Specialist examination, Physical therapy Belgrade

A specialist examination by a physiatrist and orthopedist is a key step in the process of diagnosis and rehabilitation of patients with problems of the musculoskeletal system and functional disorders. These examinations enable a thorough understanding of the patient's condition, which is essential for making the right diagnoses and making appropriate treatment plans.

Based on the diagnosis, the clinical picture of each individual, an individual work program is created with the aim of the best outcome for the patient. As part of our physical therapy services, we distinguish conditions after fractures, treatment of back pain (herniated disc), discopathy, arthrosis, work with children and medical massage.

The physiatrist's examination includes a general examination and a special part of the examination. In the general part of the examination, the doctor will devote himself as much as possible to talking with the patient and taking an anamnesis: personal data, the patient's primary complaints, possible previous illnesses and surgical interventions, data on the onset and development of the current illness, as well as family anamnesis.

In the special (clinical) part of the examination, the doctor assesses the functional state of the patient by examining the posture and posture of the body, gait, active and passive mobility of the spine and all joints, reflex activity, sensibility, tone, muscle trophism and strength, the state of peripheral circulation, activity test daily life (ADŽ test) when necessary.

In addition to the clinical examination, if it is determined that it is necessary, additional diagnostic tests are carried out, such as: laboratory tests (blood and urine tests, X-rays, CT scanner, magnetic resonance imaging, EMNG (electromyoneurography of the hands and feet), ULTRASOUND of soft tissues and joints , DOPPLER blood vessels of the neck, upper and lower extremities, DEXA imaging to assess bone density.

A specialist examination includes a series of steps that allow an accurate diagnosis to be made:

• History: The first step in the examination is to talk with the patient to gather information about symptoms, injuries, pain and previous therapies.
• Clinical examination: A physiatrist or orthopedist performs a physical examination, which includes an assessment of joint mobility, muscle strength, reflex responses and the general status of the patient.

Diagnostic methods: Depending on the symptoms, additional diagnostic methods may be recommended, such as X-rays, ultrasound, magnetic resonance imaging (MRI) or CT scans.

Specialist examinations have a significant impact on the rehabilitation and recovery of patients:

1. Accurate diagnosis: They enable the establishment of an accurate diagnosis, which is crucial for choosing the appropriate therapy.
2. Early recognition of problems: They can identify potential problems before they become serious, thus reducing the risk of complications.
3. Therapy planning: Based on the findings, specialists can create individualized therapy plans that include physical therapy, medications, or surgery, if necessary.

Progress monitoring: Examinations allow monitoring of patients' progress during rehabilitation, thus ensuring that therapy is adequately adjusted.

Associates

Dr. Radoje Čobeljić, physical medicine specialist, physiatrist. Work experience 28 years, Rehabilitation Clinic "Dr. Miroslav Zotović" in Belgrade.

Specialist examinations are recommended for:

• Musculoskeletal injuries: Such as fractures, dislocations and sprains.
• Chronic pain: In the joints or muscles, which last longer than a few weeks.
• Degenerative diseases: Such as osteoarthritis or osteoporosis.
• Neuropathic pain: In case there is a suspicion of nerve damage.
• Postoperative conditions: Monitoring of recovery after surgical procedures.

Contraindications

Although the examinations are safe, there are situations when patients should be careful:

• Acute conditions: In case of serious injuries, emergency medical assistance is recommended.
• Infections: If the patient has acute infections, contact with other patients should be avoided.
• Severe chronic diseases: Patients with severe cardiovascular or respiratory problems should consult their doctor before the examination.

Duration of the Review

The duration of the specialist examination is usually between 30 and 60 minutes, depending on the complexity of the case and the needs of the patient.

Recommendations for Patients

• Preparation for the examination: Patients should come to the examination with all relevant medical documents, including previous diagnoses, therapies and medical reports.
• Openness: It is important to be honest with your doctor about your symptoms and pain in order to get an accurate diagnosis.
• Asking questions: Patients should ask questions about their condition and treatment options to understand their recovery process.

A specialist examination by a physiatrist and orthopedist is a necessary step in the diagnosis and rehabilitation of patients with problems of the musculoskeletal system. These examinations allow for accurate diagnosis, development of individualized treatment plans and monitoring of progress during rehabilitation. In cooperation with specialists, patients can achieve better results and improve their quality of life.