Which doctor treats arthrosis of the joints

Cartilage damage to the arms and legs is a specific disease called arthrosis and arthritis. With their development, there is a thinning of the periarticular tissue, dehydration of the synovial fluid, as well as bone damage in the last stage. Arthritis and arthrosis greatly disrupt human mobility, cause pain and other discomfort. If the pathology is not treated, a complete loss of motor activity is possible.

Arthrosis and arthritis are confused with each other, but the diseases are different. Arthrosis is more often found in older people, the pathology proceeds with the destruction of cartilage. The amount of synovial fluid in the joint bag is also reduced. Arthritis is an inflammatory disease that occurs mainly in young people. It provokes infections and viruses. Arthritis can proceed quickly and pass, but is prone to recur. This form of cartilage damage is less common than arthrosis.

To make an accurate diagnosis, you need to contact the clinic and get a document in the direction of the doctor who examines and treats the joints. Arthritis and arthrosis require different therapies.

To identify the disease, the patient goes through several stages of the examination. The first is an X-ray, with the help of which dystrophic processes in joints and bones are displayed. The second is MRI, which will show the nature of the change in even the smallest joints. The third stage is the ultrasound examination necessary to study the articular bag, fluid and soft tissues. Be sure to prescribe concomitant tests: biochemistry and a general blood test.

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Arthrosis of the joints of 1 degree

It is extremely difficult to detect arthrosis in the initial stages of formation, because it does not manifest itself .

Which doctor should i contact for arthrosis of the joints?

Specialist should be involved in treatment, but not all patients know where to go immediately, so as not to waste time. When contacting a state polyclinic, an initial consultation with a therapist is required, which then gives a referral to an orthopedic surgeon or a joint surgeon.

An arthrologist is a doctor of narrow specialization, who does not work in all state institutions. You can get to the arthrologist mainly in hospital departments of large cities. You can get to the rheumatologist if arthritis is found in the patient.

Specialists who treat arthrosis and arthritis

Depending on the factors, causes of the disease and the damaged area, consultation of different doctors is required. Sometimes a visit to one specialist is enough. In severe cases, a medical consultation is often required, which includes all the doctors presented.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Rheumatologist

A rheumatologist treats inflammatory processes in cartilage, so his consultation is necessary for pathologies of an autoimmune nature, including arthritis. The rheumatologist rarely deals with the treatment of arthrosis, mainly as part of a medical consultation for general recommendations.

It is almost impossible to find a rheumatologist in rural areas; you will have to contact regional clinical centers for treatment. In large cities, rheumatological clinics operate exclusively dealing with diseases of the joints and bones.

A rheumatologist, like other doctors associated with joint diseases, writes out a direction for instrumental studies. Then he makes a diagnosis. If it is arthritis, an individual drug therapy is being developed. When visiting a doctor, it is necessary to have the results of tests with you, which are done no later than 6 months before visiting a specialist. A medical record with a medical history is also required.

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You can contact this doctor if you find specific symptoms of arthritis: severe swelling, pain that does not go away even when lying down, redness in the joint. With arthritis, the temperature often rises and a febrile syndrome occurs.

Arthrologist

The arthrologist deals with all diseases of the joints, including autoimmune and age-related. This doctor treats cartilage infections as well as arthrosis caused by metabolic disorders. Often a specialist in arthrology works with a surgeon. If surgical intervention is needed, the doctor can participate in it.

Most often, arthrology works in large clinical centers of cities, as well as in commercial clinics. After the first consultation, the doctor will give a referral to instrumental examinations and analyzes. Then the doctor makes a diagnosis and prescribes individual therapy. In severe cases, consultation with an orthopedist, surgeon, and other specialists is required.

Orthopedist

The orthopedist deals mainly with the treatment of arthrosis, as well as injuries and disorders in the work of large joints of the legs and arms. His scope of action also includes work with small joints. Orthopedists work with advanced cases of osteoarthritis and arthritis, often take part in therapy after surgery. His competence includes the appointment of physiotherapy, the selection of orthopedic drugs, as well as the preparation of a medical course. An orthopedist should be consulted first if joint pain appears after an injury or intense physical exertion.

When should I see a doctor?

If pain and discomfort persists in any of the joints for a long time, this is the main indication for a doctor’s consultation. Arthritis is more intense, it is much more difficult not to notice it due to acute pain, redness, swelling and discomfort when touching the skin.

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Arthrosis is characterized by pain at night in the early stages, as well as stiffness after awakening. It is characterized by a sensation of aches in the damaged area. If these signs are found, consult a doctor. Running arthrosis and arthritis are complex pathologies, the treatment of which often requires observation in the hospital and surgical intervention.

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Features of treatment, which doctor to start with?

If the patient uses the services of state clinics, a visit to specialists begins with a consultation with a therapist. Then the doctor writes a referral to the doctor, based on the symptoms of the disease. It is also important whether there is a narrow-profile specialist in a particular regional clinic. In large cities, getting to such doctors is easier than in villages.

Sometimes in small settlements therapists themselves treat joints, but their knowledge is not enough to completely solve the problem. The therapist, like other doctors, prescribes MRI, X-rays and other methods of instrumental examination, analyzes.

After consultation with an arthrologist or rheumatologist, medication is prescribed, which should relieve acute symptoms of exacerbation. Then they proceed to discover the causes of the disease and rehabilitation. Cartilage tissue restoration takes a lot of time, additional doctors may participate in this process:

  • physiotherapist – selects a physiotherapy program to facilitate well-being and accelerate the process of cartilage regeneration;
  • endocrinologist – is involved in treatment if the patient has obesity and metabolic or thyroid problems;
  • nutritionist – selects a program for patients with excess weight;
  • instructor for exercise therapy – helps to choose a convenient course of physical activity that is necessary during the period of remission;
  • neurologist – determines if there are problems with the nervous system;
  • chiropractor – helps to restore the position of diseased joints, conducts professional massage.

Diagnosis and treatment of arthritis, arthrosis are measures that require a professional approach. Folk remedies can not get rid of these diseases. Arthrosis is especially dangerous, since in the long run it can lead to complete destruction of the joints.

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Which doctor treats arthrosis?

Arthrosis affects a large number of people. With age, this pathology is found in more than 80% of people. Diseases of the musculoskeletal system are disabling diseases. Therefore, as soon as the joint begins to bother, people ask the question: “Which doctor treats arthrosis? To whom to go: rheumatologist or traumatologist, orthopedist or surgeon? ”

Reasons to see a doctor

These may be the following complaints:

  • inflammation of the tissues, swelling of the joints;
  • discomfort during movement;
  • pain when walking;
  • crunch in the joints and spine;
  • stiffness
  • change in the appearance of the joint;
  • impaired gait, coordination.

For joint pain, seek help from a specialist

Symptoms may be mild in the initial stage of the disease and disappear spontaneously. Nevertheless, if these symptoms are detected, you should immediately contact a specialist.

Diagnostics

The diagnosis of “arthrosis of the joints” can put a variety of specialists. It should be understood that “arthrosis and osteoarthrosis” is the name of the same disease. However, the wording of the diagnosis of osteoarthritis may vary depending on the localization of the process and its development. So, coxarthrosis is a lesion of the hip joints, gonarthrosis affects the knees.

Methods for diagnosing the disease are reduced to a survey and x-ray studies. Along with them, the doctor prescribes a series of general and biochemical analyzes to clarify the nature and causes of the disease.

Who treats osteoarthritis and gonarthrosis

A doctor treating arthrosis may have a specialized or related specialization. In the first case, he is directly involved in the treatment of joint diseases. It:

  1. Therapist.
  2. Rheumatologist.
  3. Traumatologist.
  4. Orthopedist.
  5. Arthrologist.
  6. Physiotherapist.
  7. Surgeon.

The doctor examines the patient

In the second option, the doctor deals with concomitant pathologies. It:

  1. Neurologist.
  2. Cardiologist.
  3. Nephrologist.
  4. Gastroenterologist.
  5. Psychotherapist.
  6. Phlebologist and others.

Joint pain can be a symptom of other, sometimes even very serious diseases. Therefore, if the therapist recommended to consult a doctor with a narrow specialization, do not neglect the trip to him.

Therapist

At the first signs of osteoarthrosis, you must consult a general practitioner, who is a therapist. In any case, you can consult with this doctor and find out who is treating arthrosis, which doctor is doing this? Do I need to consult other specialists?

The therapist treats the initial, uncomplicated forms of arthrosis. During the consultation, the doctor finds out complaints, makes a preliminary diagnosis and, if necessary, gives a referral to hospitalization. In addition, do not forget that the local therapist is aware of all your health problems, so he can suggest the best treatment.

To alleviate the patient’s condition, these doctors prescribe non-steroidal anti-inflammatory drugs (NSAIDs). These drugs improve the patient’s condition and increase the quality of life, removing pain.

In the case of a more severe pathology, the therapist sends the patient to a doctor of narrow specialization.

Rheumatologist

If the therapist’s treatment for osteoarthritis does not help, the person wonders which doctor will treat arthrosis in this case? Who should I turn to now?

Visit to a doctor rheumatologist

The treatment of joint diseases and diseases of the connective tissue is carried out by a specialized specialist – a rheumatologist. This is a doctor who treats arthrosis and arthritis. Observation of this specialist and the implementation of his recommendations can prevent complications. Joint diseases can be a manifestation of systemic disorders in the body. Arthrosis is often the result of autoimmune or infectious diseases. A rheumatologist can find out the cause of the disease, and its elimination can lead to remission and a full life of a person without discomfort and pain.

Podiatrist and traumatologist

An orthopedist deals with the consequences of defects in bone tissue pathology. Often this doctor prescribes the wearing of insoles. Their competent use can stop the development of arthrosis and seriously reduce pain. With the help of a doctor of this specialization, you can choose individual shoes that will help improve movement.

If it was not possible to stop the destruction of the joint, people ask the question: “Which doctor treats stage 2,3 osteoarthritis with concomitant disorders in the functioning of ligaments and muscles?” You can contact a traumatologist for help.

Which doctor treats arthritis and arthrosis of the joints?

Diseases of the joints of the legs, such as arthritis and arthrosis, adversely affect the quality of life of people, leading to limited movement and labor activity. When walking, the leg, in the joints of which an inflammatory or dystrophic process develops, constantly reminds itself of pain.

If it is necessary to make a diagnosis and draw up a treatment regimen, the patient thinks about the need to make an appointment with a specialist. To receive qualified care, the patient must have an idea of ​​which doctor treats arthritis and arthrosis of the joints.

Reasons to see a doctor

Arthritis is defined as an inflammatory process in the articular joint (which tends to spread to the ligaments and muscles) and in most cases has an infectious nature. Infection can enter the joint through damage to the skin or come with blood flow from other organs. Sometimes arthritis has autoimmune causes or manifests itself after an injury.

The disease occurs with the greatest frequency in middle-aged people, whose profession is associated with constant standing on their feet, but can also occur in children (especially physically active) and elderly people. Most often, arthritis affects the knee and hip joints, as well as the toes.

In people with autoimmune arthritis, inflammation often affects not only the joints of the limbs, but also life-supporting organs, such as the heart and kidneys. The cause of childhood arthritis is most often the injuries of the joints of the foot. If inflammation is ignored, it can develop into arthrosis (a degenerative process in the joint).

Arthrosis is a predominantly age-related disease in which dystrophic changes in the cartilage layer of the joint occur. The reasons for it are complex and usually include a combination of malnutrition (abuse of pickles, smoked meats in combination with a deficiency of minerals), age-related deterioration of metabolic processes and regular long-term load on the joints. Osteoarthritis usually affects the joints of large bones – the knee and hip.

Risk factors for the development of arthritis and arthrosis can be considered:

  • Age after 30 years;
  • Excessive fullness;
  • Occupation with sports predisposing to injuries and microtrauma of the joints of the legs;
  • Untrained muscles of the foot;
  • Women are more prone to joint diseases than men.

Symptoms requiring immediate medical advice include a decrease in joint mobility, severe pain, crunching, swelling, and an increase in local temperature.

Which doctor should I go to first

When disturbing signs appear, the patient has a question – which doctor treats arthrosis and arthritis of the joints. The musculoskeletal system is the responsibility of several doctors, and its pathologies are sometimes complications of others – infections of the genitals and urinary tract (in the case of the hip joint) or massive purulent wounds.

If the patient is aware of the presence (or high probability) of such a pathology, or if he is not able to get an appointment with an arthrologist (a doctor specializing in the treatment of affected joints), the first doctor he should visit will be a local therapist. He will direct the patient to a specific set of analyzes and instrumental examinations, as well as to consult specialists in diseases of the musculoskeletal system – a rheumatologist and orthopedist.

Therapist

The local therapist is present in the staff of any clinic, including the outpatient clinic of small towns. Village therapists are often involved in the treatment of injuries of the knee, ankle and other joints, and also work on call with patients who are not able to visit the clinic.

At the consultation, the doctor makes an anamnesis of the disease, asks the patient about complaints suffered by diseases of any profile, examines the affected joint, writes out directions for a series of studies (magnetic resonance imaging, x-ray, blood biochemistry, including analysis for markers of the inflammatory process). Based on these data, a preliminary diagnosis is made, and for further work, directions are written to a niche specialist – a rheumatologist or orthopedist.

Rheumatologist

The specialization of this doctor is inflammation of the joints, having an autoimmune nature (the most common is rheumatoid arthritis) and associated with pathologies such as periarteritis and lupus erythematosus. Residents of the countryside to consult a rheumatologist need to go to the clinic of the nearest city, while even rheumatological hospitals operate in megacities.

If a referral to a rheumatologist was received from the therapist, then a medical card with the records of the local doctor and the data of all diagnostic measures should be brought for consultation. After the examination, the doctor may write out directions for more narrow-profile studies. After the diagnosis is fully clarified, an individual course of drug therapy and physiotherapeutic measures is developed, or, if there is evidence, a referral to the hospital is written out.

Consultation of a rheumatologist is necessary for swelling and redness of the joint, combined with fever and other febrile symptoms.

Orthopedist

This doctor manages the treatment of arthrosis of the joints of the foot, knee, shoulder and other joints. Many orthopedists are also qualified in traumatology. The doctor also works with degenerative changes in the cartilage tissue that develop on the basis of untreated or advanced arthritis, and with osteoarthritis (the spread of the process from joints to bones).

After receiving the diagnostic results, he selects orthopedic devices and prescribes a course of drug treatment, and if it is ineffective or insufficient, surgery is used.

Arthrologist

This is the name of the doctor whose specialization is in the treatment of joint diseases. His competence includes all common joint pathologists – autoimmune, age-related, infectious, metabolic. If surgery is needed, the arthrologist will work with the patient in tandem with the surgeon.

At state medical posts in Russia, arthrologists are found only in large cities. In most cases, they are taken in commercial clinics. After examining and studying the anamnesis, the doctor writes out directions for blood biochemistry, urinalysis and a number of instrumental examinations relevant to the particular case (diagnostic measures can be taken free of charge in the nearest clinic). Based on these data, a diagnosis is made (arthrosis or arthritis) and a treatment regimen is prepared.

Having clarified which doctor to treat with arthrosis and arthritis, based on the patient’s situation and the availability of consultations of certain specialists in the clinics of their locality, a number of diagnostic procedures will be required, based on which an individual treatment regimen will be drawn up.

Who treats arthritis and arthrosis of the joints?

As you know, such joint diseases as arthrosis and arthritis are currently widespread. What is the reason for this? The environment can adversely affect the joints, it can also be a lack of minerals and vitamins or an improper lifestyle. To prevent these diseases from progressing, you should always consult a doctor. Also, let’s see who treats arthritis and arthrosis.

The main differences between arthrosis and arthritis

Both diseases affect not only joints, but also periarticular tissues. In addition, this significantly affects the quality of human life, because in this case there are violations of the regenerative and motor functions of the cartilage. Many people confuse arthritis with arthrosis due to consonance, but they have significant differences.

Arthritis

Arthritis is called an inflammatory process in which the whole body is affected. In addition, the disease can develop even before the age of forty. It occurs in both adults and children. Arthritis varies by type:

    Gouty. This is a fairly common type of arthritis, which involves the deposition of uric ac >

Also, the following factors can serve as the cause of this disease:

In this case, the inflamed joint can not only turn red, but also swell and hurt a lot. The joint is especially sore at night. It is also necessary to distinguish a group of arthritis, such as psoriatic, rheumatic, systemic lupus erythematosus, which are treated for quite a long time and can even cause disability.

Most noted are arthritis of the fingers or toes, as well as the spine, pelvic bones and knee joint. If we take into account systemic diseases, then in this case there is a lesion not only of the musculoskeletal system, but also of the heart, liver, kidneys, and even vision.

There are main stages of the development of this disease:

  1. At first, arthritis does not show any signs, unless you take an X-ray, which shows the rudiments of the inflammatory process. Often, the patient may feel slight stiffness and slight pain, for example, during physical exertion. Arthritis is a must.
  2. Then the inflammation progresses, resulting in a thinning of the tissues of the articular structures themselves. Swelling appears, the temperature rises, the skin in the affected area turns red, and a crunch is heard during movements.
  3. The joints are destroyed and significantly deformed. In addition, the patient feels constant pain during movements.
  4. After this, the affected joint is completely immobilized. Ankylosis also develops. Ankylosis is the fusion of the heads of the articular bones. This is due to the fact that the joint capsule is filled with fibrous or bone tissue.

Arthrosis

This disease is usually diagnosed in the elderly. As a rule, starting from the age of 45. In the course of the disease, the cartilage is gradually destroyed. Usually this happens as a result of age-related wear and tear. By what signs can the presence of this disease be determined? As a rule, a person feels:

  • pain during movement;
  • stiffness, for example, at the time of walking.

As a rule, after a short rest, such discomfort goes away. If arthrosis is not treated, then it will begin to progress rapidly. In this case, not only impaired mobility of the joints themselves, but also severe pain cannot be avoided. It is imperative to consult a doctor who treats arthrosis.

There is one curious fact, according to which in 80% of cases a disease such as arthrosis is diagnosed in people with a complete set, especially if they lead a sedentary lifestyle. In order to prevent the disease, you need to eat well and exercise regularly.

As a rule, if the stage of any disease is started, then in this case human health is at risk. In addition, arthritis itself can be diagnosed less frequently than arthrosis.

Which doctor treats arthritis and arthrosis?

Usually, the patient consults a doctor if he is worried about severe pain, and also feels discomfort in his movements. But who treats arthritis and arthrosis of the joints? If these are the first symptoms that have not been previously observed, then first you should consult with your local therapist.

What will the doctor do? After examining the joints, he will need to appoint additional diagnostic methods. As soon as the examination is completed, the diagnosis is determined, although for now it is preliminary. And only after that the direction for consultation with a certain specialist is written out. Now let’s find out the difference between a rheumatologist and an orthopedist.

Why do I need to contact a rheumatologist?

The treatment of arthritis is carried out by a rheumatologist. As a rule, such a specialist can be taken both in regional treatment centers and in large cities. Private clinics will not be an exception. To get an appointment, you should take along the direction of the therapist, test results and an outpatient card. How does a rheumatologist conduct an examination?

In this case, the rheumatologist is interested in the patient what pains bother him. After that, he finds out why the disease began to develop. Treatment is also of interest to a specialist. Only after that the rheumatologist makes an examination of the diseased joints. It is necessary to find out how mobile the joints are, how painfully they react to this or that movement, and even at rest.

Also, the doctor must check the condition of the oral cavity and pharynx, feel the abdomen and listen to the heart and breathing. If you take into account arthrosis or arthritis, what examinations are needed? The list includes:

  • blood test for sialic acids;
  • general blood analysis;
  • biochemistry of blood;
  • Ultrasound of the joints;
  • radiography of the ileo-sacral joints.

After the examination is completed, the final diagnosis will be determined. Next, the doctor should draw up a course of therapeutic therapy. If the diagnosis remains unclear the first time, then additional diagnostic methods will be needed.

What does an orthopedic traumatologist treat?

In what cases is it necessary to contact an orthopedic traumatologist? As a rule, in the case of arthritis or arthrosis in an advanced stage. As a rule, this doctor specializes in the surgical treatment of a particular disease, and can also provide orthopedic care. In addition, it is necessary to carry out surgical intervention for those patients who have arthrosis of the third degree, as well as psoriatic and rheumatoid arthritis.

How can this orthopedic care be characterized? As a rule, the doctor selects special shoes for the patient, as well as all the necessary devices to make it easier for him to move around.

Also, the patient needs to take note that there will be a need to undergo examinations, as well as a course of rehabilitation therapy, which can last quite a long time. What is the reception? In this case, the doctor examines the medical record and a complete examination of the joints. Then there is the likelihood that an operation will follow.

How are arthritis and arthrosis treated?

It is best to start treating arthritis as soon as possible. Why is it important? The fact is that in the first stages of the disease, they do not yet mean a significant deformation of the joints. Also, the treatment regimen should be selected depending on the reason why arthritis began to develop.

How is the treatment carried out? First of all, the doctor tries to reduce pain, eliminate the inflammatory process itself. In the future, prevention of the progress of arthritis is necessary. There are several methods that treat not only arthritis, but also arthrosis:

Vitamin therapy

In this case, the patient takes such amino acids that may be necessary for the construction of new tissues. For example, it is arginine.

Pharmacological method

The patient is prescribed anti-inflammatory ointments, gels, creams. Also, glucocorticosteroids are injected into the joints.

Non-drug method

The doctor selects otropedic shoes, prescribes therapeutic exercises, massage, as well as hydrotherapy. In this case, the patient must abandon all his bad habits.

Surgical method

Joint endoprosthetics, in other words, prosthetics, should be used only when the arthritis stage is sufficiently advanced.

It happens that stem cells are introduced. This is necessary when the disease progresses too seriously. Also, patients must undergo special complexes of physiotherapy exercises aimed directly at the development of flexibility. Aerobic exercises must be on the list. For some, it may seem that patients simply cannot perform them due to excessive workload, but this is an erroneous opinion. Why so? Classes should be held at the time of remission, in addition, the complex itself is selected individually. And, of course, you must follow a special diet.

Which doctor successfully treats arthrosis of the knee joints?

Which doctor treats arthrosis of the knee? This is a question that arises before almost every one of those who have encountered this disease. In this situation, I would like to receive qualified help from a professional in my field. In order to find it, it is necessary to clearly understand which specialization doctor treats this pathology.

When is the time for a specialist?

Osteoarthritis of the knee joint is a chronic disease, the main sign of which is the thinning and gradual destruction of cartilage, which causes deformation of the joint and impaired function. Gonarthrosis, as they also call pathology, is divided into several groups according to severity.
The main manifestations of the disease are the following phenomena:

  • soreness in the knee when walking;
  • joint pain during movements;
  • crunch in the affected area;
  • stiffness in the knee in the morning.

Gonarthrosis is caused by various factors, including the following:

  1. Injuries: in youth, this type of arthrosis often occurs due to dislocations and fractures.
  2. Excessive loads: overly active sports can lead to micro-injuries and sprains. Such conditions, especially with age, cause thinning of cartilage.
  3. Overweight: it increases pressure on the knees and can cause damage to the meniscus.
  4. Varicose disease: in combination with overweight, it often leads to a severe form of gonarthrosis.
  5. Joint diseases: arthrosis is often the result of arthritis. The inflammatory process during such a disease greatly affects the structure of cartilage and contributes to its destruction.
  6. Problems with metabolic processes: if the body suffers from a lack of certain substances, this immediately affects the condition of the cartilage.

Elderly age can also cause the onset of the disease, because over time, the joint structure wears out and does not withstand the loads that it dealt with before.

For reference! Gonarthrosis is more common in women and is due to a combination of excess weight and varicose veins.

Symptoms and treatment of pathology are interrelated and depend on the degree of development of gonarthrosis.

First degree

The pains are insignificant and appear with active movements. But at rest, the pain recedes. External articular deformation is not observed, although cartilage tissue damage is noted.

Second degree

In this situation, the joint gap narrows, and the cartilage is damaged, which explains severe pain when the knee moves. At this stage of the disease, a characteristic crunch occurs, which accompanies the bend of the leg.

The flexion-extensor movements of the knee gradually become impossible.

Third degree

The most severe form in which pain is observed both at rest and during movements. This is due to the complete thinning of the cartilage. Locally, the knee bone can be completely exposed.

Important! It is recommended to consult a specialist even with minor manifestations of gonarthrosis, in order to increase the chances of preserving cartilage tissue.

Which doctor should I contact for suspected arthrosis of the knee?

Joint pain and restriction of movements are observed quite often, but with such manifestations a person often does not know which doctor treats arthrosis of the knee joint. At different stages of the treatment of this pathology, certain specialists are involved.

Rheumatologist

This is a doctor of a therapeutic profile, which must be consulted at the slightest sign of this disease. He is competent in issues of dystrophic and inflammatory lesions of the joint structure and connective tissues.

In the early stages, the following specialists are sometimes connected to its treatment:

  • masseur;
  • physiotherapist;
  • arthroscopist;
  • chiropractor;
  • specialist in physiotherapy or physical education.

It should be noted that such a doctor applies only conservative methods of therapy. In this regard, he prescribes injections, drugs and ointments for the treatment of pathology.

Arthrologist

This doctor specifically treats arthrosis. The difficulty lies in the fact that it’s quite difficult to get to a specialist in the field of surgery that deals specifically with articular disorders: such doctors are found only in highly specialized clinics.

Orthopedist

An orthopedic surgeon is consulted in advanced cases when the therapy could not be started on time or conservative methods were not effective. His help will be needed if the deformations lead to a loss of articular function and every movement of the knee provokes severe pain.

Depending on the severity of the disease, you can understand which doctor should be consulted.

Find out about the Jamaldinov complex for arthrosis here.

Features of diagnosis and general treatment strategy

Diagnosis of gonarthrosis is carried out by the following main methods:

  1. X-ray: helps to see bone deformities – changes in the shape of the knee joint and the width of its gap. However, it is rather difficult to identify the first degree of pathology using radiography.
  2. Ultrasound: provides information on the thinning of cartilage and damage to the menisci. This type of diagnosis is usually combined with any other.
  3. MRI: allows you to identify the disease at the earliest stages. This method makes it possible to detect any degenerative changes, including swelling in the muscle area.

These types of diagnostics do not exclude a comprehensive examination of the patient.

Treatment

With gonarthrosis at the beginning of development, the attending physician usually prescribes the following drugs:

  1. NSAIDs: reduce pain and stop inflammation.
  2. Drugs that improve blood circulation and blood supply to the bones.
  3. Chondroprotectors: the most effective means for the regeneration and strengthening of cartilage.
  4. Muscle relaxants: reduce muscle spasm, allowing you to reduce pain.

In addition, the following methods are often used to treat gonarthrosis:

  • homeopathy;
  • kinesitherapy;
  • ozone therapy;
  • physiotherapeutic procedures;
  • massage treatments;
  • Exercise therapy.

In advanced and especially severe cases, the doctor may prescribe organ-preserving surgery or endoprosthetics. In the first case, the following types of interventions are usually recommended:

All of them are aimed at the resumption of articular function and preservation of cartilage. With severe destruction of the joint structure, the damaged area is replaced by an endoprosthesis. This procedure is called endoprosthesis replacement and is used when the treatment of gonarthrosis is already useless.

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Which doctor treats arthritis and arthrosis of the joints?

Diseases of the joints of the legs, such as arthritis and arthrosis, adversely affect the quality of life of people, leading to limited movement and labor activity. When walking, the leg, in the joints of which an inflammatory or dystrophic process develops, constantly reminds itself of pain.

If it is necessary to make a diagnosis and draw up a treatment regimen, the patient thinks about the need to make an appointment with a specialist. To receive qualified care, the patient must have an idea of ​​which doctor treats arthritis and arthrosis of the joints.

Reasons to see a doctor

Arthritis is defined as an inflammatory process in the articular joint (which tends to spread to the ligaments and muscles) and in most cases has an infectious nature. Infection can enter the joint through damage to the skin or come with blood flow from other organs. Sometimes arthritis has autoimmune causes or manifests itself after an injury.

The disease occurs with the greatest frequency in middle-aged people, whose profession is associated with constant standing on their feet, but can also occur in children (especially physically active) and elderly people. Most often, arthritis affects the knee and hip joints, as well as the toes.

In people with autoimmune arthritis, inflammation often affects not only the joints of the limbs, but also life-supporting organs, such as the heart and kidneys. The cause of childhood arthritis is most often the injuries of the joints of the foot. If inflammation is ignored, it can develop into arthrosis (a degenerative process in the joint).

Arthrosis is a predominantly age-related disease in which dystrophic changes in the cartilage layer of the joint occur. The reasons for it are complex and usually include a combination of malnutrition (abuse of pickles, smoked meats in combination with a deficiency of minerals), age-related deterioration of metabolic processes and regular long-term load on the joints. Osteoarthritis usually affects the joints of large bones – the knee and hip.

Risk factors for the development of arthritis and arthrosis can be considered:

  • Age after 30 years;
  • Excessive fullness;
  • Occupation with sports predisposing to injuries and microtrauma of the joints of the legs;
  • Untrained muscles of the foot;
  • Women are more prone to joint diseases than men.

Symptoms requiring immediate medical advice include a decrease in joint mobility, severe pain, crunching, swelling, and an increase in local temperature.

Which doctor should I go to first

When disturbing signs appear, the patient has a question – which doctor treats arthrosis and arthritis of the joints. The musculoskeletal system is the responsibility of several doctors, and its pathologies are sometimes complications of others – infections of the genitals and urinary tract (in the case of the hip joint) or massive purulent wounds.

If the patient is aware of the presence (or high probability) of such a pathology, or if he is not able to get an appointment with an arthrologist (a doctor specializing in the treatment of affected joints), the first doctor he should visit will be a local therapist. He will direct the patient to a specific set of analyzes and instrumental examinations, as well as to consult specialists in diseases of the musculoskeletal system – a rheumatologist and orthopedist.

Therapist

The local therapist is present in the staff of any clinic, including the outpatient clinic of small towns. Village therapists are often involved in the treatment of injuries of the knee, ankle and other joints, and also work on call with patients who are not able to visit the clinic.

At the consultation, the doctor makes an anamnesis of the disease, asks the patient about complaints suffered by diseases of any profile, examines the affected joint, writes out directions for a series of studies (magnetic resonance imaging, x-ray, blood biochemistry, including analysis for markers of the inflammatory process). Based on these data, a preliminary diagnosis is made, and for further work, directions are written to a niche specialist – a rheumatologist or orthopedist.

Rheumatologist

The specialization of this doctor is inflammation of the joints, having an autoimmune nature (the most common is rheumatoid arthritis) and associated with pathologies such as periarteritis and lupus erythematosus. Residents of the countryside to consult a rheumatologist need to go to the clinic of the nearest city, while even rheumatological hospitals operate in megacities.

If a referral to a rheumatologist was received from the therapist, then a medical card with the records of the local doctor and the data of all diagnostic measures should be brought for consultation. After the examination, the doctor may write out directions for more narrow-profile studies. After the diagnosis is fully clarified, an individual course of drug therapy and physiotherapeutic measures is developed, or, if there is evidence, a referral to the hospital is written out.

Consultation of a rheumatologist is necessary for swelling and redness of the joint, combined with fever and other febrile symptoms.

Orthopedist

This doctor manages the treatment of arthrosis of the joints of the foot, knee, shoulder and other joints. Many orthopedists are also qualified in traumatology. The doctor also works with degenerative changes in the cartilage tissue that develop on the basis of untreated or advanced arthritis, and with osteoarthritis (the spread of the process from joints to bones).

After receiving the diagnostic results, he selects orthopedic devices and prescribes a course of drug treatment, and if it is ineffective or insufficient, surgery is used.

Arthrologist

This is the name of the doctor whose specialization is in the treatment of joint diseases. His competence includes all common joint pathologists – autoimmune, age-related, infectious, metabolic. If surgery is needed, the arthrologist will work with the patient in tandem with the surgeon.

At state medical posts in Russia, arthrologists are found only in large cities. In most cases, they are taken in commercial clinics. After examining and studying the anamnesis, the doctor writes out directions for blood biochemistry, urinalysis and a number of instrumental examinations relevant to the particular case (diagnostic measures can be taken free of charge in the nearest clinic). Based on these data, a diagnosis is made (arthrosis or arthritis) and a treatment regimen is prepared.

Having clarified which doctor to treat with arthrosis and arthritis, based on the patient’s situation and the availability of consultations of certain specialists in the clinics of their locality, a number of diagnostic procedures will be required, based on which an individual treatment regimen will be drawn up.

Anatoly Kudravets

Anatoly Kudravets, Orthopedic Traumatologist. He works with severe cases, practices operative methods of treating connective tissues

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