Almost everyone has heard of such medical specialties as rheumatologist, but few know what range of problems does this doctor.
Treating rheumatologist when and who need to go to the specialist and jelly helps with pain in the joints, said VitaPortalu physician rheumatologist, MD, PhD, researcher at the Institute of Rheumatology, author your site rheumatologist Catherine ValerevnaSuponitskaya.
Professional weekly rheumatologist
- What are the most common problems with the rheumatologist? What is your typical working day?
- Most treated elderly patients with typical age-related diseases of the joints (osteoarthritis, osteochondrosis). Young people have a lot of problems associated with sedentary lifestyle, as well as diseases of the tendons and ligaments.
Another group of patients - with autoimmune diseases, here age features are not so important. For example, systemic lupus erythematosus is a disease of young women. In autoimmune diseases, the body produces from unknown causes cells (antibodies) that damage its own tissues, joints, muscles, internal organs.
During the consultation I explain the cause of the disease and how to get rid of, if necessary, spend a puncture or intra cerebral blockage to quickly relieve pain or to diagnose.
- How do you know you need it to go to the rheumatologist, not another doctor (trauma, orthopedic)?
- If the pain in the joints, muscles or periarticular tissues occurred against the background of full health, that there was no injury or stroke, usually need rheumatologist.
With diseases of the joints, earlier they turned to the surgeon, in the district clinic. This is undesirable because the surgeon is often diagnoses, and immediately assigns treatment, which in some cases may not be entirely appropriate.
- For the layman rheumatologist profession associated with rheumatism and disease, in turn, bent old man. What is rheumatism actually, who is more likely to get sick?
- Rheumatism - infant and childhood infectious diseases. However, the term has a more widespread, so-called vnesustavnoy rheumatism, which include frequent disease periarticular areas, tendon inflammation and periarticular bags, which are exposed to people of all ages, especially certain professions whose work involves regular and monotonous movements and lifting weights.
- How does a rheumatologist perform diagnostics, are there any special tests, analyzes for this?
- The main thing in the profession is a thorough review, a detailed question about the symptoms and the onset of the disease. Diagnostic procedures are always secondary. They include a certain spectrum of immunological analyzes, X-ray diagnostics, and sometimes MRI.
How to find a good doctor
- What do you need to pay attention to when looking for and selecting a specialist?
- If a person plans to hold consultations for the first time, one should pay attention to the education of a specialist, his qualification. The physician must continually evolve to be a member of professional conferences to learn new and immediately implement it in practice, because the science is not in place, there are modern drugs and treatments should know about them.
- And what has appeared in your sphere in recent years due to the development of science?
The most important achievement is biological therapy, which can now help patients with severe autoimmune diseases (rheumatoid arthritis, systemic lupus erythematosus). Until the era of biological drugs, there was no such opportunity, and the quality of their lives was greatly affected.
- How do you advise patients to behave at the reception so that it passes for them as productively as possible?
- Actively interested in everything about your disease, ask questions about its causes, the appropriateness of the appointments of recommended drugs and methods of examination, as well as the length of visits to the doctor.
This is important because in commercial medicine there is a vicious practice of costly analyzes and surveys, which not only do not bring additional information, but are often not needed at all.
Therefore, the question is good: "The doctor, and why it is necessary, what do you prescribe, and what will we do if, for example, this analysis will come positive? What are the possible alternatives to another treatment or examination?"
Prevention and treatment
- What is the risk factor for your profile diseases, if any? In other words, is prevention possible?
- There are no specific risk factors for most autoimmune diseases. The generally accepted recommendations are to support yourself in good physical form, refusing to smoke, having a healthy diet, and so on.
- At the pharmacy now a lot of ointments and gels "with joint pains." Can I buy them and treat themselves or in all cases of pain should I contact a doctor?
- It is possible, provided that the pain does not deliver significant discomfort and lasts less than 2 weeks. At greater duration and strengthening of symptoms it is necessary to appear rheumatologist.
- It has now become very fashionable to go running, running old and small. Of course, it is good for health, but is it harmless to the joints and spine?
- Any movement is useful for joints with a reasonable approach, therefore, first of all, it is necessary to listen to your body. The movement, including running, should be a joy. Therefore, running can be recommended to anyone who is pleased with such a load and feels better after him. A half-hour jog will only benefit the joints and the spine, but sometimes it is better to start with a walk in order not to heavily load joints.
When excessive weight or diseases of the joints of the lower extremities, expressed flatness, it is advisable to consult a physician before training.
What should you know?
- Recently, due to the computerization of the disease, the ligaments and joints have not received or are more widespread?
- It is rather not independent diseases, but a complex of symptoms associated with a sedentary lifestyle in young able-bodied people.
The truth is from Laura: interview
I can say that the spread of inflammation of the Achilles tendon has become a constant traffic congestion on the roads.
- Many are faced with the fact that the joints are crispy or clicked. Is not it dangerous?
- It's not dangerous if there are no other feelings, such as pain. Often it happens in young people with hypermobility syndrome (weak connective tissue), with anatomical features of tendons and malotrenirovannyh people.
- People are actively discussing on online forums, which is useful for strengthening the joints and bones and jelly. Is that true
- No, this is a common myth. Chalodets is a food rich in cholesterol; it does not actually strengthen either the joints or the bones.