What is another name for an orthopedist?

An orthopaedist can help with back pain, but you can also see a doctor with clubfeet, anomalies in toe development, congenital dislocations of the hip joint and diseases caused by infections, metabolic disorders or trauma.

Joint replacement: patient experiences and medical advice

Joint replacement surgeries were first performed about 30 years ago, and each year hundreds of thousands of people are relieved of their pain and are able to walk freely again thanks to the surgeon's efforts. New technologies are being developed and the number of postoperative complications is declining. However, most patients are middle-aged or older and have special needs that must be addressed both in preparing for surgery and during the recovery period. Orthopedic surgeon Maksim Mikhailovich Rankov talks about these distinctive features.

But it's not just physiological factors that limit what specialists can do. It is often psychologically very difficult for people to decide to have surgery. The fear of the operation, the fear of the consequences, make her postpone the appointment, endure the pain in the hope that tomorrow will be better (or at least no worse). A patient who went through all phases of her treatment: long doubts, surgery, rehabilitation and life after arthroplasty tells her story. On October 12th, World Osteoarthritis Day, MedAboutMe offers thought-provoking information. The decision rests with the patient.

First-class care: what modern diapers can do

Peculiarities of preparation for endoprosthesis surgery in elderly patients

Endoprosthetics is the replacement of a joint or part of it with an endoprosthesis or an artificial implant. Arthroplasty is a highly effective and often the only way to restore joint function.

The most common type of arthroplasty is hip replacement. The indication for an arthroplasty of this joint is a severe functional impairment of the joint. Osteoarthritis, which develops on average in people over the age of 50, and progressive osteoarthritis are the most common reasons for the need for a hip replacement. These diagnoses are also much more common in older patients than in younger ones.

The preparation phase is an important and integral part of the entire hip replacement process. Both the operation and the recovery period depend on the patient's condition before the operation. Elderly people require special attention during the preoperative examination.

In middle-aged and older patients, factors complicating the surgical and rehabilitation process are more likely than in younger patients, e.g. B.

• High levels of sugar in the blood, which causes damage to the walls of the blood vessels and affects the blood supply to the organs and limbs;
• Iron deficiency anemia (especially in women). This factor can be both a manifestation of a latent disease and delay recovery;
• a tendency to form blood clots;
• varicose veins of the pelvis and limbs;
• overweight. A body weight that exceeds the optimal BMI (Body Mass Index) can pose a serious obstacle to the body's adaptation to the implanted joint;
• osteoporosis, bone thinning, brittleness;
• cardiac arrhythmia, coronary artery disease;
• Chronic inflammatory processes.

Who is an Orthopedic Dentist?

An orthopedic dentist is a specialist with medical training and special retraining. His work helps restore the aesthetics of the patient's smile, restore chewing function, and ultimately maintain jaw and digestive tract health.

The most common job title for this practitioner is prosthodontist, as their job involves repairing missing teeth. As part of his professional activity, the prosthodontist works closely with dentists from other specialist areas. He is responsible for all phases of fitting artificial dentures.

Area of competence of the orthodontist

In order to be able to perform his duties competently, a dentist in the orthopedic department must not only have ideal knowledge of the medical basics (anatomy, physiology), but also have the ability to think technically. Dentists in orthopedics are confronted with a large variety of prosthetic materials on a daily basis, which differ drastically in their physical and chemical properties and in their construction.

The orthopedic dentist performs the following tasks:

• examination of the jaw and oral cavity of the patient;
• Collection of anamnesis, complaints, wishes of the patient;
• planning the phases of prosthetic treatment;
• Analyzing the results of jaw CT scans;
• quality control of segmental fillings;
• identification of defects in teeth;
• determination of the condition and volume of the jawbone and periodontal tissue;
• Identification of TMJ pathologies;
• advising the patient on the choice of orthopedic construction;
• dental impressions or three-dimensional computer modeling;
• Adjustment of the prosthesis to the patient, correction of inaccuracies in the design;
• final fixation of the prosthetic restoration in the patient's mouth.

types of diagnosis and treatment

Advice and treatment from an orthopedic dentist can cover a wide range of dental problems. The specialist diagnoses and treats

• Diagnostic examination of the teeth and bone conditions;
• Diagnosis of destruction of jaw bone and tooth tissue;
• restoration of the functionality of the teeth by inserting prostheses;
• Insertion of artificial devices (implants) that can replace canines, incisors and molars in the dentition.

It's important to remember that all dentists often work together, so when you visit your orthopedic dentist, be prepared to see your general dentist, orthodontist, and surgeon.

Only a comprehensive examination and treatment will help to ensure the longevity of dentures and implants and their timely insertion.

In most cases, a patient is referred to an orthopedist by a general dentist after the dentist diagnoses illnesses or problems related to this type of work in their office. If it is necessary to clarify the details of the patient's dental problems, the orthopedist may refer the patient for further examinations:

• orthopantomogram (shows a panoramic image of the jaw);
• Computed Tomography;
• Digital X-ray of the teeth;
• wax modeling of the jaw;
• axiography;
• diagnostic jaw models.

Sometimes a simple X-ray is sufficient, after which the overall picture of the treatment becomes clear. At the next stage, the dentist identifies temporary or permanent contraindications and takes them into account when making impressions, which are sent to the dental laboratory for further processing. When the work is finished, it is adapted to the patient and implants, bridges, etc. are made. The prosthetist then arranges appointments and explains to the patient how to properly care for the dentures and possible side effects during the adjustment period. Regular visits are necessary to ensure that the dentures are fully functional and to prevent further problems.

Types of prosthetics in dentistry

The main areas of dentistry practiced by the orthopedic dentist include implants, removable, fixed and conditional dentures.

Implants are a procedure to restore the aesthetics of teeth. The high cost of the material and numerous contraindications and limitations do not prevent patients from dreaming of a fully functional new tooth instead of artificial teeth or bridges.

The implantation method is limited to inserting a titanium post into the bone tissue where the missing tooth is located. Once the post has grown in place, the dentist screws an abutment, or the base of the future crown, onto its midsection.

High-quality dental implants can last more than 30 years, are firmly anchored in the bone and do not cause any discomfort to the patient.

In the case of removable dentures, in the future the patient takes care of the dentures and sometimes takes them out. Removable prostheses are made of plastic, nylon or as a plate prosthesis. They are relatively inexpensive, provide good chewing function, are durable, and can improve the appearance of teeth. Some types of removable dentures solve the problem of complete tooth loss in the upper or lower jaw.

Fixed dentures are more complicated, but the result is worth it. However, there is one important thing to keep in mind when it comes to fixed dentures: the neighboring teeth often have to be ground down, which can lead to the loss of healthy neighboring teeth. In addition, such a restoration is only possible if all healthy teeth are present in the vicinity of the dentures, because they serve as a support for bridges, crowns or inlays. The dentist or prosthodontist can therefore restore the damaged part of the tooth without having to resort to implants or prostheses when a filling cannot replace the tooth.

After treatment

From the day after the operation you can put some weight on your leg again. In the first two weeks after the operation, however, it is advisable to use an additional walking aid (cane) so that the postoperative wound heals better and faster. Full recovery of lower limb support occurs 4-6 weeks after surgery.

Recommendations from our doctors to prevent hallux valgus

There are some preventive measures you can take to prevent or stop the progression of hallux valgus.

1. 1. Eat a healthy diet. Avoid spicy or salty foods and limit carbohydrates and sugar. Include fruits and vegetables in your diet. Watch your weight because, as mentioned earlier, extra weight puts more stress on your feet and increases the risk of deformities.
2. 2.Do exercises for your feet. Plan 5-10 minutes for simple exercises. The most important requirement for the practice of gymnastics is regularity. Daily exercises strengthen the muscles and ligaments of the foot:

1. – Scatter small objects on the floor and pick them up with your fingers (pen, pencil, eraser, piece of paper);
2. – walk on your toes and heels
3. – do whatever you want with your toes in the air or on the sand (ground).
4. - Spread your fingers apart so they don't touch. Hold this position for at least a minute;
5. - Roll a bottle of water in your feet.

1. 3.foot massage. The foot massage can be done individually at home. Observe the basic rules:

1. - Keep your hands warm and dry.
2. – Massage your feet twice a day: morning and evening.
3. – Perform a foot and toe massage. Use tapping and stroking motions, focusing on the insole area.
4. – Massage the toes from the tips to the foot.
5. – Finish the massage by bending and spreading your toes.

If you ask for help, you will receive:

• the help of doctors who regularly train abroad,
• modern and, above all, inexpensive MRT and CT devices,
• a quick treatment,
• Materials and implants of proven quality from 3 million doctors,
• caring postoperative care.

Our experience – 30,000 healthy patients. We attach great importance to easy rehabilitation and full recovery in the shortest possible time.

Apply online, we will contact you shortly to answer all your questions.

Orthodontic dentistry and its activities

An orthodontist deals with the complete restoration of a damaged tooth system and its aesthetics.

An orthodontist is also popularly referred to as a prosthodontist because their main job is to attach dentures. However, the work of the orthodontist is not limited to dentures:

• treatment of periodontal tissues;
• the restoration of a partially destroyed tooth (with the entire root);
• working with patients who no longer have all their teeth;
• Fixed issues with chewing food;
• Treatment of the temporomandibular joint.

The orthodontist will also help restore the implant's original color so that it does not contrast with the dentition. This is already a question of the aesthetics of the smile.

Professionally used implants do not interfere with chewing and speaking.

An orthopedic dentist can restore a partially decayed molar tooth or replace it with an artificial implant. Modern dentistry has innovative methods of tooth replacement when a large part of the tooth crown has decayed.

Veneers are tooth fillings that cover small aesthetic imperfections. For example, a small chip in the tooth enamel or a yellow discoloration of the tooth. Veneers protect the tooth enamel from premature wear.

• diagnosis
• therapy, treatment;
• Preparation of the oral cavity for prosthetics;
• making a plaster cast of the jaw;
• insertion of implants;
• insertion of prostheses.

If there is a loss of gum or bone tissue, the orthopedist restores the bone and gum volume. The dentist also rebuilds and strengthens the enamel layer.

When do I need a referral to an orthopedic dentist?

It is not uncommon for dentists from other specialties to refer their patients to an orthopedic dentist. A restorative dentist may refer a patient to an orthodontist for the reconstruction of a severely fractured molar. If the root is intact, the crown can be enlarged or otherwise rebuilt without using an artificial implant. The therapist will not take on this task.

prosthetic methods

All prosthetic and implantological techniques that are known in modern orthopedics are presented below.

microprosthetics

This method is indicated when it is not advisable to fill a broken molar: when the walls of the tooth are badly damaged but the root is intact. Lumineers or veneers are used to protect the device from further damage. These are dental fillings made of ceramic or another dental material.

Inlays and onlays are used in orthopedics. An inlay is a plate that is attached to the enamel on the front of the tooth crown. Inlays cover the tooth canals and are used to restore the side molars.

Micro-restorations are the quickest and most gentle method of restoring tooth integrity.

What is the difference between veneers and lumineers? Veneers need to be ground down, Lumineers are placed on the front of the tooth walls without grinding down the enamel layer. They are much thinner than veneers. The disadvantages of veneers include that once removed, no other type of denture can be used, only the same one. This is due to abrasion of the enamel layer during placement. Due to the thick layer of the veneers, re-surface treatment is required.

Lumineers do not require resurfacing as the thickness of the veneers does not exceed 0.03mm. However, not all aesthetic defects can be concealed with Lumineers. For example, chipped enamel cannot be covered with veneers.

Removable dentures

Removable dentures are accessible to everyone due to their low prices, and there are discounts for seniors. The downside is grinding the healthy units: a painful and tedious procedure. The doctor then makes a plaster cast and takes it to the laboratory, where a technician makes the removable prosthesis.

Removable prostheses differ in design, price, type of attachment and material. These prostheses consist of a solid base on which crowns are attached. In the case of bonding, the removable dentures are attached with dental adhesive. In the case of partial loss of molars, they are attached to the remaining units in the jaw.

spine surgeon

If you have back pain, the first thing you should do is make an appointment with a spine doctor. Because spine specialists specialize in the diagnosis and treatment of musculoskeletal disorders, the advice of a spine specialist is essential in particularly complex cases.

• Neuralgia;
• scoliosis
• kyphosis
• lordosis
• osteochondrosis;
• spinal injuries;
• dorsopathies;
• herniated discs.

Since the spine is directly connected to the nervous system, the spine surgeon deals with neurological diseases. For this reason, patients sometimes come to him with symptoms that have nothing to do with the spine - hearing, vision, circulatory, digestive or respiratory disorders.

Vertebrology is a relatively new medical specialty, making it difficult to get an appointment with a specialist in the field.

chiropractor

If minimally invasive treatment of the spine is required, it is not enough to register for the first massage in Serpukhov. A chiropractor is just the ticket. He does not prescribe surgery, injections or medication. The chiropractor's only tools are his own hands.

Unlike a normal massage therapist, it is an in-depth work on muscles and joints that requires medical training and surgical precision of movements.

Chiropractors deal with the correction of scoliosis and help treat:

• back discomfort and pain;
• Headache;
• Arthrosis;
• Arthrosis;
• intervertebral fractures;
• osteochondrosis;
• tipping;
• chronic fatigue.

There are contraindications for chiropractic. The treatments are not carried out in the case of:

• Pregnant women after the first trimester;
• spinal injuries and tumors;
• In acute forms of heart attack or stroke;
• during recovery after surgery;
• Patients with infections and inflammation in the joints.

Baking (acute) pain in the foot without trauma

Walking puts a lot of strain on the foot. Sometimes those affected feel discomfort, limp and can no longer put full weight on the foot. Burning (stabbing) pain in the foot without trauma is also common. They can be intense and last only a few minutes, or they can be chronic. In the latter case, if the symptoms occur regularly, it is extremely difficult to get rid of them. Such sensations may be accompanied by pain:

The patient needs to see a doctor for a diagnosis. Alternatively, an online service can also be used to identify the complaints. The software gives an estimate in just a few minutes. This way you can determine how serious your problem is. Based on the result, you should not start self-treatment. It is still important to go to a medical facility where professionals can diagnose and help.

What diseases can be a symptom of foot pain?

Discomfort in the lower limbs can also be a symptom of various diseases. The most common include:

• plantar fasciitis. It is characterized by symptoms in the morning and after a long period of rest. Patients often develop a heel spur.
• Arthrosis. These are usually caused by age-related changes in the body. A complication of such a disease can be bunions, an inflammatory process in the ankle joint capsule.
• Benign overgrowth of nerve tissue. This disease is also known as neuroblastoma. It is most commonly diagnosed in women. The burning pain in the foot usually occurs when wearing uncomfortable shoes with a narrow toe. Over time it feels like there is a rock stuck between your toes.
• injuries. Sprains are the most common cause of pain. These must be confirmed by an X-ray.
• heel spur. A small growth does not cause pain until it becomes inflamed. After that, the symptoms become frequent and intense.
• erythromelalgia. Especially common in men over 40 years of age. Pain is relieved when something cold is placed on the affected part of the foot.
• Elongating warts and ingrown toenails. These problems occur in people who wear improper footwear.

Causes of flat feet

Acquired flatfoot is classified according to the cause of the foot deformity. A distinction is made between:

• Traumatic flat foot.. Occurs as a result of trauma – fracture of the bones of the foot, ankle, damage to the connective tissue of the arch of the foot;
• Paralytic flatfoot.. Occurs as a result of muscle paralysis of the foot (eg, as a complication of polio);
• Rachitic flatfoot. In children with rickets, bone mineralization is disturbed during the period of intensive growth: they become plastic and soft. The same applies to the bones of the foot, which deform under the influence of the child's weight;
• Static flat foot. It occurs when the musculoskeletal system of the foot cannot cope with the load it is carrying. It is the most common form of flat foot (over 82 % of all cases).

Static flat feet are not caused by a disease. It can occur in both children and adults. The main factors that contribute to this condition are.

• congenital ligament weakness;
• overweight;
• Weakness of the muscles and ligaments in the foot as a result of low physical activity (sedentary lifestyle, especially sedentary work);
• Inappropriate footwear. Women's shoes with a high platform or heel are almost guaranteed to cause flat feet;
• Increased stress on the foot due to life circumstances (pregnancy, job that requires constant standing, etc.).

The consequences of flat feet

Flat feet result in a loss of cushioning in the foot. As a result, when walking, the entire skeletal apparatus suffers an acute shock. This shock is transmitted up through the skeleton and reaches the brain. With severe flat feet, these excessive loads impact different areas, causing:

• Changes in gait and posture. The gait becomes ponderous, 'clubfoot';
• foot problems and pain in the foot;
• Diseases of the knee joint (deforming arthritis, menisitis, knee laxity) and knee pain;
• Diseases of the hip joint (coxarthrosis);
• Diseases of the spine (osteochondrosis, scoliosis, herniated discs, radiculitis) and back pain;
• Headache.

Who 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 in life, so a pediatric orthopedist is a doctor who oversees a child's development virtually from birth. The full name of the specialty is orthopedic traumatology, with possible additional designations such as vertebrologist, arthrologist and chiropractor.

Congenital musculoskeletal disorders include hip dysplasia and dislocation, valgus foot, spinal anomalies (Klippel-Feil syndrome, cleft vertebrae), syndactyly, brachydactyly, and 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 check-ups with the pediatric orthopedist 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 no congenital OPC abnormalities are overlooked in the child. Reasons for self-referral can include asymmetry of the groin and buttock folds, different limb lengths, flexion, leg curvature, and gait abnormalities. Consultation with a pediatric orthopedist is also required in children with abnormalities on hip ultrasound.

During the visit, your child will need to be stripped down to their diaper or panties, so it's best to choose clothes that can be easily removed to go to the doctor. The pediatric orthopedist examines the head and neck, the spine, all joints and performs movement tests. All this does not cause the child any inconvenience. The doctor must be presented with investigations into the actual problem: ultrasound scans of the joints, X-rays of the feet or spine.

According to our information, there are a total of 752 pediatric orthopedists in Moscow, including 185 women and 567 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

A great doctor, Evgeniy Olegovich! In the clinic on Chertanovskaya I received a series of intra-articular injections with platelet-rich plasma and chondroprotection. I was very happy that the doctor performed the injections almost painlessly and under ultrasound control.

I came to the appointment with my tests. During the visit, the doctor gave me injections and a block. I would go back if needed and would recommend this specialist.

I was treated for a spur in my foot. I suffered for a long time until I found my doctor. The treatment helped. The advice to strengthen my legs was very valuable, so I decided to go swimming. Many thanks to the clinic for a competent, wonderful specialist.

The visit lasted about 50 minutes, the doctor examined me and spoke to me. At the end of the consultation, the doctor wrote a prescription and made recommendations. He treated me very well. I will definitely come again.

I went to the doctor because my child had foot pain. The main patient said the doctor was respectful, experienced, kind and attentive.
After the visit, the problems were quickly identified, the pain treated and further treatment initiated.

The visit went very well. The doctor did what he had to do: conducted a consultation, removed the mass behind my ear, and gave me an injection. After this visit I am satisfied with the doctor's work.

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