Educational program on medical specialties. When to contact a traumatologist?


Orthopedics is a clinical and surgical medical branch whose area of ​​interest includes the study of dysfunctions/deformations of muscle tissue and skeletal systems that have developed against the background of congenital anomalies, mechanical damage, pathologies of embryonic formation or infectious lesions. The development and subsequent implementation of preventive, diagnostic and therapeutic methods for problems of the musculoskeletal system is also included in this section. Orthopedics is associated with traumatology, whose area of ​​interest includes the study of mechanical disorders of the musculoskeletal system. Orthopedics and traumatology are developing integrally from prosthetics - a technical and medical discipline developing in the direction of the development, creation, and operation of orthoses and prostheses that help restore the normal functions of the musculoskeletal structure of the human body. What does an orthopedist treat?

First, you need to understand the question: “An orthopedist is what kind of doctor?”

Who is an orthopedist

An orthopedist is a doctor who studies and solves problems of the musculoskeletal system, which includes muscle tissue, joints, bones, tendons, and nerve structures. What is another name for an orthopedic doctor? Another name for this specialty is orthopedist-traumatologist (in some sources simply “traumatologist”). What is this connected with?

In order to obtain the specialty of an orthopedist, a young specialist must initially undergo basic training at a higher medical institution in the specialty of general medicine, or in the field of pediatrics, and only after graduation he has the right to choose an additional specialization. In this case we are talking about the department of “orthopedics and traumatology”. Consequently, upon completion of additional education, the doctor will have the specialty of “orthopedist-traumatologist”.

Depending on the focus of the medical institution, place of work (as a rule, the place is provided and little depends on the choice of the young specialist), the doctor can conduct professional activities primarily in one of the areas (orthopedics or traumatology), or, depending on work experience, degree competencies and orientation of honey. institutions, conduct medical activities as an orthopedist-traumatologist.

Reception algorithm

Whether it is the chief traumatologist of the department, or an ordinary “yesterday’s student” of a medical university, the algorithm for admitting planned patients remains identical.

First, an initial consultation is carried out. During it, the applicant talks about the accumulated thematic complaints, shows a medical card and mentions whether he has a hereditary predisposition corresponding to the suspicions.

This is followed by a traditional external inspection. Usually it is not enough even if the traumatologist has extensive experience. To refute or confirm the guesses, you will need to undergo additional clinical studies:

  • x-rays;
  • MRI;
  • CT scan in case of suspected traumatic brain injury;
  • general blood test to identify hidden inflammatory processes.

Those suspected of having osteoporosis undergo bone density testing. In medical terminology, the procedure is called densitometry.

Patients who are admitted from the street and are considered urgent are usually immediately sent either to the emergency room or intensive care unit. Particularly long queues at the trampoline can be seen in winter, when there is ice. During this time, elderly residents who are at particular risk should be vigilant. Their bone tissue recovers more slowly than that of young people.

What does an orthopedist do and what does he do?

What does an orthopedist do? As we indicated above, orthopedics is a broad section of medicine, so there are various areas:

  • Surgical orthopedics is a field that deals with radical treatment (through surgery) of disorders of the functioning and structure of the musculoskeletal system;
  • Pediatric orthopedics deals with diagnostics, therapeutic and preventive activities regarding musculoskeletal disorders in children of different ages, including adolescence;
  • Endoprosthetics of bones and joints - replacement of components of the bone structure with implants that have anatomical identity, allowing the restoration of impaired functions;
  • Outpatient orthopedics (conservative) deals with the non-operative treatment of diseases of the musculoskeletal structure;
  • Traumatology and orthopedics (this also includes sports orthopedics) invasive and non-invasive treatment of musculoskeletal injuries, including specific sports injuries;

An orthopedic doctor (also known as a traumatologist) can carry out professional activities in clinics or hospitals, conducting outpatient visits and prescribing conservative treatment, or carry out medical activities in specialized medical institutions (for example, a trauma hospital).

What does an orthopedist do during an appointment? The orthopedist’s appointment follows the standard procedure:

  • Initially, the orthopedic doctor conducts a conversation to identify complaints and collect anamnesis in general;
  • The next step is a visual examination, with the help of which the doctor assesses the anatomical structure of the bone structure. This type of diagnosis is extremely important in pediatric orthopedics, when examining babies under one year old, as well as newborns. When conducting a visual examination, the doctor assesses deviations in the movements of the damaged/affected joints;

For a complete diagnosis, the orthopedic doctor prescribes hardware diagnostic methods. The results of which diagnostic methods may be required by the doctor:

  • CT scan;
  • Magnetic resonance imaging;
  • Ultrasound examination of tendons and joints;
  • Radiography allows you to assess the condition and anatomical structure of the skeletal system;

Identification of infectious and inflammatory processes, which may cause damage to the musculoskeletal system, is carried out through laboratory tests:

  • Blood test for a time index of coagulation (prothombin time/index);
  • UAC and OAM;

If necessary, an orthopedic surgeon can provide assistance through redressation, which consists of closed surgery (for example, for dislocations).

Our service will select the best orthopedist for you for free when you call our Unified Appointment Center by phone. We will find an experienced doctor near you, and the price will be lower than if you contact the clinic directly.

Features of the profession

A trauma surgeon must be a physically developed and fairly strong person, which is due to the specifics of his work. Due to strict requirements, women rarely choose this profession. This doctor stands at the operating table every day, often working with emergency cases (painful shock, heart failure, major blood loss, and others).

Trauma surgeons perform surgical interventions; they are constantly trained, mastering new treatment techniques, and gaining skills in working with modern equipment. It is worth remembering that traumatologists who have graduated from a university are not immediately allowed into the operating room. They learn for a certain amount of time by observing the work of experienced mentors. Gradually, doctors begin to be trusted to perform simple operations, so the average age of trauma surgeons is 30 years or more.

What does an orthopedist treat?

The competence of an orthopedic doctor includes the treatment of various diseases. Below we provide a short list of diseases that an orthopedist treats.

What does an orthopedist treat in adults:

  • Bursitis/arthrosis – diseases in which inflammation of the joints and periarticular bursa is observed;
  • Rheumatoid arthritis is a severe, chronic disease that affects the skeletal system, which can lead to joint deformation;
  • Sprain;
  • Joint dislocations;
  • Intervertebral hernia is a disease manifested in tissue rupture and subsequent disc displacement;
  • Styloiditis, as well as any other inflammatory diseases of the tendons;
  • Osteochondrosis is a disease characterized by damage to the spine and its parts;
  • Joint dysplasia (hip) is a congenital abnormality of the joint, leading to an atypical position of the femoral head;
  • Clubfoot;
  • Deforming ostosis is a disease of the bone skeleton, characterized by bone restructuring, which subsequently leads to severe deformities;
  • Heel spur (abnormal deformity);
  • Flat feet and any other curvatures of the feet;
  • Benign tumors of the skeletal system. For example, chondroma, fibroma, osteoid osteoma, etc. Malignant tumors are initially diagnosed by an orthopedist, but the treatment of cancer is carried out by an orthopedic oncologist (orthopedic oncologist);
  • Scoliosis is a curvature of the spine;
  • False joints;
  • Deformities of any limbs;
  • Slow healing of fractures and much more;

Please note that the above list includes diseases treated by an orthopedist-traumatologist. If there are two specialists in one medical institution (orthopedist and traumatologist), you will be sent to one or the other, since they share medical responsibilities among themselves. If there is one, you will be sent to him with any problem.

What does an orthopedist treat in children:

  • Congenital dislocation of the hip joint (bone);
  • Congenital deviation of the hand from the forearm;
  • Syndactyly (fusion of fingers, complete/partial);
  • Pathologies of the spine in a child;
  • Neck deformities (torticollis, Grisel's disease and others);
  • Congenital pathological alignment of the scapula;
  • Polydactyly (extra fingers/phalanxes);
  • Flat feet;
  • Clubfoot;
  • Congenital dislocation of the kneecap;

Important personal qualities

An experienced trauma surgeon must have a certain character, in which rigidity, the ability to negotiate with any person, assertiveness, categoricalness, perseverance and perseverance predominate. While working, he observes the principles of medical ethics and medical confidentiality.

A doctor must sincerely love his profession, realizing that saving the lives of patients is not a routine job, but his true calling. Of course, a trauma surgeon must have well-developed motor skills, strong arms, endurance and composure.

When should you see an orthopedist?

Often, adults who have serious problems with the musculoskeletal system turn to an orthopedist because they initially did not pay attention to the symptomatic manifestations of developing diseases. This is not surprising, since diseases of the skeletal and muscular system initially have mild symptoms, and only an experienced doctor can diagnose the problem at an early stage.

Timely stopping of degenerative processes is possible with an adequate attitude to the “signals” that the body “gives” in the presence of any problems. If you experience any of the symptoms listed below, a visit to your podiatrist is highly recommended.

  • Relatively quick fatigue of the lower extremities with light loads;
  • Pain in the joints;
  • The appearance of a constant/periodic crunch when bending the limbs in the joints;
  • Deformation of the chest bones;
  • Inability to stay in an upright position (standing) for a long time;
  • Asymmetrical shoulders;
  • Deformation of the limbs (appearance of neoplasms in the form of growths/bumps, curvature of the fingers);
  • Inflammatory processes in the area of ​​damaged joints, manifested in redness and swelling of local areas of skin tissue;
  • Stooping, especially progressive;
  • Rachiocampsis;
  • Lameness;

If you have/have suffered from the diseases noted in the list below, you must visit an orthopedist regularly.

  • Spinal injuries;
  • Osteochondrosis;
  • Rheumatoid arthritis;
  • Dislocation of the shoulder/knee joint;
  • Arthrosis;
  • Fractures of the femur, its neck;

Protracted diseases of the skeletal and muscular system are much more difficult to treat than diseases detected at an early stage of development. That is why it is important to contact an orthopedist in a timely manner.

Narrow specializations

If we talk about narrower areas of a specialist’s activity, the following types of activities can be distinguished:

  • pediatric traumatology (patients under 18 years of age),
  • injuries resulting from sports activities,
  • prosthetics,
  • surgery for bone tumors,
  • elimination of problems of the spinal column,
  • elimination of injuries inside joints,
  • treatment of burns,
  • hand surgeries,
  • military traumatology.

What types of treatment are prescribed by an orthopedist?

Treatment of any orthopedic diseases is often carried out comprehensively and may include:

  • Physiological procedures;
  • Drug treatment (taking medications, applying medicinal balms and ointments);
  • Use of orthopedic orthoses (insoles, corsets, etc.);
  • Mechanical treatment using specific therapeutic massages;
  • Hardware treatment;
  • Surgical intervention;
  • Alternative treatments (aromatherapy, acupuncture, etc.);

Training to become a trauma surgeon

Universities

Courses

  • CHTA

    Traumatologist

    504 days, deferred payment, monthly payment, chat

    50 000 ₽

    View course

FAQ

  • What should you take with you to an orthopedic appointment?

    If you have results from previous examinations, such as ultrasound, x-rays or MRI, be sure to bring them with you. This will help the orthopedist make a diagnosis and select the necessary treatment. If you have not undergone any examination, if necessary, you can undergo it with us.

  • How can a doctor help me with knee pain?

    Our orthopedic doctors use more than 20 treatment methods in their practice. From drug therapy and blockades that help quickly relieve pain, to physiotherapy and intra-articular injections that help restore the joint.

  • Is it possible to undergo treatment with you without surgery?

    We use non-surgical treatment methods, which allows us to avoid surgery in the treatment of certain diseases.

  • Can all prescribed treatment be completed with you?

    Yes, we have all treatment methods and all equipment. Moreover, you can start treatment on the first day of contacting us.

  • How painful is it to get an injection into the knee joint?

    The procedure is performed under local anesthesia; you only feel the injection of needles into the skin. The whole procedure takes no more than 5 minutes. You can easily get up and go. There are no serious restrictions.

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