Arthrosis is a pathological change in the degenerative nature of the joints of the cartilage tissue. With the development of the disease, cartilage damage and thinning of the tissues occur, which does not allow the loads to be evenly distributed. Changing the structure contributes to the development of pain and leads to joint dysfunction. Faced with the first symptoms of the disease, a person is puzzled by the question: which doctor treats arthrosis?
This pathology is one of the most common and is diagnosed in almost every sixth inhabitant of the planet. Such a high percentage of patients with arthrosis has put the treatment of the disease at a high level. Therefore, turning to a rheumatologist, a person can be sure not only of the correct diagnosis, but also of the effectiveness of the prescribed treatment.
Symptoms of the disease
Most people do not see a significant difference between diseases such as arthrosis and arthritis. However, for yourself it is important to understand one significant difference: arthritis is usually called the inflammatory process, arthrosis is characterized by the presence of degenerative changes in joint tissues.
Pathology is distinguished by a decrease in joint fluid, which leads to the development of intense pain. The initial stage is characterized by the presence of pain after prolonged physical exertion, which, as a rule, does not last long and returns during the next pressure on the joint.
Joint inflammation is another symptom of arthrosis. The accumulation of flu />
- Sharp pain;
- Joint deformation;
- Stiffness of movements;
- Crunch while walking.
Already the first symptoms of the disease should alert, since the treatment of arthrosis at the beginning of the development of the pathological process is quite effective.
Which doctor should i contact for arthrosis?
It is quite difficult to choose a doctor in the presence of such symptoms. At the initial stage, each patient should undergo an examination, the result of which will help to identify the true cause of insufficient amplitude.
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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The primary link of any medical care is the local therapists, whose specificity is based on the general clinical picture, to make a preliminary diagnosis and prescribe additional studies to the patient.
Joint symptoms are far from always the result of joint disease; quite often, other problems can mask behind a similar clinical picture. Lumbar sciatica, for example, in which the sciatic nerve is infringed, is also able to manifest disturbing pains in the joints of the extremities, which are actually absolutely not damaged.
A competent specialist when treating a patient with complaints of knee pain is able to diagnose a disease for which arthrosis or arthritis is only a single symptom.
The task of the therapist is to see in such symptoms a connection with the patient’s chronic diseases – tonsillitis or regular SARS, which are not indicative for narrow specialists. Therefore, some joint pathologies – reactive arthritis and osteoarthritis, are specifically addressed by the therapist.
To see a more objective picture, the attending physician at the first visit of the patient prescribes mandatory studies:
- Analysis of urine;
- Blood analysis;
- Analysis for rheumatic tests;
- X-ray of a disturbing area.
The optimal study for detecting pathology is a regular x-ray, which allows you to see changes in bone and cartilage in the picture. And in order to exclude possible rheumatoid reactions, a general and biochemical blood test is prescribed by a local therapist.
Based on a preliminary diagnosis and the results obtained, the therapist prescribes appropriate therapy or gives direction to the appropriate specialist.
The treatment of arthrosis at its early stage is carried out by a rheumatologist. It is advisable to undergo the necessary examinations starting from the age of thirty, when, due to age-related changes, the elasticity of the cartilage tissue decreases. Untimely treatment of the problem leads to the intensive development of pathological processes in the joints, when even an elementary climb up the stairs or a long walk on foot costs a person a lot of effort.
Based on the conclusions of the therapist and patient complaints, the rheumatologist refers the patient to one of the more detailed diagnostics – MRI, ultrasound or x-ray.
The conclusion of the MRI and X-ray examines the radiologist, and the ultrasound, respectively, is an uzist. Based on the diagnostic results, the radiologist makes an accurate diagnosis – arthritis, arthrosis or osteoarthritis of the knee joint. The competence of a rheumatologist is the appointment of exclusively medical treatment, including ointments, injections and tablets.
If positive dynamics are not observed during drug therapy, a referral is made to an arthrologist, physiotherapist, endocrinologist or orthopedic surgeon.
In addition to therapeutic procedures, a doctor treating arthrosis and other joint diseases can give the following recommendations:
- Refrain from prolonged stress on the limbs;
- Observe the regimen;
- Control weight.
Each extra kilogram enhances the compression pressure on the knee joints. For this reason, a rheumatologist may recommend that the patient adhere to a diet in order to prevent excess pressure on the cartilage tissue and its subsequent destruction.
The specialization of the arthrologist is narrowly targeted. This specialist diagnoses pathological processes that affect the joints, periarticular tissues, ligaments, tendons and even the heart.
The competence of the arthrologist is not only the main therapeutic methods and examinations, but sometimes surgical intervention.
Contact this specialist if you observe:
- Joint stiffness;
- Inflammation of the joint (redness of the skin);
- Low-grade fever;
- Joint pain, more often in the morning;
- Limited movement
- Discomfort while walking;
- Increased ESR.
The arthrologist, in addition to treatment, is engaged in orthopedic correction, physical therapy, the appointment of a specialized diet and massage, and also helps patients to choose chondoprotectors and other supporting structures.
For preventive purposes, arthrologists advise:
- Avoid upholstered furniture (armchairs, sofas, beds), if possible, sleep on a firm basis;
- In a sitting position, do not throw your legs over each other so as not to provoke blood stasis and not disturb normal blood circulation;
- Arrange fasting days on water or watermelons as often as possible.
To check if a person has joint problems, the doctor advises checking the length of the legs on a completely flat surface. If the disease is present, one leg will be markedly different in length.
The treatment of diseases of the musculoskeletal system is performed by orthopedic traumatologists.
Turning to them will be justified if the patient has a crunch and pain in the knee and hip joints after injuries and severe bruises, as well as stiffness of the legs after dislocations and fractures. The specifics of these specialists are also aimed at the treatment of:
- Deforming osteoarthrosis.
The treatment of traumatologists includes mainly post-traumatic joint changes.
For reliable diagnosis, arteroscopy is additionally used – examination of the joint cavity from the inside using an endoscope.
Prevention of arthrosis
In order to avo />
- At the initial stage of arthrosis, the doctor will help you choose a set of individual exercises and physiotherapy procedures that help slow down the progression of destructive processes in the cartilage;
- Excess weight is the enemy of the joints, with age, there is a tendency to gain weight, so it is very important to learn how to control it, limiting yourself to extra calories and performing basic physical activities;
- Compliance with the correct regimen is essential for the full functioning of the joints, healthy sleep, balanced nutrition and activity will help the joints for many years not to remind themselves.
It is important for patients with arthrosis to limit the use of soups on the broth, which have purine compounds that are dangerous for the joints. Excess meat and fish dishes lead to disruption of phosphorus-calcium metabolism, which contributes to the demenerization of bones.