Which doctor do you go to if you have joint problems?

Joint pain causes discomfort, inflammation, pain and stiffness. Joints are the places where two or more bones come together. Pain can occur for a variety of reasons and can indicate an injury, malignant tumor, autoimmune disease, or other abnormal processes in the body.

Doctors to see if you have shoulder pain

The symptom of shoulder joint pain can be caused by a variety of medical conditions. If you are experiencing this symptom for the first time, you should make an appointment with your GP, who will refer you to an appropriate specialist.

Which doctors treat shoulder pain

Possible diseases associated with shoulder pain

• Polymyalgia rheumatica
• Fracture of the proximal end of the humerus
• inflammation of a nerve
• Hernia of the cervical spine
• Periarthrosis of the shoulder and scapula
• splenic cyst
• Shoulder Impingement Syndrome
• fracture of the humerus
• spinal hernia
• myalgia
• hernia
• lung apex tumor.

Shoulder pain is a sign of possible serious health problems - see a doctor!

All physicians treating shoulder pain 424

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Recommendations before visiting the orthopedist

An orthopedist diagnoses, prevents and treats congenital and acquired deformities of the musculoskeletal system, including the consequences of trauma. There are children's orthopedists and adult orthopedists. In children, preventive examinations by an orthopedist are recommended: at the age of 1, 3 and 9 months, and annually thereafter.

There are no special preparations for a visit to the orthopedist. You should shower hygienically and wear clothes that you can easily remove during the examination. It is very important that you bring any scans and CT scans you have previously taken with you.

Diagnosis of shoulder pain

Your doctor will tell you what tests you need to have. They can be prescribed:

• Ultrasound examination of the shoulder joint
• X-ray examination of the spine
• Magnetic resonance imaging of the shoulder joint
• CT scan of the lumbosacral spine
• X-ray of the soft tissues
• MRI scan of the lumbosacral spine
• MRI of the shoulder joint
• Ultrasound examination of the shoulder joint
• MRI of the spleen
• X-ray of the spine
• MRI of the shoulder
• MRI of the lumbosacral spine
• Computed tomography of the cervical spine
• Functional diagnostics Electroneuromyography (ENMG)
• MRI of the lungs
• CT of the cervical spine
• CT scan of the spleen
• CT scan of the lungs
• CT (computed tomography)
• CT scan of the arm
• X-ray of the cervical spine
• CT scan of the shoulder joint
• MRI scan of the thoracic spine
• CT scan of the shoulder
• CT scan of the thoracic spine
• MRI scan of the cervical spine
• MRI scan of the cervical spine
• Ultrasound examination of the shoulder
• bronchoscopy
• MRI of the cervical spine
• PET CT
• cardiovascular ultrasound
• Shoulder joint ultrasound
• X-ray of the spine
• Computed tomography of the shoulder
• Endoscopic methods Arthroscopy
• MRI shoulder
• Functional diagnostics Electroneuromyography (ENMG)
• Computed tomography of the joint (1 piece)
• X-ray examination of the joints
• MRI of the lymph nodes
• Ultrasound examination of the joints
• MRI (Magnetic Resonance Imaging)
• MRI of the thoracic spine
• MRI of the cervical spine
• Ultrasound examination of the spleen
• CT scan of the lumbar spine.

Name the main joint pathologies:

1. Bursitis is a condition in which fluid builds up in the joint capsule. There is pain, inflammation, redness, and swelling in the affected area.
2. Baker's cyst - a watery mass appears under the kneecap. The knee hurts and swells and needs to be treated by a trauma surgeon.
3. Synovitis – is an inflammatory process in the synovial membrane of the knee or elbow. The joint is severely swollen and painful. A consultation with a traumatologist is required.
4. Gonarthrosis of the knee joint – the cartilage tissue is completely degraded and the patient has difficulty walking. This problem is treated by an orthopedist/traumatologist.

Diagnosis involves determining whether viruses are present in the patient's body. It is carried out:

When the diagnostic measures are completed, the doctor can make an accurate diagnosis.

Which doctor treats

Depending on the cause, joint diseases can be treated by the following doctors:

1. The rheumatologist – has a therapeutic profile. He deals with the initial stages of diseases caused by viral infections. At this stage, there is a slight discomfort in the joints and increased fatigue.
2. If the treatment prescribed by the rheumatologist is ineffective, and the disease has progressed to a more serious stage, the patient needs to see an orthopedist/traumatologist. This specialist is consulted when a joint is partially or completely destroyed, when the deformity has led to a loss of mobility, or when pain also occurs at night. The orthopaedist/traumatologist will find a suitable surgical intervention.
3. There is a possibility that the joint pain is caused by a pinched spinal nerve or inflammation of a nerve ending. In this case, a neurologist can help.
4. If the arthritis is due to a metabolic disorder, an endocrinologist may be consulted. Stress, poor or even unhealthy diet can lead to salt deposits in the joints, so that they lose mobility and function.
5. Infectious Disease Specialist – treats diseases caused by infections in the body. The pathogens can be fungi, viruses or bacteria.
6. Traumatologist – if the pain is caused by mechanical damage or if arthrosis has already severely damaged the joint.

causes

A healthy joint makes the bones flexible. It makes people capable of physical activity. But just as overstressing the joints leads to accelerated wear and tear, incorrect loading also leads to impairment of joint trophism. The lifestyle of modern man is therefore considered the main cause of joint diseases. Unhealthy diet, lack of exercise and chronic diseases contribute to the aging of the body and thus also of the bone joints.

The causes of joint diseases include:

• genetic factors;
• systemic connective tissue diseases
• Excessive stress on the joints;
• hypodynamia;
• Trauma;
• infections;
• circulatory disorders;
• disorders of innervation;
• metabolic disorders;
• autoimmune processes;
• age-related changes in the body, etc.

Pathological changes of an inflammatory nature can develop into degenerative changes. For example, the risk of osteoarthritis increases after a joint injury. Gout is originally a metabolic problem, but leads to salt deposits in the joints, which are accompanied by a pronounced inflammatory process. The degenerative-dystrophic changes in osteoarthritis can cause inflammation of joint components.

symptoms

Symptoms of joint disease depend on the nature of the pathological process. The main manifestations of joint pathology include:

• Joint pain (arthralgia). These can occur both during physical exertion and at rest. When a single joint is affected, the pain is localized; however, if several parts of the musculoskeletal system are affected, they appear in several places at the same time. The initial stages of arthrosis are characterized by pain at rest. In the later stages, the pain occurs after exertion and disturbs sleep at night. When the joints between the bones are affected, there is a sharp, shooting pain caused by compression of the nerve endings (so-called 'stabbing pain'). 'joint mouse').
• Joint dysfunction ranges from stiffness and the need to stretch at the beginning of physical activity to complete immobility of the joint (with ankylosis). With severe deformities, there is hypermobility of the joint, in which the amplitude increases.
• Crunch. In the early stages of the disease, the patient feels a slight crunch when returning to physical activity or performing certain movements. Joint deformities are accompanied by a loud cracking sound during physical activity.
• Decreased physical activity. The patient has difficulty performing normal activities. It may be that he needs to rest during long walks. Sometimes people consciously avoid certain movements because they feel uncomfortable in the joint.

Joint disease can begin with, or occasionally trigger, inflammation. Symptoms of arthritis include swelling, redness of the skin at the joint site, localized heat, and severe pain when bending and stretching. In the case of widespread arthritis, several joints are affected. The large joints, which are subjected to large loads, are most often affected.

Joint pain - arthralgia

Joint pain (arthralgia) often occurs during the normal functioning of the body. It can be pain after great physical exertion, physiological pain during pregnancy and in children and adolescents so-called growing pains. In this case, there is no reason for concern. If, on the other hand, the joint pain is related to an illness, the alarm should be sounded. First and foremost, the cause of the pain should be determined, and there are many causes. Let's look at the most important of them.

Diseases with symptoms of intoxication

This includes a wide range of acute and chronic diseases such as acute respiratory infections, influenza, chickenpox, as well as chronic cholecystitis, chronic tonsillitis, cancer diseases and others. The joints are affected by the toxic products formed in the body. The joint pain is variable and disappears without a trace once the underlying disease is cured.

Rheumatoid arthritis

Rheumatoid arthritis is an inflammatory disease of the joints. It affects the small joints of the hands and feet, and can also affect the ankles, knees, hips, wrists, and elbows. The acute pain comes on suddenly or increases gradually over several days. The affected joints swell and the skin around them turns red. A characteristic symptom is the morning stiffness of the joints. Symptoms such as fever and skin rash are sometimes also observed.

As the disease process progresses, the pain becomes bothersome and the stiffness of the affected joints becomes permanent.

Rheumatic polyarthritis

Rheumatoid polyarthritis usually occurs 1 to 3 weeks after pharyngitis or the flu, but it can also occur unrelated to the infection. The onset is acute and is accompanied by fever. The large joints are symmetrically affected, swollen and acutely painful. At the same time, the heart tissue can also be affected, which is much more dangerous than arthritis.

gout

It is an arthritis caused by the precipitation of small uric acid crystals in the joint cavity. Usually the big toe is affected - more precisely the joint that is furthest away from the nail. Other joints can also become inflamed. It occurs suddenly, usually at night or in the morning. The pain can be severe, and the joint and surrounding tissues can be swollen. The duration of the attack can range from a few days to several weeks. After some time, the seizures recur. Knots, so-called tofus, form in the joints. The pathological process affects the articular cartilage and ligamentous apparatus, and the joints are gradually deformed.

diagnostics and treatment

Of the diseases and conditions mentioned, only radiculitis and functional joint pain seem to fall directly within the purview of a neurologist. The other diseases tend to fall within the purview of rheumatologists, surgeons, internists, orthopaedists, endocrinologists, dermatologists, gynecologists and other specialists. Nevertheless, many patients make their first appointment with a neurologist - because it hurts!

You are absolutely right. Every neurologist is aware of this situation from the beginning of his medical career and deepens his knowledge of related medical specialties until the end of his career. Therefore, he is able to make a differential diagnosis faster and more accurately than any other specialist, identify the cause of the joint pain and prescribe an appropriate treatment.

Treatment isn't just about relieving pain. It is important to eliminate the underlying disease, that is, the cause of the pain itself. Our neurological department has all the prerequisites for this. A wide range of treatment methods are available, including therapy blocks, infusion therapy and carboxytherapy.

In summary, the following points should be noted. Many diseases associated with joint pain tend to progress. If left untreated, there is a risk of irreversible joint changes and permanent damage to joint function.

Don't hesitate to see your doctor!

The address of our clinic is Bolshaya Raznochinnaya Street 27, St. Chkalovskaya

Neurologist, neurophysiologist, homeopath, nutritionist, hirudotherapist with over 27 years of experience. She is a graduate of the St. Petersburg State Medical Academy. Your qualification is the highest category. She is a member of the Union of Neurologists of Russia.

Causes of joint diseases

The musculoskeletal system of every human being consists of bones, ligaments, muscles and joints. Changes in the function of a joint joint affect the function of the entire joint and lead to dystrophic changes and characteristic symptoms. Osteoporosis, for example, is a bone and joint disease in which bone density decreases, bone tissue becomes more fragile and the risk of fractures increases. The disease can be asymptomatic for a long time, but the most common changes are in the vertebral bodies, which cause them to move, cause pain and require a doctor's visit. Constant monotonous physical work with heavy lifting, static, 'sedentary' lifestyle, unreasonable, vigorous training in the gym - all this leads to excessive stress on the joints, which leads to wear and tear and deformity. Injuries, fractures and bruises sustained at home can result in strained muscles, ligaments, broken bones and general impairment of joint function. An unhealthy diet and a high body mass index lead to poor blood circulation in the tissues, high stress on the joints and rapid wear and tear.

Inflammatory causes of joint diseases

One cause of joint disease is inflammation caused by autoimmune or allergic reactions in the body, or by infectious agents. Arthritis is a collective term for joint diseases with an inflammatory etiology. This includes:

• Rheumatoid arthritis is an autoimmune disease characterized by an inflammatory process in the joints. Rheumatoid arthritis is caused by genetic, infectious and triggering factors. Their combined action triggers the autoimmune mechanism of disease development.
• Septic (infectious) arthritis is a disease in which joint inflammation is caused by an infectious agent transmitted either hematogenously (through the blood), lymphogenously (through the lymphatic and lymphatic systems), or directly (as a result of trauma and injury). becomes. So, the source of infection can be not only in the joint cavity, but also remote. The disease most commonly affects the large joints (monoarthritis), but as the disease progresses, the process can spread to the entire body.
• Polyarthritis is an inflammatory process that affects several joints at the same time or one after the other. It can appear as an independent pathological process or as a result of infectious and non-infectious diseases: sepsis, gout, heavy loads and others.
• Spondylitis is an inflammatory disease of the vertebral bodies, which leads to deformation and destruction of the vertebrae and a pronounced pain syndrome. The most severe form of spondylitis is spondyloarthritis - Bechterew's disease - in which joint mobility is severely restricted because the elastic connective tissue structure is replaced by bone tissue. It is thought to be caused by autoimmunity, heredity, and triggers in the form of infection, cold, and trauma.

symptoms of the disease

Each musculoskeletal disorder has its own characteristic symptoms and clinical features. However, there are some common symptoms that can be distinguished. One of the first symptoms necessitating a doctor's visit is pain. They may appear or worsen after minimal physical activity, at rest, or at night. Pain in the ankles and knees can occur when climbing or descending stairs. A person may experience discomfort when walking in familiar shoes.

A person with joint disease may experience a grinding sensation when moving, with slight movement, climbing a floor, twisting movements in the wrists.

An important diagnostic criterion is stiffness, which can be felt in the morning or after a long period of inactivity, e.g. B. when watching a movie occurs. The sufferer complains that after waking up or after resting, it takes a certain amount of time to stretch, to 'swing', and is then able to carry out normal activities. This symptom is particularly characteristic of the early symptoms of rheumatoid arthritis.

Inappropriate limitation of physical activity also suggests the development of joint disease. If a person has trouble walking the usual route home from the bus stop, if they have to stop, slow down, or crouch due to pain, this is a reason to see a specialist.

It is not uncommon for patients to complain of general weakness and body aches, comparable to flu-like symptoms. These symptoms are also of diagnostic importance in ruling out an acute respiratory viral infection.

Local changes directly in the affected joint are of great importance:

5. increased or decreased sensitivity to pain,

7. osteochondral hypertrophy and sclerosis.

All of these symptoms can be an expression of inflammatory, metabolic and degenerative-dystrophic processes in the joint.

Mechanisms of origin and types of diseases

First: inflammation in the body

This type of lesion is characterized by a sudden onset with a rapid increase in the symptoms of inflammation: swelling, pain, redness and fever. It occurs in infections, allergies and autoimmune processes in children and adults. juvenile arthritis
It is characterized by an autoimmune process (ie the body destroys itself) the cause of which is unknown. Infections, even in their mild forms (e.g. vaccinations), are often the triggering factor. The disease affects the large joints (knees, elbows) of children and adolescents, affecting their growth and development. The joint pain is accompanied by severe swelling, reddening of the skin and fever. Rheumatoid arthritis
Also caused by an autoimmune process of unknown cause. It affects women more often and the average age is 45-50 years. Up to 70 % of those affected are disabled. Small joints (or several) are affected, e.g. B. wrists, fingers. It affects patients' ability to work or to look after themselves. They complain of severe pain, swelling, changes in joint shape and morning stiffness. Psoriatic Arthritis
In almost half of the patients diagnosed with psoriasis, inflammation develops in the small joints of the hands, feet, and spine. The cause of the arthritis is unknown, as is the cause of the underlying disease. Psoriatic arthritis can affect the interarticular and large joints (elbows, knees), one or more joints, symmetrical or not. The main symptoms are pain radiating to ligaments and tendons, swelling and discoloration of the skin on the fingers, and restricted mobility. gouty arthritis
A complication of gout caused by the accumulation of uric acid salts in the joints. Men are affected more often than women, the age range is between 40 and 50 years or over 60 years. Involvement of a single joint is characteristic, which begins suddenly, lasts for several weeks and is associated with severe pain and swelling, with the formation of urticarial nodules (tophi). Spondyloarthritis in Bechterew's disease
A chronic condition affecting the spine, the muscles around the spine, and the sacroiliac joint in the pelvis. It affects men more often than women and occurs between the ages of 20 and 30. The main complaints are pain in the lower back, sacrum and hip joints, and movement stiffness after a period of rest (especially in the morning, after sleeping).

symptoms and diagnosis

Among the complaints that plague patients with joint pathology are: - pain;
– swelling and edema;
– change of shape;
– stiffness of movement;
- Inability to perform a normal amount of movement. Doctors call it joint syndrome. Doctors call it joint syndrome. Reddening of the skin, rash, and thick nodules may also occur. As a general symptom, patients often complain of fever in the affected area or all over the body and increased fatigue.

If you read the previous section, you may have noticed that all of these symptoms are present in almost any joint disease. It is therefore not possible to make a clear diagnosis based on your symptoms alone - an examination and a discussion with a doctor is necessary.

When examining a patient, the doctor not only pays attention to their complaints. In order to be able to make an accurate diagnosis, one must know when the symptoms appear, which joint is affected, whether it is one joint or several, whether the changes are symmetrical and other factors. Let's consider each symptom in more detail: Pains:
Occur with almost any pathology. Doctors distinguish between different types:- Flammable – Increased in the morning, after a period of rest. Characteristic of rheumatoid, juvenile, cystic arthritis, spondyloarthropathy. – Mechanically – Occurs with physical exertion or a change in body position, often in the evening, and resolves after rest. Characteristic of osteoarthritis, osteochondrosis, pathology of periarticular tissues. – 'startle' – Occurs within the first 15-20 minutes of physical activity after a period of rest. Characteristics of osteoarthritis. – ,Blocking'. – Caused by the entrapment of a piece of cartilage in the joint space, causing the joint to 'lock'. This may be accompanied by a crunch. Occurs in osteoarthritis. – persistent – Persistent, regardless of exposure or time of day, may increase at night. Characteristic of osteochondropathy, osteoarthritis, tumors and bone tuberculosis. Number of joints affected: – One (monoarthritis): in juvenile, cystic and psoriatic arthritis.
– Two to four (oligoarthritis): in rheumatoid arthritis, spondyloarthritis.
– More than four (polyarthritis): in rheumatoid arthritis, gouty arthritis. Symmetry of the lesions: – Symmetric: in rheumatoid arthritis.
– Asymmetric: in spondyloarthritis, gout, osteoarthritis.
– 'Hiking': for gout. Morning stiffness in the joints:
Perceived by the patient as an inability and a burden to move. It occurs in the morning and is related to the accumulation of fluid in the joint cavity overnight. Characteristic of rheumatoid arthritis and spondyloarthrosis. The doctor will also note general ailments:
– Increased body temperature;
– redness of the skin, presence of a rash;
– Discomfort in the internal organs. Laboratory tests (blood, synovial fluid) and technical tests (X-ray, CT, MRT, ultrasound) are required for an exact diagnosis.

Main causes of pain

1. Injuries: broken bones, damage to the epiphyseal ligaments with bone fragment tearing, intra-articular cartilage damage, permanent micro-injuries in athletes. Joint diseases are often the result of old injuries or a recent injury that has not been treated appropriately and in a timely manner.
2. Inflammation caused by infections entering the joint tissues through soft-tissue trauma, invasive procedures, or hematogenously (via blood vessels from other sources of infection in the body). The arthritis develops some time after a chlamydial, pseudotuberculosis, or other infection.
3. Aseptic inflammation (not related to an infectious agent) that occurs with physical exertion, microtrauma of the joints, obesity, dysplastic processes and osteochondropathies in children. It can be associated with fluid accumulation in the joint (synovitis), in the periarticular joint capsules and in the tendons (tendonitis, bursitis).
4. Degenerative osteoarthritis is a degenerative-dystrophic joint disease caused by damage to the cartilage on the articular surfaces and is aggravated by irritation of the joint structures and a pain syndrome.
5. Arthralgia as part of the joint syndrome in systemic diseases, in which the irritation of the osteoarticular structures is provoked by autoimmune processes in the joint tissue.

Many causes of joint pain require a medical evaluation. The investigation may include:

1. A survey of the complaints, a thorough medical history and an examination with clinical tests. In addition to the pain, other symptoms such as crunching and restricted movement can also occur. The pain is often caused by periarticular soft tissue injuries, tendon attachments in this area and periarticular capsule inflammation.
   For example, trochanteritis, where pain is caused by inflammation of the tendons of the powerful muscles of the pelvic girdle and lower limbs at the greater trochanter (bony prominence) of the thigh bone. The pain in this disease is very similar in type and localization to the pain in the neighboring hip joint.
2. Ultrasound examination of the joint is non-invasive, quick and harmless.
3. After the examination, the doctor draws up a plan for further examinations and carries out emergency management.
4. X-ray examination to assess the condition of the bone structure of the joint. It is a simple, routine exam, the 'gold standard' of musculoskeletal diagnosis.
5. Computed tomography of the joint, which provides a full volumetric image of bone damage.
6. Magnetic resonance imaging (MRI) to evaluate the soft tissues of the joint.
7. Diagnostic and therapeutic puncture for taking fluid from the articular cavity and subsequent examination of the articular cavity. Drugs can be injected into the joint cavity.
8. Laboratory diagnosis: Blood and urine tests, including tests for markers of systemic diseases.
9. Diagnostic Arthroscopy: Examination of the joint from the inside using an endoscopic technique. This method makes it possible to take material from the joint tissue for biopsy and even for therapeutic manipulations.

treatment of arthralgia

From the first day of treatment, drug therapy is aimed at stopping the inflammation in the joint, reducing pain and preventing complications. At the 1st visit, the patient can receive treatment:

• Therapeutic drug blockades.
• Kinesiology taping.
• Express orthoses: selection of various orthopedic fixators and correctors, pressure-relieving bandages and bandages, use of modern polymer immobilization bandages.
• Special gentle manual therapy techniques based on post-isometric relaxation.
• Physiotherapeutic treatments.
• Acupuncture.

After the examination is complete, the doctor makes a definitive diagnosis and develops an individual treatment plan for the condition that caused the joint pain.

The Health Energy Clinic's orthopedic trauma surgeon performs state-of-the-art reconstructive procedures:

• Intra-articular injections of various drugs and synovial fluid endoprostheses.
• Injections of platelet-rich autologous blood.
• Correction of the musculoskeletal system with individual orthoses (insoles) for the feet.
• physical therapy and much more.

Main symptoms of joint disease

When the first symptoms of joint disease appear, the patient himself begins to realize that something is wrong and that it is worth seeing a doctor. The most common signs of damage are as follows:

• pain and swelling;
• Decreased motor function;
• crunching when moving;
• impairment of fine motor skills;
• General weakness and fever.

If one or more of these symptoms appear, it is important to see a specialist. But patients often just don't know who to turn to.

What doctors treat for joint problems

Depending on the cause of the disease, there are two forms of treatment: rheumatology and orthopedics and traumatology. The rheumatologist treats milder cases where the joints are slightly deformed or not deformed at all, there is no pain at rest, and the disease is not protracted or severe. For diagnosis, the specialist prescribes rheumatological tests, C-reactive protein tests, virological tests and an examination of the synovial fluid.

In the case of injuries and more serious injuries, an orthopaedist/traumatologist must be consulted. He deals with the diagnosis and treatment of these diseases related to congenital and acquired abnormalities of bone and muscle tissue. These specialists help patients return to normal, active lives, especially athletes, by using minimally invasive surgical procedures such as arthroscopy or joint arthroplasty for treatment. Those who want to contact a specialist who will make an accurate diagnosis and conduct effective treatment can go to arthroscopy.kiev.ua, where experienced doctors of the highest categories work.

The most important thing is not to hesitate

Every fourth patient immediately consults a rheumatologist or an orthopedic trauma surgeon. This is not good, as the damage will only get worse over time. The longer it takes to see a doctor, the more serious the consequences can be. On the other hand, diagnosing and treating the problem as soon as it occurs saves time and money and allows you to get back to your normal life much faster.

I hope you found this article interesting and useful.

Specialists in the treatment of osteoporosis

Which doctor treats coxarthrosis of the hip depends on the degree of damage to the joint. The destruction of cartilage tissue is accompanied by different clinical symptoms at different stages of the pathology. There are many nuances in the treatment of this type of arthrosis. Thus, an operation can be performed even in stage II coxarthrosis, if the disease is progressing rapidly or the patient is in severe pain. On the contrary, in some cases, a high degree of progression can be treated conservatively. However, in general, the treatment of arthrosis at a certain stage is carried out by a specialist:

• Stage 1 The sufferer has temporary pain in the hip joint that increases with movement. It is often swollen in the morning, but the swelling subsides quickly. Initial coxarthrosis, as a rule, is treated by a general practitioner, unless there is a rheumatologist at the health center. A rheumatologist is a specialist in treating all types of arthritis. Treatment consists of physical therapy and may also include the prescription of drugs;
• second stage. The pain intensifies and occurs even at rest. The sufferer suffers from morning swelling of the joint and movement stiffness. Gait and posture are altered and there are difficulties in carrying out work activities. The main goal of treatment is to stop the progression of coxarthrosis as soon as possible. If it was caused by a previous injury, treatment is by a trauma surgeon. If the disease is caused by systemic joint diseases such as arthritis, treatment is under the supervision of a rheumatologist. Physiotherapy, medication and therapeutic exercises are recommended to patients;
• third step. A diagnosis of complete or partial ossification of the joint space is made. If the ossification has taken place in the wrong place, the affected person loses mobility. When the bones are fused in a more favorable position (leg straight), the patient can walk with a cane or crutch and the gait becomes specific and 'wobbly'. When complete ankylosis (fusion) has occurred, a hip replacement is used. If the fibula fusion is the cause of the ankylosis, less radical surgical techniques are used. In any case, a rheumatologist and an orthopedic surgeon are involved in the treatment of grade 3 coxarthrosis.

How to forget about joint pain and arthritis?

But orthopedist Valentin Dikul says that there is a really effective remedy for ARTHROS! >>>

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