Rheumatology is dealing with the conservative (non-surgical) treatment of musculoskeletal diseases, such as bone, muscle, tendon and joint diseases. The symptoms affects approximately 70% of the population, independent of age. The symptoms of the rheumatic diseases can vary from little discomfort to severe disability, and can last for several days to years. These diseases can be inflammatory joint diseases of autoimmune or metabolic origin, degenerative joint diseases (arthritis), diseases of the bones, discs, ligaments, tendons, muscles and painful spinal diseases. Osteoporosis also belongs to the field of rheumatology. The task of the rheumatology specialist is to make the most appropriate and most effective individual therapeutic recommendation for the patient and for which a permanent recovery can be reached.
WHEN SHOULD I CONTACT A RHEUMATOLOGY SPECIALIST?
In case of:
- non-subsiding pain and stiffness lasting for weeks and causing disability.
- sport injuries (such as ankle sprain, ligament injuries of the shoulder, wrist or knee, tendon injuries and muscle tears)
- arthritis, degenerative or inflammatory pain
- muscle pulls
- inflammation of tendons
- rehabilitation after injuries or operations
- a need to assess and treat osteoporosis
- acute or chronic spine and back pain
- spine and joint pain during pregnancy
- calcified shoulder tendinitis or chronic shoulder pain
- elbow problems (tennis elbow, golfer’s elbow)
- knee or hip symptoms
- degenerative knee pain
- Achilles tendon pain
- heel pain, heel spur, inflammation of the plantar fascia (plantar fasciitis)
- patellar chondropathy (cartilage damage), patellar tendinitis
- anterior tibial syndrome (bone membrane irritation of the front part of the shin bone)
- trochanteric tendonitis (pain of the upper part of the femur)
- any chronic enthesopathies (pain caused by the inflammation of a tendon or ligament to a bone)
- acute and chronic cervical / lumbar pseudoradicular syndrome (lower back pain)
- recurrent muscle pain in the upper or lower leg
- pain of the ball of your foot
- superficial and deep sited trigger points such as permanently present shortened and thickened muscle fibres which are formed by an accident (a jerk move or a sport accident) a bad move (lumbago), a stress situation or any unusual distress
WHAT SHOULD I EXPECT DURING A RHEMUATOLOGY EXAMINATION?First of all, your medical history, past diseases and current complaints will be recorded by the specialist. He or she assesses the patient’s lifestyle at home and office and their effects related to musculoskeletal organs. Afterwards, a detailed physical examination takes place during which the specialist evaluates the status and movability of the spine, the joints and the muscles, and also specifically examines the aching regions. The examination takes place both in standing and lying positions. It is essential to explore the causes of the symptoms or what triggered the trauma. After the rheumatology specialist identifies the nature of the disease, he or she recommends further examinations or a required therapy. After diagnosis, therapeutic measures, should be started immediately under the control of the specialist.
WHAT KIND OF DEVICES ARE USED AT OUR MEDOC HEALTH CENTRE?For the most effective treatments and quicker recovery, at our centre we use state of the art, premium category Storz Medical ESWT devices: DUOLITH® SD1 T-TOP »F-SW ultra« with focused handpiece, and MASTERPULS® MP100 »ultra« with radial handpiece and with different applicators. The use of ESWT (Extracorporeal Shock Wave Therapy) revolutionarily changed the view of clinical professionals in treating soft issue injuries. In these cases, where conservative physiotherapy or other conventional interventions have not improved the patient’s condition, the ESWT has proven its effectiveness as a single and effective alternative to invasive surgical interventions.