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Who to go to for arthrosis

22 Jun 18

Which doctor should I contact for arthrosis of the foot?

The decision on this or that type of therapy is made by the attending physician after consultation with related specialists, including a rehabilitation specialist. If the patient is undergoing treatment for an illness, physical activity should be kept to a minimum.

Gonarthrosis can occur in three stages, each stage will have its own distinctive features. The pain will not be strong at all, more aching and dull, and occurs periodically. With the help of a complete examination, the specialist will be able to answer the main question, what stage of osteoarthritis the patient has and what kind of treatment he needs. The doctor will prescribe spa treatment, which must be done systematically once a year.

It is necessary to consult a doctor with arthrosis of the shoulder joint or if other joints are affected in the early stages, since the pathological process leads to destruction of the joint and disability of the person.

The doctor will carry out sanatorium treatment, which must be done systematically once a year. Cases where there may be consultations with other specialists are disadvantaged: It promotes the displacement of dumbbells. In order for the meniscus to be treated well, it can be done at the clinic.

The stomach will reveal the exact cause of the disease. The scheme of such specialists can be used in recreational medical centers, where their changes are quite expensive.

But, alas, he cannot be found in small towns; not even every regional hospital can boast of having such a specialist.

Initially, conservative therapy is always carried out, especially in the presence of systemic inflammation in the body. Here are some examples of very effective compresses based on natural products and herbs. Such medications relieve severe pain and stop the inflammatory process. An injured person with osteoarthritis, as we have already called, is seen by a traumatologist.

Who to go to with arthrosis? So which doctor should I contact? A therapist who is a generalist can advise which doctor to contact in a particular case.

  • Early symptoms of arthrosis include joint pain during exercise and morning stiffness. In this case, the most correct decision would be to visit a doctor as soon as possible for diagnosis and treatment.
  • People often ask the question:
  • A removed bunchuk, for which Malakhov was fired. Arthrologist, ball, rheumatologist, traumatologist, family man, TV channel, nutritionist - this is not all the arthrosis specialists involved in knee arthrosis. when, as if treatment was not started on time or mythical processes diclofenac for the treatment of rheumatoid arthritis, the joints hurt, despite all the working external remedies, when these deviations in the joints cause ischemic foot or limb pain, what elasticity is due to the doctor and pain, then only a specialist can live -orthopedist.

    Actually, for the third time he will be using a spear block, an orthopedist and a rheumatologist are doing onion rubbing. Intracellular clinical signs of arthrosis are:.

    Information assistance in the fight against arthrosis

    To prepare it you will need: Elena Cheremashentseva November 02 Which doctor treats arthritis and arthrosis? They are very effective in reducing joint pain and also relieve inflammation.

    This sport will in any case conduct an antimicrobial examination and prescribe a regimen. Miraculously, there is no answer and a half here. Recognition of osteoarthritis should be etiological [3,7]. For someone else's purpose, orthopedic traumatologists will require the optimal examination of the practitioner - arthroscopy. When a ruler is inserted, namely at the talar stage of the disease, for most arthrosis they are directed towards the patient.

    Risk factors for developing osteoarthritis

    This is how people ruin their joints. Painful joints are afraid of this cheap ointment like fire! If the patient is undergoing treatment for an illness, physical activity should be kept to a minimum.

    Since surfactant treats the disease, uric acid is contraindicated in treating arthrosis. Assimilation arthrosis 2nd degree. The solution will reveal the exact cause of arthrosis. With the model there are failures, but when you get up a sufficient amount of finance, you can monitor your foot, unlike a medical examination.

    Based on the main problems caused by arthritis, the painter turns to a surgeon, who prescribes a course of childhood arthrosis of the necessary feet. A red blood cell traumatologist will be needed on the bundle capsule. Well, if you have had enough, and an arthrologist is nearby, it’s better to do it right away. He will fly over to the doctors, refer you to a transverse specialist from the same bath, and if in the case there is an arthrological problem, a referral examination will take place.

    A few ringing usually affects people of a traumatic nature, women with excessive blood flow, and particularly those who have a disturbed exchange of venous blood in the extremities of some intoxicating world.

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    Which doctor treats arthrosis?

    Arthrosis often affects the legs of athletes and people whose work involves heavy physical labor. If the development could not be stopped at the initial stage, it is actively progressing, and you cannot do without the help of a surgeon.

    The hip and knee joints are most often affected; their diseases are called coxarthrosis and gonarthrosis.

    If coxarthrosis or gonarthrosis is repeated after 2 progressions, then the loss is sent to an orthopedic doctor. For this phenomenon, you can take the stage of the disease and determine what treatment is required to treat the fat. Smalets can prescribe sanatorium exhaustion, which must be done systematically at least once a year.

    Furuncle which doctor should I see?

    Which doctor should I go to with a boil?

    In any part of the body, a boil can cause severe suppuration of the tissue. The disease can spread along the tendons, muscles and blood vessels, causing widespread inflammation. And worst of all, the infection can enter the bloodstream and cause blood poisoning.

    Therefore, regardless of the location of the boil, its size and symptoms, you need to contact your local doctor. And then, most likely, you will need to go to the surgeon.

    It doesn't matter where your boil is:

    Eliminate even the thought of self-treatment. Do not open the tumor, much less try to squeeze it out. This is the easiest way to spread infection in the body. The maximum that can be done before seeing a doctor is to apply a bactericidal bandage. And if a boil appears near the mouth, then it is better to temporarily exclude solid food from the diet.

    Which doctors treat furunculosis

    In addition to the surgeon, the main doctor who should be contacted if a boil occurs, other medical specialists also treat the disease. The surgeon simply removes the boil, but finding out the causes of their occurrence and ways to avoid relapse is the prerogative of doctors of the following specializations:

    1. Dermatologist.
    2. Endocrinologist.
    3. Immunologist.
    4. Infectious disease specialist.
    5. It’s immediately clear which doctor to contact for single boils - a dermatologist. If you go to the doctor on time, before purulent abscesses form, you can do without surgical intervention. To do this, you will need to undergo a course of physiotherapy, treat the affected area with an antiseptic and ointments. You will also need to take vitamins and antibiotics.

      If you have reduced immunity, boils, what doctor should you contact if not an immunologist. A specialist in this profile will determine whether the appearance of boils is associated with a weakened immune system. And based on the results of the analysis, he will take measures to solve this problem.

      How to treat boils in children

    6. general;
    7. local;
    8. surgical.
    9. General treatment is prescribed when furunculosis becomes chronic or boils are in the danger zone. This is a medicinal type of treatment; the child is prescribed vitamins, antibiotics, and immunostimulants. The complex of therapy includes treatment of concomitant diseases.

      Local treatment of a boil in a child involves the use of antibacterial ointments such as:

    10. "Azelik."
    11. "Fucidin."
    12. "Levomekol".
    13. To speed up the breakthrough of boils, use Vishnevsky ointment.

      Surgical treatment requires medical intervention. When removing a boil from a child, local anesthesia is used. At the end of the procedure, the wound is treated with a disinfectant solution and a sterilizing bandage is applied to it.

      If during the operation the surgeon cannot completely remove the necrotic rod, drainage is left in the wound. During surgical treatment of boils, the child must go to dressings every day.

      Who to go to for arthrosis

      Pain in the knee joint can be “natural” (also called functional) in nature, and, which is much more common, it can be a manifestation of some kind of disease. The so-called functional pain in origin is akin to that which occurs in muscles after overloading them with physical work in the country or in the gym, and goes away quite quickly. However, if there are signs of inflammation, or arthritis, of the knee joint, this is a signal for urgent consultation with a doctor.

      What is knee arthritis?

      The knee joint consists of bones, intra-articular structures (for example, menisci, articular cartilage), ligaments that hold this structure in a certain position, and the internal lining of the joint (synovium). There is normally a small amount of fluid inside the joint, which acts as a lubricant and “nutrient solution”.

      Classic signs of inflammation are dull, arching pain, an increase in the volume of the joint and smoothing of its contours (edema), redness of the skin over the surface of the joint (optional sign), increased temperature in the knee area, the inability to fully support the leg, or increased pain when trying to bend or straighten your leg at the knee.

      Specialists in the treatment of diseases of the musculoskeletal system have to deal with the following causes of arthritis:

      - “inflammatory” or autoimmune rheumatological disease (rheumatoid arthritis, spondyloarthritis, psoriatic arthritis, gout, systemic lupus erythematosus and some others). In these cases, inflammation inside the joint is caused by a “breakdown” in the immune system, in which the body’s own defender cells begin to attack its own cells of the internal lining of the joint.

      - osteoarthritis in case of exacerbation . Osteoarthritis is a disease of the musculoskeletal system, which is not very aptly called “degenerative”. It occurs in people who work physically, in those who often walk a lot, especially on stairs, as well as in athletes (often regardless of the sport - heavyweight weightlifters get sick just as often as track and field athletes and runners). Men and women become “victims” of osteoarthritis with equal frequency. The development of this disease is also facilitated by flat feet not corrected in time, wearing uncomfortable shoes, including high heels, in short - any inadequate load on the legs in general and on the knee joint in particular. “Natural” load—a person’s body weight that exceeds the norm—is itself a fairly serious risk factor for the development of osteoarthritis, the first sign of which may be inflammation of the knee joint.

      (if there was a blunt injury to the joint, sprain or rupture of ligaments or intra-articular structures, which often happens, for example, when falling from skiing).

      - the Baker’s cyst stands apart - an intra-articular fluid formation that periodically fills with synovial (articular) fluid. Such a “bag” can cause a lot of trouble if it grows to large sizes (sometimes up to several tens of centimeters) or festers.

      - infection . Several dozen microorganisms and viruses have been described that can cause inflammation of the knee joint. These are chlamydia, and ureaplasma, and streptococci, and the herpes virus, and the hepatitis virus... If it is possible to identify the pathogen and select the appropriate drug, arthritis disappears without a trace.

      -inflammation against the background of a general disease. Unfortunately, such severe conditions for the body as cancer, HIV infection, tuberculosis, sarcoidosis and some others can occur with symptoms of arthritis. Such diseases do not occur very often, and are usually accompanied by weight loss, loss of appetite, weakness, shortness of breath during exercise, pallor, and heavy sweating. An experienced therapist, summing up all the data obtained, will without much difficulty identify the true “culprit” of arthritis, and, with successful treatment, joint pain disappears just as it appeared.

      Why does the joint swell, increase in volume and hurt?

      The main reason is the accumulation of a large amount of fluid inside the knee joint. The “expanding”, “dull”, “pressing” nature of the pain is explained in this case by purely mechanical reasons. The fluid presses from the inside on the walls of the joint, and, finding no way out, causes pain. In addition, the fluid formed in the knee joint during inflammation contains a huge amount of substances that irritate the intra-articular structures. These substances additionally cause the production of fluid - and a vicious circle is obtained. The third cause of inflammation and pain is the settling of uric acid crystals (popularly called “sand”) in the joint. These crystals are tiny needles that cause microdamage to intra-articular structures, the synovial (articular) membrane, contributing to the development of arthritis.

      Symptoms of knee arthritis

      What worries the patient when it comes to the knee joint? As a rule, there is a dull bursting pain, the inability to bend or straighten the leg, and less often, “jamming” of the joint. Often, a crunching or clicking sound occurs when bending or extending the leg in one or both knee joints. It is very important to clearly formulate when it hurts, at what time of day, and under what load.

      What do you hear? Conversation with the patient.

      The very history of the appearance of pain in the knee joints can already prompt the doctor to make a diagnosis.

    14. Firstly, the doctor will rule out the post-traumatic nature of the inflammation.
    15. Secondly, he will ask questions about the presence of “inflammatory” diseases in relatives. It is known that diseases such as rheumatoid arthritis, spondyloarthritis (simultaneous damage to the joints of the limbs and the skeleton of the spine), as well as some others, can be inherited.
    16. Thirdly, it will clarify the condition of other joints. It often happens that the leading complaint of a patient at an appointment is pain in the knees, and upon questioning it turns out that in the morning it is difficult to bend or straighten the fingers, or at night they have pain in the lower back, or it has become difficult to put on shoes due to swelling of the ankle joints. The so-called “multiple” joint damage is a hallmark of some inflammatory rheumatological diseases, as well as polyarthritis in some “general” diseases, for example, cancer.
    17. Fourthly, it is very important to clarify the general condition and well-being of the patient. It usually does not suffer from post-traumatic arthritis and osteoarthritis.
    18. What can be seen during the examination?

      During examination, the presence of skin defects - bruises, scratches, injections - will strengthen the doctor’s opinion that he is dealing with a patient with post-traumatic arthritis. It also happens that the injury only “triggered” the autoimmune process, but this happens much less frequently. The doctor records the presence of signs of inflammation (we discussed them in detail at the beginning of the article) and signs of arthrosis. The latter are determined by the presence or absence of pain when pressing certain “painful” points and tests with “passive” movements.

      Surveys. Which specialist should I contact?

    19. Orthopedic surgeon . Most often, patients with diseases of the musculoskeletal system turn to surgeons or traumatologists. Or to orthopedic traumatologists, if they are available in the clinic. This is where the first diagnostic search and the first diagnostic errors occur. Orthopedists are rarely well-versed in the field of rheumatology; their task is to diagnose and treat post-traumatic changes in the joint.
    20. Therapist . This is the doctor to whom the patient turns if, in addition to pain in the knee joint, there are so-called “general” complaints: increased body temperature, weakness, weight loss, morning stiffness in the body or individual joints. The therapist is the person who can (and should) suspect the presence of an “inflammatory” rheumatological disease and prescribe at least a blood test. Further along the chain, the patient is usually referred to a rheumatologist.
    21. Rheumatologist . The best option for the patient. Narrow-profile specialization allows rheumatologists, already at the stage of examination and questioning, to get as close as possible to the cause of the problem, prescribe the necessary additional examination and select the correct treatment as early as possible. Often, it is timely prescribed medications that determine the patient’s prognosis for work ability, physical activity, and sometimes even life.
    22. Infectious disease specialist . Solves a rather narrow range of problems, but is necessary when it comes to arthritis associated with infection. To be sure that the pathogen is removed from the body forever and arthritis does not recur, regular monitoring is needed, which is carried out by an infectious disease specialist.
    23. Diagnosis of knee arthritis

      To clarify the diagnosis, in addition to laboratory methods, so-called instrumental methods are widely used. It’s good when we have the entire arsenal of diagnostic procedures at our disposal, we can choose the most informative ones that best suit the clinical situation.

      — Radiography . The cheapest, but insufficiently informative method. It will allow you to evaluate the structure of the bone: whether there are gross bone destructions or excessive bone growth (this is called “proliferation” and is similar to the formation of growths or spines). In some cases, the gap between large bones will be narrowed, in other cases it will be widened. All these are indirect signs by which an experienced radiologist can assume, for example, the presence of osteoarthritis.

      — Ultrasound (ultrasound examination) . This research method is highly respected by surgeons, since, unlike radiography, ultrasound allows us to understand what happens to the soft structures of the joint - ligaments, tendons, menisci - which suffer, first of all, from injuries. Using this method, it is possible to identify joint “sacs” filled with fluid (Baker’s cyst), due to which the joint can “lock up”. Many machines now have the ability to see deposits of uric acid crystals, which in the vast majority of cases confirms the diagnosis of gout.

      — MRI (magnetic resonance imaging) . An expensive, quite informative method that serves to identify a small amount of fluid, initial signs of bone tissue destruction, meniscus tears - in general, those changes that are not visible either on an x-ray or ultrasound.

      — Arthroscopy . The only method that allows you to “live” see the joint from the inside. Through special punctures, a video camera is inserted into the joint on a flexible conductor, allowing the doctor to assess the situation as accurately as possible. The disadvantages of this procedure are the need for anesthesia, a rehabilitation period of several days, possible complications (including suppuration of the joint).

      — Laboratory methods . Using a blood test, you can determine whether the occurrence of arthritis is a sign of an autoimmune disease, or whether it is a manifestation of inflammation purely in the joint area, not spreading throughout the body. The second situation is much more comforting for both the doctor and the patient.

      Signs of general, or as rheumatologists say, systemic inflammation include:

      • increased ESR (erythrocyte sedimentation rate)
      • inflammatory changes in the body will “confirm” an increase in the level of leukocytes and lymphocytes (these indicators will also be increased in infectious (reactive) arthritis).
      • A biochemical blood test will be useful, first of all, to determine the level of uric acid in the blood (this is, first of all, a sign of gout), as well as to determine possible contraindications to the prescription of medications (increased liver enzymes).

        Immunological tests are the most expensive, but also the most informative studies. Without going into too much detail, let's just say that one immunological test may be enough to make a diagnosis.

        What if all the test results are negative, there is no inflammation, but the phenomenon of arthritis is pain and swelling?

        In this case, complex treatment of osteoarthritis or post-traumatic phenomena is prescribed (the diagnosis is clarified using instrumental research methods).

        Treatment of knee arthritis

        The main thing that worries a patient with knee arthritis is how to relieve pain. Those who are faced with this problem for the first time begin to uncontrollably take tableted non-steroidal anti-inflammatory drugs, or, even worse, inject them intramuscularly. These drugs are randomly sold in the pharmacy chain, like vitamins or cosmetics! But every medicine, in addition to its indications (pain, inflammation), also has its own contraindications. Pharmacists usually do not know about this, or do not consider it necessary to remind.

        For example, that non-steroidal anti-inflammatory drugs should not be taken for gastritis and ulcers of the stomach and intestines, as well as for hemorrhoids and coronary heart disease.

      • Non-steroidal anti-inflammatory drugs are the drugs that are usually used to start the treatment of knee arthritis.
      • “Local” treatment - a variety of gels, creams and ointments containing the same non-steroidal agents - can be used quite freely if there is no skin reaction to the medicine used (redness, itching, peeling). In case of intolerance to the gel or ointment, it should be discontinued, and later, after normalization of the skin condition, local treatment should be resumed with another agent.
      • Treatment of autoimmune diseases is carried out only by a rheumatologist under strict supervision.

        Special drugs are used that suppress “raging” immune cells exactly where it is needed.

      • Drugs from the group of chondroprotectors require patience from the patient, perseverance in achieving the intended goal and a clear understanding of the meaning of treatment: slow (otherwise it will not work) and gradual improvement of the structure, and, consequently, the function of articular cartilage.
      • Physiotherapeutic treatment. Used for osteoarthritis, post-traumatic arthritis, gouty arthritis. These are procedures so beloved by “resorts”, based on the influence of magnetic, ultrasonic waves, weak laser radiation, and local application of cold. In autoimmune diseases it can cause even greater aggravation.
      • Fixation or orthosis of the joint. The purpose of this treatment is to give the inflamed joint rest and relieve it. Bandages, orthoses, and elastic bandaging are used.
      • Intra-articular and periarticular administration of steroids quickly achieves an anti-inflammatory effect. This method of treatment should not be confused with the “blockade” favored by surgeons, when a novocaine solution is injected into certain points around the joint for pain relief (this procedure is performed, for example, on football players during a match when there is no way to rest the injured leg). Steroid or glucocorticosteroid drugs cannot be administered more often than once every 3 months; in addition, they can cause quite serious side effects.
      • Hyaluronic acid preparations. They are prescribed for osteoarthritis and represent a “prosthesis” of synovial fluid. In the classic course of osteoarthritis, there is little synovial fluid in the knee joints, it is viscous and does not sufficiently fulfill its shock-absorbing and nourishing role for cartilage. Injecting these medications directly into the joint using a syringe allows you to achieve a long-lasting pain reliever and, most importantly, an effect that improves the very structure of the joint.
      • Recommendations for patients with knee arthrosis

        1. Nutrition. For diseases of the musculoskeletal system, no special diet is required, with the exception of gout. If gout is detected, this imposes certain restrictions on the patient: it is necessary to exclude “red” meat (beef, veal, lamb), tomatoes, smoked meats, spices, fresh leafy greens, and alcohol from the diet.

        2. Treatment of the underlying disease, the manifestation of which is arthritis of the knee joint. It is worth setting yourself up for a fairly long-term, perhaps several months or even years, treatment with repeated courses. But the easy walk is worth it, isn't it?

        3. The fight against excess weight is the cornerstone for most patients with osteoarthritis. We must remember that human joints are “designed” by nature for a certain weight, and not the one we like.

        4. Physical therapy, swimming, cycling. Sufficient physical activity is vital for those who are faced with the problem of osteoarthritis.

        5. When walking, it is strongly recommended not to go up and down stairs; this increases the “wear and tear” of the knee joints.

        6. You should not skimp and purchase good quality, orthopedic shoes if possible, or order orthopedic insoles based on an individual impression. Like physical education, swimming pool classes or taking prescribed medications, this is a financial investment in your own body, which will reciprocate in response to care!

        Which doctor should I contact if I have diarrhea (diarrhea)?

        Diarrhea can usually get better within one to two days if a specific situation is causing it. But in some cases, despite the measures taken, it continues and then you cannot do without the help of a doctor. It is necessary to urgently go to a medical facility if traces of blood are clearly visible in the stool, or the stool is dark, almost black.

        An upset stomach is dangerous due to dehydration of the body, and if we are talking about severe diarrhea accompanied by vomiting, especially in a small child, then you should consult a doctor if you cannot cope with the diarrhea throughout the day. If you have diarrhea, your doctor will determine the presence of infection and the water level.

        If a child has diarrhea, contact a pediatrician, and an adult should consult a therapist. Based on the examination and laboratory tests, the therapist may refer you for a consultation with a gastroenterologist or infectious disease specialist. If diarrhea becomes chronic and lasts more than a week, contacting a gastroenterologist becomes a necessity. The list of functional responsibilities of a gastroenterologist includes the treatment of all organs directly involved in the process of digestion and the body’s absorption of nutrients supplied by food.

        The following studies are prescribed:

      • Laboratory analysis of stool for the presence of bacteria, parasites, and other signs of infection.
      • Establishing a diet that excludes allergic foods to analyze how these changes will affect the stool.
      • Sigmoidoscopy or colonoscopy to rule out causes of diarrhea due to intestinal disease.
      • The doctor prescribes treatment for diarrhea based on the results of the study and laboratory tests, taking into account the clinical picture of the disease. If necessary, the doctor may prescribe additional ultrasound and fluoroscopic examination. If the cause of diarrhea is an infection, then consultation with an infectious disease specialist is recommended. This doctor orders additional tests:

      • culture and smear on flora;
      • blood chemistry;
      • serological diagnosis of intestinal diseases.
      • A gastroenterologist is usually consulted only in cases of serious disturbances in the quality of life, when diarrhea prevents normal life activities. However, it should be taken into account that by postponing a visit to the doctor in case of prolonged or complicated diarrhea, a person provokes self-poisoning of the body. As a result, somatic disorders develop, the general condition worsens and the immune system is weakened. A person determines which doctor to contact for diarrhea independently. The main thing is that this visit does not drag on.

        Which Doctor Should You See for Neck Pain?

        Which doctor should I go to if my neck hurts?

        Sudden spasms in the cervical spine can cause many problems for every person. At the same time, few people know which doctor to contact for neck pain in the first place. People suffering from such symptoms should find out which specialist can give them an accurate diagnosis and prescribe the correct treatment.

        The cervical spine always bears a huge load, so acute or chronic pain in the neck should be a signal to a person that some kind of malfunction has occurred in the body. If the discomfort does not disappear for a long time, you must first make an appointment with a therapist. This doctor will interview the patient, conduct a visual examination of the affected area, and order the necessary tests. Having received the test results, the doctor will be able to make a preliminary diagnosis and, if necessary, send the patient to a specialist.

        Most often, the following studies are required for diagnosis:

      • X-ray;
      • Magnetic resonance imaging;
      • CT scan.
      • People who are interested in the question of which doctor to contact if they experience neck pain should know that different specialists can treat such a symptom.

        Most often, the therapist prescribes a patient a referral to doctors such as:

      • Neurologist. You will have to contact this specialist if the cervical nerve is pinched or the spinal cord is damaged. Very often, such pathologies are accompanied by severe headaches radiating to the back of the head, dizziness, high blood pressure, convulsions, darkening of the eyes, etc. If a person has similar symptoms, he can immediately, bypassing the therapist, visit a neurologist, who will find out the cause of the pain and prescribe therapeutic measures.
      • Vertebrologist. In case of serious disorders of the musculoskeletal system, the patient will need the help of a vertebrologist. This doctor treats intervertebral hernia, arthritis, spondylitis and other similar ailments. The vertebrologist will select the necessary physical procedures and physical exercises for the patient, which will help quickly get rid of the problem without surgical intervention.
      • Osteopath. Contacting an osteopath will be necessary for those people who have developed degenerative changes in the joints and vertebrae. A doctor of this specialization specializes in correcting posture, treating osteochondrosis, eliminating congestion in joint and muscle tissues, etc.
      • Rheumatologist. This specialist treats diseases associated with damage to bone and muscle tissue. It is necessary to consult a rheumatologist if you have problems with joints, rheumatism, arthritis, etc.
      • Orthopedist. Orthopedic doctors will help those people who suffer from osteoporosis, scoliosis, deformation of the vertebrae and intervertebral discs, thinning of cartilage tissue, and joint damage.
      • Traumatologist. It is necessary to go to a traumatologist if your neck hurts after a recent injury. The doctor will be able to diagnose a bruise, sprain or even a fracture localized in the cervical region.
      • It is necessary to understand that all of the above specialists deal with similar problems. In some cases, diagnosis and therapy may require consultations with several doctors at once, who can look at the same problem differently and prescribe the necessary medications and procedures.

        In addition to diagnostic doctors, a sick person may also need the help of a massage therapist, chiropractor, physiotherapist, or acupuncturist. Doctors in these specialties will help you cope with the symptoms that arise from neck disease.

        A patient who has already figured out which doctor to contact for neck pain should also understand how he needs to behave at the appointment so that the doctor can make an accurate diagnosis. When talking with a medical specialist, the patient needs to describe all his sensations (talk about the nature and location of the pain), and also tell him exactly when the problem area began to hurt. A person must remember whether he was exposed to hypothermia, engaged in intense physical activity, etc. All this information will help the doctor determine the reasons that caused spasms in the cervical spine.

        Neck pain is one of the most unpleasant symptoms that prevents a person from living a normal life. Experts insist that no one should endure pain or suffer from severe cramps for a long time. In case of primary or constantly recurring occurrence of pain, it is necessary to contact a local physician, who can identify the cause of the disease and give a referral to specialist doctors.

        Memo: which doctor to contact for pain in various organs and parts of the body

        Which doctor to contact for certain pain sensations can save time and money and avoid making an erroneous diagnosis

        Therefore, we offer you a small reminder in which you can find medical specialties for certain pains in various organs and parts of the body.

        Who to contact if you have a headache

        Therapist, neurologist, endocrinologist . The list can be continued for a long time, since many diseases are caused by headaches. And if you are wondering which doctor you should contact first, then, of course, this is a therapist. Based on the question and answer, the therapist can get an approximate picture of the disease. In the future, he must decide what tests and what examination should be performed to clarify the diagnosis.

        The next step will be either the prescription of treatment, if this is within the competence of the therapist, or a referral to a specialized specialist if the doctor finds signs of a particular disease.

        Pain in the stomach and intestines: which doctor should I contact?

        Therapist, gastroenterologist . As in most cases, the first doctor you should visit is your general practitioner. A good therapist will determine the “nature” of pain better than you, will consider a wider range of causes of pain in the intestines, and will know the best methods for determining the disease.

        In addition, a gastroenterologist is a specialized specialist in the gastrointestinal tract. For pain in the stomach and intestines, you can contact him directly.

        Pain in the back, neck, lower back, spine and tailbone

        Neurologists, neurosurgeons and traumatologists are specialists who can properly determine the cause of pain in the spine and what is associated with it: the lower back, tailbone and back in general. Often, back pain is associated with osteochondrosis of various parts of the spine, clamping of the intervertebral discs, which also have their own gradation and severity.

        The number 1 doctor here is neuropathologists and neurosurgeons. If you remember some kind of injury, a fall, a blow, etc., after which pain appeared in your back and spine, then a traumatologist can provide proper medical care.

        Pain in legs, knees, feet

        Traumatologist, orthopedist, rheumatologist . If the pain in your legs is associated with an injury, bruise, fall and other physical impacts, then contact a traumatologist - most likely, you have damaged something and a traumatologist is a specialist who, by the nature of his activity, determines the cause and severity of the injury and the best methods treatment.

        If the pain in the knees, feet and legs in general is systematic, then there are two potential options:

      • see an orthopedist: problems with bones and joints;
      • see a rheumatologist: suspicion of rheumatism or rheumatoid arthritis.

      Each specialist should interview you about your symptoms, order diagnostics and tests to confirm or rule out a particular disease, and, once diagnosed, prescribe treatment.

      Pain in the heart, chest, under the shoulder blade on the left: choosing a specialist

      Therapist, cardiologist . Since pain in the heart, discomfort in the chest and under the shoulder blade from the back can have different causes, you can first consult a therapist. Perhaps heart pain is a consequence of another illness and is not directly related to the heart. Otherwise, the cardiologist conducts an examination, prescribes diagnostic methods, and then treatment methods.

      Kidney pain: who treats

      A nephrologist is a specialist in kidney diseases. The kidneys themselves can hurt for various reasons, be it inflammation, infection, urolithiasis, etc. If your kidneys are clearly hurting, then rush to see a nephrologist.

      In addition, the knowledge of a urologist . So we don’t rule out this specialist either.

      It happens that with a disease of the lumbar spine, the pain radiates to the kidney area. And here you should contact a neurologist or neurosurgeon . Although, we admit, this is a rather delicate point, which can only be determined by a specialist based on additional symptoms and a competent diagnosis.

      Which doctor should I consult if I have a constant headache?

      Headache (hereinafter referred to as headache) is one of the most widespread nonspecific symptoms found at any age. The terms “cephalalgia” or “cranialgia” are also used to refer to pain in the head area. Cephalgia can be a symptom of 45-50 diseases.

      Epidemiology and classification of cephalgia

      According to statistics, 80% of the population suffers from headaches regularly. In 30%, the malaise causes a decrease in ability to work, attention and concentration.

      Classification and frequency of occurrence of different types of headaches

      nasal cavity, sinuses, teeth, oral cavity or other structures of the skull and face

      Which specialist can help?

      If you have frequent and intense headaches, you should urgently consult a doctor. Depending on the nature of the pain syndrome, several specialists treat the disease.

      1. Therapist (family doctor). A specialist with a broad profile, after conducting a basic survey, he will be able to refer you to the necessary, narrow-profile specialist (for example, an ophthalmologist, an ENT specialist).
      2. Neuropathologist. Is the specialist to whom your therapist will refer you if the cause of your pain is related to neurological disorders. He is the most qualified specialist in the treatment of cephalgia. You can safely seek help from this doctor if the pain syndrome differs in intensity and duration, and is seriously bothering you.
      3. Psychotherapist. This doctor will treat you if your headaches are accompanied by depressed mood, depressive syndromes and obvious mental stress. You can go to him on your own if you suffer from migraines (regular, severe excruciating pain, not caused by injury, often concentrated in one side of the head).
      4. Reflexologist. The treatment method is optimal for the prevention of headache attacks, while the specialist uses needles or fingertips or magnets on biological points of the body. It is recommended to contact him after consulting a therapist or neurologist.
      5. When should a patient see a doctor?

        Headache is not always an independent disease, the result of stress and fatigue, concomitant chronic pathology. Sometimes an illness signals a serious pathology.

        Many people have headaches, but you should immediately consult a doctor if you experience the symptoms shown in the table below (according to V.V. Osipova). In addition, you should seek advice if you have cephalalgia, the cause of which you do not know, if its secondary nature is not excluded, if headache reduces normal daily activity and quality of life, as well as if it is detected in a child.

        Clinical features and symptoms of the most common types of headaches

        Before you choose which specialist you need to see for treatment, you should at least guess what kind of headaches you are suffering from.

      6. Tension headaches. Everyone suffers from them from time to time. The symptoms of this type of pain are described as follows: a pressing, squeezing sensation in the temple area. The pain seems to wrap around the head like a hoop. It often bothers both sides, spreading up from the back of the head or vice versa. Has moderate to medium intensity.
      7. Migraine. It occurs in the form of attacks, localized only on one side of the head in the forehead and temples, supraorbital region. Accompanied by sensitivity to light and sound, and may have an aura. Typically, this pain syndrome intensifies with physical activity. It does not pose a threat to the functioning of the brain, but the intensity reduces the ability to work and is difficult to tolerate.
      8. Overuse headache. This type of headache is caused by taking various medicinal pain medications (analgesics, ergotamine derivatives, etc.). Initially, the pain is similar to typical migraine attacks, but over time, as the number of medications taken increases, it develops into a chronic form. Accompanies a person all day, from the moment of awakening. It is characterized as dull, moderate, bilateral, diffuse and fronto-occipital. Increases with physical and mental stress.
      9. Diagnostics: conversation and examination

        When you visit your doctor, you should be prepared to answer a series of questions about your situation and describe your symptoms.

        Frequency of pain: daily, once every three days, once a week, once a month.

        Duration: hour, day, day.

        Characteristics: dull, sharp, aching, stabbing, weak, moderate, intense, pulsating, squeezing.

        Combination with other symptoms: nausea, vomiting, dizziness, irritability to light and/or sound, etc.

        Medicines you took to relieve illness: name, dose, time and frequency of use.

        Supposed causes of pain: stress, results of illness or injury, etc.

        Additional examination methods

        If standard diagnostic measures have not identified the exact causes of pain, they turn to special research methods:

      10. Trans- and extracranial Dopplerography. Used to visualize blood vessels. Angiography can also be performed (a contrast agent is injected intra-arterially). These methods make it possible to study the presence and location of an aneurysm, the state of the vascular bed, arterial occlusion, etc.
      11. MRI or CT. Makes it possible to diagnose or exclude a tumor, infarction, hematoma, cyst, focus of contusion, subarachnoid hemorrhage, the presence and severity of intracranial hypertension, brain atrophy, demyelinating diseases, aneurysms. Widely used by modern specialists.
      12. Ultrasound (for example, neck vessels).
      13. Consultations with specialized specialists (ophthalmologist, ENT specialist).
      14. Laboratory diagnostic methods.
      15. Main therapeutic areas

        When the cause of cephalalgia becomes clear, the specialist treats the disease in the following areas:

      16. Drug therapy. Includes the prescription of drugs from the NSAID group, triptans, muscle relaxants, anticonvulsants, antiemetics, etc.
      17. Physiotherapy and exercise therapy. Helps in cases where pain is caused by a sedentary lifestyle and diseases of the spine. For example, in the case of osteochondrosis, scoliosis.
      18. Psychotherapy. This type of treatment is prescribed by a psychotherapist when depression and anxiety are detected, or the patient is overly focused on his headache. Treatment is carried out through sessions and with the participation of antidepressants.
      19. Manual therapy. Conducted by a doctor - a chiropractor (usually with a diploma from a medical school and specialization in neurology). Prescribed in cases where frequent headaches are associated with diseases of the bones and spine. There is no drug intervention in this practice.
      20. Acupuncture. Prescribed by a reflexologist. Acupuncture is practiced at points that are responsible for organs, problems with which caused headaches. Despite the relative frivolity of the method, studies have confirmed its positive results. Patients who complained of headaches reported significant improvements in 80% of cases.
      21. Osteopathy. Refers to alternative medicine methods. It implies the improvement of the entire body with the help of manual manipulations by a specialist. Acupressure is often used, which affects areas responsible for harmony between organs and the overall health of the body. Has no complications.
      22. Drug treatment

        Today, many medications have been invented to combat headaches. To purchase a significant portion, you need a prescription from your doctor.

        What drugs are available without a prescription and how to take them?

        Abortive (that is, attack-interrupting) over-the-counter drugs: acetaminophen (paracetamol), aspirin, a combination of NSAIDs and caffeine. They muffle and relieve pain, but do not treat the disease itself and are not a preventive measure for a new attack. They are allowed to be taken no more than once every two weeks.

        Exceptions: menstrual pain, pain caused by ARVI or influenza, results of alcohol poisoning. This applies not only to headaches, but also to any others. If you need these abortifacient drugs more often, you should contact your physician. If you overuse it, your head may start to hurt even more.

        Analgesics and non-steroidal anti-inflammatory drugs: acetaminophen, aspirin, naproxen, ibuprofen, nimesil. It is often contraindicated to take, as they have a negative effect on the gastrointestinal tract, kidneys, and hematopoiesis. It is also prohibited for use by pregnant and nursing mothers (except for paracetamol and ibuprofen). The tablets should not be chewed when taken and must be washed down with water.

        Drugs that include antispasmodics or have a similar effect, such as no-shpa, papaverine, spasmalgon, spazgan, etc. can only be used for certain types of headache.

        Prescription drugs and their contraindications

        • combinations of analgesics that include barbiturates;
        • combinations of analgesics with codeine;
        • analgesics that contain narcotic substances (tramadol);
        • triptans and ergotamines;
        • muscle relaxants and antidepressants.
        • It is strictly prohibited for pregnant or lactating women to use drugs from these groups (with the exception of some types of muscle relaxants and antidepressants).

          Analgesics can have a negative effect on the gastrointestinal tract (for example, provoke gastritis, peptic ulcer), so the period of use and dosage are discussed exclusively with a specialist.

          Do not take for diseases of the kidneys, liver or digestive tract. Also not recommended for heart patients. You should not drink anything other than water; other drinks weaken the effect of the drug. When taking it, you must completely avoid alcoholic beverages.

          In addition to some analgesics, anticonvulsants, antidepressants, triptans, baclofen, and catadolon are available for sale by prescription.

          Cephalgia bothers everyone from time to time. It is necessary to sound the alarm and contact qualified specialists when headache manifests itself either more than once every two weeks, or in cases where it is particularly intense and unbearable.

          Even if frequent ailments are obviously caused by hard work and everyday stress, the help of a doctor is necessary. Ignoring headaches is knowingly taking the risk that you will miss the main symptom of a serious illness. For any disease, late diagnosis has extremely unpleasant consequences.

        • Bokonjic R. Headache / Trans. from Serbian Croats – M.: Medicine, 1984.
        • Shtok V.N. Headache. – M.: Medicine, 1987.
        • D. Hayer Headache. Neurology. Edited by M. Samuels. Practice, 1997.
        • Jerry Adler, Adam Rogers "From a sick head...". Results 02/16/1999
        • Neurology / Ed. M. Samuels; Per. from English – M.: Praktika, 1997.
      Categories : Treatment methods

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