Vertebrologist - what does he treat? The connection between the spine and health


A vertebrologist is a specialist who deals exclusively with the health of the spinal column. His competence also includes pathologies of the internal organs of the chest, abdominal cavity and small pelvis, which were caused by impaired innervation against the background of degenerative processes occurring in the spine.

Free consultation with a vertebrologist in Moscow

Read about what kind of doctor a vertebrologist is and what additional specializations he may have on this page. It also provides information on how to choose the right doctor and where to make an appointment with him.

So, it’s worth starting by explaining who a vertebrologist is and what he treats in patients who come to him with complaints of back pain, dizziness, muscle weakness, poor health, numbness in different parts of the body and other complaints. All disorders associated with damage to the tissues of the spine and the radicular nerves extending from it are dealt with by a vertebrologist, but we will discuss what he treats in the article presented to your attention.

What diseases does a vertebrologist treat?

The list of diseases treated by a vertebrologist may include various pathologies of inflammatory, degenerative, dystrophic, traumatic, infectious, tumor and vascular origin. According to the structure of the damaged tissue, these may be disturbances in cartilage, bodies and spinous processes of the vertebrae, ligaments, tendons, muscles, membranes of the spinal cord, blood vessels and nerve fiber.

The first group of diseases for which patients require professional help from a vertebrologist includes:

  • osteochondrosis of the cervical, thoracic, lumbar and sacral spine;
  • complications of osteochondrosis in the form of prolapse, protrusion or herniated disc;
  • uncovertebral arthrosis;
  • deforming osteoarthritis of intervertebral joints;
  • displacement of the vertebral bodies and instability of their position;
  • deposition of calcium salts (osteophytes) on the bodies and spinous processes of the vertebrae;
  • cracks and other violations of the integrity of the bone tissue of the vertebrae;
  • destruction of cartilage tissue such as spondylosis and spondyloarthrosis;
  • chondropathy of the inner layer.

The second group of pathologies also relates directly to the structures of the spinal column, but affects a completely different aspect - impaired posture and shock-absorbing ability:

  • scoliosis 1-4th degree;
  • deformation of the chest (barrel-shaped, keeled, funnel-shaped chest);
  • smoothed kyphosis or lordosis;
  • hyperkyphosis and hyperlordosis;
  • pathological kyphosis in the place where there should be lordosis and vice versa;
  • round back in adolescents and adults;
  • formation of withers in women after 40 years of age;
  • compensatory change in posture against the background of severe radiculopathy in osteochondrosis.

A vertebrologist also deals with problems that arise against the background of long-term destruction of the spinal column - these are the so-called secondary forms of the following pathologies:

  • vegetative-vascular dystonia of hypotonic, hypertonic, cardiac and mixed types in adolescents and adults against the background of nerve conduction disorders in the cervical spine;
  • arterial hypertension and cerebrovascular accident due to the development of posterior vertebral artery syndrome;
  • cerebrovascular pain syndrome;
  • neuroses of the occipital, facial and trigeminal nerves caused by pathologies of the spine;
  • instability of the vagus nerve;
  • dysfunction of the coronary circulatory system due to impaired innervation;
  • disorders of the biliary tract, small and large intestines (dyspepsia, alternating constipation and diarrhea);
  • bladder dysfunction;
  • varicose veins of the lower extremities, caused by radiculopathy in the lumbosacral spine.

An emergency consultation with a vertebrologist may be required in case of strangulated intervertebral hernia, its sequestration into the spinal canal, the development of cauda equina syndrome, or paralysis of the upper or lower extremities.

During the rehabilitation period after suffering an acute cerebrovascular accident, the help of a vertebrologist consists in the fact that this specialist develops a special course that will completely restore the motor activity of the muscles of the upper and lower extremities.

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We recommend reading:

  • Paravertebral blockade
  • Spinal traction
  • Spinal traction for Schmorl's hernia
  • Spinal traction for hernia
  • Spinal traction for scoliosis
  • Traction for osteochondrosis
  • Neck traction
  • Injections for osteochondrosis
  • Hernia block
  • Block of lumbar hernia
  • Blockade in the back
  • Lumbar spine block
  • Blockade in the neck
  • Shock wave therapy of the spine
  • Shock wave therapy of the cervical spine
  • Chondroprotectors for osteochondrosis

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What does a neurologist (neurologist) treat?

Neurologist and vertebrologist is one of the most popular specialties. This specialist has complete knowledge of the structure of not only the spinal column, but also the nervous system (central and autonomic). Therefore, a neurologist-vertebrologist can successfully diagnose and treat all diseases that arise against the background of innervation disturbances due to damage to the structures of the brain and spinal cord, radicular nerves and their leads. Among the most common pathologies may be radiculitis, lumboischialgia, pinched sciatic nerve, tunnel syndromes, pinched cauda equina, spinal cord compression, dural sac deformity, etc.

Radiculopathy is very often observed with osteochondrosis of the spinal column. This is a condition provoked by a violation of trophism or compression of the radicular nerves. It is important to know that inside the spinal column is the spinal cord, from which the paired radicular nerves arise. They are responsible for the innervation, sensitivity and motor activity of the entire human body. each pair of root nerves is responsible for a limited area of ​​the body. each pair contains a sensory and a motor axon. They are directed to distant parts of the body, constantly dividing and branching into small nerve endings.

A neuropathologist-vertebrologist is a doctor who studies the condition of the spinal cord, the radicular nerves extending from it and their branches. After conducting differential and instrumental diagnostics, he prescribes effective and safe treatment for the identified pathology.

Among the list of things that a neurologist and vertebrologist treats, you can find cerebral pathologies:

  • cervicalgic pain syndrome;
  • migraine and muscle tension headaches;
  • transient cerebrovascular accident;
  • dyscirculatory encephalopathy and impaired outflow of venous blood;
  • intracranial increased pressure;
  • damage to the vestibular apparatus, auditory and optic nerves;
  • stroke of ischemic or hemorrhagic type;
  • any form of cerebrovascular accident.

And that’s not all that a vertebrologist-neurologist treats, since an experienced therapist in persistent cases of gastritis, pancreatitis, cholecystitis and other somatic diseases will definitely prescribe a consultation with a vertebrologist. The fact is that in most cases, somatic diseases are caused by a violation of the innervation of one or another organ. Remember how they say that all diseases are caused by nerves? And this is completely true. For example, arterial hypertension may be based on osteochondrosis of the cervical or thoracic spine:

  1. when the innervation of the vagus nerve is disturbed due to compression in the cervical spine, an imbalance in the tone of the blood vessels begins;
  2. thoracic osteochondrosis may disrupt the innervation of the adrenal glands, which produce vasopressin in excess (this is a hormone with a strong hypertensive effect);
  3. poor kidney function does not allow excess fluid to be removed;
  4. disruption of liver innervation creates increased pressure in the portal vein system.

This mechanism for the formation of pathology and dysfunction can work in relation to the coronary blood supply system, causing angina pectoris and the development of coronary disease of the heart, stomach, gallbladder, lungs and bronchi, etc. Therefore, if a person has obvious signs of pathology of the spinal column and a clinical picture of a somatic disease (coronary artery disease, hypertension, cholecystitis, pancreatitis, pyelonephritis, etc.), then it will be extremely necessary for him to consult a vertebrologist.

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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.

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:

  1. 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;
  2. 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;
  3. then you need to strengthen the diffuse exchange;
  4. using special techniques to create conditions for increasing intervertebral spaces;
  5. 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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FAQ

What is the difference between a vertebrologist and a chiropractor?

A chiropractor and a vertebrologist are two medical specialties that are designed to solve existing problems with the health of the musculoskeletal system. But the most important thing that distinguishes a vertebrologist is his narrower specialization. While a chiropractor can successfully treat pathologies of the joints of the upper and lower extremities, a vertebrologist deals exclusively with pathologies of the spinal column and radicular nerves.

Both doctors have higher medical education. Then, after completing the internship, they need to obtain additional specialization. In principle, any vertebrologist has knowledge and practical skills in using manual therapy techniques. At the same time, a chiropractor has the ability to successfully treat any diseases of the spinal column and radicular nerves. The help of a vertebrologist may be required in cases where diseases of the joints of the upper and lower extremities were provoked by a disruption of the innervation process against the background of compression of the radicular nerves.

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Surgery for back pain

In the arsenal of spinal surgeons there is a huge variety of different techniques, the use of which can eliminate almost any disorder. Operations can be performed via a posterior approach (from the back), lateral (used for neck operations) and anterior (access to the spine is provided by entering it through the abdominal cavity).

For each patient, the type of access and surgical technique are selected individually. It can be:

  • Discectomy is a surgical intervention on the intervertebral disc, which involves removing the hernia or the entire disc in an open manner, through a small incision (microdiscectomy) or endoscopically. Thanks to it, the pressure of pathologically altered cartilage on the nerves is eliminated, which leads to the elimination of pain and impaired mobility.
  • Percutaneous methods for treating intervertebral protrusions - surgeons are able to reduce the size of pathological protrusion only by inserting a thin needle into the affected intervertebral disc. Through it, a light guide or a special electrode is immersed into the thickness of the nucleus pulposus. They create thermal energy or a cloud of cold plasma, which leads to sclerosis of part of the nucleus pulposus and a decrease in the size of the disc. These methods include cold plasma, laser and radiofrequency nucleoplasty.
  • Laminectomy - removal of part of the vertebra and its arch above the spinal root. The method allows you to increase the free space around the nerve, which will lead to an improvement in its blood supply, elimination of swelling of the perineural membrane and, as a consequence, a decrease in compression.
  • Spondylodesis is a method that involves removing the intervertebral disc and connecting the vertebrae of the affected segment to each other, as a result of which they are completely fused. This leads to stabilization of the spinal motion segment, eliminates pathological mobility of the vertebrae and prevents injuries.
  • Vertebroplasty is a minimally invasive method of treating compression fractures, hemangiomas and some other tumors, osteoporosis of the spine, which involves filling the defect with bone cement. It is injected into the desired area using a thin needle. The procedure can be performed under local anesthesia and has a short recovery period.
  • Endoprosthetics of the intervertebral disc - in case of severe destruction of cartilage tissue, it is possible to replace the discs with artificial implants. They have good biomechanical properties and can withstand heavy loads.
  • Operations to correct curvatures (deformations) of the spine - in case of scoliosis, metal structures are used to straighten the spinal column. They come in different types and require different installation methods. Metal structures are installed along the entire scoliotic arch and allow significant alignment of the spine to be achieved.

The cost of such operations varies widely. The highest prices are for microsurgical interventions and operations involving the installation of implants or expensive fixation structures.

Specialist traumatologist-vertebrologist

A specialist vertebrologist can also treat various back injuries and their consequences. Thus, with compression fractures of the spine, motor functions are often lost. In this case, a traumatologist-vertebrologist is needed to develop a full course of rehabilitation for the patient.

This doctor will be able to make the right decision about the need for surgical intervention to restore innervation after damage to the spinal column. Depending on the data obtained during the examination, he will be able to develop a special course that will strengthen the muscular frame of the back and enhance the shock-absorbing capacity of the intervertebral discs.

The competence of a vertebrologist-traumatologist includes the following pathologies:

  • bruises of the back, chest, sacrum and coccyx;
  • cracks of the bodies and spinous processes of the vertebrae;
  • spinal fractures, including compression fractures;
  • sprains and ruptures of the spinal ligaments;
  • sprains and tears of the muscular frame of the back;
  • displacement of vertebral bodies and their loss;
  • deformation of the spinal canal and dural sac of a traumatic nature.

A vertebrologist-traumatologist can provide treatment at any stage, both immediately after injury and during complex rehabilitation.

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Why is it important not to self-medicate?

Since in the vast majority of cases the causes of discomfort lie in diseases of the spine, the use of topical agents with an analgesic effect temporarily muffles their symptoms and gives the patient a false sense of normalization of the condition. This approach is fraught with the development of complications, because discomfort is most often a consequence of:

  • Osteochondrosis is a dystrophic-degenerative disease in which intervertebral discs are gradually destroyed. This leads to the formation of protrusions and hernias, as well as a number of other complications.
  • Intervertebral herniation - pathological protrusion of the intervertebral disc can pose a serious threat, especially if it is sequestered. Since the neoplasm puts pressure on surrounding tissues, which may include nerve roots, blood vessels, and the spinal canal, severe pain occurs. With prolonged non-intervention, a stroke may develop as a result of severe disruption of the blood supply to the brain.
  • Scoliosis is a disease most often diagnosed in childhood. Over the years, it can progress and provoke displacement of internal organs and disruption of their functioning. The heart and lungs are most often affected. In advanced cases, the patient can only be helped by surgery.

Spondylosis, spondyloarthrosis and other pathologies that can lead to disability manifest themselves in a similar way.

The only case when moderate, aching back pain can be considered physiological is pregnancy. But even in this case, after giving birth you should play it safe and visit a specialist. After all, a strong increase in the load on the spine and its prolonged persistence can give rise to the development of pathological changes in its cartilage, that is, provoke the development of osteochondrosis, protrusions and hernias.

If these abnormalities are diagnosed in the early stages, they can be quickly managed through conservative therapy. If you start the disease and suppress its manifestations with painkillers, irreversible changes or the development of conditions are possible in which only surgical intervention can improve and eliminate the threat to health or even life.

What does a consultation with a vertebrologist in Moscow include?

You can get a consultation with a vertebrologist in Moscow at a manual therapy clinic. To do this, just sign up for a free initial appointment. We offer a brief description of the process of obtaining a consultation with a vertebrologist at a manual therapy clinic. First of all, it is worth noting that in a good medical institution, only doctors with higher medical education and who have undergone additional training in one or another narrow specialization receive treatment. Extensive practical experience allows them to quickly establish the correct diagnosis and develop a comprehensive course of treatment individually for each patient.

A consultation with a vertebrologist at a manual therapy clinic is as follows:

  • the doctor conducts a survey of the patient and collects an anamnesis (history of the development of the disease);
  • examination of the patient allows one to obtain objective data indicating the condition of the spinal column and surrounding soft tissues;
  • Functional diagnostic tests help clarify the preliminary diagnosis:
  • after its diagnosis, if necessary, the vertebrologist prescribes additional examinations to the patient using instrumental and laboratory methods (most often these are x-rays and MRI);
  • then individual recommendations are given for complex treatment of the disease;
  • the patient receives comprehensive information about the possibilities and prospects of the treatment.

In most clinics, the initial consultation with a vertebrologist is completely free. The average appointment time is 30 minutes. It is recommended to take with you to the consultation all the medical documentation available to the patient (examination results, outpatient records, hospital discharge notes, etc.).

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Why do they contact us?

Pediatric vertebrologist for a child in Moscow

A pediatric vertebrologist is a doctor with special knowledge of the anatomy and physiology of the musculoskeletal system in a growing and developing state. He deals with the formation of the baby’s spine and autonomic nervous system. It is recommended to visit a vertebrologist for the first time at the age of 5 years. By this point, the child should already have formed the basic physiological curves of the spine.

A vertebrologist for a child at this age is necessary, first of all, to eliminate the risk of developing scoliosis and other types of curvature of the spinal column. The doctor will also be able to assess the state of motor reflexes and detect pathologies of the innervation of individual parts of the body.

A good manual therapy clinic in Moscow is attended by a pediatric vertebrologist with extensive practical experience. Doctors usually accept children over 5 years of age. An earlier examination is not effective, since during the formation of the musculoskeletal system, many pathologies resolve without medical intervention.

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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.

How to choose a good vertebrologist in Moscow?

A vertebrologist in Moscow is a rather rare specialist. It is very difficult to find such a doctor in city municipal clinics, since this is a narrow medical specialty. Private clinics can employ doctors of different levels of professional training.

Therefore, it is necessary to know a certain algorithm that allows you to make the right choice. First of all, you should check the entire package of documents:

  • diploma of higher medical education;
  • certificate of completion of internship;
  • a specialist certificate issued by government agencies according to a single model to all medical workers (without this document, the doctor does not have the right to carry out professional activities);
  • certificate of completion of professional retraining courses with additional specialization (vertebrology);
  • a license of a medical institution giving the right to provide medical services to the population.

If everything is in order with the doctor’s documents, then you need to make sure that he has sufficient practical experience. The more work experience, the better. A doctor without practical experience can be well educated and have excellent knowledge. But he will not be able to provide full assistance, since a vertebrologist is, first of all, a practice of working with patients.

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Areas of expertise of a spine neurosurgeon

The expertise of a neurosurgeon includes chronic back pain that is poorly responsive to conservative treatment. The vast majority of patients are treated for a long time, sometimes unsuccessfully, by doctors of various specialties with spinal osteochondrosis.

A spinal neurosurgeon is engaged in finding the cause and eliminating back pain.

Deforming spondylosis, herniated intervertebral discs, segmental instability of the vertebrae, the development of weakness in the muscles of the limbs - all this requires consultation with a neurosurgeon.

Prevention of the development of complications of these diseases consists of a competent, timely examination, including highly informative methods (computer and magnetic resonance imaging). A neurosurgeon, having examined a patient with chronic back pain, determines a list of necessary examinations, and then the tactics of treating the patient - conservative, including drug therapy, physical therapy, massage and physiotherapy, or surgical.

In recent years, minimally invasive interventions on the spine for osteochondrosis have been widely used, including the use of endoscopes, medical lasers, ultrasound and high-frequency energy generators, carried out under X-ray control and local anesthesia by inserting a needle into the affected disc and restoring it. The result of these operations, when prescribed and carried out correctly, is in most cases quick and successful; in addition, patients spend only a few days in the clinic.

It should be noted that in some cases, spinal diseases require serious interventions, special structures and implants. After surgery, all patients undergo a course of rehabilitation, which allows them to consolidate the achieved results and significantly improve their quality of life.

There are other diseases of the spine and spinal cord: spinal hemangiomas, spinal cord tumors, metastases, spondylodiscitis, abscesses, myelitis, syringomyelia, etc., which are treated by neurosurgeons.

Another reason for turning to neurosurgeons is such a common symptom as dizziness. It can be quite difficult to figure out the cause of dizziness. The vestibular apparatus is located inside the temporal bone, connected to the inner ear, and the nerve leaving the ear is closely connected to the brain stem, has several nuclei and many connections with different parts of the cerebral cortex and cerebellum. These connections, as well as the vestibular system and nerve itself, can be damaged by swelling, inflammation, or improper blood supply. Neurosurgeons are assisted in identifying the cause of dizziness by ENT doctors and otoneurologists. Blood flow in the vessels of not only the brain, but also the spine, as well as the condition of the discs and ligaments around the vertebral arteries, is often examined to exclude instability of the cervical segments and arterial spasm.

In addition to the above diseases, neurosurgeons are involved in the treatment of acute injuries to the nervous system (damage to the spine and spinal cord, injuries to peripheral nerves and tendons of the extremities) and various consequences of these injuries.

Among other things, an important section of this specialty is the so-called functional neurosurgery - the provision of surgical and medicinal care to patients with various pain phenomena (pain due to neuralgia, neuritis, causalgia, phantom pain and others), including various types of therapeutic blockades, the use of electrical stimulation, the use of medical lasers , implantation of systems for analgesic electrical stimulation, operations to decompress nerve trunks in narrow canals (tunnel syndromes).

Some patients who have already had spinal surgery may require a consultation with a neurosurgeon as part of planning for “corrective” surgery to straighten the spine and correct overall balance that may have been compromised by previous interventions.

An important component in any branch of surgery is the rehabilitation of operated patients, especially in neurosurgery. The most important thing here is not to miss the time during which you can restore lost body functions. Therefore, with the participation of neurosurgeons, a plan of rehabilitation measures is developed and implemented, including therapeutic exercises, massage, the use of medical orthoses (corsets), the appointment of courses of physiotherapeutic procedures, and sanatorium-resort activities. Thanks to this, there is an earlier return to normal life in patients who have suffered even serious illnesses and injuries.

Price for an appointment with a vertebrologist

A vertebrologist sees patients at a specialized clinic. Prices for his work are set by the administration of the medical institution in accordance with the current price list. The cost of admission may vary in different clinics. For example, in the manual therapy clinic “Free Movement” the price for a repeat appointment with a vertebrologist is 600 rubles. The first appointment is free.

In other Moscow clinics, a consultation with this doctor costs 1000, 1200, 1500 rubles. High prices are not an indicator of a higher level of professionalism of the doctor. It is important to understand that the cost of a specialist’s work also includes the so-called “overhead costs”. This includes payment for rent of premises, payment of leasing for used equipment, payment of insurance fees, taxes and contributions.

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Our neurosurgeons

  • Barchenko Boris Yurievich - vertebrologist, neurosurgeon, traumatologist - orthopedist.
  • Shaboldin Andrey Nikolaevich - spinal surgeon, vertebrologist, candidate of medical sciences, traumatologist - orthopedist.

Our doctors have extensive clinical experience in the field of surgical treatment of the spine and constantly improve and update their theoretical base by participating in Russian and international symposia and conferences dedicated to this field of medicine. They have thousands of successful operations and thanks from patients who have regained the joy of free movement and life without pain.

Where does the vertebrologist see the doctor? Is it possible to call him at home?

The main place where a vertebrologist sees a doctor is a clinic or a city municipal medical institution. A good doctor will not conduct appointments in his own home. Mostly, underground activities are carried out by specialists who, for some reason, cannot realize themselves professionally in decent medical institutions. Therefore, if you are invited by phone to an appointment with a vertebrologist in a private apartment, then you should abandon such an idea. This may cause you to harm your health. Well, no one has canceled the rules of ordinary personal safety.

Calling a vertebrologist to your home directly through the reception desk is not possible in either private or municipal medical institutions. If a consultation with this specialist is required for a patient who is in a supine position, the attending physician will arrange a home call. then you need to coordinate the time of the visit with the doctor.

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Why go to a vertebrologist if there is an orthopedist and a neurologist?

Vertebrology is based on the intersection of many independent disciplines. Namely:

  • orthopedics;
  • neurology;
  • restorative medicine (rehabilitation);
  • somatoneurology;
  • manual medicine;
  • neurosurgery.

It is incorrect to compare the work of a neurologist, orthopedist and vertebrologist in the sense that some have more knowledge and experience, and others less. These are related areas, doctors work closely together, and all professionals are equally good at what they do. It’s just that a vertebrologist has a narrower specialization (the spine and the organs with which it is connected), and it is in this area that he demonstrates high competence. Such a doctor must be very well versed in neurology and orthopedics, know everything about muscle pain and the biomechanics of joints. Some doctors receive additional education and have several qualifications at once.

To obtain the right to work as a vertebrologist, you must graduate from a medical school with a specialty in General Medicine or Pediatrics. The next stage is residency or internship and, finally, a course in the specialty. As part of his practice, a vertebrologist can prescribe both drug and non-drug therapy.

Risk group: who should consult a vertebrologist

At risk are people who lead a sedentary lifestyle (long stays at a desk lead to spinal pathologies). It is worth seeing a doctor even if, on the contrary, you love sports. This is especially true if you work out in the gym - an incorrectly selected load or exercise technique leads to the development of degenerative processes in the spine.

It is recommended that older people visit a doctor. Having bad habits is also a reason to consult a specialist. Also, for preventive purposes, women who have recently become mothers should come to an appointment: pregnancy and childbirth greatly affect the health of the spine and related organs.

We recommend that you definitely visit a vertebrologist if other specialists have diagnosed a spinal disease and offer only surgical treatment. Remember that this is a last resort and in most cases the problem can be successfully treated with conservative methods. An experienced vertebrologist will help.

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