Who is the orthopedist

After such operations, patients will be restricted in their mobility. However, these are not significant, while as the scoliosis progresses they risk becoming completely disabled.

Who is an Orthopedic Surgeon?

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orthopedics (from Greek orthós - straight, right + paidéia - training) - is a branch of surgery that deals with the prevention, diagnosis and treatment of malpositions caused by congenital diseases, the consequences of trauma or diseases and the resulting functional disorders of the musculoskeletal system arise.

Orthopedics is closely related to traumatology, another clinical discipline that deals with the healing of injuries to the musculoskeletal system (bones, joints, ligaments, tendons and muscles) of various origins. In our country, these two fields of medicine form a single medical specialty called 'Traumatology and Orthopedics'.

Orthopedics, together with other sciences (e.g. biomechanics), forms the theoretical basis of prosthetics - a complex medical-technical discipline that lays down the principles for the manufacture and use of prostheses and orthoses (braces, bandages, devices, special shoes and insoles) to restore the lost form and function of the musculoskeletal system.

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An orthopedic trauma surgeon is an expert in correcting congenital physical defects such as foot, bone, or spine deformities.
An orthopedic trauma surgeon usually has in-depth knowledge in a specific area of traumatology and orthopedics, as well as broad general knowledge in his specialty. The First Step Rehabilitation Center offers you a consultation with trauma surgeon Denis Markovich Lurie, a specialist in traumatology, orthopedics, pediatric orthopedics, prosthetics and orthotics.

First investigation The first examination of an infant takes place in the delivery room, shortly after birth. When the baby is three months old, it should be examined by a pediatric orthopedist. This is done in order to detect subtle changes in the development of the skeletal and musculoskeletal system at an early stage. Early detection of clubfoot, torticollis, hip aplasia or dislocation and other anomalies allows early treatment and correction of pathologies at a time when the child's body is still very plastic.

Reconsultation The child should be examined by the orthopedist at the age of 9 months. At this age, the child learns to walk, and the functioning of the lower limbs is actively developing. It is very important to detect any anomalies, such as foot deformities, in good time.

B third Just at the age of three В at the age of one year or later, when the child begins to walk independently. At this point in the child's development, the gait and foot position must be carefully monitored, since the load on the child's legs increases and previously hidden pathologies may become visible.

What does the orthopedist pay attention to in a newborn?

Prevention is very important in pediatric orthopedics, so the specialist should be consulted at least five times during the child's first year of life. Most congenital orthopedic anomalies can be identified 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 or early childhood is many times higher, since the child's skeleton is still malleable and susceptible to deformation.

• Examination of the young patient;
• Identification of abnormalities (if any) and recommendation of additional diagnostics if necessary (ultrasound, X-ray, CT, MRI, etc.).
• Selects an effective treatment regimen and/or corrective actions;
• Monitors the treatment process over time and makes adjustments as needed;
• recommends a range of rehabilitation measures (massage, exercise therapy, physiotherapy, etc.) for a speedy and effective recovery.

At the very first examination of the newborn, the specialist will immediately Even during the first examination of a newborn, the specialist will immediately give an initial opinion and recommendations.

Why does a child need a preventive examination by a pediatric orthopedist?

Who is an Orthopedic Surgeon? And what does an orthopedist do? – we explained. First of all, it is necessary to examine young patients in order to prevent diseases of the musculoskeletal system, identify them early and then treat them. Prevention of serious orthopedic problems 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 over, there are problems with posture;
• Limb asymmetry (limbs of different lengths) is present;
• Restrictions or impairments in movement or motor skills are identified;
• The child tires easily, complains of pain or fatigue when walking;
• Signs of joint deformity and swelling, etc.

It is important to understand that what an orthopedist or traumatologist treats in children can be misdiagnosed and treated appropriately by a specialist of another specialty. Therefore, if a child is diagnosed with problems with the musculoskeletal system, an orthopedist should be consulted, because a correct diagnosis determines the effectiveness of the treatment and, as a result, the health of the child.

When should a child see a pediatric orthopedist?

Already at the age of one month, the doctor should carefully examine the child from head to toe, assess the shape of the head and trunk, check the range of motion of the joints, examine the condition of the muscles, offer appropriate exercises for the development of the joints and conduct the necessary tests prescribe and evaluate to exclude diseases of the musculoskeletal system. This may include X-rays and ultrasound scans. The decision lies with the doctor and is only made after a clinical examination!

And this examination should take place every time you take your child to the orthopedist.

How does the examination at the pediatric orthopaedist work?

If your child is not stripped down to their trousers during the examination, if they can be seen through clothing, or if the diagnosis is based on the results of an ultrasound or x-ray – get away from such a doctor as soon as possible! A competent orthopedist should always first ask you thoroughly about your child's symptoms and development, examine your child completely undressed, carry out a number of special tests and examinations and even if you come to him with heel pain, it is important to treat your child holistically investigate.

The examination takes place lying down, standing and in motion. Depending on the age, the orthopedist assesses the development of the musculoskeletal system. Did you know that after a certain age, the 'valgus' that is so much talked about and written about can be the norm? And flat feet are not always a pathology. And bad posture and scoliosis are not the same thing either. There are many peculiarities in pediatric orthopedics because the growing body goes through many changes before it becomes an adult.

That is why there are fixed follow-up appointments with the orthopedist – 1, 3, 6 and 12 months. After that, it's best to visit the podiatrist once a year so you don't overlook growth disorders that may occur as your child grows.
If you notice deformities in your arms, legs, fingers, chest, back, gait disorders, restricted joint mobility or pain, you should definitely consult an orthopedist.

Together we can stop the development of many musculoskeletal disorders in children if we identify them early and initiate the right treatment.

There are many modern methods of fixing various diseases of the musculoskeletal system.

When to see an orthopedist

See an orthopedist if

• you have pain in the joints of the upper limbs – hands, shoulders and elbows;
• you have pain in your feet, knees and hip joints;
• lower back pain;
• the joints are swollen;
• Your joints stiffen, become stiff, or feel stiff;
• you already have poor posture or flat feet;
• You suffer from joint stiffness when the weather changes.

When do you need a rheumatologist?

See a rheumatologist if you have had the following symptoms for 1-2 weeks

• your joints hurt;
• the stiffness persists in the morning; they need at least half an hour to relax and get back to normal;
• Persistent fever;
• Your joints are swollen or deformed and swollen;
• the skin around the joint appears hotter than the surrounding tissue;
• you feel weakness in your limbs or muscle pain;
• You notice vibrant pink nodules on your skin;
• Do you have a history of rheumatism in your family?

In this video, a senior rheumatologist discusses new approaches to treating osteoarthritis:

How is the orthopedic examination carried out at the age of 3 months?

The purpose and methodology of an orthopedic examination of a child at the age of 3 months is very similar to that of a newborn. However, at this age the doctor can detect abnormalities that are difficult to diagnose in infants in the first few days of life.

For example, congenital muscular torticollis that develops as a result of birth trauma may not present immediately, but only after scar tissue has formed at the site of the torn muscle fiber. If left untreated, the pathology leads to asymmetry of the skull, and conservative treatment becomes less effective with age. This is why the quarterly visit to the pediatric orthopedist is so important. During this small time from an adult point of view, significant changes take place in the child's body, and missing a visit to a specialist can significantly worsen the prognosis.

During the three-month visit, the orthopedist talks to the parents to find out what motor skills the child has acquired, whether there are any complaints about movement restrictions, pain, constrained limb posture and other questions about the child's development.

The manual examination is very similar to the neonatal examination, but is supplemented by an assessment of the dynamics of muscle tone changes and a review of the child's motor skills. If the orthopedist finds no abnormalities, the next visit takes place at the age of 6 months.

Why See a Podiatrist at 6 Months of Age?

When the child is 6 months old, the first conclusions about the development of the child can be drawn. If the parents did not miss the previous check-ups with the orthopedist, then the probability of detecting congenital anomalies of the musculoskeletal system at this age is relatively small. Therefore, at the 6-month examination, the main focus should be on the developmental dynamics of the child and assessing the effectiveness of orthopedic treatment (if any).

However, the importance of the orthopedic examination at the age of 6 months should not be underestimated, since at this age musculoskeletal disorders due to metabolic disorders such as rickets or phosphate diabetes can be detected. The doctor will also advise parents on the further development of motor skills, which can be very helpful, especially if the child is slightly delayed compared to the norm.

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What treatment options are there in traumatology and orthopedics?

Treatment methods for patients with injuries and diseases of the musculoskeletal system can be divided into two main groups: conservative and surgical methods.

In traumatology and orthopedics, various conservative methods are used in emergency care and treatment of patients:

• transport immobilization;
• soft and plaster casts;
• medicinal blocks;
• pharmacological treatment;
• Physical therapy;
• kinesitherapy;
• Massage;
• PRP therapy;
• acupuncture and other methods.

• Consultation of orthopaedists/traumatologists, neurologists, rheumatologists, physiotherapists and acupuncturists;
• Laboratory and instrumental studies;
• Intra-articular blockages, intravenous drug drops, PRP therapy, acupuncture, physical therapy, massage therapy.

surgical treatment

Surgical treatment in traumatology and orthopedics is carried out strictly according to the indication, e.g. B. in severe injuries of the musculoskeletal system, permanent deformities and diseases of the musculoskeletal system in an advanced stage. Surgical treatment methods include:

• open fracture reduction;
• open and closed extra-articular osteosynthesis;
• muscle, tendon and ligament surgery;
• bone grafting;
• reconstructive surgery;
• Joint surgery (synovectomy, arthroplasty, endoprosthetics, arthrodesis).

You can make an appointment with an orthopedic trauma surgeon by calling the Neurocel Medical Center or using the feedback form on the clinic's website. In our center, patients are treated by highly qualified doctors with extensive experience in traumatology and orthopedics. We will do everything we can to help you regain your full health and fitness!

What does the orthopedist treat in adults?

Musculoskeletal disorders encompass a large group of diseases that affect the bones and soft tissues that make up the skeleton, joints, and muscular skeleton of the body. Conventionally, they can be divided into diseases of an inflammatory and degenerative-dystrophic nature, trauma and its consequences, pathologies resulting from autoimmune and endocrine disorders, tumors and secondary damage to the musculoskeletal system.

Since it is not possible to cover all diseases of the musculoskeletal system in a single article, we will dwell on the pathologies that the orthopedist most often has to deal with.

arthritis

Arthritis is a group of inflammatory joint diseases of different origins, which can occur in acute and chronic forms. Primary arthritis is caused by infection, trauma, immunological and metabolic disorders; secondary arthritis develops as a result of pathological changes in the periarticular tissues, blood diseases, internal organs and malignant diseases.

The main symptom of arthrosis is pain in the affected joints, which can be moderate or severe. Pain syndrome is accompanied by swelling and redness of the skin and local hyperthermia. With inflammation of several joints, the local symptoms can be accompanied by general signs of intoxication: weakness, malaise and fever.

Our orthopedic surgeons are there for you.

arthrosis

Osteoarthritis is a chronic and progressive joint disease characterized by gradual breakdown of cartilage, changes in the joint capsule, synovial membrane, adjacent bones and ligaments. The most common causes of arthritis are degenerative-dystrophic changes in the joint, trauma, dysplasia, connective tissue abnormalities, and autoimmune diseases. The risk of developing arthritis increases with age.

The disease can be asymptomatic for a long time. With the destruction of articular cartilage and the formation of marginal bone outgrowths, patients develop symptoms of arthritis: crunching and pain in the joints, aggravated by movement and weather changes, morning stiffness, with further progression of the disease - limitation of mobility and deformation of the affected joints.

Osteochondrosis of the spine

Spinal osteochondrosis is a chronic disease of the musculoskeletal system, characterized by degenerative changes in the vertebrae and intervertebral discs. Almost all people develop osteochondrosis with age, but high loads, microtraumas and other chronic diseases of the musculoskeletal system contribute to the earlier development of the disease.

The main symptom of spinal osteochondrosis is pain. The intensity and duration of the pain depends on the degree of impairment. Most of the time, the pain is dull and constant. During periods of exacerbation, patients may need to adopt forced postures, restrict movement, and be physically active to relieve their symptoms. Left untreated, spinal osteochondrosis can lead to herniated discs, compression, and spinal cord infarction.

osteoporosis

Osteoporosis is a chronic disease associated with decreased bone density and strength. It is most commonly diagnosed in women over the age of 50 and is usually asymptomatic or with delayed symptoms.

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The medical report includes a consultation during which the orthopedist looks at the visible damaged structures, a clinical diagnosis of the patient with subsequent referral for additional radiological (MRI, ultrasound, X-ray, etc.) or laboratory diagnosis (test taking).

Based on the patient's feedback and the results of the examination, the orthopedist creates an individual treatment plan, accompanies the patient throughout the period of therapy, taking into account the patient's feedback, and observes the dynamics of the condition during follow-up examinations.

When should you make an appointment with an orthopedist? Symptoms of Musculoskeletal Disorders

The main symptoms of musculoskeletal disorders that require a visit to a podiatrist are.

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It is important to remember that the absence of apparent external injury (no limb axis disorder, no inflammation, no skin redness, no pain) does not mean there is no internal injury, as a person can experience traumatic shock and in the meantime organ or tissue damage can occur from the inside (e.g. in the case of rib fractures).

When the above symptoms appear, the first thing you should do is choose the best orthopedist in Moscow based on reviews from online resources. Then make an appointment with a highly qualified orthopaedist.

You can get expert advice in Moscow both for a fee and free of charge. As a rule, this does not depend on the qualification of the orthopedist, but on the clinic - the medical center - where you visit the orthopedist. Special promotions, often run by both high- and low-priced clinics, will help you get a free appointment with the best orthopedist.

If the consultation is free, the patient can spend the money saved on orthoses, for example, which is ultimately worth more than a paid visit to the orthopedist. According to patient feedback, a paid visit is almost always associated with an overpriced service. A free orthopedic visit does not bind the patient in any way, and a consultation with a good doctor is possible without risk of costs.

Visit and consultation with an orthopedist in the center. What does the orthopedist pay attention to?

– The doctor will ask about any medical conditions, previous illnesses and injuries that may be directly related to orthopedic health problems.

However, it is also important for the orthopedic surgeon to be aware of medical conditions that do not appear to be related to the current condition. Because one of the causes of rheumatoid arthritis is, for example, that streptococci get into the bloodstream and then deposit in the joints, for example as a result of a previous sore throat in the affected person.

Indications for visiting an orthopedic trauma surgeon

Timely consultation with a trauma surgeon will allow early detection of the disease, when conservative methods of treatment are effective and the risk of complications is reduced.

A visit to the orthopedist and trauma surgeon is recommended for the following complaints and abnormalities

• asymmetry of the skin folds on the buttocks and hips of the child;
• Pain in the muscles and joints
• movement restrictions;
• abnormal posture, stooping;
• flat feet, clubfoot;
• disproportion in the length of the limbs;
• tumors of the bones, muscles or soft tissues;
• Wry neck (torticollis), an unnatural position of the child's head or body.

If you notice any of these symptoms, you should make an appointment with an orthopedic trauma surgeon. The doctor will examine you, recommend tests, and refer you to a surgeon, neurologist, osteopath, or other specialist if necessary. For some diseases, doctors from related specialties must be consulted.

What diseases does an orthopedic trauma surgeon treat?

Orthopedic surgeons treat a variety of musculoskeletal disorders in adults and children:

• wry neck (torticollis);
• Congenital and acquired limb defects;
• clubfoot;
• curvature of the spine;
• flat feet;
• tumors, cysts of the musculoskeletal system;
• injuries;
• joint diseases.

Regular follow-up care by a pediatric orthopaedist/traumatologist is required for:

• rickets
• hip dysplasia
• In case of postpartum birth
• underweight
• and other anomalies

Poor posture and scoliosis are not uncommon in school-age children. These pathologies may require the consultation of several specialists: an orthopaedist, a surgeon, a traumatologist and a neurologist.

'The adult orthopedist and traumatologist primarily treats joint and spine disorders in adults. The doctor also develops preventive measures to prevent complications and the recurrence of the underlying pathology.

What does an orthopedic traumatologist do?

The first part of the specialization is traumatology. This means that an orthopedic traumatologist treats different types of injuries and their consequences.

The second part of the specialty is orthopedics. This field of medicine deals with diseases and defects of the musculoskeletal system.

This means that an orthopaedist/traumatologist specializes in prevention, diagnosis and treatment:

• Injuries to bones, joints, ligaments, tendons and muscles – such as broken bones, dislocations, strains and sprains, lacerations and bruises, etc.;
• Musculoskeletal disorders;
• congenital and acquired defects of the musculoskeletal system.

In addition to trauma, flat feet, inflammatory joint diseases, spinal curvature and osteochondrosis are among the most common problems that an orthopedic trauma surgeon is confronted with in his practice.

How the diagnosis is made

In the treatment of any disease, diagnosis is one of the most important steps on which the result of treatment depends. Orthopedic traumatology is no exception.

One of the most well-known and proven diagnostic methods used by orthopedists and trauma surgeons is the X-ray. And even with the availability of more modern medical technology, X-ray is still the best option for examining bone structure.

In orthopedic trauma surgery, a safe and non-invasive method – ultrasound – is used to examine soft tissue and joints.

Modern diagnostic techniques such as CT and MRI can be used to achieve the most accurate results possible.

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