Vertebrologist: what he treats, consultation and appointment at the Stoparthrosis clinic

Spinal pain probably familiar to each of us. “It felt drastic,” “a nerve was pinched,” “a muscle was pulled”—as soon as a person grabs his back, those around him readily make assumptions about the source of the painful feeling.

Options for getting rid of pain are offered with no less excitement: a variety of rubbing from honey to poison, warming and contrast procedures, lying on nails, walking on the back of sick babies of varying degrees of fatness. As a rule, such “treatment” does not end in anything good. And only then does the sufferer turn to specialists.

Partly, this reluctance to go to the doctor until the last minute is understandable. Many of us have the notorious fear of injections, fear of hearing a disappointing diagnosis, horror of surgery. However, back pain is not a condition that can be ignored.

Our spine is an extremely complex system, the health of which determines the normal functioning of the entire body. And if there is trouble in this system, there is a high risk of disruptions in the gastrointestinal tract, metabolic disorders, problems in the sexual sphere, etc.

Fortunately, modern medicine has a whole arsenal of treatment methods that do not involve gross intervention in such a delicate area as the health of the spine. Vertebrology is one of these areas.

Don't put up with back pain or try to deal with it on your own. Untimely or incorrect treatment of the spine can lead to impaired motor abilities, paralysis and disability. At the MedicCity clinic you will find professional vertebrologists, modern diagnostics and effective methods of treating the spine.

Content

What does a vertebrologist treat?
Modern methods of physiotherapy
Who carries out the treatment?

Why do they contact us?
Reviews from our patients
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Spinal diseases begin to bother people at the age of 20-25 years. To get rid of pain as early as possible and take preventive measures, you should consult a doctor who deals exclusively with problems related to diseases of the spinal column.

Career prospects for spine surgeons

As already mentioned, there is no official direction of vertebrology. This is rather an applied direction for neurologists, chiropractors and osteopaths, which shows what exactly the doctor specializes in.

Therefore, vertebrologists cannot work in public clinics. Their career can only be built in commercial structures.

On the other hand, the services of vertebrologists are in great demand and there is an opportunity to make a good business in this area. Although, of course, without a doctor’s diploma and manual therapy courses, this will be unrealistic.

The main difficulty in private practice is the client base and positive reviews. There are many myths about the work of vertebrologists, and in general, frankly unnecessary people are trying to come into private medicine, so only successfully treated patients will help build a good reputation.

Who is a vertebrologist and what does he treat?

Doctors of various specialties deal with spinal problems; the choice of specialist depends on the severity of the disease. A vertebrologist will help with the treatment of all diseases of the spine, regardless of their complexity, and in some cases will help to avoid even surgical intervention.

Vertebrology is a new branch of medicine that is successfully developing these days. Spinal diseases are so common that more and more qualified specialists are needed.

A vertebrologist will help in the following situations:

Exacerbation of lumbar osteochondrosis and radiculitis;
Hernia and protrusion of the intervertebral disc;
Pinching of the sciatic nerve and nerve root;
Severe pain radiating to the leg;
Pain in the sacrum and sacroiliac joints;
Curvature of the spine (scoliosis, kyphosis, lordosis);
Poor posture;

A vertebrologist shows how a herniated disc is formed.
The doctor will not only help you get rid of pain, but will also help with the prevention of the disease. The medical center also provides the services of a pediatric vertebrologist, who prescribes treatment taking into account the characteristics of the child’s body.

You should make an appointment with a vertebrologist if:

Regular headaches bother you;
Sharp pain appeared in the neck area;
Back or lower back pain;
My back hurts and the pain radiates to my arm or leg.

A vertebrologist makes a blockade

Drug blockade for lower back pain

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Services of a vertebrologist include consultation, examination, as well as special tests to identify disorders in the biomechanics of the spine.

Ultrasound, radiography, and magnetic resonance imaging are used for diagnosis.

For the treatment of diseases the following is prescribed:

Drug therapy - anti-inflammatory drugs, muscle relaxants, B vitamins are prescribed;
Traction therapy (traction) of the spine - allows you to increase the distance between the vertebrae;
Drug blockade - help to quickly relieve acute pain, the medicine is injected directly into the area of compression of the nerve root;
Plasmolifting - technology is based on the properties of one’s own blood plasma to stimulate tissue restoration;
Shock wave therapy - helps relieve deep muscle spasms, stimulates blood supply to tissues, destroys scars and adhesions in tissues;
Myostimulation - allows you to strengthen your back muscles by applying electric current;
Therapeutic exercise - helps strengthen the back muscles, forms correct posture;
Pharmacopuncture and acupuncture - have a therapeutic effect on trigger points;
Corset - prescribed to fix the affected segment of the spine;

What diagnostic methods can vertebrologists prescribe?

A vertebrologist has very effective tools - modern diagnostic methods - for timely, comprehensive and accurate diagnosis.

An examination by a vertebrologist involves collecting an anamnesis - the specialist asks the patient about his state of health, complaints, previous diseases and injuries, chronic diseases, genetic disorders in the family history.
Palpation is performed for primary diagnosis, identifying a problem area on the spine, visually identifying spinal deformities, the presence of lumps and tumors, checking reflexes, sensitivity of different parts of the body and limbs.
A spine specialist may ask the patient to take different positions or perform simple exercises; this is necessary to more accurately determine the nature and location of pain, the degree of spinal deformity and the preservation of reflexes.

Based on a visual examination and the collected history, the vertebrologist can already make a primary diagnosis.

If necessary, for a more in-depth detailed diagnosis, for differential diagnosis, laboratory diagnostic measures are prescribed:

X-rays of individual sections of the spine in several projections (sometimes with the introduction of contrast agents) - the study clearly visualizes the solid structures - and their deformations - of the spinal column.
MRI or CT . CT visualizes bone structures and pathologies in them well. MRI, on the contrary, better shows pathologies and deformation of soft tissues in the structure of the spine, the presence of neoplasms or stenosis of the spinal canal, and hematomas.
Ultrasound of the chest, abdominal cavity and pelvis.
Calcium test.
Radiation diagnostics - osteoscintigraphy, which helps to identify pathological foci in bone tissue.
General clinical blood and urine tests.
ECG.
Lumbar puncture.
Rheumatic tests.

The skill of modern specialists - spine surgeons - makes it possible to cure diseases and pathological conditions of the spine and spinal cord that until recently were considered incurable, and for young patients - hopeless.

In Russia, vertebrology is one of the most promising areas of medicine. Since this is a young science, very deep research is being carried out within its framework, and the training of spine specialists has begun and is progressing brilliantly. Russian medicine can be proud of many specialists who are pioneers and teachers in this field, whom young personnel look up to. The name of Sergei Valentinovich Vissarionov is known in St. Petersburg, in Russia, and outside the country. This practicing surgeon, professor, was at the origins of the birth of vertebrology, and is now one of the world's leading spine surgeons, with experience and skills in the surgical treatment of children with complex injuries and spinal pathologies, in demand in different countries.

Prices for specialist services

Medical appointments with a vertebrologist are by appointment; there is no need to wait or sit in line. The cost of seeing a specialist is 1,500 rubles. Moreover, for patients undergoing treatment in our clinic, a doctor’s consultation is provided free of charge.

or leave a request on the website.

Author of the article:

Kholikov Timur Vyacheslavovich

Orthopedist

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Recent publications by the author:

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Requirements for a vertebrologist

Specialists who meet the following requirements can work in this profile:

qualified training in neurology, orthopedics, manual therapy, and osteopathy;
physical endurance;
no medical contraindications;
availability of a valid medical record.

The list of medical contraindications that may become an obstacle to professional development includes the following:

nervous and mental disorders;
musculoskeletal disorders affecting hand motor skills;
dermatological diseases.

FAQ

Is it possible to purchase a spinal corset from you?
Yes, we have all types of necessary corsets for spinal diseases. You can purchase and get specialist advice.
Can all prescribed treatment be completed with you?
Yes, we have all treatment methods and all equipment. Moreover, you can start treatment on the first day of contacting us.
How long does treatment with a vertebrologist take?
The time of treatment by a vertebrologist depends on the pathology of the spine; we can only talk about an average period of 3-4 weeks.
Is it possible to undergo treatment with you without surgery?
We use non-surgical treatment methods, which allows us to avoid surgery in the treatment of certain diseases.
What examination is best to undergo before a consultation?
Spinal pathology is best seen on MRI - magnetic resonance imaging. You can see not only a displaced intervertebral disc, but also, for example, a place where a nerve root is compressed.

Where can I study to become a vertebrologist?

In order to become a qualified vertebrologist, you must first obtain a higher education in the field of medicine. After which you can take special courses in vertebrology, which are actively presented in specialized universities. On average, their duration ranges from a month to a year.

In addition, the retraining courses themselves can be completed either face-to-face or remotely. At the same time, the form of training today does not affect the duration in any way.

It is also worth noting that a specialist must confirm his own qualifications every five years by undergoing appropriate training.

Cost of specialist consultations

Services	Price	Sign up
Consultation with a doctor Promotion until November 15!	2000 rub	Sign up
Consultation with an arthrologist	2000 rub	Sign up
Consultation with a vertebrologist	2000 rub	Sign up
Consultation with an orthopedist	2000 rub	Sign up
Consultation with a sports medicine doctor	2000 rub	Sign up
Physiotherapist consultation	2000 rub	Sign up
Repeated consultation	1000 rub	Sign up

What to take with you to your appointment

In order for the consultation to be as informative as possible for the patient, the doctor must provide all available medical documents, especially those related to chronic diseases. You should also take with you (if you have):

test results;
x-rays;
extracts from the medical history during surgical treatment, injuries;
results of MRI, CT, ultrasound.

This will allow the doctor to initially understand the essence of the problem in more detail and immediately select initial therapy. Its character can be adjusted and refined in the future. Also, to get a complete picture, the doctor may recommend other diagnostic methods.

Our doctors

LITVINENKO Andrey Sergeevich
Traumatologist orthopedist Sports medicine doctor Experience: 19 years
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KHOLIKOV Timur Vyacheslavovich
Traumatologist orthopedist Sports medicine doctor Experience: 19 years
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MOISEENKO Alexey Yurievich
Traumatologist orthopedist Sports medicine doctor Experience: 17 years
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SKRYPOVA Irina Viktorovna
Physiotherapist rehabilitator Experience: 20 years
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Treatment of back pain

After accurately determining the cause that provokes discomfort, the doctor initially prescribes conservative therapy. Usually it is complex in nature and includes taking a number of individually selected medications from the following:

NSAIDs;
corticosteroids;
muscle relaxants;
antidepressants;
products for topical use.

In case of severe pain, a blockade can be performed in a clinical setting. The essence of the procedure is the introduction of anesthetic solutions at certain points. This allows you to block the transmission of pain impulses and leads to normalization of the condition in 2–5 minutes.

In order to increase the effectiveness of drug therapy, patients are additionally prescribed a course of physiotherapeutic procedures, manual therapy, exercise therapy and wearing orthopedic bandages. They help reduce the load on the spine, improve blood circulation, speed up regeneration processes and reduce pain.

In most cases, exercise therapy plays a significant role in treatment, so you should not neglect daily exercise. But only a specialist who knows the exact diagnosis can develop a set of exercises that will bring benefits and not harm. In some situations, exercise therapy is contraindicated. Therefore, you should not try to improve your condition with physical exercise on your own.

If severe pathologies are detected, in some cases, patients are urgently hospitalized for the purpose of careful medical monitoring of their condition or surgical intervention.

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Hernia block
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What does an osteopathic vertebrologist do?

An osteopathic vertebrologist is a doctor who has undergone additional training in manual manipulation techniques on the human body. Osteopathy is a science that allows, without surgery and the use of potent pharmacological drugs, to restore microcirculation of blood and lymphatic fluid, ensure full tissue trophism, remove excess intracellular and intercellular fluid, and restore disrupted energy flows.

The main thing that a vertebrologist with a specialization in osteopathy does is eliminate the potential causes of the development of diseases of the spinal column. If we take as an example osteochondrosis of the spine, which without effective treatment will inevitably lead to the development of a disc herniation, then such a specialist will be guided by the following principles when carrying out therapy:

the basis for the destruction of the intervertebral disc in osteochondrosis is a violation of the diffuse exchange between the cartilaginous tissues of the fibrous ring and the surrounding muscle fibers;
to begin treatment, it is necessary to eliminate this cause and restore blood microcirculation in all muscle groups of the neck, back and lower back;
then you need to strengthen the diffuse exchange;
using special techniques to create conditions for increasing intervertebral spaces;
with a targeted effect, the regenerative ability of damaged intervertebral discs is enhanced.

Several treatment sessions with such a specialist will lead to the fact that the pain syndrome will completely go away and the process of restoration of the spinal column will begin. If the patient follows all the recommendations of the osteopathic vertebrologist in the future, then a relapse of the disease will not occur.

Other diseases of the spinal column, spinal cord and radicular nerves are treated in a similar way.

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Responsibilities of a vertebrologist

The list of responsibilities of this specialist includes:

patient counseling;
diagnosis and treatment plan;
work with X-rays, computed tomography, ultrasound;
work with special documentation.

To perform these duties you must know the following:

neurology;
orthopedics;
manual therapy;
osteopathy;
human anatomy, structural features of the spine;
principles of working with special equipment.

Treatment methods

To prevent spinal diseases, vertebrologists recommend, first of all, to sit correctly at the computer. Since people spend most of their day sitting, their back health is directly related to their posture. Your doctor may also advise you to pay attention to your sleeping position—it is often believed that sleeping on your left side is healthier.

Drug treatment - may involve taking supplements (for example, glucosamine and chondroitin) or taking injections.
Reflexology - identifying secondary symptoms of spinal disease.
Exercise therapy is therapeutic physical culture or physiotherapy.
Thermotherapy - heating.
Myofascial release - self-massage using a foam roller.

Exercises for back pain

Pain in the lower back and lower back is one of the most common consequences of performing basic exercises with a barbell. Because significant vertical stress is placed on the spine during squats and deadlifts, even an accidental twist or bend to the side can cause strain on the muscles and ligaments. And the greater the working weight in the exercise, the more dangerous the consequences can be.

Previously, Fitseven published a set of exercises for lower back pain. These exercises are designed to stretch tight muscles and develop spinal mobility. When performed correctly and regularly, they strengthen the deep muscles of the spinal column, which not only improves posture, but also helps you train more efficiently.

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A vertebrologist is a doctor who deals with back health, as well as the effect of spinal injuries on the disruption of various internal organs. Among the key treatment methods, vertebrology considers massage and exercises to strengthen the spine.

Surgical treatment for back pain

If conservative therapy is ineffective or a number of abnormalities are detected, patients may be recommended surgery. Surgical treatment is indicated for:

increasing herniation of intervertebral discs and compression of the spinal canal, nerve roots, etc.;
sequestered hernias;
spinal fractures;
spinal canal stenosis;
hemangiomas;
instability of the spinal motion segment of the spine;
severe forms of spondyloarthrosis;
cauda equina syndrome;
scoliosis grade 3–4;
neoplasms;
disruption of the pelvic organs and other cases.

Performing the operation is the task of the spinal surgeon. This specialist knows methods of surgical treatment of a wide variety of diseases of the spine and brain. It can eliminate deformations, compression of nerve roots, blood vessels, eliminate congenital anomalies and neoplasms of any nature.