Doctors arthrosis osteochondrosis

arthrosis and osteochondrosis

Popular articles on the topic: arthrosis and osteochondrosis

In Ukraine, as in many other countries, there is an increase in the number of elderly people. The aging of the body is associated with osteoarthrosis, spondyloarthrosis, intervertebral osteochondrosis, spondylosis, osteoporosis and other diseases.

The neck is a small structure of great importance. And the neck is a place that can hurt, complicating movements and making our lives difficult. What causes neck pain, how to treat it and how to prevent it - let's figure it out.

Acute back pain is a complex and important medical and social problem. Between 80 and 100% of adults experience back pain at least once in their lives.

IV International Medical-Pharmaceutical Congress on the development of current, uncomplicated therapy for pain syndrome associated with degenerative and inflammatory diseases of the ridge.

The relationship between aging and disease is a stumbling block for modern medicine.

Relevance of the problem According to WHO recommendations, since 2000, back pain has been declared a priority study in the structure of the decade of bones and joints (2000-2010). “Pain is an unpleasant sensory and emotional experience, conditioned.

Dizziness is a person’s illusory perception of his own and external movements. This complaint occurs in 3-5% of patients seeking medical help from a general practitioner and in 10% of patients when visiting a neurologist.

Treatment of vascular diseases of the brain is still a pressing problem in modern medicine [1]. Great importance is currently attached to the prevention and early diagnosis of vascular disorders in spondylogenic diseases [2,3].

Lack of physical activity and sedentary work lead to congestion in the vessels of the legs and the subsequent development of venous insufficiency. Its first symptoms are heaviness and pain in the legs; even young people complain about this. Varicose veins are getting closer and closer.

Questions and answers on: arthrosis and osteochondrosis

Thank you very much for the consultation!

07/04/2015 thyroid hormones: free T4 (FT4) - 15.02 pmol/l (normal 9.0 - 20.0 pmol/l); Free T3 (FT3) - 4.42 pmol/l (normal 4 - 8.3 pmol/l); antibodies to thyropyroxidase - 6.5 lU/ml (normal up to 50 lU/ml); TSH - 1.63 mIU/ml (normal 0.25 - 5.0 mIU/ml)

12/7/2015 (parathyroid hormone - increased) - 74.8 pg/ml (normal 15.0 - 65.0 pg/ml) (!)

What could be associated with such a symptom as lack of air (the feeling that breathing and heartbeat are out of tune) - with hypertension or ischemia?

Compressive pain in the heart area (no more than 15 minutes) what can be associated with? Is it from high blood pressure, from an accelerated heartbeat, or ischemia? I used Nitroglycerin a couple of times, it was easier, but a severe headache appeared. The clinic told me to be careful and not to experiment, due to the presence of cerebrovascular insufficiency in the VVB.

I have been taking Lozap 50 since 2010, and for more than 6 months now I have been coughing (especially if I rest my back against the back of a chair) - could this be related to taking Lozap, or something else?

Do I need to be tested for lipoproteins in fractions? What laboratory tests should I undergo?

October 17, 2016

Please advise based on Holter data in combination with symptoms and other examination data. Woman 46 years old. There are attacks: increased heartbeat (intermittently), dizziness, compression in the heart area, increased blood pressure, feeling of lack of air, cold sweat, during the day - unsteadiness when walking. I take it with Bisoprolol. I also take Lozap 50 (hypertensive treatment, level 2), but it causes a cough. What can be replaced? Sometimes the legs and feet swell (mainly in the summer). What is this connected with?

In September, I underwent Holter ECG monitoring (Holter was installed at home; there were no pronounced attacks of palpitations; I performed a moderate exercise, which can be performed if coordination is impaired; the following symptoms were noted - at times, imbalance and short-term (but frequent) dizziness, a feeling of pressure in the heart area, persistent increase in blood pressure (after physical activity there is a sharp increase in blood pressure), a feeling of lack of air, unsteadiness when walking (after moderate physical activity) and loss of coordination).

Average heart rate 80/min. Sleep 6 hours 50 minutes Heart rate during sleep is 69/min., while awake 85/min. Circadian index 1.24.

Tachycardia >110 00:28:07 maximum heart rate 125/min. (12.09.16 21:51:51)

Bradycardia (110 00:28:07 maximum heart rate 125/min. (09/12/16 21:51:51)

Bradycardia (110) 00:21:29 (1.7%) Maximum heart rate 129/min. registered 07/07/15 17:12:40

Minimum heart rate 60/min recorded 07/08/15 07:55:45

Total 103278 Normal (N) 102659 (99.4%)

Ventricular (V) 153 (0.1%)

Confluent (F) - no, aberrant (B) - no, induced (G) - no.

Unsuitable (A) 225 (0.2%)

Minimum RR 200 (07/07/15 20:25:56) Min. RR (NN) 270 (07.07.15 15:52:39)

Maximum RR 1605 (07/08/15 00:09:09) Max RR (NN) 1032 (07/08/15 07:47:44)

>1700 ms 0 cases

>2.RR 4 cases lasting 1248 (1200-1315) ms

During 24-hour monitoring, sinus rhythm is recorded with a frequency of 60 at night, and during the day from 70 to 110 beats. per min.

The tendency of sinus rhythm to normosystole, a decrease in frequency at night, with a moderate increase in rhythm frequency during physical and emotional stress.

At night, a small number of monofocal single ventricular extrasystoles were recorded (class 1 according to Laon).

During the day, regardless of the frequency of sinus rhythm, the different amplitudes and polymorphism of the T wave are recorded.

Against the background of sinus tachycardia, ST segment depression of 0.5 mm is recorded.

Glucose (normal) - 4.2 mmol/l (3.9-6.2 mmol/l)

WBC (white blood cell count) 4.19*10^9/l

LYM% (lymphocyte percentage) 22.10%

MID% (percentage of monocytes) 13.16%

GRA% (percentage of granulocytes) 64.74%

RBC (red blood cell count) 4.75*10^12/l

HGB (hemoglobin) 130 g/l

MCHC (average hemoglobin concentration in erythrocytes) - 357.54 G/l

MCH (average hemoglobin content in 1st red blood cell) 27.39 pg

MCV (mean erythrocyte volume) 76.62 fL (slightly reduced, normal 80.0-99.0 fL)

HCT (hematocrit) - 0.36 L/L

PLT (platelet count) 303*10^9/l

eosinophils 7% (slightly increased, normal 0-5%)

aldosterone 146.242 pg/ml (normal standing/sitting 70.0 - 300.0)

potassium (serum) 4.43 mmol/l (normal 3.5 - 5.1)

I have never received serious treatment: I have the results of examinations and x-rays, but making a diagnosis is a problem. Today I do not see a way out of the situation. Everything is so confusing.

Mom is 62 years old, she is still young and beautiful, full of energy, desire to live and create. But for three months now she has been tormented by ventricular extrasystole, which disrupts the usual rhythm of life and threatens her health and life, she constantly feels interruptions in her heart, cannot lie on her left side at all, is bothered by severe shortness of breath, especially with sudden movements, and constant freezing in the heart typical for extrasystole.

It all started when my mother plunged into the font, after which she lost her memory for 2 hours. Estrasystoles had already appeared then, but they were not so frequent. Then a month later she was very stressed. After which she began to experience severe dizziness and frequent cardiac arrests - extrasystoles. A month passed before the holter was installed.

Holter results from September 29, 2015.

Ventricular arrhythmias, total 11142 (12%), extrasystoles 11139, verses 3; ventricular allorhythmias: episodes of bigeminy 34, trigeminy 602; supraventricular arrhythmias total 14 ( 110) 00:21:29 (1.7%) Maximum heart rate 129/xv. registered 07.07.15 17:12:40

Minimum heart rate 60/xv recorded 07/08/15 07:55:45

Total 103278 Normal (N) 102659 (99.4%)

Shlunochkovyh (V) 153 (0.1%)

Evil (F) - no, aberant (B) - no, inductive (P) - no.

Non-additional (A) 225 (0.2%)

Minimum RR 200 (07.07.15 20:25:56) Min. RR (NN) 270 (07.07.15 15:52:39)

Maximum RR 1605 (07/08/15 00:09:09) Max RR (NN) 1032 (07/08/15 07:47:44)

>2.RR 4 cases trivalist 1248 (1200-1315) ms

During the hour of pre-monitoring, sinus rhythm is recorded with a frequency of 60 at night, 70 to 110 beats during the day. for hv.

The tendency of sinus rhythm to normal systole, a decrease in frequency at night, with a slight increase in the frequency of the rhythm during the hour of physical-emotional stress.

PQ and QT intervals are normal.

At night, a small number of monofocal single extrasystoles were recorded (1st class according to Laon).

Anterior ectopism, paroxysmal and blockade disruptions to the rhythm were not recorded.

Along the way, regardless of the frequency of the sinus rhythm, the variety of amplitude and polymorphism of the T wave is recorded.

Against the background of sinus tachycardia, ST segment depression of 0.5 mm is recorded.

Glucose is normal, thyroid hormones are normal (history of thyroid hyperplasia, stage 2)

Arthritis, arthrosis, osteochondrosis – all about diagnoses

Diagnoses such as arthritis, arthrosis and osteochondrosis are extremely common. They are performed not only by neurologists and orthopedists, but also by doctors specializing in the treatment of internal diseases, since very often patients turn to, for example, a cardiologist or gastroenterologist. Often, chest pain is caused not by cardiovascular pathology, but by a degenerative process in the spine. Likewise, an attack of lobes in the lower back can simulate an exacerbation of urolithiasis or pyelonephritis. Is there a difference between these diseases? Maybe they are a variant of the norm, or a reflection of senile involution, or degeneration of the human body? Let's try to understand this issue.

Of these listed diagnoses, only osteochondrosis and arthrosis are inevitable processes that indicate wear of the cartilage tissue of the intervertebral discs in the first case, and in the second, also the reaction of the articular surfaces to this wear, a violation of the congruence of the joint surfaces and an increase in pressure on individual points.

Of course, osteochondrosis of the intervertebral discs of the spine, as well as arthrosis of large joints (most often the knees), does not arise out of nowhere. Excessive workload, excess weight, lifestyle and poor nutrition are to blame for its occurrence. Bad habits also make their “feasible contribution” to disruption of the metabolism of cartilage tissue.

Therefore, we, civilized people, have something to envy the natives. Of course, they suffer from infectious diseases and lack of regular dental care, but the primitive hunter retains mobility, flexibility and dexterity until old age. He eats in moderation, not allowing excess to be deposited on the body. He drinks clean water, and his joints allow him to be tireless and resilient.

In this regard, civilization has done humanity a disservice.

Undoubtedly, the reserves of the human body are very large. And each of us can significantly reduce the manifestations of arthrosis and osteochondrosis - pain in the joints and back when moving, crunching and lack of endurance. To do this, you just need to eat right and move more.

A few words about arthritis

Arthritis stands somewhat apart from these diagnoses. Why? Because this is really a disease of the joints, and its basis is inflammation. There are many causes of arthritis: it can be trichomoniasis, Lyme disease, or tuberculosis. Autoimmune arthritis and inflammatory lesions of a systemic nature occur, for example, with psoriasis, rheumatoid arthritis, and ankylosing spondylitis. Finally, joint inflammation may simply arise from overuse.

The main manifestations of arthritis are redness and swelling over the joint. Sometimes a feeling of heat appears and pain occurs, mainly when moving (under load). Ultimately, joint function suffers.

Arthritis has nothing to do with normal aging and wear and tear of a joint; it simply shouldn't exist. But, there is one exception to the rule.

When does arthritis join arthrosis?

Sometimes it happens that deforming osteoarthritis (for example, of the knee or hip) ceases to be a “cold” process, and signs of inflammation are added to the usual complaints, such as morning stiffness and starting pain (the first minutes of morning walking). This process occurs with severe deformation of the articular cartilage, excessive pressure on it from the bone surface, and the development of osteophytes. As a result of constant mechanical injury to the joint, aseptic, that is, reactive inflammation occurs. In addition to the signs described above, the joint often reacts to inflammation with increased production of joint fluid. An exudative process occurs.

Osteoarthritis of the knee joint

Often this requires a puncture of the joint, which allows not only to remove excess fluid and conduct a cytological analysis of it, but also to introduce long-acting anti-inflammatory drugs into the joint cavity. These drugs include corticosteroid hormones, for example, Kenalog.

This inflammation is nothing more than a simple continuation and aggravation of the process of arthrosis. After all, a callus on the heel in the form of a bubble seems to form “just like that”: rub it with new shoes for an hour - and you’re done. The same signs of inflammation appear with the production of tissue fluid in response to mechanical irritation of the skin. Exactly the same process underlies the occurrence of arthritis, against the background of deforming osteoarthritis.

Therefore, in order to avoid restriction of mobility in the joint (and this is a natural outcome of arthritis), you need to prevent the transformation of arthrosis into an inflammatory process, and take care of your health not when it is lost, but when it can not only be preserved, but also increased .

Doctors treating arthrosis

If the doctor finds out the true cause of the disease. Then only the correct, and therefore effective, treatment can be applied. The patient's recovery will speed up.

Arthrosis is a serious disease of the joints, non-inflammatory in nature, leading over time to degenerative lesions of cartilage tissue. Further destruction of ligamentous, synovial, and even bone tissue occurs.

At first, the person will experience pain, then the mobility of the joint will be significantly limited and become completely immobile.

What is arthrosis characterized by and how is it diagnosed?

It is characterized by severe tissue damage: swelling, crunching, especially in the morning, constant pain when moving. Not only large joints suffer from this, but also small ones. The main thing is not to miss the first signs of the disease: pain with heavy exertion, and with rest the pain subsides a little.

Mobility is no longer the same, muscles are tense. Sometimes there is swelling of the affected joint. If treatment is not started, deformation will begin, the joint will become more painful and almost immobile.

The inflammatory process will develop into a chronic form. Decay products will begin to accumulate in the joint cavity. A person will not only experience excruciating pain at the slightest movement, but now even peace will bring suffering.

A person’s gait will change, and the load on the musculoskeletal system will be redistributed. And this will inevitably lead to other changes in the body: the spine, other joints. Read about what subchondral sclerosis of the spine is here.

Should not be based on a single patient interview. Because quite often, this disease can be provoked by infectious diseases, cardiovascular diseases, etc. It is necessary first of all to find out the cause of the disease in order to prescribe adequate treatment.

If the patient often complains of pain or poor health. It is necessary to conduct a comprehensive examination, the doctor will select the necessary studies:

1. Arthrosis can begin, even from a banal metabolic disorder.
2. Under unbearable static loads. The joints will be continuously injured. The cartilage will lose its natural shock absorption and will gradually begin to “wear away.”
3. Some people from birth have a certain peculiarity in the structure of their joints. They are simply not designed for intense loads by nature. And if you dance professionally, for example, over time this will definitely lead to ankle arthrosis. This is explained simply - the same type of load on the joint. Everyone's muscles are different, one will be weaker, the other, on the contrary, stronger.
4. Cartilage degeneration begins very often due to curvature of the joints. And the reason for this is the weakness of the holding muscles. All this is called non-optimal statics. The load during any movement will be incorrectly redistributed and move along the wrong axis. Therefore, joints that by nature should be in one position will find themselves in another, unusual for them, and will therefore wear out prematurely and collapse.
5. The cause of arthrosis is associated with nervous overstrain, improper metabolism, etc.
6. Another reason is incorrect movements when walking. Some people, when taking a step, first place their foot on the toe, and only then on the heel. Although the innate structure of the skeletal system provides for a different, reverse sequence. As a result, we unnoticed and destroy our joints.

Specialists who treat arthrosis

Sometimes people don’t even know which doctor should treat arthrosis. Where to start? Visit your family doctor, or it’s better to go straight to a specialist. This may depend on many factors: the course of the disease, its characteristics, concomitant diseases.

Treatment should only take place with the participation of various specialists. The main doctor for small localities is a rheumatologist. But in cities you can also find an arthrologist.

He is the one who deals with the problems of arthrosis. The main thing is not to put off visiting a doctor, because without treatment, the disease will only progress.

If you notice the first symptoms of the disease, stasis, contact a rheumatologist. The doctor will examine, make a diagnosis, and determine the degree of damage to the joint.

Prescribe all available and currently necessary diagnostics:

And based on all the data, the specialist will find out what stage you have and what treatment will be required.

But he will only use conservative treatment methods:

An arthrologist is a doctor of a narrow medical specialty with a surgical focus; ideally, he should do this. But such a doctor is not even available in all cities. What can we say about small towns or villages? And not everyone manages to get an appointment with him.

In addition to recommendations, he can:

Orthopedists also have a surgical focus. Patients are accepted only with the latest forms of arthrosis. When the joint is almost destroyed, and the person may already be disabled.

The main advantage of an orthopedist in the proposed treatment is the permissibility of using surgical intervention.

And even modern - endoprosthetics. It is especially indicated for arthrosis of the knee and hip joints. Read about osteosclerosis of the knee joint here.

The operation can be performed in two ways:

When should you see a doctor?

You should contact us if you have the following symptoms:

At the first sign of discomfort, patients usually turn to a therapist. But the specialization of his profession is such that he cannot understand and eliminate the problem single-handedly. After the initial examination, he will issue a referral to the required specialist.

As a result, precious time will be lost, because first you need to make an appointment, wait in line, and undergo examinations that the therapist will prescribe for you. Only then will you receive a referral to the right specialist.

He will already establish a diagnosis and make the necessary prescriptions. Of course, you decide where to go, everything will depend on your capabilities and desires.

During the examination, the therapist will clarify:

• nature of pain;
• how long does it last;
• what could have caused it?
• Are there any bad habits?
• what are hereditary diseases;
• finds out your profession;
• analyze your lifestyle.

This data will allow the therapist to assess your health only visually for now.

During the examination, the therapist will determine:

• Has the shape of the joint changed, and if so, how far has it gone?
• Check your body temperature and measure your blood pressure.
• Find out how painful it is for you.
• Examines the joint for the degree of its changes and mobility.

General and biochemical blood test

• is there an inflammatory process in the body;
• how it is characterized.

X-ray examination

When a rheumatologist and arthrologist in your hospital temporarily do not provide appointments, for some reason, or they simply are not available. Then the therapist will be able to issue a referral for x-rays.

Referral for consultation to a specialist

It is considered mandatory and urgent in the last stages of arthrosis:

The doctor is obliged to establish a real diagnosis and indicate what degree of arthrosis the patient has at this stage. He makes a decision based on the database (analysis).

The number of medications used for arthrosis is increasing all the time. But all of them can provide only symptomatic treatment.

There is no panacea yet; not a single drug can restore the former mobility to the joint.

If a diagnosis is made, then treatment needs to begin.

First of all, establish proper metabolism, improve nutrition, take vitamins and minerals, and do therapeutic exercises. Various treatment methods are used depending on the stage and symptoms.

Initially, pain will be relieved, especially in the second and third stages of the disease.

If necessary, anti-inflammatory therapy will be carried out, the treatment regimen:

In the last stage of the disease, only joint replacement surgery will help.

You can do this in three ways:

The doctor may prescribe the use of distracting agents: various rubs, herbal tinctures, gels, ointments.

Good results can be achieved by:

If the impetus for the development of the disease was excess weight, then, among other things, you will need a nutritionist. Neurological problems - neurologist. The main thing is to strictly follow all doctor’s instructions and be healthy!

Which specialist treats patients with cervical osteochondrosis?

Which doctor treats osteochondrosis of the cervical spine? Many patients ask this question. With osteochondrosis, rapid aging of intervertebral discs occurs. This disease carries with it a lot of danger, because most patients consult a doctor in the later stages.

Who deals with this pathology?

So, which doctor treats cervical osteochondrosis? Most people know that osteochondrosis belongs to the musculoskeletal system, but few know specifically who treats cervical osteochondrosis.

When the first signs of the disease appear, you need to contact a therapist, who, after an examination, will write a referral to a highly specialized specialist - a neurologist. Until recently, in case of problems with the spine, patients were sent to a neurologist, a doctor who deals with mental problems.

A neurologist is a fairly new definition of a specialist who deals with the problem of the nervous system.

After visiting a neurologist and receiving an initial diagnosis of cervical chondrosis, a comprehensive diagnosis should be carried out.

There is no longer any need to think about which doctor to see. A referral is issued for visits to a radiologist, magnetic and computed tomography specialists, and many other doctors.

Which doctor should I contact? According to statistics, patients who seek advice from a neurologist have cervical osteochondrosis in 30% of cases. The doctor’s patients are not only elderly people, but also twenty-year-old youth. This indicates that the chondrosis is progressing. After a comprehensive diagnosis, treatment is carried out by a vertebrologist.

This specialist has all the necessary knowledge in general neurology of both adults and children. It is this specialist who will conduct a consultation and prescribe the correct treatment.

Osteochondrosis and the cervical spine should be treated by a qualified doctor. No matter how knowledgeable the therapist or neurologist may be, competent direction and prescription can only be given by a specialist in this field.

Which doctor should I contact during remission of the disease? At the time of remission, it will be necessary to do massage and perform therapeutic exercises. To do this, you will need the help of other specialists. For some types of cervical chondrosis, you may need the help of a chiropractor, who is a specialist - a vertebroneurologist. He knows the anatomy of the spine and uses his hands to identify any changes at the initial stage of the disease.

With cervical osteochondrosis, the help of a physio- and acupuncture therapist is necessary. Manual therapy together with simple exercises to strengthen and relieve muscle tension gives a positive result.

Hirudotherapy has proven itself well in relieving the symptoms of cervical chondrosis.

If you contact a specialist in a timely manner and identify the disease at an early stage, it may be sufficient to perform only manual therapy.

To find out the pathology that led to the occurrence of chondrosis in the neck area, you should consult an osteopathic doctor. It is this specialist who can detect changes and lesions in the patient’s musculoskeletal system.

An osteopath provides treatment without the use of equipment or medications. Therapy is carried out using gentle pressure on the affected area.

When treating chondrosis, it is important to undergo a complete diagnosis. This is necessary primarily in order to select individual treatment and eliminate negative drug interactions.

And the last resort in the treatment of osteochondrosis is surgery. Only a trauma surgeon can get rid of the resulting bone tissue damage. This is done in cases where conservative treatment has failed.

Often the patient seeks help with an advanced stage of the disease. In this case, the help of a neurosurgeon is already required.

Symptoms that require you to see a doctor

Having found out which doctor you need to contact for cervical osteochondrosis, you need to know in what case this should be done in order to prevent an advanced stage of the disease:

All these insignificant, at first glance, signs make it clear that a person is at risk for developing chondrosis of the spinal column of the neck. Therefore, if you find at least one indicator, you must immediately make an appointment with a specialist.

Treatment of osteochondrosis should be aimed not so much at relieving pain symptoms, but at eliminating the main cause of the disease.

In conclusion, it is worth repeating - an active lifestyle and taking care of your health will help you avoid serious consequences and prevent the disease from worsening.

The main differences between osteochondrosis and arthrosis

Only an experienced doctor can find the differences between arthrosis and osteochondrosis. At first glance, the signs of the diseases are the same.

To understand these concepts, understand the following aspects:

At first glance, the differences between arthrosis and osteochondrosis are minimal. Both diseases are degenerative-destructive pathological processes associated with the destruction and atrophy of cartilage tissue.