Consultation of an orthopaedist-traumatologist in Ternopil

Orthopaedics and Traumatology are medical fields specializing in the diagnosis, treatment and prevention of disorders in the musculoskeletal system, including joints, bones, ligaments, tendons and muscles. The main goal that all orthopaedic doctors face is to restore the patient's mobility lost because of an illness and return him to his usual life. Sometimes this is only partially possible, including due to the untimely appeal of the patient to a specialist.

When to address to an orthopaedist-traumatologist?

Let us start with emergencies. Usually we are talking about injuries of varying complexity: unsuccessful using of the stairs, falling on the sidewalk slippery from ice, knee injury... There are many such seemingly minor injuries. To protect yourself from their complications, it is important to consult with an orthopaedist-traumatologist immediately.

Moreover, a visit to a specialist in this field is required with the appearance of certain symptoms:

• stiffness, pain or swelling in the joints in the morning and during the day;
• deformity of the joints;
• crepitus in the joints;
• pain in the legs or back when walking;
• curvature of the spine or limbs;
• numbness of the limbs;
• aches in the limbs;
• pain and stiffness in the heel.

Professional athletes or fans of extreme recreation should undergo a preventive examination by an orthopaedist at least once a year. A visit to the doctor will allow timely detecting of microtraumas of the musculoskeletal system and preventing serious complications in future.

The competence of an orthopaedist-traumatologist includes the following pathologies:

• acute conditions (dislocations, fractures, concussion, sprains and ruptures of ligaments or muscles, abrasions and wounds, hematomas and other soft tissue injuries);
• degenerative and dystrophic diseases;
• inflammation and swelling of the joints and surrounding soft tissues;
•  tumours;
• aseptic necrosis;
• flat feet;
• clubfoot;
• epicondylitis;
• arthritis, periarthritis;
• arthrosis and osteoarthritis;
• heel spurs;
• violation of posture, scoliosis;
• bursitis;
• synovitis.

Diagnosis and treatment of injuries and orthopaedic diseases

Like any professional medical consultation, the patient's communication with an orthopaedist-traumatologist will begin with a survey on complaints and an anamnesis based on lifestyle characteristics, information about fresh injuries and those received during life, and the presence of chronic diseases. A visual orthopaedic examination includes an assessment of the length and axes of the limbs, the condition of the spine and posture. To get full information, a doctor may prescribe an X-ray or ultrasound of the joints, laboratory tests, or a joint puncture.

Based on the results of the research, the orthopaedist will decide on an individual course of treatment. The conservative method usually includes medicine therapy, physiotherapy, and special exercises. However, sometimes such measures are not enough and treatment requires more modern, innovative approaches.

The so-called therapeutic blockades – intra-articular injections – are a rather common method of treating joint diseases. The injection of a therapeutic substance allows eliminating pain and relieving inflammation, improving joint mobility, stopping the progression of arthrosis, and sometimes even avoiding surgical intervention. This may be the injection of corticosteroid medicine (diprospan, celestin, flosteron) or hyaluronic acid - the prescribtion of the substance depends on the identified disease. The effect of intra-articular injections persists for a year or more after the completion of the full course.

Another modern injection method for the treatment of musculoskeletal system diseases is PRP-therapy. The essence of the procedure is that platelet-rich plasma is injected into the problem area (inflamed joint, ligament, muscle). To do this, about 20 ml of venous blood is taken from the patient, which is then passed through a special centrifuge to separate plasma from the blood. It contains many platelets. A doctor draws plasma into a syringe and injects it into the affected area.

That is why the method is called PRP (Platelet Rich Plasma). The range of its application is quite wide; PRP-therapy is highly effective in the following conditions:

• inflammation and pain in the joints;
• decreased mobility of the joints;
• muscle spasms;
• deterioration of blood circulation in the injured tissue;
• slow tissue regeneration;
• decrease in the amount of joint fluid.

The procedure lasts no more than 30 minutes; the injection is done under local anaesthesia. Sometimes, up to 6 such procedures should be done to achieve the desired result. Pregnancy, high temperature, inflammation in the body, diabetes mellitus are contraindications for PRP therapy.

Attention! The procedure requires some preparation. Before the therapy, alcohol, fatty, smoked, salty and fried foods should not be consumed, and excessive physical activity is also not recommended.

Shockwave therapy is considered to be one of the most effective non-invasive treatment methods in orthopaedics. Due to the effect of low-frequency shock waves on the diseased area, it is possible to relieve the patient of pain, improve blood circulation in the affected organ, accelerate the disintegration of bone growths, and strengthen tendons and ligaments. SWT is indicated for arthritis and arthrosis, heel spurs, osteochondrosis, epicondylitis and bursitis, poorly healing fractures, muscle and tendon ruptures. It is also used in rehabilitation courses after joint surgeries, when recovering from injuries.

Among the advantages of shock wave therapy, in addition to non-invasiveness, there is also quick recovery after the procedure, absence of anaesthesia and side effects, an ability to carry out treatment even in a state of active exacerbation of the chronic stage of the disease.

The procedure has contraindications, so it is not prescribed for pregnant women, patients with benign or malignant neoplasms, blood-clotting disorders, patients with severe diabetes mellitus and infectious diseases.

Feel the joy of movement without pain – contact an orthopaedist-traumatologist in Viasan

The doctors of the Viasan Medical Centre in Ternopil are experienced orthopaedists-traumatologists with many years of experience. Therefore, here you can get a full range of medical services in solving problems with the musculoskeletal system: from pathologies of the limbs and joints to emergency conditions in case of injuries.

The modern equipment of the centre and the use of progressive medical achievements allow our specialists (in combination with their professionalism and experience) to carry out high-quality diagnostics of diseases and prescribe the most effective treatment. An individual approach in the selection of therapy allows literally putting patients on their feet and again giving them the joy of movement without pain.