The intricate network of bones, joints, ligaments, tendons, muscles, and nerves that make up your body’s musculoskeletal system is what enables you to move, work, and be active. Every year, 28.6 million people suffer from musculoskeletal ailments, which make up more than half of all injuries. The most common musculoskeletal disorders involve the back or spine. Orthopedics used to focus on treating children with spine and limb abnormalities, but today it treats patients of all ages, including infants with clubfeet, young athletes who need arthroscopic surgery, and elderly persons with arthritis.

Orthopedists or orthopedic surgeons are medical professionals with a focus in this field. It outlines the different conditions that orthopedists treat and what people can expect during an orthopedic appointment. In this article a local Glendale, Queens Orthopedist will give you the rundown on all the critical orthopedic & Rheumatology related issues you need to know in 2022.

WHAT IS ORTHOPEDICS?

Orthopedics is a branch of medicine that focuses on the care of the musculoskeletal system.  In addition to bones and muscles, this system also consists of joints, ligaments, and tendons. An orthopedist is a medical professional with a focus on orthopedics. Orthopedists treat a number of musculoskeletal conditions, including sports injuries, joint discomfort, and back disorders, using both surgical and nonsurgical methods.

A different definition of orthopedics is a subspecialty of medicine with a focus on the treatment of the skeletal system and its connected components. These components consist of the:

  • Bones: are composed of specialized bone cells and connective tissue that has been strengthened with calcium. Bone marrow, which produces blood cells, is also found in most bones. To hold our body together and support mobility, bones collaborate with muscles and joints. The musculoskeletal system is what’s known as that.
  • Muscles: Humans and animals alike possess this soft tissue. Actin and myosin protein filaments pass past each other within the muscle cells to cause contraction, which modifies the cell’s length and structure.
  • Joints: These are the points where bones, ossicles, or other hard body parts come together to form a functional whole known as the skeletal system. They are built with various levels and styles of movement in mind.
  • Tendons: Tendons, which connect muscles to bones, are bands or bundles of sturdy, slick, glossy fibers. Tendons help joints move by transferring force from muscles to bones.
  • Ligaments: A ligament is a thin band of extremely durable connective tissue that joins two bones in a joint. The opposite of a tendon, which joins a bone to a muscle that controls its mobility, is a ligament.

In a broader orthopedic care team, an orthopedist frequently participates. This group may include

  • Athletic trainers 
  • Nurse practitioners 
  • Occupational and physical therapists
  • Physician assistants

 

ORTHOPEDICS TREAT WHAT CONDITIONS?

Numerous musculoskeletal problems are treated by orthopedic surgeons. These diseases could be inherited or develop due to trauma or aging-related wear and tear.

Some of the most typical ailments that an orthopedist may treat are listed below:

  • bone fractures 
  • arthritic joint pain
  • Injuries to the soft tissues (muscles, tendons, and ligaments)
  • shoulder discomfort and issues, such as bursitis
  • back pain
  • neck pain
  • carpal tunnel syndrome
  • congenital abnormalities including clubfoot and scoliosi
  • overuse and sports-related injuries include tendinitis, meniscus tears, and anterior cruciate ligament (ACL) tears

DIFFERENCE BETWEEN ORTHOPEDICS AND RHEUMATOLOGY

Orthopedists are surgical specialists, whereas rheumatologists are medical specialists who use medication and other nonsurgical treatments. This is the main distinction between the two specialties. It is wise to ask your primary care provider for advice if you are unsure of which specialist would be best for your medical condition. They can point you in the right direction.

WHAT TO EXPECT DURING CONSULTATION

The orthopedist will attempt to diagnose the patient’s ailment during the initial visit. In most cases, this entails performing a physical examination and getting X-rays.

The orthopedist may occasionally employ an office technique, like an injection, to aid in the diagnosis or treatment of the disease.

Additional testing could be required in some cases to verify the diagnosis.

DIAGNOSIS

The orthopedist will do the following to assist in the diagnosis of a patient’s condition:

  • Enquire about the patient’s symptoms.
  • Perform a physical examination, 
  • Evaluate any X-rays taken prior to the consultation, and 
  • Review the patient’s medical record to learn more about their medical history and current state of health.

Additionally, the orthopedist may request more diagnostic procedures. These could consist of: 

  • an MRI scan
  • an X-ray
  • a skeletal scan
  • an ultrasonogram
  • Research on nerve conduction
  • blood exams

WITH-IN OFFICE PROCESSES

To help diagnose and treat specific musculoskeletal conditions, an orthopedist may perform office procedures.

The “most prevalent and commonly used diagnostic imaging approach” is X-ray technology. In order to diagnose specific issues during a patient’s session, an orthopedist frequently performs X-rays in-office.

The orthopedist may need to move (reset) a bone or joint that has sustained an acute injury, such as a fracture or dislocation, and then immobilize it with a splint, cast, or brace.

OPTIONS FOR THERAPY

A patient’s orthopedist will go over all of the possible treatment choices if they are unable to provide in-office care for a specific issue.

The orthopedist may suggest one or more of the following therapies for persistent musculoskeletal conditions like back pain or arthritis:

  • over-the-counter pain relievers
  • physical therapy and rehabilitation
  • home exercise routines
  • injections
  • acupuncture
  • mobility aids
  • surgery, but this is a last choice.

TYPES OF ORTHOPEDIC PRACTICES

An orthopedic surgeon may focus on a specific area of orthopedic treatment. These divisions are known as subspecialties.

The following are some orthopedic subspecialties: 

  • spine surgery
  • trauma surgery
  • joint replacement surgery 
  • hand and upper extremity
  • foot and ankle
  • musculoskeletal oncology (tumor)
  • pediatric orthopedics
  • sports medicine

WHICH OPERATION CAN ORTHOPEDIC SURGEON PERFORMS?

What types of operations can orthopedic patients benefit from? We give you the keys to understanding the language of your doctor.

1 – Arthroscopy

This operation is intended for diagnostic and therapeutic purposes, in order to evaluate the state of a joint, mainly the knee and the shoulder. It consists of introducing an arthroscope (a miniature video camera) and very small surgical instruments through one or two small incisions if repairs are necessary. The surgeon can then examine the inside of the joint on the television screen in the operating room. He will then be able to suggest the most appropriate operation to the patient.

2 – Ablation

This involves removing a musculoskeletal structure such as a bone. The term resection is also used. Fixations (staples, screws or internal plates) are then placed to stabilize the joint. Patellectomy, for example, involves the removal of the patella, the small triangular bone in the knee formerly known as the patella. Patellectomy is very rare. It is considered for complex fractures of the patella, when the bone cannot be reconstructed.

In general, the removal or resection of a bone is called an osteotomy, from the Greek “oste”: bone and “tomê”: to cut. A patellectomy is a specific osteotomy. It is also known as a salvage operation when a bone affected by a tumor is removed, thus avoiding the need to remove the entire limb.

3 – Repair

The term “repair” covers a wide variety of procedures aimed at restoring the form and function of a structure. A repair often takes place in several stages. It can be :

  • a reduction, i.e. to replace the bone or the fragments of bone in the good alignment. This procedure is performed in the case of a fracture where the bone fragments are displaced from one another.
  • a lavage, i.e. the injection of a fluid deep into a joint or into the soft tissues in order to clean, for example if the joint has been the site of a potentially infected open fracture
  • Ligament release, which is the incision of a ligament to remove pain or stiffness in a joint by relieving pressure on it.
  • Arthrodesis, the fusion of two bones to prevent or restrict movement. For example, vertebrae can be fused if they are painful due to wear and tear (osteoarthritis) or a herniated disc.
  • Autograft. A fragment of bone or cartilage is removed from the patient, for example from the hip bone, and implanted in the affected area, for example in the case of a fracture that does not heal or in the case of a bone tumor. The implanted tissue is sometimes of artificial origin and can possibly come from a donor if there is a match.
  • Osteogenesis, i.e. the enlargement of a bone if it is severely damaged by a trauma. The surgeon makes an incision in the bone and places the two fragments slightly apart from each other, allowing new bone tissue to form at that point and thus lengthening the bone.

 

4 – Arthroplasty

Arthroplasty refers to the placement of a prosthesis in place of a bone, the most common being hip and knee replacements. However, arthroplasty can be performed on any joint in the body (ankle, toes, shoulder, elbow, wrist and fingers). This operation is reserved for patients for whom all available treatments have been tried and have failed or no longer work. Once the bone has been removed and the prosthesis placed, it will need to be replaced approximately every 15 years if it wears out. This is called a prosthetic revision.

Beyond these 4 main types of surgery, each operation is unique. The anesthesia can be local or general, the size of the incisions can be minimal (arthroscopic approach) or leave large scars (open surgery). A second opinion may be warranted to ensure that the chosen modalities of the operation allow for the best possible result and are the result of a shared decision between the medical team and the patient

ORTHOPEDIC MATTRESS

Orthopedic mattresses are mattresses with excellent joint and general body support in mind. The term “orthopedic” has become overused in the mattress market over time, and many mattresses make this claim without offering the essential characteristics of an orthopedic mattress.

TYPES OF ORTHOPEDIC MATTRESS

  • Plush mattresses have a softer surface than regular mattresses (they are not as firm).
  • Medium-firm mattresses are neither either soft nor overly hard. For comfort, they establish a midway medium.
  • Firm mattresses are more supportive and feel harder (denser) than soft beds.
  • Memory foam mattresses are created with layers of foam that remember your form and conform to it while you’re sleeping.
  • Compared to foam mattresses, innerspring mattresses feel more springy because they are constructed with metal coils.
  • Rubber latex is used to make latex mattresses, which have a distinct feel that is colder and tighter than foam but less springy than spring mattresses.
  • Hybrid mattresses combine foam and springs, making them less springy than innerspring mattresses while also less conforming than memory foam mattresses.
  • Most cooling mattresses are foam mattresses with additional materials like gel beads to reduce the temperature of the mattress.
  • Couples should use motion separation mattresses, which are made to stop the entire mattress from shifting when one person gets in or out of bed.
  • Power beds, which are beds that can be hoisted up, can be utilized with adjustable base mattresses (making it easier to sit up in bed while watching TV or reading a book).
  • Brand mattresses vary from one brand to another. The easiest way to determine whether a brand is more suitable for you than another is to give it a try.

 

EDUCATION

A person must fulfill the following requirements before they can practice as an orthopedic surgeon: 

  • graduate from an accredited medical school with a Doctor of Medicine or Doctor of Osteopathy degree,
  • complete five years of training in an orthopedic residency program that has been approved by the Royal College of Physicians and Surgeons of Canada or the Accreditation Council for Graduate Medical Education,
  • obtain a medical license and an optional board certification,
  • and finally, complete ongoing education and exams in medicine.

Many orthopedic surgeons decide to take an extra 1 or 2 years of fellowship training in one of the subspecialties indicated above after completing the 5-year residency program.

CONCLUSION

This article has made known to us the basic concept of orthopedics, a medical speciality called orthopedics focuses on treating musculoskeletal injuries and illnesses. While some of these disorders can develop as a result of trauma or aging-related wear and tear, others may be present at birth.

Orthopedists frequently collaborate with a larger orthopedic team that may include occupational or physical therapists, nurse practitioners, athletic trainers, and physician assistants. Together, they aid in the identification, therapy, and rehabilitation of patients with musculoskeletal disorders or injuries.

The completion of intensive training is a requirement for all orthopedists seeking medical licensure. To keep it, they must pursue continual education and training.


EMU Orthopedic Center Queens 8340 Woodhaven Blvd Ste 5 Glendale, NY 11385 (929) 299-6122.