Orthopedist who treats children and with what

With healthy children, it is first time to take stock of motor development, the child's preparation for walking and the resilience of the child's musculoskeletal system.

What does a pediatric orthopaedist do?

The specialty of the podiatrist is a mystery to many parents. We want to find out what a podiatrist does and why children should go to a podiatrist.

The task of an orthopedist is the timely diagnosis and treatment of congenital and acquired diseases of the musculoskeletal system. In the first year of a child's life, the orthopedist mainly deals with the diagnosis and treatment of congenital diseases.

The first examination of a newborn by an orthopedist in the maternity ward should ideally take place between the 3rd and 5th day of life. During this time, relatively serious diseases of the musculoskeletal system or intrapartum injuries (occurring during childbirth) are treated.

What can be diagnosed or suspected at this age?

Small malformations such as syndactyly (fingers or toes growing together) or polydactyly (extra fingers) are also found at this age.

Of the intrapartum injuries diagnosed at this age, the most common are cephalohematoma (bleeding under the periosteum of the skullcap—often the parietal bone), characterized by elastic edema within the bone margins, and the collarbone fracture, which is easily identified by palpation (feeling) can be determined.

Unfortunately, not all maternity hospitals have an orthopedist. In this situation, the neonatologist takes over part of his duties, and if an orthopedic pathology is suspected, the child is discharged with a strong recommendation to have it examined by an orthopedist as soon as possible.

The first follow-up since the child was observed in the community should be at 1 month of age. Examinations at this age are also mainly aimed at detecting congenital or intranatally acquired orthopedic anomalies. Of all the examinations that an orthopedic surgeon can carry out in the first year of life, the examination at the age of one month is probably the most important when it comes to the timely detection of congenital pathologies and the timely prescription of appropriate treatment.

The orthopedist - what does he do, what does he treat? When should a doctor be consulted? Pediatrics and adult medicine. What is he treating? Instructions for making an appointment. How do you make an appointment? How can I use the consultation hours?

This page is for guidance only. Diagnosis and treatment must be carried out under the supervision of a specialist doctor. All drugs have contraindications. Consultation with a specialist is mandatory!

list of prices

This section is for informational purposes only. Please ask our call center staff for prices: +7 (495) 505-60-56 (multi-channel). All prices are given in rubles.

Make an appointment with a pediatric orthopedist and trauma surgeon

The specialists of the Department of Child Traumatology and Orthopedics identify and treat all problems related to diseases of the musculoskeletal system in young patients.

A consultation with a children's orthopedist and traumatologist should be carried out if:

• the child's leg length varies;
• the buttocks are asymmetrical;
• the child only turns his head to one side and tilts it onto one shoulder;
• the feet are on the outside or inside of the foot;
• there is a developmental delay: sits down at 6 months, stands up at 9 months, walks later than other children of the same age;
• after a year the child can no longer walk well, has a club foot or hobbles;
• often complains of tired legs, leg pain when walking and running; back, lower back, neck and arm pain;
• stooping, often with head tilted over one shoulder;
• The child complains of a headache;
• Injuries (falls, burns, frostbite, bruises, cuts, animal bites, ticks), reduced mobility of the injured limb, swelling and pain;
• swelling, stiffness, stiff joints;

The main treatment tactic in orthopedics is conservative treatment, that is, if pathologies and deformities of the musculoskeletal system are detected in children and adolescents, the following measures for their correction are prescribed

1. orthopedic footwear and its individual components (insole that can be custom-made in our clinic);
2. orthopedic products – mattresses, bandages, corsets (selection);
3. physiotherapeutic treatments
4. therapeutic exercises;
5. invigorating or healing massages;
6. manual therapy.

Injuries at a young age are inevitable because children are very curious, and as they get older, falls, scrapes and bruises become more inevitable. The health institute has a trauma center that offers high-quality, timely diagnostic and therapeutic care for your 'athletes' and 'first-timers'.

What diseases does a pediatric orthopaedist/traumatologist deal with?

A pediatric orthopedist and traumatologist deals with all diseases of the musculoskeletal system, as well as injuries and their consequences:

• dysplasia and congenital hip dislocation;
• Rickets;
• CEREBRAL PALSY;
• Various types of flat feet;
• Postural defects and spinal curvatures;
• Inflammatory diseases of the OA: arthritis, synovitis, bursitis, osteoarthritis, etc.

When is it necessary to see a pediatric orthopedist/traumatologist?

The child's first check-up by an orthopedic traumatologist takes place soon after birth. It should preferably be carried out within the first month of life. Even if you do not find any abnormalities in the musculoskeletal system, they can be detected by a specialist. The sooner this happens, the more effective the treatment will be.

Follow-up visits are required at 3, 6 and 12 months and every year thereafter. This is necessary in order to detect various diseases and disorders at an early stage. Reasons for an unscheduled visit to a pediatric orthopedist should be:

• Injuries or suspected injuries to the musculoskeletal system (dislocations, fractures, sprains, etc.).
• Any type of postural disorder: stooping, side deviating, etc.;
• pain, crunching of the joints, limitation of their mobility, deformations;
• muscle pain, back pain;
• Symptoms of acute arthritis: acute pain when moving and at rest, swelling, redness;
• clubfoot, flatfoot;
• lameness and other symptoms.

Scoliosis (curvature of the spine).

Changes in a child's spine are usually congenital, but a number of lifestyle factors also play an important role in their development. These include inappropriate sitting at the table, insufficient physical activity, poor diet and chronic diseases. Factors such as the use of forceps or vacuum extractions during childbirth and rheumatic diseases that lead to underdevelopment of the muscles may also play a role. Scoliosis is common in children with rickets. Scoliosis in children develops during the periods of active skeletal growth (6-7 years and 12-16 years).

With scoliosis, the symmetry of the child's trunk is disturbed when standing, which is easy to recognize at home. Parents should pay attention to this and present their child to a pediatric orthopedist immediately. The doctor will prescribe exercises, physical therapy, massage, and sometimes a corset. The child should sleep on an orthopedic mattress, and the workplace should be equipped with appropriate furniture and lighting. Of course, a general regime is important: a balanced diet, walks and exercise (some sports are contraindicated in scoliosis). In any case, only a qualified child traumatologist can assess the degree of scoliosis in a child and make recommendations for its correction.

Parents sometimes confuse scoliosis with abnormal posture. However, if no asymmetry of the child's trunk is observed in the supine position, it is not a question of scoliosis but of a postural disorder that is treated using more or less the same methods as scoliosis.

rakhitis.

A metabolic disorder in which the growing body, which has high requirements for minerals and vitamins (including vitamin D), cannot transport and metabolize them adequately. Rakhitis leads to numerous skeletal abnormalities (abnormal growth of bite and teeth, deformation of the skull, thorax, lower limbs, etc.).

There are many causes of rickets, including endocrine disorders in the child's body. Therefore, the existing skeletal anomalies that require a consultation with a pediatric orthopedist should be treated together with pediatricians, pediatric endocrinologists, and pediatric neurologists. Treatment of rickets is complex and lengthy and includes taking vitamin-mineral complexes, prescribing vitamin D, structured programs, long stays outdoors with exposure to ultraviolet radiation (sunbathing), therapeutic gymnastics and massage. Massage your child at home – Polyclinic Markushka.

reasons for the transfer

Consultation with a pediatric orthopedist is mandatory for all children under 1 year old, even if there is no clinical indication. At the first examination of the child by the neonatologist at birth, problems such as syndactyly, polydactyly, polyphalangy, toe hypoplasia, etc. can be identified, which in the future require the involvement of pediatric orthopedics.

At 3 months of age, the child is routinely evaluated for congenital musculoskeletal disorders: congenital clubfoot, torticollis, hip dislocation, congenital patellar dislocation, collarbone fracture, and birth trauma to the spine. Also in the first year of life, pediatric orthopedists recommend a consultation around the age of 8-9 months, when the child begins to stand on his feet. The aim of this examination is to prevent various deformities of the lower limbs, in particular flatfoot deformities of the feet.

If no anomalies of the musculoskeletal system are detected in infants, the pediatric orthopedist/traumatologist advises general strengthening exercises, preventive massage and the selection of shoes for the beginning of walking. Children who are practically healthy are then routinely evaluated by a pediatric orthopedist and traumatologist at ages 7, 10, 15, 16, and 17 years.

Children with rickets, hip dysplasia, cerebral palsy and flat feet need regular examinations from a young age by a pediatric orthopedist and traumatologist. Children born without a navel, premature babies, children with congenital injuries and perinatal encephalopathy are at increased risk of developing musculoskeletal disorders.

The most common musculoskeletal disorders in school-age children are postural defects and scoliosis. School age is also a time of high risk of injury for children and young people. Children suffer practically the same types of injuries as adults: CMI, fractures of the spine, collarbone, limb bones, hand and foot bones, pelvis, joint dislocations, ruptured ligaments, etc. Of particular note are serious injuries such as burns and electrical injuries in children, who also suffer be treated by pediatric orthopedic surgeons.

office hours

Consultations with a children's orthopedist in Moscow can take place both in the clinic and at home. The cost of a children's orthopedist and traumatologist at home depends on the Moscow district and Moscow region.

During the visit, the orthopedic child traumatologist will question the mother about the course of pregnancy and childbirth, the development of the child, and read the medical record. Examination of the child includes a visual assessment of physical development, structure of the limbs, thorax and spine. In children in the first year of life, special attention is paid to assessing the function of the hip joints, for which the pediatric trauma surgeon performs passive hip abduction and determines the symmetry of the gluteofemoral folds. It is advisable to bring to the first appointment with the pediatric trauma surgeon the results of an ultrasound examination of the hip joints, which is carried out as a screening for all children at the age of 1 month. If there is a suspicion of congenital diseases of the musculoskeletal system, the pediatric traumatologist may recommend an X-ray and arthrography of the hip joints, an ultrasound scan of the cervical spine, an X-ray of the clavicles, and an X-ray of the spine.

When examining older children, the pediatric orthopedist pays attention to the foot position, gait, physiological curvature of the spine, etc. If flat feet are suspected, a plantography, podiatry or X-ray examination of the foot under load is indicated. If postural abnormalities are found in children, optical computed topography, computed tomography, or magnetic resonance imaging of the spine is performed.

In the case of trauma, radiological diagnostics is the most important diagnostic method: if indicated, skull, long bones, chest and abdominal X-rays, etc. are taken.

Based on the findings, the pediatric orthopedist and traumatologist makes a definitive diagnosis and draws up a treatment plan.

What does the orthopedist and trauma surgeon treat?

An orthopedic traumatologist treats diseases of the musculoskeletal system on the bones, joints, muscles, tendons, upper and lower limbs. In Latin 'ortho' means straight, meaning that an orthopedist is a doctor who restores or corrects the position of body parts. Skeletal deformations can be caused by inflammatory processes, hereditary diseases, trauma and metabolic diseases. With congenital diseases, children are born with altered body proportions. Some diseases do not become noticeable immediately, but only when the child grows. It lags behind peers in its development, the limbs become crooked.

Treatment by an orthopedist is important not only to correct the external shape, but also to ensure that the internal organs are functioning properly. The health of all of the organs in the chest and abdomen—heart, stomach, kidneys, and lungs—depends on the alignment of the back. Misalignment of a joint in the leg can lead to destructive processes throughout the body, uneven loading of the spine and curvature of the spine.

When to see a podiatrist

If you suffer from pain in the joints, back, neck or limbs and have problems with movement, a visit to an orthopaedist/traumatologist is recommended. All diseases are best treated from the start. In advanced cases, surgical intervention is often required, while in the first days after the onset of symptoms, the effects of the negative factor can be completely eliminated.

Sometimes there is no obvious deformity or pain, but the person tires more easily when walking, climbing stairs and feels uncomfortable. Such symptoms should not be ignored, as they can indicate the onset of a serious illness.

Orthopedics and traumatology are internally divided into several departments:

An examination by an orthopedist is essential to make a diagnosis and initiate treatment. If necessary, the doctor will refer the patient to a more specialized specialist.

Hereditary factors, metabolic disorders, autoimmune processes and endocrine disorders often play a role in the development of musculoskeletal disorders. Therefore, the work of the orthopedist is closely linked to other specialists - endocrinologists, internists, rheumatologists.

What does an orthopedic traumatologist treat?

Fresh injuries are treated better than the consequences of previous injuries. Often people do not seek treatment after a bruise or fall. You wait for the symptoms to go away on their own. Fractures, sprains and cartilage damage remain undetected. Pain and discomfort may persist even after a long period of time. Bones may not heal properly, and torn muscles and ligaments heal, forming rough scars that limit movement. Cartilage damage leads to degenerative and dystrophic processes in the joint. Subsequent treatment is always lengthy and expensive. It is therefore advisable to make an appointment with the orthopedist as soon as the first symptoms appear.

What does a visit to the orthopedist look like?

The doctor interviews the patient and describes his symptoms: how long the symptoms have lasted, since when they started, whether close relatives have similar problems. Most often, patients present to the doctor with pain, limited mobility of a part of the body, changes in the anatomical shape of several joints or an entire limb. They also complain of signs of fatigue in the back, legs or arms after physical exertion. If the correct anatomical alignment of all structures is not restored, the symptoms worsen.

The need for an unscheduled visit to an orthopedist in Orenburg:

• Asymmetric groin and buttock creases;
• Different leg lengths, irregular shapes of the limbs;
• development of muscular torticollis (the head is constantly turned or tilted to one side);
• The slightest movement of the head that causes discomfort to the child;
• Visible deformation of the skull bones;
• When trying to get the child on his feet, the feet rest on the outer or inner surface;
• Dysplasia - underdevelopment of the hip joints (if the hip joint is dislocated, the child cannot spread the legs to assume a frog position; knee dislocation - makes it impossible to bend the leg at the knee).

Pediatric orthopedics covers most of the diagnosis and treatment of diseases of the musculoskeletal system. This is not surprising. A child's body is very different from an adult's. For this reason, specialists who are constantly expanding their knowledge and skills work in the children's orthopedic department of the Postural Medicine Clinic.

Orthopedic consultations for children in puberty

A visit to the pediatric orthopedist should be prompted by complaints of poor posture, gait disorders, and pain in the lower limbs and spine.

During puberty, children can reach a maximum height of 6-7 cm in a few months and their feet can grow by two sizes. At this time, the probability of diseases of the musculoskeletal system is high. This period of rapid growth coincides with the peak of compulsory education. The emergence of disorders in the child's skeletal system is a long-term process. The first symptoms are imperceptible and cause little discomfort, but once the changes become apparent, the process can be irreversible. To avoid these consequences, a pediatric orthopedist should be consulted systematically.

Orthopedic Traumatologist

The task of pediatric orthopedist is the diagnosis and treatment of congenital or acquired anomalies related to the development of the musculoskeletal system.

A children's orthopedist and traumatologist deals with the diagnosis and treatment of the consequences of children's injuries - delayed healing of bone fractures, deformities, contractures, etc.

The most common reasons for seeing a pediatric orthopedist are:

• Abnormal posture
• Gait disorder, clubfoot and twisted feet
• Pain in the legs - when walking, running, playing sports
• back pain

Schedule an appointment

Hello Natalia, we are very happy to come to your children's clinic. I want to tell you how I find this clinic. Everything is there for the people, from the door to the doctor. The toilets are clean, the doctors are professional and approach each child individually, there are TVs, refrigerators, ionizers and even diapers for babies. Prices are very reasonable. My daughter loves coming to you! I would like to thank you for a clinic where everything is there for the children and their parents. It is a pleasure to go to you! Thank you.

Ekaterina Mikhaylova Hello, yesterday we had an appointment with an orthopedist and a surgeon. It was the first time we came to the clinic. We were very pleasantly surprised. For the first time at a doctor's appointment, our daughter didn't cry (she is 2.8 years old), she undressed and did everything the doctor asked. Normally she would hardly walk into the room on her hands and when the doctor came she would run out of the room on a crutch and we had to hold her by force for each examination. We conducted the consultation smoothly and did not traumatize the child at all. Many thanks to the therapists.

Taťána We would like to thank the doctors and staff at your clinic! I stayed with several people with my 7 year old and they were all very friendly and attentive. The atmosphere is very pleasant, my daughter didn't feel like she was in the hospital at all, she had only positive feelings! And it's close to home, which is very convenient!

What does the pediatric orthopaedist and traumatologist do?

• Gait and posture disorders (scoliosis, kyphosis)
• congenital dislocations and hip dysplasia
• Pain in the joints, legs and spine
• Foot Disorders (Clubfoot, X-Foot)
• Flat feet (flat feet with valgus)
• muscular wry neck (torticollis)
• curvature of the limbs
• lameness
• Consequences of trauma (sprains, twists, contusions, torn or torn ligaments, fractures)
• consequences of rickets.

The orthopedic surgeons of the Litfond Children's Polyclinic have all methods of conservative treatment of congenital and acquired orthopedic diseases, as well as methods of preventive treatment of diseases of the musculoskeletal system in children. They treat patients with injuries to the musculoskeletal system, bone pathologies and congenital defects.

Before the child is one year old, they must be examined by a pediatric orthopedist at 1 month, 3 months, 6 months and 1 year. Thereafter, check-ups are carried out once a year.

A common reason for visits to a pediatric orthopedist in old age is flat feet and poor posture in children.

Younger students and teenagers often opt for active and even extreme sports. Such hobbies have become accessible and enrich their lives, but often lead to serious fractures and injuries to the joint and ligament apparatus. In such cases, prompt help from a qualified traumatologist is required.

Litfonds Children's Polyclinic is able to perform all types of examinations of the spine, joints and ligaments:

Vladislav Vsevolodovich Soloviev

Orthopedic accident surgeon, podiatrist, sports physician, doctor of the highest category, 19 years of experience.

FEE FOR A SPECIALIST

First medical consultation, children up to 16 years 1200 rubles
Recurring medical consultation, children up to 16 years 1000 rubles

A pediatric orthopedist can be consulted at the ARTUS Clinic for the detection and treatment of the following pathologies:

ARTUS Clinic uses highly effective treatment methods to achieve results as quickly as possible, reduce the amount of medication prescribed and speed up rehabilitation.

At the first consultation, the doctor examines the patient by palpation for signs of diseases of the musculoskeletal system. A detailed anamnesis is taken and, if available, the medical documents are analyzed. If necessary, additional examinations in the form of CT, MRI, ultrasound or X-ray are ordered to make a diagnosis. Based on the examination results, the doctor draws up a treatment and rehabilitation plan.

The treatment is carried out by experienced neurologists, doctors of the highest category with many years of practical experience.

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