Common Conditions That Rheumatologists Treat:
Rheumatoid arthritis is an autoimmune disease that often affects many joints at once.
Early diagnosis is key to stopping the progression of this disease and rheumatologists are trained to do exactly that.
A rheumatologist can also make referrals to physical and/or occupational therapy. This can reduce pain during flare-ups and improve your quality of life.
Psoriasis muscular pain
Psoriasis is another common autoimmune disease. It affects the skin, speeding up the growth process of skin cells. This forms thick plaques on the scalp, elbows, chest, and/or the face.
Some types of psoriasis also cause joint or musculoskeletal pain.
In this case, dermatologists work in tandem with rheumatologists.
Tick bite joint pain
Ticks can spread several diseases, the most common being Lyme disease.
During the first 30 days after the bite, you may feel some fatigue, headache, and a fever. Most people also develop a rash in the shape of a bulls eye.
If untreated, Lyme disease can cause several health issues, including:
- Joint pain,
A rheumatologist will work with other physicians to help you manage these symptoms.
Why Do I Have Knee Pain
Knee pain is a common health complaint that affects millions of Americans every year. Younger generations are struggling with knee pain now more than ever due to a sedentary lifestyle.
If left untreated, knee pain can get worse. Knee pain can also be a symptom of another underlying health condition. Thats why it is important to seek medical advice from a pain doctor. Here are some examples of potential health conditions that affect the knee:
- Bursitis when your joints become painful, tender and swollen
- Tendonitis when the tendon swells up and becomes tender and painful after a tendon injury
- Sprains and strains when muscles and ligaments are stretched too much
- Weight gain excessive weight gain can put strain on the knees. Consider weight loss as a treatment option.
If youre in pain, it is recommended that you seek medical attention from a Board Certified pain management physician. Our team at the VIP Medical Group can provide you with a thorough health assessment in our state-of-the-art facilities by a friendly and experienced member of the team.
Orthopedic Treatment For Chronic Knee Pain In Northeast Ohio
Here at Orthopaedic Associates, our medical team specializes in helping our patients return to their normal lives or enhance their sports performance. If you are suffering from knee pain, our compassionate orthopedic surgeons know how to efficiently perform an evaluation, provide a diagnosis, give you your options, and provide the medical service you choose.
We bring together diagnostics, treatment, and rehabilitation under one roof. Our treatments for knee pain combine traditional proven methods and new, highly advanced methods and procedures.
To request an appointment with one of our orthopedic specialists, contact Orthopaedic Associates today by calling 892-1440 or 362-7624. We look forward to helping you live a more pain-free lifestyle once again!
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What Natural Home Remedies Relieve Knee Pain
Over-the-counter pain medications can frequently alleviate the pain. If someone is taking these medications on a regular basis, he or she should see a health care professional to evaluate the knee pain for proper diagnosis and to avoid the potential side effects of chronic medication use.
The RICE mnemonic is often helpful, especially for minor injuries:
Rest: Rest the joint, and take a break from your usually activities involving the knee joint.
Ice: Applying ice can help with pain and inflammation.
Compress: A compression bandage can help prevent swelling and help knee alignment. It should not be tight and should be removed at night.
Elevate: Elevation can help with swelling and resting of the knee.
What Is The Recovery Time For A Knee Replacement
The most extensive form of knee treatment is knee replacement surgery or knee arthroplasty. This treatment is usually recommended for those patients whose knees have been deformed due to chronic conditions such as osteoporosis or arthritis.
Knee replacement surgery comes in different forms depending on the extent of the deformity, you may require either partial knee replacement or total knee replacement. During the procedure itself, you will be administered anesthesia, ensuring that you are pain-free. Recovery from a knee replacement surgery can last for roughly six weeks and typically requires physical therapy. Pain medications can also be administered as needed.
If you deal with knee pain or limited motion, itâs important to visit with a surgeon as soon as possible. Learn more about the possibilities of evidence-based knee treatments by contacting a knee doctor today.
For more information on different knee replacement procedures our knee doctors perform, click the buttons below.
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Understand The Medical Vocabulary In Advance
Sciatica is a lay term that describes a set of symptoms that originate in your lower back and travel down your sciatic nerve. There are specific terms associated with sciatica and learning the vocabulary ahead of time can help you save time and avoid confusion during your consultation.
Commonly used medical terms are:
- Nerve root. Several spinal nerves branch off your spinal cord at different levels. A nerve root is the part of the spinal nerve that leaves the spinal cord, passes through a bony opening, and exits the spinal canal.
Read more about Sciatica Causes
Can Knee Pain Come Back After Treatment
Frequently, knee pain will occur for a short period of time and then resolve. Sometimes it can return a few weeks or months later. For chronic knee pain, it is important to get it evaluated to avoid further damage to cartilage, bones, or ligaments. Prognosis depends on the underlying causes of the pain.
With modern surgical techniques, it’s possible to relieve many of the knee pain syndromes and return to an active lifestyle.
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What Kind Of Doctor Should You See For Knee Pain
The bottom line is, if you have any reason to think you have suffered a serious injury, thats enough reason to go see a specialist. And speaking of who to visit
Look for an orthopaedic specialist in your area to give you an accurate diagnosis. The knee is a very intricate, very important part of the body. As such, there are many talented and experienced doctors who specialize solely in the field of knee surgery.
If you are an athlete, I also recommend visiting an Orthopaedic Sports Medicine Specialist who has experience with the specific needs of athletes and what it takes to successfully get them back on the field performing at a high level.
Chronic Medical Conditions Can Cause Hip Problems That Occur On A Regular Basis Knowing What Is Causing These Symptoms Helps Determine The Best Course Of Treatment
Knee pain can occur due to injuries, inflammatory conditions, underlying diseases, or wear and tear that affects the structures in the joint. Having this type of pain diagnosed is essential to ensure that you receive proper treatment for it. Knowing who can diagnose knee pain and who can treat it can help you understand what to expect from your knee-related medical appointments.
Diagnosing Knee PainDetermining the cause of knee pain typically begins with your primary care doctor or you can schedule an appointment directly with one of Arkansas Surgical Hospitals orthopedic surgeons. A physical exam is conducted. The exam will help determine the origin and severity of your pain.
If you are evaluated by your primary care physician and your knee pain requires more detailed evaluation, your doctor might refer you to an orthopedic surgeon, who specializes in diagnosing and treating problems with the musculoskeletal system.. Your orthopedic surgeon will most likely take imaging tests to see your knee joint in greater detail, including X-rays to check the bones in the knee joint or magnetic resonance imaging scans to check the cartilage and ligaments in the knee. Depending on the results of these imaging tests, your orthopedic surgeon may prescribe a conservative treatment plan which could include medication, exercise, joint injections or a supervised therapy program. A surgical procedure might be also be recommended if warranted.
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Foot Pain Doctors And Foot Care Specialists Defined
When itâs time to see a medical provider for your foot pain, you want to go to the right one. Knowing whether to choose a podiatrist vs an orthopedist or a podiatrist vs a chiropractor comes down to understanding what each of them does and hwo they treat their patients:
- Podiatrist. A Certified Doctor of Podiatric Medicine , or podiatrist, is not an MD but has been trained to address all issues of the foot and ankle. They can provide surgical and medicinal treatments and may provide recommendations for other foot care providers as well.
- Orthopedist. Also known as an orthopedic surgeon, an orthopedist is a physician who treats bone abnormalities through surgery as well as casting and bracing. They focus on musculoskeletal issues throughout the body, which can include but is not limited to the feet.
- Pedorthist. A pedorthist is a foot care specialist that focuses specifically on addressing foot conditions through footwear modifications and supportive devices like orthotics and insoles.
- Physical Therapist.A physical therapist is a licensed care provider who focuses on correcting issues through rehabilitative exercises and treatments.
- Chiropractor. A chiropractor focuses on the diagnosis and treatment of joint issues. Treatment provided is primarily through the manual adjustment or manipulation of joints and the spine.
How Is Neuropathic Pain Treated
The goals of treatment are to:
- Treat the underlying disease .
Multimodal therapy is usually required to treat neuropathic pain.
Medicines commonly prescribed for neuropathic pain include anti-seizure drugs such as:
- Gabapentin .
Doctors also prescribe antidepressants such as
- Amitriptyline .
- Venlafaxine .
- Duloxetine .
Getting a prescription from your pain specialist for anti-seizure drugs or antidepressants does not mean you have seizures or are depressed. However, its true that chronic pain can be made worse by anxiety or depression.
Topical treatments like lidocaine or capsaicinpatches, creams or ointmentscan be used on the painful area. Opioid analgesics are less effective in treating neuropathic pain, and negative effects may prevent their long-term use.
The pain can also be treated with nerve blocks given by pain specialists, including injections of steroids, local anesthetics, or other medicines into the affected nerves.
Neuropathic pain that has not responded to the therapies mentioned above can be treated with spinal cord stimulation, peripheral nerve stimulation and brain stimulation.
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Stem Cell And Prp Therapy
Many orthopedic doctors also use regenerative medicine to relieve pain and boost injury healing. Stem cell therapy and PRP therapy use components taken from your blood. In stem cell therapy, adult stem cells are harvested and injected into the knee to promote the healing of damaged tissue. In PRP therapy, blood is taken from your body, platelets are isolated and concentrated using a centrifuge machine, and injected into the knee. The platelets contain growth factors that can boost the repair and healing process. Patients with soft tissue injuries and osteoarthritis may benefit from stem cell therapy and PRP therapy.
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Should I See A Rheumatologist For Osteoarthritis
Arthritis is a broad term, including over 100 forms of the disease. The cause and manifestation of each form is different. For example, Osteoarthritis is caused by wear and tear, and is a degenerative form of disease, more common in older patients. By contrast, Rheumatoid Arthritis is an autoimmune and inflammatory disease in which your immune cells attack healthy cells in your body by mistake and can occur in younger patients. While a rheumatologist is sometimes necessary with RA, they are not required to successfully treat OA or many other forms of arthritis.
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What Are Knee Pain Symptoms And Signs
- Chronic use/overuse conditions: osteoarthritis, chondromalacia, IT band syndrome, patellar syndromes, tendinitis, and bursitis
Below is a list of some of the more common causes of knee pain. This is not an all-inclusive list but rather highlights a few common causes of knee pain in each of the above categories.
Acute knee injuries
Fractures: A direct blow to the bony structure can cause one of the bones in the knee to break. This is usually a very obvious and painful knee injury. Most knee fractures are not only painful but will also interfere with the proper functioning of the knee or make it very painful to bear weight . All fractures need immediate medical attention. Many fractures require significant force, and a thorough examination is performed to detect other injuries.
Ligament injuries: The most common injury is the ACL injury. An ACL injury is often a sports-related injury due to a sudden stop and change in directions. The remaining ligaments are injured less frequently.
Meniscus injuries: The menisci are made of cartilage and act as shock absorbers between bones in the knee. Twisting the knee can injure the meniscus.
Dislocation: The knee joint can be dislocated, which is a medical emergency that requires immediate attention. Knee dislocation can compromise blood flow to the leg and have other related problems. This injury often occurs during a motor-vehicle accident when the knee hits the dashboard.
The Best Conservative Knee Pain Treatments
As weve already highlighted, knee replacement surgery and other invasive treatments arent always the best option for health. Long-term use of pain medication and unnecessary surgery carries risks, such as bleeding, wound infections and long recovery periods.
At the VIP Medical Group, our team of Board Certified pain doctors believe in the importance of a holistic approach to healthcare. Thats why they offer the latest treatments that maximize health through minimally invasive procedures and treatment options. Lets take a look at the latest treatments in pain medicine:
- Genicular Nerve Block the doctor injects the knee with local anesthetic. This blocks nerves from transmitting pain and provides pain relief.
- Genicular Nerve Radio Frequency Ablation this is an option for longer-term pain relief. It stops the nerve supply by placing heated needles to prevent the patient from feeling pain. A small amount of local anesthetic can also be used during this procedure.
- Iovera this is when an iovera machine applies low or sub-zero temperatures to freeze the peripheral nerves. This produces instant pain relief without the need for pain medication.
- Steroid or cortisone injection the doctor applies anesthetic spray to numb the area before injecting anti-inflammatory pain medicine into the knee joint.
- Viscosupplement knee injection the doctor anesthetizes the area before injecting viscosupplement medicine. This is when lubricating fluid is injected into the knee joint.
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When To See A Rheumatologist
Visit a rheumatologist if you have knee pain and:
- If it started out of nowhere .
- You have other symptoms associated with the pain. Like a fever, skin changes, digestive issues, or fatigue.
- Flare-ups or it gets better or worse with no clear reason.
- Youre taking medication for other underlying diseases. Like cardiovascular problems, for example.
What Causes A Pinched Nerve
According to the American Association of Neuromuscular and Electrodiagnostic Medicine, a pinched nerve occurs when the tissue that surrounds a nerve puts pressure on it. The pressure can change how the nerve functions and cause pain or a tingling sensation. This pain or tingling can be temporary or long-lasting, and can be minor or severe.
A pinched nerve can be caused by a herniated disc, which is when one of the discs between the spinal bones pushes out. Spinal stenosis, which is the abnormal narrowing of the body channel occupied by the spinal cord, can also cause a pinched nerve.
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Keeping You Active At Orthopedic Specialists & Sports Medicine
Finding a doctor who can expertly diagnose and treat your knee pain is one of the most important decisions you will make regarding your care.
Our board-certified orthopedic surgeons at Orthopedic Specialists & Sports Medicine, Edward L. Westerheide, M.D., Brad L. Bernacki, M.D., Alex Tancevski, M.D., and Benjamin W. Burkett, M.D., are specialty-trained in diagnosing and treating a variety of knee injuries and conditions. Our doctors always strive to find a conservative treatment for you first before recommending surgery. However, if knee surgery is the best option, our surgeons have extensive experience in performing surgical knee procedures, such as knee replacement, partial knee replacement, ACL reconstruction, and knee arthroscopy. Dr. Westerheide is also trained to perform customized knee replacements through ConforMIS. Our surgeons are dedicated to providing compassionate, expert orthopedic care to get you moving and keep you active.
Taking a team approach, our knee surgeons work closely with our specialty-trained therapy team. Our physical therapists provide expert rehabilitation services and will tailor a treatment plan to your individual needs in order to restore function and get you back to the life you love.
Neurologist Vs Rheumatologist Vs Orthopedist Vs Pain Doctor
If your knee pain is undiagnosed, you might be wondering where to start. Whether you have chronic knee pain or an acute knee injury, dont wait any longer for treatment. The knee is a crucial part of mobility, and letting knee pain go untreated increases the risk of irreparable damage, or further injury that will require surgery.
Knee pain is caused by a wide variety of things, including wear and tear, excess weight, a knee injury, the wrong shoes, or conditions like arthritis or bursitis. Knee joint pain can be ongoing, or strike suddenly, depending on the cause. While some causes of knee pain require a rheumatologist, many do not. Thats why proper diagnosis and treatment are crucial at the onset of pain.
Rheumatologists can treat arthritis of the knee joint, but they dont treat knee pain stemming from things like fracture or a torn ligament or meniscus. Orthopedic surgeons and neurologists also treat some specific types of knee pain, but their treatment options often involve invasive surgery, and should only be used after consultation with a pain specialist.
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