Content
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1What doctors treat osteochondrosis - to whom to rush for help?
- 1.1Osteochondrosis and peculiarities of its course
- 1.2Etiology of osteochondrosis
- 1.3Symptomatology of the disease
- 1.4What kind of doctors treat osteochondrosis?
- 1.5Methods of therapy of the disease
- 1.6Which devices better treat osteochondrosis
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2To what doctor to address at an osteochondrosis
- 2.1Who should I contact if osteochondrosis is suspected?
- 2.2Going to a specialist - what to expect?
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3What is the name of the doctor who treats osteochondrosis? List of suitable specialists
- 3.1What is osteochondrosis?
- 3.2Why does osteochondrosis appear?
- 3.3Where should I go if there is an osteochondrosis?
- 3.4Who else can diagnose and cure osteochondrosis?
- 3.5Treatment focus
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4Osteochondrosis: which doctor should I consult?
- 4.1What you need to know about osteochondrosis
- 4.2Symptoms
- 4.3Which doctor should I contact?
- 4.4How is the treatment?
- 4.5Medication Therapy
- 4.6Physiotherapy
- 4.7Physiotherapy
- 4.8Manual therapy and massage
- 4.9Operation
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5To what doctor to address at an osteochondrosis
- 5.1What will lead you to a doctor?
- 5.2What kind of doctor should I consult if I have cervical osteochondrosis?
- 5.3Away with medication: treatment with a rehabilitologist
- 5.4Where to go if there was an exacerbation?
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6What kind of doctor should I use for cervical osteochondrosis?
- 6.1How is osteochondrosis manifested?
- 6.2Where to go for pain in the neck?
- 6.3What kind of doctors treat osteochondrosis of the neck?
- 6.4How to protect yourself from severe osteochondrosis?
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7Osteochondrosis: features of the disease and which doctor heals
- 7.1A little about osteochondrosis
- 7.2Causes of the disease
- 7.3How to recognize the disease on your own?
- 7.4Primary treatment to the therapist
- 7.5Consultation with a neurologist
- 7.6Appeal to the vertebrologist
- 7.7Appeal to the orthopedist surgeon
- 7.8Modern diagnostic methods
- 7.9Methods of treatment of osteochondrosis
What doctors treat osteochondrosis - to whom to rush for help?
Every day the human body is subjected to great physical stress. Mostly it concerns the musculoskeletal system.
The common pathological condition of the musculoskeletal system, namely the spine, is osteochondrosis.
Which doctors treat osteochondrosis and with what problems should they be treated?
Osteochondrosis and peculiarities of its course
It is a disease of the spine, which is characterized by the appearance of cartilage and intervertebral disk disruption. Disks play a huge role in the state of the body, they take part in the following functions:
- ensure normal mobility of the spine;
- keep the elasticity and elasticity of the spine;
- can withstand great physical exertion.
Osteochondrosis can be of several types, which depends on the localization of the pathological process. The disease can flare up in the cervical, thoracic, lumbar, and can also be common (span several departments of the spine at the same time).
Etiology of osteochondrosis
The causes of the development of diseases of the spine are varied. The most frequent among them are the following factors:
- obesity;
- sedentary lifestyle;
- post-traumatic changes;
- bad habits;
- hereditary factors;
- hormonal failures in the body;
- flat feet;
- frequent stressful conditions.
Symptomatology of the disease
When the first symptoms of osteochondrosis appear, many patients do not attach serious importance to them. Well, who does not have a backache after hard work or a tiring day?
If the symptomatology passes after the restoration of a normal physiological state, then the body is in perfect order. In the case of a progression of the clinical picture or the constant appearance of the same symptoms, it is necessary to seek the help of specialists.
The main signs of development of osteochondrosis, requiring a doctor's consultation:
- painful syndrome in the back of a noisy character, intensifying after exercise;
- the appearance of numbness or tingling in the legs;
- muscle spasms and the appearance of limited mobility;
- headaches and pains in the upper extremities, noise in the ears, the appearance of "flies before the eyes" - cervical osteochondrosis;
- pain in the heart or projection of other organs of the chest - thoracic osteochondrosis;
- pain in the lower back, which can give to the legs or organs of the small pelvis - osteochondrosis of the lumbar region.
What kind of doctors treat osteochondrosis?
In the medical field there is the notion that this disease can not be cured completely. It is only possible to slow down the processes of destruction, and also to prevent the occurrence of possible complications.
Patients quite often become at a deadlock before choosing a doctor. The very first option is to contact the district therapist or family doctor. After the appointment of the diagnosis, the doctor himself will send for consultation to the necessary specialist.
What doctors treat osteochondrosis yet? The second doctor, to whom you can turn, is a neurologist, since one of the frequent causes of the disease are disorders in the work of the nervous system. After the examination, the doctor will send for diagnosis to the radiologist.
Also, patients with the problem of osteochondrosis can see the manual therapist.
Its task is to prescribe a comprehensive treatment for patients who have already confirmed the diagnosis.
The composition of manual therapy includes elements of therapeutic massage and other manual procedures that are aimed at restoring the lost functions of the spine.
A vertebrologist is another narrow specialization. This doctor deals exclusively with the problems of the spine, he has nothing to do with the other elements of the musculoskeletal system.
In cases of lack of treatment effect and severe complicated conditions, the patient is referred to a surgeon for surgical intervention.
Methods of therapy of the disease
The methods of treatment used will be considered on the basis of a specific type of disease. What is the treatment for cervical osteochondrosis and what is the prognosis of therapy?
Treatment of the disease should be comprehensive, only in this case it is possible to achieve a favorable result. The following methods are used:
- medicinal preparations;
- elements of manual therapy;
- massage and therapeutic gymnastics;
- surgical intervention;
- physiotherapy;
- Spa treatment.
In which sanatoriums are treated osteochondrosis? There are a lot of such institutions. The most famous of them are in the Crimea, Moscow region, Ukraine, Moldova and Belarus, as well as in the Caucasus.
At this stage, sanatorium treatment is sufficiently developed, as it offers the patient a large number of procedures that allow the restoration of the locomotor system. Among them LFK, ozonotherapy, massage, physiotherapy, mud treatment, balneotherapy, ozokeritotherapy, treatment with leeches, etc.
Which devices better treat osteochondrosis
Medical equipment for the treatment of osteochondrosis is represented by devices that can be used in home and outpatient settings.
For home - "Vitafon "Darsonval "Armos" - these devices use in their work impulses of the magnetic field.
Their task is to remove muscle spasms, improve blood supply and blood flow, reduce painful sensations.
.Before using these devices, it is absolutely necessary to consult a specialist in order to avoid negative consequences.
.In outpatient treatment, devices for UHF therapy and drug electrophoresis are used. Their action is also aimed at arresting the pain syndrome and irritation of nerve endings at the site of exposure to improve local blood circulation.
Let's make a small conclusion. What kind of doctors treat osteochondrosis? This therapist, manual therapist, neurologist, vertebrologist and surgeon.
A source: http://.ru/article/242024/kakie-vrachi-lechat-osteohondrozk-komu-speshit-za-pomoschyu
To what doctor to address at an osteochondrosis
Many people with back pain suspect an osteochondrosis - one of the most common diseases of the musculoskeletal system.
However, you can not diagnose yourself and take self-medication, as there are diseases similar in their manifestations, but they require a completely different approach.
To clarify the diagnosis, it is necessary to know in advance which doctor should be treated with suspicions of osteochondrosis.
Who should I contact if osteochondrosis is suspected?
First of all, you need to visit a district therapist. He will put a primary diagnosis and try to determine whether all the symptoms correspond to osteochondrosis, after which he will give a referral to a specialist doctor.
Depending on the features of the manifestation of the disease and its severity, they may be a neurologist, arthrologist, rheumatologist, neurosurgeon and vertebrologist. What does each of these doctors do?
- Neurologist- a doctor specializing in diseases of the nervous system. In the context of diseases of the spine, neurological disorders caused by compression root spinal nerves and violation of blood supply to the spinal cord (with cervical osteochondrosis and headache) the brain. They manifest acute, burning pain in the back, neck or waist, which occurs with sudden movements and quiet down at rest, as well as numbness and paresthesia of the extremities. In severe cases, there is paralysis. With osteochondrosis of the cervical region, headaches, dizziness, drowsiness, and fainting may occur. With the advent of these symptoms, the neurologist should first appear.
- Arthrologist- specializes in joints. In the spine of a person there are more than 40, so this part of the musculoskeletal system is also included in the scope of the artrologist's work. The appearance of the following symptoms indicates problems with vertebral joints: dull pain, localized in the neck, back or waist, increasing at rest and passing after several movements, stiffness of the spine, violations posture. Also, the arthrologist leads patients who, as a result of osteochondrosis, formed organic changes vertebral column - osteophytes (abnormal bone processes) of vertebrae, calcification of ligaments, atrophy articular capsules.
- Rheumatologist- this doctor is treated if the disease is caused by rheumatism - a special inflammatory disease, in which there is multiple lesions of ligaments and joints in the body.
- Neurosurgeon- the help of this doctor is needed in severe cases, when conservative treatment was ineffective and surgical correction of the spinal column is required. This surgeon advises about the need for a surgical operation and conducts such interventions as removal and plastic hernia of intervertebral discs, removal of osteophytes, liberation of spinal roots from pinching.
- Vertebrologist- the most rare and most valuable specialist in the treatment of the spine. His sphere of activity includes any problems related to the spine.
The therapist does not prescribe any specific medications, but often prescribes non-steroidal anti-inflammatory drugs whose list for today is sufficient is broad but mostly (diclofenac, ibuprofen) simply as a temporary measure to relieve pain, while other specialists do not decide whether to use more serious facilities.
Going to a specialist - what to expect?
Regardless of whether the patient is going to a neurologist, an arthrologist, a vertebrologist or another doctor, he will have to undergo examinations. On the first visit, the specialist will determine at which level the pathological focus is located.
To do this, he appoints an MRI, less often - CT or X-ray tomography of the cervical, thoracic or lumbosacral spine (or several at once).
Passage of these issledovany allows you to identify such components of osteochondrosis as hernias, protrusions and prolapses of discs, osteophytes, foci of calcification of ligaments.
In case of rheumatic origin of the disease, it is necessary to pass rheumatic tests - specific blood tests, which confirm the diagnosis of rheumatism, and also determine the severity, subtype and individual characteristics of the course rheumatism.
Very important information. We advise reading to everyone !!
Shocking statistics! According to recent studies, more than 80% of Russians have severe joint damage. At the same time, most people do not even know what kind of danger they are in.
Many who already have the characteristic symptoms of joint damage simply do not pay attention to this, thinking that there is nothing special about this.
However, according to doctors,any pain and discomfort in the joints - a sign that the joint began to collapse.
The main symptoms of joint destruction include: swelling, numbness, crunching and joint pain (first with loads and bad weather, and then also constant), lumbago in the lower back, frequent headaches, impaired motor activity of the toes and hands, and many others. About the presence of problems with the joints says at least one of the listed symptoms.
Innovative drug "Arthropant" many doctors call a real salvation for the joints. After all, it allows to completely restore the joint and eliminate the risk of further development of dangerous pathologies in just a few weeks.
Therefore, there is nothing surprising in the fact that this cream was chosen as the main means for the Federal program "Healthy Joints which started, a month ago.
In the course of this program, any resident of the country will be able to purchase an Arthropant at a reduced price!
A source: http://KakLechitSustavy.ru/bolezni/osteoxondroz/k-kakomu-vrachu-obrashhatsya-pri-osteoxondroze.html
What is the name of the doctor who treats osteochondrosis? List of suitable specialists
Degenerative inflammation of the vertebral discs
With inflammation in the intervertebral discs, each of us can face, regardless of age.
Sufficient long-term physical exertion, weight lifting or sedentary lifestyle.
Then before each person there is a question, what doctor treats an osteochondrosis and when it is necessary to address to it.
What is osteochondrosis?
When osteochondrosis occurs, it is worth talking about inflammation, destructive processes for muscles and bones, and further damage to the musculoskeletal system.
Then patients suffer from:
- Pain and discomfort;
- Heaviness;
- Tensions;
- Inflammation of nerves;
- Headaches, migraines;
- Fatigue, irritability;
- Impossibility to make slopes;
- Muscle weakness;
- Fainting condition.
There are osteochondrosis of the cervical, lumbar, thoracic region, which are characterized by various symptoms and manifestations.
If treatment of the disease is long absent, the inflammation can spread directly to several departments,the patient suffers from exacerbation, the appearance of a hernia.
The picture shows the intervertebral hernia
Especially bright symptoms of osteochondrosis are manifested in old age, after an incorrect posture in a dream, hypothermia.
Additionally felt:
- Mood swings;
- Sleep disturbance;
- Low working capacity;
- Numbness of the extremities, tingling or trembling.
If there are two or three persistent symptoms of osteochondrosis, you should treat the spine with a doctor who will conduct the examination, diagnose and prescribe the treatment.
Self-medication is best not to deal with, because the clinical picture is similar to other disorders of the musculoskeletal system.
Thoracic department | Severity, discomfort | Difficulty with breathing | Numbness of fingers and hands |
Lumbar section | Difficulty with slopes | Pain, burning | Deformation of cartilage and vertebrae |
Neck | Headache, migraine | Dizziness | Pain when turning head to side |
to the content ↑
Why does osteochondrosis appear?
Most experts identify several causes of osteochondrosis,which include:
- Metabolic disorders;
- Chronic diseases, pathologies and infections;
- Overweight;
- Injuries;
- Low motor activity;
- Sedentary lifestyle, constant stay at the computer;
- Physical exercise;
- Wrong postures during sleep;
- Subcooling;
- Incorrect lifestyle and bad habits;
- Diabetes.
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But only a doctor or a treating specialist who will check the spine,can call the cause of osteochondrosis, will develop a course of treatment and prevention.
to the content ↑
Where should I go if there is an osteochondrosis?
After discovering the first symptoms of osteochondrosis, you need to decide which doctor you needTo receive consultation and pass the first inspection.
To say exactly, to which doctor to address with the spine is difficult to say, because osteochondrosis requires a comprehensive approach to treatment.
But as the specialist in the spine is called, which puts the main diagnosis can be accurately determined, because this vertebrologist. Although it will not be possible to find it in every hospital, it is usually present only in private clinics.
This specialist determines the causes of osteochondrosis, conducts a full diagnosis and develops treatment.
But because of the narrow focus, hospitals offer doctors such as a neurologist and neuropathologist who understand the pathologies of nerve endings.
to the content ↑
Who else can diagnose and cure osteochondrosis?
In addition to a neurologist and vertebrologist with a suspicion of osteochondrosis, you can refer to such doctors:
- Manual technician, which deals with the diagnosis of the spine and can detect abnormalities, conduct a therapeutic massage;
- Physiotherapistis engaged in procedures of acupuncture, reflexotherapy and physical rehabilitation;
- Osteopathallows you to restore displaced vertebrae and tissues manually, although before this you need to get advice from a neurologist or chiropractor;
- To such specialists as totraumatologistsIt is necessary to address in order to correct intervertebral discs and cartilage when they are displaced. Especially often this happens with cervical osteochondrosis, when no other treating doctorcan not engage in physiotherapy.
If the patient does not know where to go to check the spine, then go to the treating therapist, who will conduct a general examination and give directions to the right specialist. content ↑
Treatment focus
In the treatment of osteochondrosis, doctors prescribe complex therapy, which is aimed at treating the underlying causes, symptoms and foci of inflammation.
The complex includes such methods as:
- Massage;
- Reception of medications and blockade of joints;
- Visit to the sauna and steam room;
- Wearing warming belts;
- Hardware procedures;
- Gymnastics and physiotherapy;
- Acupuncture and reflexology.
Photogallery:
MassageHearting medicinesCommunication bathSheatingWarming beltApplication proceduresAcouplingMedical gymnasticsPhysiotherapyOverall treatment begins with taking medications that relieve the common pain syndrome, block joints and relieve irritation from nervous endings.
To do this, use:
- Muscle relaxants;
- Anti-inflammatory drugs;
- Vitamins;
- Blockades with anesthetics;
- Warming ointments and injections.
If patients suffer from osteochondrosis of the cervical spine, then physiotherapy, massages and reflexotherapy should not be abandoned. Therapeutic physical exercises and massages are most effective in the detection of lumbar osteochondrosis.
The focus of procedures is:
- Withdrawing blocks;
- Normalization of blood circulation and metabolism in cells;
- Stretching the muscles and restoring the tone of the joints;
- Degeneration of foci of inflammation.
When a patient can not get rid of a pain syndrome, a feeling of nausea, migraines, is inactive and medicines do not work, thenit is worth talking about the aggravationdisease.
It will be useful to view:
Then only the operation aimed at:
- Removal of bony outgrowths;
- Restoration of all elements of the spinal column;
- Removal of nerves;
- Decompression of the spine with inflammation.
You can get rid of the disease at any stage, if you contact the doctor in time for diagnosis and treatment. But without prevention, relapses may occur, the appearance of a chronic form of the disease.
So do not forget about prevention, which includes:
- Reception of medicines, stimulation of immunity;
- Visiting massages;
- Gymnastics and moderate physical activity;
- Proper nutrition;
- Preservation in the heat of the cervical, thoracic and spinal sections;
- Passage of routine examinations at the doctor;
- Selection of specialized bed linen and poses for sleeping.
About the diagnosis, treatment and rehabilitation can tell only the attending physician or such specialist as a vertebrologist.
Self-medication can lead to deterioration of health, the emergence of new symptoms of the disease, exacerbation and inflammation of the entire spinal column.
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A source: http://OsteohondrozInfo.com/vopros-otvet/k-kakomu-vrachu-obrashhatsya
Osteochondrosis: which doctor should I consult?
The pathology of the spine is widespread among modern society. Many people become familiar with pain in the back or neck, which are often associated with osteochondrosis.
Severe symptoms can significantly limit the active life of patients. Therefore, there is a natural question about what needs to be done to eliminate them.
But first of all people want to know what kind of doctor to apply to get qualified help.
What you need to know about osteochondrosis
Among diseases of the spine, a special place is given to degenerative-dystrophic pathology, which includes osteochondrosis.
From the name, you can tell that the disease affects the cartilage and bone tissue.
First of all, small joints of the spine and intervertebral discs are damaged, which, due to metabolic, vascular disorders and mechanical factors, lose their elastic and damping properties.
.Under the influence of a constant load, changes occur in the vertebrae - osteophytes are formed. The biomechanics of the spine suffers, eventually the ligament-muscle apparatus is involved in the process.
.Osteochondrosis is not the lot of elderly people - such violations in the spine are increasingly detected in young people. And more often the cervical and lumbar region is affected. The development of the disease is facilitated by the following factors:
- Excessive physical activity.
- Lifting weights.
- Lack of motor activity.
- Prolonged forced postures.
- Violation of posture.
- Curvature of the spine.
- Overweight.
- Dietary errors.
- Exchange violations.
- Age changes.
- Hereditary predisposition.
- Smoking.
As you can see, the range of risk factors for osteochondrosis is quite wide. And patients often have several of them. Therefore, in order to prevent the further development of the disease, it is first of all necessary to eliminate the cause. And it can be done only by a doctor, after a physical examination and an objective examination.
Symptoms
Every patient should know when to consult a doctor for osteochondrosis. And here there is nothing new, because it needs to be done with the first symptoms.
Basically, we have to deal with pain syndrome, which becomes the most striking symptom of the disease. This makes patients think about their health.
With the defeat of the cervical pain department has the following features:
- Acute or aching, in the form of lumbago or pulsating.
- Returns to the head, arms, upper chest.
- It increases with tilting and turning the head.
- Strong, moderate or weak.
- Prolonged or short-term.
As a rule, the symptom is radicular origin, therefore, along with pain, patients will notice other signs. They are associated with a violation of the passage of a nerve impulse along motor, sensitive or vegetative fibers. They include:
- Numbness, tingling of the skin.
- Reduced surface sensitivity.
- Changing tendon reflexes.
- Muscle weakness.
- Dryness of the skin or sweating, pallor or marble shade.
Patients often suffer from headaches, they are familiar with mood swings, sleep disturbances. Such phenomena are associated with changes in the vascular nature.
Feeling unpleasant sensations, you do not need to postpone the trip to the doctor, because the symptoms will become stronger with time, the disease will become more severe.
Which doctor should I contact?
Feeling pain in the cervical region, patients often find it difficult to determine who should go to the reception. Therefore, they are asking themselves about which doctor is treating osteochondrosis. And this is a fairly common situation.
Of course, you can consult about this with a family doctor who will refer the patient to the right specialist. If the case is not heavy, then he himself will appoint the appropriate examination and treatment.
But the consultation of related specialists is still necessary.
If the patient does not want to lose time, and immediately get specialized care, then he should consult a neurologist, because most of the symptoms of the disease are associated with the rootlet disorders and vascular changes in the head region.
During the treatment, you may need the help of a physiotherapy specialist, a chiropractor, a physiotherapist. These doctors also take an active part in the treatment of cervical osteochondrosis.
In severe cases, even the surgeon's intervention may be required.
How is the treatment?
Having learned which doctor heals osteochondrosis, the patient should know what awaits him after the diagnosis is established.
The disease therapy should be complex, and therefore consists of methods that affect the causes, mechanism of development and symptoms of pathology.
Basically, conservative agents are used, but there may be a need for surgical treatment.
Medication Therapy
The basis of treatment is the use of medicines. The advantage of this method is the speed of the onset of a positive effect, its severity, and the ability to influence many parts of the pathological process. For this, the following drugs are used:
- Non-steroidal anti-inflammatory.
- Muscle relaxants.
- Chondroprotectors.
- Vascular means.
- Vitamins and microelements.
With severe pain, local blockades with anesthetics can be used. If acute events subsided, tablets and preparations in the form of ointments, gels, balms or plasters replace injections.
Physiotherapy
With osteochondrosis of the cervical region, it becomes necessary to apply methods of physical impact on the pathological focus. In this case, there is an increase in the effect of medications taken. Patients recommend the following procedures:
- Electrophoresis.
- Laser treatment.
- UHF-therapy.
- Magnetotherapy.
- Reflexology.
- Balneotherapy.
Optimal complex of treatment will help to select experienced physiotherapists. Each patient is individual, so when assigning procedures, all concomitant conditions are taken into account.
Physiotherapy
Correctly chosen exercises of therapeutic gymnastics are a guarantee of rapid restoration of the motor function of the spine. With the defeat of the neck, classes using the post-isometric relaxation technique are helpful.
It consists in the static tension of the muscles, which is replaced by their relaxation.
Along with this, it is possible to normalize the biomechanics of the spine and kinesiotherapy, based on the use of special simulators for stretching the muscles.
Manual therapy and massage
The experience of manual therapists makes it possible to improve the condition of the spinal column in osteochondrosis.
This is achieved by eliminating the subluxation of small joints, the elimination of muscle blocks and the normalization of structural relationships.
At the same time, specialists apply stretching, torsion, flexion or extension techniques. In parallel, the neck and neck zone and back are massaged.
Operation
If patients are concerned about severe pain syndrome, which is not eliminated by conservative means, then it remains to trust the surgeon.
At the same time, operative decompression of the affected root is performed, bone growths are removed, vertebral segments are stabilized if necessary.
After that, rehabilitation treatment will be required.
So, in order to conduct adequate treatment, it is necessary to know to which doctor to apply for osteochondrosis. Only an expert can prescribe the most effective methods that will help to eliminate problems with the spine.
A source: http://MedOtvet.com/osteochondrosis/osteohondroz-k-kakomu-vrachu-obrashatsya.html
To what doctor to address at an osteochondrosis
Osteochondrosis is a common disease of the cervical spine, which is inherent in progressing, deforming the intervertebral discs and vertebral joints. Recently, the disease is "getting younger" and patients who have not yet reached the age of thirty began to approach the doctor with complaints of pain in the neck.
What will lead you to a doctor?
Osteochondrosis often occurs due to excessive stress on the cervical region, resulting in a violation of blood circulation, which entails irreversible processes in the bone structure.
Factors that contribute to the development of the disease:
- incorrect posture, stoop;
- scoliosis of the cervical and thoracic parts;
- deformation of the spinal column;
- sedentary work, inactivity;
- excessive physical stress on the arms and shoulders;
- nervous state, stress;
- genetic predisposition;
- sedentary work style (driver, office employee, etc.);
- pathology of the development of the cervical department.
What kind of doctor should I consult if I have cervical osteochondrosis?
In the presence of a group of symptoms that indicate osteochondrosis (pain in the neck, tension, "clamping" of muscles, headaches, migraines, etc.).
) the patient should consult a doctor about further treatment.
Now we will consider which doctor treats osteochondrosis when the illness worsens.
As a rule, the patient first goes to the therapist. On the one hand, this is correct, because this doctor can also give recommendations, and on the other - it is necessary an accurate, comprehensive examination of a specialist to select the right and effective treatment.
Since osteochondrosis is a neurological disease, it is necessary first of all to apply to a neurologist or neuropathologist.
However, it often happens that a doctor who specializes in the treatment of the nervous system, needs to undergo an additional examination and apply for clarification of the diagnosis to other narrowly specialized physicians:
- vertebro neurologist- specializes in diseases that lead to diseases of the spine. Such a doctor can help an adult and a child, and also prescribe the necessary treatment;
- chiropractor. The doctor, who owns all the skills of manual therapy, uses his hands to feel the spine and, without additional research, will put an accurate diagnosis. Treatment is selected, as a rule, manual, that is, with the help of fingers and other instruments the doctor works with the vertebrae. The procedure is usually painful, but effective. However, the patient needs to be extremely careful not to get to a manual technician who can show incompetence in the medical matter. Otherwise, treatment will not bring proper success or even harm the patient;
- treatment by a physiotherapistgives an excellent result, as it is aimed at eliminating the problem by using complex work with diseased muscles. Thus, acupuncture can relax the "clamped" muscles, and hirudotherapy - improve local blood flow;
- to the surgeon-traumatologistit is necessary to address in the event that there are acute painful processes, which can indicate a hernia of the intervertebral space, osteophytes, protrusion of discs.
Away with medication: treatment with a rehabilitologist
Once an accurate diagnosis has been made, further treatment is offered under the supervision of a doctor who will appoint procedures to facilitate the rapid restoration of lost functions in case of exacerbation disease.
Rehabilitation and treatment can be of two types:
- conservative treatment;
- surgical intervention.
Conservative treatment is carried out in special centers, which also accept primary patients with complaints of neck pain and weakness of the muscles of the collar zone.
In these institutions, the patient is carefully examined by a narrow-profile physician who diagnoses and prescribes medication along with recovery measures.
Types of non-drug treatment of osteochondrosis:
- manual treatment - acupressure of the spine with the help of hands;
- hydromassage. This procedure is carried out with the help of a strong stream of water, which
- Pressing massages the diseased parts of the body;
- exercise therapy and gymnastics;
- swimming in swimming pools, stretching the spine;
- physiological procedures (electrophoresis, magnetotherapy);
- ultraviolet irradiation;
- mud wraps;
- dolphin therapy.
It is extremely dangerous to make the treatment yourself! Only an experienced doctor can determine which therapy technology suits a particular patient. Also, depending on the age and body weight, the course of treatment and the dosage of the medicine, if it was prescribed, is individually decided.
With prolonged flow of the painful condition of the cervical department, conservative treatment rarely leads the body to order. In this case, a surgical surgeon will help, which will quickly solve the problem.
Where to go if there was an exacerbation?
Very often the patient does not know which doctor heals osteochondrosis and which medical institution should be contacted in order to get the necessary consultation.
Surely, each of us knows where the polyclinic is located, which you can come to if you have a health problem.
In the registry of the medical institution, you can get information about which doctor can help with distressing symptoms.
.It is desirable to describe your health: the presence of pain in the collar zone, light crunch of the joints with the rotation of the head, numbness of the nape, migraine.
.Most likely, you will be advised to contact a neurologist, a vertebrologist or a surgeon. If you are on the record with the disease of the spine and this is not the first treatment, then it is necessary to go to that doctor who already knows you and observes the course and progression of the pathology.
In the end, you can make a total - do not hesitate to contact your doctor if you are concerned about something! Even if you do not know which highly specialized doctor treats this or that pathology - go to the therapist.
He will listen to you, conduct an inspection, examine and give directions to other specialists.
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A source: https://sustavlechit.ru/lechenie/kakoj-vrach-lechit-osteohondroz.html
What kind of doctor should I use for cervical osteochondrosis?
Which doctor treats the cervical osteochondrosis? With all the variety of medical specialists that one has to face during a lifetime, people can not always immediately find their way to answering this question. This disease has a wide range of possible symptoms, so patients may have difficulty in choosing a specialist.
How is osteochondrosis manifested?
When osteochondrosis of the cervical department, patients are most often noted:
- drawing pains in the neck;
- crunching when turning the head;
- headache;
- dizziness;
- increased fatigue, especially with a sedentary lifestyle.
But sometimes the signs of the disease go beyond the usual ones, and a person can not understand why vision falls, eyes are quickly tired or, for example, numbness and tingling in the fingers of the hands is felt. This is due to the infringement of the nerve roots located next to the cervical vertebrae.
A separate line shows the cardiac group of symptoms: with osteochondrosis, pain can occur in the region of the heart.
In this case, there are palpitations and quite real disturbances of the heart rhythm.
The totality of these symptoms is very frightening for the patient, but the cardiogram and other profile examinations most often do not reveal any cardiac pathology.
Where to go for pain in the neck?
The treatment of spine problems is handled by narrow specialists, up to the fact that the choice of a doctor may depend on the localization of the disease: be it the cervical, thoracic or lumbar. With the osteochondrosis of the cervical department, the neurologist works.
This direction has recently been allocated to an independent specialty: previously patients with similar symptoms were referred to neurologist, but to date, the correction of neurological problems associated with disruption of the central nervous system, is engaged in neurologist.
Of course, if a patient experiences atypical symptoms and does not know what could be the cause of their occurrence, it is better to contact the district therapist.
.Collecting anamnesis and symptomatic analysis will indicate the direction of further diagnosis, this will determine which specialist the patient will be sent for treatment.
.A neurologist examines the symptoms, assesses the patient's condition and, based on the data obtained, prescribes treatment and / or additional examinations.
What kind of doctors treat osteochondrosis of the neck?
The answer to the question, who treats the osteochondrosis of the cervical spine, in each case will depend on the severity of the condition and the survey data.
First of all, the treatment should be aimed at removing the pain syndrome and restoring the affected tissues.
It can be both conservative - massage, manual therapy, exercise therapy, - and medication.
With timely treatment for treatment may be enough therapeutic exercise.
This is done by a physiotherapist who will prescribe the kind, quantity and frequency of necessary exercises and procedures.
Here also manual therapy can help: in an easy form, osteochondrosis can be cured with a massage under the guidance of a specialist.
In the acute form of the disease cervical osteochondrosis is treated by a vertebronevrologist - a narrow specialist who will assess the severity of the condition and will appoint the appropriate complex treatment: non-steroidal anti-inflammatory drugs, muscle relaxants, massage, gymnastics and etc.
If the above methods do not bring the expected result, there is only one way out - surgical intervention.
This occurs when osteochondrosis has a noticeable effect on the work of the internal organs: the heart, lungs, kidneys, etc.
The surgeon or neurosurgeon carefully examines the patient and, if necessary, prescribes an operation.
.In addition to the above-described specialists, there is also a doctor who can understand the causes of this disease.
.The osteopath is a doctor who is engaged in careful manual examination of the affected area of the spine.
He can point out the exact causes of the emerging symptoms and with the help of influence on certain points to remove the severity of the manifestations of the disease.
How to protect yourself from severe osteochondrosis?
Among the causes of osteochondrosis of the cervical region, the following are distinguished:
- excess weight;
- disturbance of metabolic processes in the body;
- traumas in the anamnesis;
- hereditary predisposition;
- sedentary lifestyle and lack of physical activity.
If the symptoms become obtrusive, and you can not take them off yourself, visit your doctor as faster: timely onset of diagnosis and treatment is more likely to give a positive result.
A source: https://OrtoCure.ru/pozvonochnik/osteohondroz/k-kakomu-vrachu-obratitsya.html
Osteochondrosis: features of the disease and which doctor heals
The patient was diagnosed with osteochondrosis
Osteochondrosis is a fairly common disease. Moreover, in the last decade it has significantly "grown younger".
If earlier elderly people suffered from bone pathology, now the age of every third patient is from 35 to 60 years.
So, what is this "beast" - osteochondrosis? Which doctor treats such an insidious disease?
A little about osteochondrosis
The human backbone consists of 33-35 vertebrae. Between them is a soft elastic tissue, in medicine referred to as the intervertebral disc.
This element plays an important role: in addition to the depreciation function, it strengthens the spinal column, ensures its elasticity and mobility.
The structure of each intervertebral disc includes a gelatinous nucleus, surrounded by a fibrous ring, covered with hyaline cartilage from above and below.
Violation of the mineral metabolism and blood supply in the ridge leads sooner or later to degenerative changes. In the first place, the intervertebral discs suffer. At first they lose elasticity and elasticity.
Further, their thinning and desiccation occurs. Fibrous ring, which is now entrusted with all the load, can not stand and breaks. This provokes the formation of an intervertebral hernia.
In addition, there is a curvature of the affected area - scoliosis, kyphosis or lordosis is formed. In the article, we will take a closer look at the doctor who is treating osteochondrosis, and also learn all about modern methods of diagnosis and treatment.
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Causes of the disease
Back pain due to osteochondrosis
The spine is designed for an active lifestyle. However, excessive workload can also be harmful. Osteochondrosis can be formed for a variety of reasons. The older a person becomes, the greater the likelihood of vertebral pain.
The main causes that can provoke the development of degenerative-dystrophic pathology are identified:
- Genetic predisposition. It is noted that if one of the relatives suffers from this disease, then there is a very high risk that a certain individual will also face vertebral pathology.
- Violation of calcium metabolism(osteoporosis, age changes). In this condition, the friability of the entire bone system is observed. In intervertebral discs, there are also unfavorable changes - they become soft, quickly lose elasticity and become thinner.
- Sedentary life style, hypodynamia. This leads to a weakening of the muscular corset supporting the spine. Thus, the vertebrae and discs lose stability, against which the dystrophic disorders begin.
In addition, osteoporosis can lead to ridge injuries, wearing high-heeled shoes, flat feet, constant vibration (for example, drivers of large machines).
How to recognize the disease on your own?
Types of curvature of the spine. Violation of posture.
At home, it is impossible to diagnose osteoporosis.
When a disease occurs a number of symptoms, in the presence of which you should visit a specialist as soon as possible:
- dizziness, crunching of the neck or trunk during turns;
- systematic headaches;
- pain in the lumbar region, resulting from a change in position or in an active position (walking);
- strengthened and shooting painful sensations, giving away to neighboring organs - the bladder, kidneys, etc.
Primary treatment to the therapist
Which doctor treats osteochondrosis? At the primary reception with the therapist
So what kind of doctor should I use for osteochondrosis?
Nevertheless it is recommended to visit the therapist at the very beginning. This is exactly the doctor who will refer you to the right specialist.
The doctor will find out the history of the disease, ask about the presence of other pathologies (heart, stomach, lungs, etc.).
It can also touch the area of pain and determine in advance whether there are abnormalities in the spine.
After the general examination, the doctor will put a preliminary diagnosis and send for consultation to a highly specialized doctor.
Consultation with a neurologist
Checking the main reflexes
A doctor who treats osteochondrosis is a neurologist. As a rule, many therapists recommend turning to him.
The main task of the specialist, in addition to diagnosis - to remove acute pain by eliminating inflammation and pinching of the neurovascular bundles.
.This treatment helps to restore sensitivity, full movement of the limbs, also there is an activation of blood flow, which normalizes the work of internal organs and improves well-being in whole.
.The doctor informs the patient that the pain that has passed away can return if the cause that caused it is not eliminated. That is why you may need additional advice from a physiotherapist, nutritionist, a specialist in manual therapy.
Appeal to the vertebrologist
External examination of the spine
Some patients, writing to a specialist, at the clinic registrar are interested in what kind of doctor to apply for osteochondrosis, except for the neurologist? A nurse can write to an appointment with a vertebrologist. And she's right.
Windbreaker is a doctor with a narrow focus, having universal knowledge on diagnosis and treatment of spine pathologies. The doctor leads the patient from the beginning (study) and until the end of the rehabilitation period.
The vertebrologist can read radiographs, analyze MRI data, has the skills of manual therapy and massage, has deep knowledge in the field of physiotherapy, gymnastics, physiotherapy, stretching the spine. Thus, the doctor treats the patient not only with the help of medications (as the neurologist does), but also additional procedures. This contributes to the rapid elimination of pain and recovery.
Appeal to the orthopedist surgeon
Performing an operation on the spine
Many are interested in what kind of doctor heals osteochondrosis at a neglected stage? Orthopedic surgeons deal with severe cases when surgery is indicated.
Specialists conduct treatment for conditions that have arisen against the background of osteochondrosis (hernia, protrusion, osteophytes). Of course, they will be able to diagnose the dystrophic condition of the intervertebral disc, also prescribe the treatment and give directions to the massage course.
But nevertheless it is considered, that it is better for primary help to address to the neurologist or vertebrologu as these experts daily accept patients with problems in the spine, and to the orthopedic surgeon are treated more often with injuries, gait disorders, flat feet, articular pathologies.
Modern diagnostic methods
Diagnosis of osteochondrosis is carried out using several studies. After setting a preliminary diagnosis, the doctor will prescribe tests and an X-ray. In some cases, the expert will recommend going through magnetic resonance imaging.
In addition, during the study, the patient will most likely have to visit other specialists to exclude neurological abnormalities, violation of the cardiovascular and genitourinary system, as well as the work of the organs of vision and hearing.
To your attention the table "Modern methods of diagnosing osteochondrosis
External examination of the patient | Attention is drawn to the fact of violation of posture, muscle tone and reflex response. The doctor finds out at which point the pain hurts most and under what circumstances (for example, when turning the head or tilting the trunk). With degenerative-dystrophic disorders, a crunch, clicks will be heard. Palpation is determined by the affected muscles (occipital, gluteal, etc.). There are also a number of indirect signs, Proving the presence of degenerative pathology - increased hypertension and the presence of an inflammatory process in several joints. |
X-ray of the spine | It is the simplest, most accessible and fastest method of research. Pictures are taken in two projections: direct - the patient lies on the back and side - the patient lies on his side. For the study of intervertebral openings, an oblique projection, performed on a half-turn (the patient is deployed by 75%), is sometimes prescribed. On the roentgenogram of the cervical spine, there is a decrease in the height of the disc, the presence of protrusions, prolapse and bone proliferation. If the study was conducted with contrast, then in the picture it can be seen that the contrast medium not only filled the entire disk, but also exceeded its boundaries. The base of the skull is flattened, and the fusion of the first cervical vertebra with the occiput or with the underlying vertebra is also observed. With osteochondrosis of the thoracic and lumbar region, there are also bright changes - sclerotherapy of discs, the presence of osteophytes (these are bone growths, in the people - "deposition of salts are formed to distribute the load on ridge). At the same time, their presence is the main cause of the pain syndrome in the back. |
Magnetic resonance imaging | In contrast to radiographic examination, the MRI of the spine allows a more detailed study of nerve trunks, intervertebral discs, vessels and the substance of the spinal cord. With the help of magnetic resonance imaging, it is possible to detect degenerative pathology at the initial stage of formation. In addition to osteochondrosis, MRI photos are determined by a hernia, inflammation, fracture, crack, and pinching of the nerve. If the doctor suspects the presence of a tumor process, then he recommends conducting a study with the introduction of a contrast agent. |
CT scan | Computed tomography is performed by scanning the spine with X-rays. As a result, layered images are obtained, which are then processed on a computer. CT helps identify the exact cause of back pain. In addition to osteochondrosis, the tomography can show the presence of intervertebral hernia, osteophytes, osteoporosis (brittleness bone tissue), as well as the presence of metastases that could spread as a result of cancer, such as lungs or liver. The price of research of one department of a backbone, on the average, will manage in 4500-5000 rubles. |
Laboratory diagnostics | In the general analysis of blood (blood from the finger) there is an increased rate of erythrocyte sedimentation, sometimes an increase in leukocytes. For the diagnosis of osteoporosis (as mentioned above, this disease causes osteochondrosis), a study is scheduled that determines the presence of calcium in the blood. In the biochemical analysis of blood, shifts are also observed: the number of all fractions and globulin increases, and the concentration of albumin decreases. |
To your attention video in this article about the diagnosis and treatment of osteochondrosis. At the discretion of the doctor, additional tests for differential diagnosis or for the exclusion of a number of other diseases may also be prescribed.
In other words, there is nothing surprising if the specialist writes a direction for the following types of research:
- Electroneuromyography. Determination of the functional state of the peripheral nervous system and muscles.
- Myelography. X-ray contrast study of the cerebrospinal fluid of the spinal cord.
- Rheoencephalography. Study of the cerebral vascular system.
- Reflexometry. Determination of the speed of the reflex reaction.
- Echoencephalography. This is an ultrasound study that reveals the presence of pathological processes and disorders in the structure of the brain.
- Electroencephalography. It is a method of studying the brain by recording electrical impulses emanating from its various structures.
For differentiation, an electrocardiogram, echocardiography, ultrasound diagnosis of abdominal and pelvic organs, and renal function can be prescribed.
Methods of treatment of osteochondrosis
Preparations for the treatment of osteochondrosis
After when doctors have learned about osteochondrosis, the patient is prescribed treatment, which, in their opinion, in this case will help best (see.
Medicamentous treatment of osteochondrosis (part 2): the main groups of medicines). If pathology is detected in the early stages, then in this case conservative therapy is indicated.
In advanced cases (as a rule, other serious complications join), only the orthopedic surgeon will help by performing an operation on the spinal column.
Medicamentous treatment includes groups of drugs:
- to reduce pain - non-steroidal anti-inflammatory drugs;
- vasodilators - vasodilators;
- muscle relaxants - to relieve muscle tension;
- chondroprotectors - to protect and restore cartilaginous tissue;
- if the patient has fallen into depression against a background of a painful condition, then sedatives and sedatives are prescribed;
- vitamins and vitamin-mineral complexes to restore the sensitivity of the affected fibers, reduce the pain syndrome and replenish the bone system with the necessary trace elements.
After removal of the acute condition, the patient is recommended a long-term non-drug treatment. This includes massage, reflexology, therapeutic exercises, physical education, manual, ultrasound and laser therapy (see below photo).
Treatment of patients with medical gymnastics and physical education
You should also consult a nutritionist.
The doctor's advice on the treatment of osteochondrosis: it is important that the body receives as much of the substances involved in the production of cartilaginous tissue (jelly, jellied fish, jelly).
In the diet should be enough food, rich in minerals (cottage cheese, cheese, milk, legumes, lettuce). From salty, smoked, spicy and pickled dishes should be discarded.
Diet and nutrition for osteochondrosis
In the end, we can conclude. The doctor who treats osteochondrosis is not only a vertebrologist, neurologist or surgeon.
.Many other doctors, such as gynecologists, gastroenterologists, cardiologists and urologists, also accept patients in whom a degenerative-dystrophic disorder causes pain in a nearby organ. A simple, at first glance, disease, like osteochondrosis, can cause significant and sometimes irreparable harm to the entire body.
.A source: https://vash-ortoped.ru/bolezni-pozvonochnika/osteohondroz/osteohondroz-kakoj-vrach-lechit-1177