What does a rheumatologist do?
Like any other doctor, a rheumatologist conducts an examination of patients who apply to him, diagnoses, prescribes treatment and monitors his effectiveness, making adjustments based on the clinical picture of a specific disease.
First of all, the rheumatologist tries to stop the inflammatory process, and also to remove or at least minimize the pain. For this purpose, appropriate medications are prescribed - non-steroidal anti-inflammatory drugs and pain medications.
After improving the condition of patients and relieving pain, a rheumatologist performs therapy aimed at restoring the normal functioning of the joints and connective tissues affected by the disease. To do this, a variety of physiotherapy, massage, a set of therapeutic physical training (classes conducted by special methodologists LFK). The development of joints and the normalization of motor functions can be performed with the use of various rehabilitation equipment (simulators).
What diseases does the rheumatologist treat?
In the field of clinical practice, rheumatologists include such diseases as:
- reactive arthritis (acute, rapidly progressive inflammation of the joints, which arises from the transfer of acute or exacerbation of a chronic infection);
- rheumatoid arthritis (chronic systemic disease of connective tissue with progressive lesion of peripheral joints and internal organs);
- osteoarthritis (pathology of the knee, hip and ankle joints, accompanied by changes in the cartilaginous tissue, develops after mechanical overload and dislocation of the joint surfaces);
- osteochondrosis (degenerative-dystrophic spine disease);
- osteoporosis (progressive systemic skeletal disease, which is expressed in a decrease in bone density);
- gout (acute painful swelling of the joints, associated with increased levels of uric acid in the blood);
- ankylosing spondylitis (or Bechterew's disease, chronic inflammation of the joints of the sacroiliac joints, spine and adjacent soft tissue - with persistent restriction of mobility);
- systemic sclerosis (or systemic sclerosis, a progressive disease caused by inflammation of small vessels throughout the body and leading to fibro-sclerotic changes in the skin, musculoskeletal system and internal organs).
And also: systemic lupus erythematosus, Reiter's disease, granulomatous arteritis, hydroxyapatite arthropathy, multiple reticulogistiocytosis, joint chondromatosis, vinzonodular synovitis, as well as bursitis, tendenitis, periarthritis, etc.