Swelling of tendons, muscle fibers, etc.
  5. Visual change of the shape of the joint.
  6. The decrease in the amplitude of the performed movements, the violation of joint mobility.
  7. Deformation of the articular surfaces.

Differential diagnosis at early stages is hampered by the absence or insignificant clinical manifestations. When were the first manifestations of the disease, patients often wonder: what kind of doctor treats arthritis and arthrosis?. The primary reception is the family doctor (internist), after interview and examination he gives the referral of a narrow, specialized focus for further thorough diagnosis and subsequent treatment.

Diagnosis of osteoarthritis

What kind of doctor treats osteoarthritis, arthritis? Try to understand. After an initial examination, palpation of the joint, as well as familiarization with the history of the family doctor gives advice to conduct a baseline study of the diagnostic character. Informative method for identification of this disease are x-rays. In the beginning of the disease the pathological changes are not detected radiographically. The first signs appear much later. Marked changes in the structure of cartilage structure of the ossification nucleus of the epiphysis, the articular narrowing of the lumen.

In the last stages radiologically determined:

  • deformation of the surfaces of the joint;
  • seal, fragmentation of cartilage;
  • the uneven calcification of the processes of the bones within the affected joint;
  • the formation of osteophytes;
  • the acute ischemic cerebral lesions and sclerotic changes in the bones.

In addition to radiography for diagnosis prescribe such diagnostic studies:

diagnosis
  1. Clinical analysis of urine, blood.
  2. Biochemical studies of blood.
  3. Ultrasound examination of adjacent tissues.
  4. MRI, CT scan.
  5. Puncture of the joint lubricant.
  6. Arthroscopy for diagnosis.
  7. Test for C-reactive protein.

Based on the results of diagnostic tests, the doctor determines the degree of damage of the joints and the stage of development of the disease, according to globally accepted classification.

Specialists who treat arthritis

With the first complaints most often, patients come to the appointment with a family therapist.

After careful gathering of the anamnesis the patient referred to the physicians of professional orientation, the choice of which depends on:

  • factors affecting the possibility of developing this disease;
  • character of flow, and symptomatic manifestations of the disease.
  • time uncontrolled course of the disease, the degree of its development;
  • the absence or presence of inflammation in the cavity of the articulation.

Currently, it is believed that the effectiveness of the treatment increases when the interaction between specialists of different orientation.

Rheumatologist

The subject specialization of the physician is diseases of the connective and bone tissue of a systemic nature, degenerative and dystrophic pathological changes in the joints, accompanied by inflammation. Often these diseases are caused by disorders of the immune system.

The rheumatologist provides the diagnosis, prevention, treatment and monitor patients with diseases of an autoimmune nature:

  • RA, JRA (rheumatoid arthritis, juvenile RA);
  • SLE (lupus erythematosus);
  • "BB" (Bekhterev's Disease);
  • synovitis;
  • arthritis caused by gout;
  • spondylosis;
  • polyarthritis;
  • arthritis.

Indications for consultation of the doctor-rheumatologist are:

  • the redness and lividity of periarticular tissues;
  • redness of the skin over a sore joint;
  • acute pain;
  • the defeat of several bony joints;
  • the lack of improvement in basic anti-inflammatory therapy.
astrolog

Arthrolog

Arthritis and osteoarthritis what doctor to turn to for help?

A surgeon of high qualification engaged in diagnosis and subsequent treatment of the diseases of the joints, tendons, muscle fibers, aponeurosis, ligaments.

Advice and treatment of specialist is needed when:

  • difficult diagnosis at all stages of the disease;
  • expressed pathological changes in the functioning of the joints susceptible to the disease;
  • the involvement in the pathological process of the periarticular tissues.

To get an appointment for a doctor in specialized medical institutions of city and regional significance.

Podiatrist

The doctor in this specialty is engaged in the identification, prevention and treatment of functional pathologies of the muscle and bone of the skeleton, were developed as a result of injuries, congenital anomalies, infectious diseases. In cases running chronic osteoarthritis, with obvious signs of deformation of the bone surfaces within the joint, and loss of mobility, it is advisable to use the services of a traumatologist and orthopedist. Traumatologist –orthopedist - a medical doctor that specializes in arthritis and arthrosis.

He is competent in such matters:

  • treatment of post-traumatic osteoarthritis;
  • conducting conservative therapy with the use of medicines and orthopedic products in temporary or permanent immobilization of the patient's joint;
  • surgery – hip replacement, arthroplasty, arthrodesis.

The reasons for going to the doctor

The occurrence of aches in the joints, accompanied by the creaking and clicking, pain when increasing physical load signals about possible beginning of the development of osteoarthritis. When looming a bad diagnosis – arthritis and osteoarthritis, what kind of doctor treats these diseases – this issue remains the main, if there is a need of going to doctors.

You cannot delay the visit to a medical facility, if frequent companions of physical activity are:

  • tenderness;
  • pain aggravated by mechanical and physical stress;
  • fatigue of bone joints;
  • local and General increase in temperature;
  • pasty periarticular tissues;
  • support exercise creaking and crunching;
  • the changing contours of the patients joints;
  • severe deformation of the articular joints;
  • flushing of the skin over the damaged bone connection.

If not promptly seek qualified medical assistance, progressing, the disease can cause partial or complete restriction of mobility.

access to a doctor

To what doctor to address in the first place

After reviewing the above, what kind of doctor treats arthritis and arthrosis, it is important to know who to contact initially.

So, abnormalities in the joints involved:

  • trauma;
  • orthopedic surgeons;
  • the rheumatology-immunology;
  • arthrolog.

In addition to these specialists, to facilitate the patient's condition and the treatment of this disease can participate:

  • chiropractors;
  • physiotherapists;
  • massage therapists;
  • rehabilitation professionals;
  • nutritionists.

And yet the initial reception conducts family doctor (internist), who after examination based on patient complaints and objective manifestations of the disease directs it to conduct studies to diagnosis and follow-up consultation with a specialist narrow profile.

The survey

Most visitors come with complaints of pain in various joints. Specialist to whom the patient appealed with suspicion on osteoarthritis, asks a series of probing questions to determine the localization of pathology. Very often the pain radiates to the surrounding joints, making it difficult to diagnose. Bad patients characterize the pain, so the doctor asks to clearly specify the location where pain most worried about. An important manifestation of osteoarthritis is stiffness and swelling of the diseased articulation. A direct question about the presence of stiffness is not very correct, so the doctor asked about the sensations experienced by the patient during palpation. There are very worried patients who may not be able to determine the location and character of pain.

Inspection

The physical examination based on palpation and is held after the poll. The doctor performs the probing fingers of the affected area visual inspection, the condition of the skin, range of motion.

The main objective is the identification of foci of pain:

  • the initial stage is not informative, later celebrated the changing contours of the joint;
  • detection of synovitis, hyperemia of the skin and local temperature rise;
  • visual determination of limitations of movements, lameness;
  • definition accumulation of fluid and possible infiltration;
  • angle measurement of the mobility;
  • assessment of muscle tone and possible atrophy;
  • detection of length changes of the affected limb under the influence of pathological changes.

A referral to a specialist

the symptoms of arthritis and osteoarthritis

What doctor treats arthritis and arthrosis? The treatment of this disease provides the possibility of collective participation of several specialists of different directions. After the initial intake and determination of manifestations of the disease, the family doctor refers the patient to a specialist. In the case where the classical examination, survey radiography of the patient and uninformative, narrow specialist, recommends further examinations. The selection circuit effect is a doctor specializing in this disease.

Diagnosis

After receiving the results of diagnostic tests and visual examination, the doctor makes a diagnosis of osteoarthritis, with synonyms:

  • osteoarthritis;
  • deforming osteoarthritis;
  • poly arthritis.

Osteoarthritis is a destructive and degenerative pathological processes in the joint cavity. This diagnosis requires a long period of treatment and patience on the part of relatives of the patient and the patient. In case of late detection and the lack of therapeutic effect leading to disability.

Treatment

After determining the diagnosis the doctor prescribes the complex of therapeutic measures aimed at stopping the pathological process, reducing the pain symptoms and restore lost functional abilities.

Treatment can be:

  • traditional;
  • conservative;
  • operational;
  • by means of folk and alternative medicine;
  • with the use of therapeutic exercises and physical education.
medical examination

In the early stages, the main method of therapy is medical treatment with the application:

  1. NSAIDs (non-steroidal anti-inflammatory drugs).
  2. Steroid hormones or corticoids.
  3. Analgesics.
  4. The muscle relaxants.
  5. Vasodilators.
  6. Medicines for joints.
  7. Artificial joint lubricant, by intra-articular injection.
  8. Of antibacterial drugs.

In the last stages, in the absence of adequate response to therapy and in cases of severe deformation of the joints, preventing their normal functioning, appropriate surgical treatment.

20.06.2019