At Our Time you can book an online consultation with a pediatric orthopedist. Such an appointment is possible when you visit the doctor again after an examination or when you have scans and test results. Remotely, you can ask the doctor questions and get information about the treatment. Please note that it is not possible to diagnose online. You still need to come to the clinic on your first doctor's visit.
- Pediatric Traumatology and Orthopedics
- Why is it important to see a pediatric orthopedist and traumatologist?
- Problems in pediatric orthopedics
- diagnosis
- What diseases does a pediatric orthopedist and traumatologist deal with?
- When is it necessary to see a pediatric orthopedist/traumatologist?
- What is a pediatric orthopedist?
- Reviews of orthopedists in Moscow
- What does the orthopedist pay attention to in newborns?
- Why does a child need a check-up by a pediatric orthopedist?
- When is it necessary to see an orthopedic trauma surgeon?
- List of Services.
- Olga Alexandrovna Polyakova 02/19/2019.
- Neyaskina Lyubov Anatolievna 01/10/2019.
- Emergency visit:
- Indications for referral to a pediatric orthopedist
- What does a visit to a pediatric orthopedist look like?
- When should I make an appointment with a pediatric orthopedist?
- How does a visit to the doctor work?
Pediatric Traumatology and Orthopedics
Many parents mistakenly believe that a pediatric traumatologist and orthopedist should be consulted only for injuries. Already in the first year of life of a child, a consultation and examination by a doctor from the DG Medicine is necessary. This is necessary to diagnose the condition of the child's musculoskeletal system.
Our center has professional orthopedic traumatologists who will competently advise you and your child. We are very conveniently located in the center of Moscow, so finding a qualified and good specialist doctor in the Taganka and Zhulebino districts is no longer a problem.
Why is it important to see a pediatric orthopedist and traumatologist?
Early detection of any bone disease in a child is very important. Orthopedic diseases can later negatively affect the condition of the child's entire body. For this reason, it is better to see a pediatric orthopedist in the early stages of a child's development, since it is much easier to overcome diseases and disorders of infancy and childhood and minimize their negative effects.
Unfortunately, it is a fact that children's skeletal system has a number of features that can sometimes be considered defects, in particular increased flexibility, immaturity and lack of strength, which often lead to various injuries and diseases.
Problems in pediatric orthopedics
Skeletal abnormalities in the fetal period are manifested in the newborn by various anomalies: syndactyly, polydactyly, congenital synostosis of the radial bone, dislocation of the patella. Congenital clubfoot, hip dysplasia and muscular torticollis account for the highest proportion of all childhood malformations treated by pediatric orthopedists.
As the child grows older, pediatric orthopaedists are confronted with acquired skeletal deformities. Scoliosis occurs most commonly between the ages of 7 and 18, with approximately 17 % of patients developing spinal curvature and 0.5 % of children developing severe scoliosis. Postural defects that are not corrected are accompanied by the development of a hunchback or other aesthetic defects in the figure, compression of internal organs, and compression of nerves.
The second most common is flat feet - according to various reports, flattening of the arch of the foot is observed in 7-15 % of pediatric orthopaedists. Rib and lower leg deformities due to rickets are also noted. Systemic skeletal diseases (dyschondroplasia, dysostosis) are extremely rare in orthopedics - 1 in 10000 newborns.
An important problem for pediatric orthopedists is the rehabilitation of patients with injuries of the musculoskeletal system. The incidence of trauma in children averages 160 per 1,000 population under the age of 18, with 20-25 % being serious injuries of the bone and ligament apparatus. Orthopedics includes techniques for restoring motor function in joint contractures, after extensive burns and electrical trauma.
diagnosis
Many diseases in pediatric orthopedics are detected by visual inspection, palpation, and testing for pathognomonic symptoms. At the first consultation, the doctor notes signs of torticollis and clubfoot, checks for the 'click sign' and diagnoses a congenital dislocation of the hip. If the diagnosis is difficult, diagnostic measures are prescribed to clarify the skeletal anatomy:
- Radiological examinations. The classic diagnostic method in orthopedics is the standard X-ray, which is used to diagnose anomalies in the skeletal system. The examination of joints, bones of the lower or upper limbs is carried out depending on the pathology present. In the case of anomalies of the spine, this technique is replaced by computer-aided optical topography.
- plantography. A non-invasive method for diagnosing pediatric flatfoot using plantar impressions. Many orthopedic clinics in Moscow have the equipment and software complex for conducting optoelectronic plantography at rest and with metered foot loads.
- Ultrasonic. Joint sonography is used in orthopedics to detect possible dysplasia and other pathologies of the cartilage structures. Ultrasound of soft tissues is performed to assess the condition of muscles and ligaments in the post-traumatic period.
What diseases does a pediatric orthopedist and traumatologist deal with?
The 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 curvature of the spine;
- Inflammatory diseases of the musculoskeletal system: arthritis, 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 no diseases of the musculoskeletal system are detected, 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.).
- Postural abnormalities: stooping, side bending, 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.
What is a pediatric orthopedist?
A pediatric orthopedist is a medical specialist who deals with the development of the musculoskeletal system in children and adolescents. Orthopedic abnormalities in children can be congenital or acquired early, so a pediatric orthopedist is a doctor who oversees a child's development virtually from birth. The full name of the specialty is orthopedic traumatologist, with possible additional specializations such as vertebrologist, arthrologist and chiropractor.
Congenital musculoskeletal disorders include hip dysplasia and dislocation, clubfoot, spinal anomalies (Klippel-Feil syndrome, cleft vertebrae), syndactyly, brachydactyly, clinodactyly. Spinal curvature, flat feet, varus and valgus foot deformities, and joint disease develop during active growth. In all these cases, a pediatric orthopaedist must be consulted.
Regular visits to the pediatric orthopedist as part of the medical check-up should take place at the age of 1 to 3 and 6 months and at the age of 1 year. This is to ensure that the child does not have congenital OPC pathology. Reasons for self-referral can be asymmetries in the groin and buttock folds, different limb lengths, flexion, leg curvature, and gait abnormalities. A pediatric orthopedist should also be consulted if hip abnormalities are detected on ultrasound.
The child will need to wear a diaper or romper during the visit, so it's best to choose clothes that are easy to remove for the doctor's visit. The pediatric orthopedist examines the head and neck, the spine, all joints and performs movement tests. All this is not uncomfortable for the child. The doctor must be informed of the actual problem through an ultrasound scan of the joints, an X-ray of the feet or the spine.
According to our data, there are a total of 752 pediatric orthopedists in Moscow, of which 185 are women and 567 are men.
To make your search easier, we regularly update our ranking of the best pediatric orthopedists in Moscow, which is compiled based on a number of parameters, including patient reviews. In addition, you can try to choose from the most experienced pediatric orthopedic surgeons, ranked by experience and academic merit.
Reviews of orthopedists in Moscow
Great doctor Yevgeny Olegovich! I received intra-articular injections of platelet-rich plasma and chondroprotective substances in the Chertanovskaya clinic. I was very happy that the injections were almost painless and performed under ultrasound control.
I arrived with the tests. During the visit, the doctor gave me injections and a block. I would go back if needed and would recommend this specialist.
I went to the doctor for my child's foot pain. The main patient said the doctor was respectful, experienced, kind and attentive.
As a result of the treatment, he quickly identified the problem, got the pain under control and initiated further treatment.
I will visit Vladimir Alexandrovich again. I will visit him more than once. I've been going to him for many years. The doctor consulted with me. He is an excellent specialist! I couldn't imagine a better one! The doctor did the best he could. I'm taking painkillers again.
I saw Ruslan Vladimirovich with my child for valgus. The doctor answered our questions and examined him thoroughly. The orthopedist issued a referral for diagnostics. Based on the results, he will recommend treatment. Akashev is attentive and friendly.
Vadim Yuryevich is an attentive doctor, I liked everything. As a result, I received the necessary appointments and recommendations. The doctor is attentive and friendly. I would come again.
What does the orthopedist pay attention to in newborns?
Prevention is very important in pediatric orthopedics, so the specialist should be consulted at least five times in the first year of a child's life. Most congenital orthopedic pathologies can be detected in the first few weeks of a child's life. With early detection and an appropriate and timely treatment plan, orthopedic problems in children can be successfully corrected in most cases. In addition, the effectiveness of treatment in infancy and early childhood is many times higher, since the child's skeleton is still malleable and prone to deformation.
- Examine the young patient;
- detects any anomalies and, if necessary, orders additional diagnostics (ultrasound, X-ray, CT, MRI, etc.)
- selects an effective treatment regimen and/or corrective measures
- monitors the course of treatment over time and makes adjustments as necessary
- recommends a range of rehabilitation measures (massage, exercise therapy, physiotherapy, etc.) for a quick and effective recovery.
During the first examination of the newborn, the specialist will immediately give an initial opinion. During the first examination of the newborn, the specialist immediately gives an initial opinion and recommendations.
Why does a child need a check-up by a pediatric orthopedist?
Who is an Orthopedist? And what does an orthopedist do? - We explained it. First of all, its examination is necessary for the prevention, early detection and subsequent treatment of diseases of the musculoskeletal system. Prevention of major orthopedic diseases is essential for a child's full development and mobility.
Parents should understand the importance of early diagnosis of orthopedic problems in children.
It is advisable not to delay a visit to a pediatric orthopedist if
- joint and muscle pain are a cause for concern;
- The child is bent, there are problems with posture;
- Limb asymmetry (limbs of different lengths) is present;
- Limitations or impairments in movement or motor functions are noted;
- The child tires easily, complains of pain or fatigue when walking;
- Signs of joint deformation and swelling, etc.
It is important to understand that what is treated in children by a trauma orthopedic surgeon can be misdiagnosed and treated appropriately by a specialist with a different profile. If your child has problems with the musculoskeletal system, you should therefore consult an orthopedist, because the correct diagnosis determines the effectiveness of the treatment and thus the health of your child.
When is it necessary to see an orthopedic trauma surgeon?
A visit to an orthopaedist/traumatologist is necessary when your child is 3, 6, 12 months and 12 years old. During this period, the child's body is subjected to heavy loads: children learn to sit, crawl and walk. These changes contribute to congenital anomalies of the musculoskeletal system.
Be sure to consult an orthopedic and trauma surgeon if your child has the following symptoms:
- abnormal leg length;
- asymmetry of the buttocks;
- clubfoot;
- stoop;
- impairment of gait;
- grinding or popping when moving the limbs;
- Limited hip adduction;
- Pain in muscles, joints and spine.
Call our receptionist on +7 (495) 481-40-04 to make an appointment. He or she will choose the most convenient date for you. You can also use the online system to make an appointment with the pediatric orthopedist or send an SMS via WhatsApp.
List of Services.
- Appointment with an orthopedist and trauma surgeon. If your child needs a consultation with a specialist, you can visit the Our Time clinic. The specialist examines the patient, evaluates the results of the examination, makes a diagnosis and determines the necessary treatment;
- Home visit by an orthopaedist/traumatologist. There are times when a visit to the clinic is not possible. In such cases, it is convenient to invite the specialist to your home. He or she is punctual on call, examines your child and makes appointments;
- orthotics. An orthosis allows partial immobilization of the injured area, which is essential for full recovery. It is most commonly used for joint injuries or soft tissue injuries;
- The use of immobilizing dressings. This helps stabilize the limbs, so the intensity of pain is significantly reduced. Used for bruises and sprains.
The pediatric orthopaedist and traumatologist treats diseases of the musculoskeletal system. He will help you if your child suffers from a bone, joint, muscle or tendon disease. According to statistics, the most pressing problems in pediatric orthopedics are:
- curvature of the spine.. Deformity in which the spine deviates in one of the three planes. This is a serious problem that requires mandatory and comprehensive treatment;
- wryneck (crookedneck). A neck deformity where the head is in the wrong position. Wrynecks can be congenital or acquired;
- growth disorders (stunted growth). A condition in which a child's growth deviates significantly from the average norm for age;
- flat feet. A phenomenon in which the arch of the foot is lowered. This creates an imbalance in the biomechanics of the foot, which can later lead to ankle, knee, hip and spine problems;
- Plantar valgus of the foot (valgus plantation). A curvature of the ankle that occurs in children with an inherited condition. Inadequate treatment leads to altered gait and spinal problems;
- hip dysplasia. A developmental joint disorder that causes displacement or subluxation of the femoral head;
- clubfoot. A condition in which the inner edge of the sole is curved upward and inward, and the toes are also curved inward;
Olga Alexandrovna Polyakova 02/19/2019.
Many thanks to Dr. Olga Alexandrovna! She answered all my questions in detail, it is very important for me that the specialist comments on her actions and explains why she is doing it. She put me at ease and gave me recommendations for my daughter. After the appointment I went home in a good mood!
I had a visit with Ilyina Ekaterina, we enjoyed it very much, she looked at my baby and gave me recommendations. It's nice to find a doctor that we can trust and who will take care of our child. We thank her from the bottom of our hearts!
Neyaskina Lyubov Anatolievna 01/10/2019.
Doctor Lyubov Anatolievna is a very pleasant interlocutor, she knows her job and is a highly qualified specialist. She knows how to make a child feel at home and is very good at getting a good attitude. She has the right recommendations and advice for the future. Thank you for your work, that's a rarity these days!
Kudryashova Kira Vladimirovna. Great doctor, saved us from many problems. We were diagnosed with a hip dislocation because our baby contracted staph at the maternity hospital. We are 12 now and doing very well, going for a routine check up soon. I am very grateful to her, I wish her good health and much success in her professional life. doctor from God.
Emergency visit:
Verified reviews on our website will help you choose one of our pediatric orthopedic surgeons and no longer put off treatment by making an appointment now.
Very good doctor!!! Reported at the end of November. An awkward situation arose – 20 hours before the flight I had a very awkward fall, hurt my knee and could hardly move. I had already made an appointment with Umejon Raufowicz at the VHI 15 hours before the flight. He had an ultrasound and x-ray done and although a knee injury is best diagnosed by an MRI, which I didn't get in time, he did functional tests and found there was no torn ligaments and given the fall I escaped relatively easily. I then had surgery, blood was pumped out of the joint, a bandage was applied, and recommendations were made. This did not interrupt my journey and by following all of the doctor's recommendations, including wearing a splint and walking with a cane for two weeks, my leg began to heal and I can now walk more or less normally without a cane, just with a rail. You can't even see that I'm limping. He believes that in about a month full functionality will be restored (at the moment the leg is not fully bent, but walking is no longer an obstacle). The doctor was very helpful, I was very afraid that the trip would be ruined. But everything was fine, the manipulations to pump the blood out of the joint were done very professionally, there were no recurrences, and the knee stopped swelling or fever. I'm very glad I went to him. I highly recommend him.
I would like to sincerely thank Dr. Kazmin Anatol D. Thank you! I've been going to him for many years. During this time, the doctor has practically become a family doctor: our older son was treated by him, and after our daughter's arrival we will go to him again. He always gives us qualified help, the necessary professional advice, reassurance and a positive attitude. Thank you to a doctor with a calling.
Indications for referral to a pediatric orthopedist
- Your child's arms and legs are different lengths;
- There are pronounced deformations of the bones of the skull, chest and limbs;
- There is limited joint mobility;
- Your child is found to have delayed development of support and mobility skills (unable to hold up their head, crawl, or stand on their feet);
- Older children may complain of pain in the spine, arms, and legs;
- The child may have a strong hump;
- Gait disorders (hopping, limping, etc.).
Regular visits to a pediatric orthopedist/traumatologist are essential:
- premature children;
- Infants diagnosed with delayed intrauterine development;
- children who have suffered birth trauma;
- Patients with neurological disorders.
The earlier the child is examined, the more effective the prescribed treatment will be. Since the musculoskeletal system in small children is just developing, most pathological processes can be corrected at an early stage.
What does a visit to a pediatric orthopedist look like?
The doctor first makes contact with the child, and then, in a relaxed atmosphere or even playfully, conducts a visual examination. The orthopedist scans the joints and bone structure, assesses muscle tone and motor skills. After an interview with the parents and the collection of initial data, the specialist will order tests.
Infants in the first year of life are examined by a pediatric orthopedist and traumatologist every three months. After that, further investigations are carried out if necessary. It is important for parents to know that all everyday situations in children can lead to injuries. So it happens e.g. For example, pulling a skipping rope often causes shoulder dislocations, excessive hopping can cause dislocations and even fractures, opening narrow doors can cause bruises and broken fingers, etc.
When should I make an appointment with a pediatric orthopedist?
A specialist should be consulted if the following symptoms and conditions are present:
- Significant growth and developmental delay compared to peers;
- Slow independent movement after the age of 1.5 years;
- pain in the feet, lower legs, hips, and spine that occurs with movement;
- Rapid fatigue and decreased physical activity;
- Visible curvatures of the upper and lower limbs;
- impairment of fine motor skills;
- impaired development of writing skills, convulsions when writing;
- pain during exercise, etc.
How does a visit to the doctor work?
The specialists at the Miracle Doctor Clinic care for patients with a variety of problems of the musculoskeletal system. During the visit, the pediatric orthopedist examines the hip joints, back, upper and lower limbs, spine, joints, etc. A child-friendly approach is guaranteed. Toddlers are not intimidated by unfamiliar surroundings and the sight of white coats.
If necessary, additional diagnostics are carried out. In addition to the basic clinical examinations, instrumental examinations can also be ordered for the small patients:
The equipment available to the specialists in our medical center allows a correct diagnosis to be made. The devices are multifunctional and completely safe for babies.
Smaller patients with injuries are treated by a pediatric orthopedist.
Corrective procedures are usually performed at a more mature age, when the musculoskeletal system is already formed. Therefore, in our clinic, conservative orthopedic treatment is usually prescribed for children. This includes massages, various physiotherapeutic treatments and wearing posture correctors and other orthopedic aids. For older children we prescribe physical therapy, physical therapy, pool exercises and games.
In the event of related problems, it may be necessary to consult other specialists. Patients from Moscow and other cities can see a pediatric orthopedist and other doctors on the same day.
If your child has sustained an injury or suspected musculoskeletal disorders, don't put off seeing a doctor. Our specialists will do everything to help your child!
To make an appointment with a pediatric orthopedist or other doctor, call us at the Moscow phone number provided on this page or use the return form.
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