What does the orthopedist treat? | Which doctor treats a circulatory disorder?

What does the orthopedist treat?

Individual circulatory disorders in the bone area fall within the treatment range of the orthopedist. However, this form of circulatory disorder is rather rare. Nevertheless, they are a dangerous complication.

If the bone is no longer sufficiently supplied with blood, the cells die. In technical terminology, this disease is called osteonecrosis. It can occur in the area of the knee joint, for example.

The disease is also called Ahlbäck’s disease. The cause of this circulatory disorder has not yet been fully researched. The therapy consists of an operative measure.

The osteonecrotic areas should be drilled out and the malposition corrected. Also in the area of the hip joint, circulatory disorders can cause the bone to die off. In childhood, the disease is known as Perthes disease.

However, it can also occur in adults after a fracture of the femoral head. This disease is initially treated with medication and relief of the joint by mobilization with crutches only. However, surgical intervention may also be necessary.

What does the neurologist treat?

The neurologist treats circulatory disorders in the brain. The clinical picture of stroke is certainly the most important. An acute stroke should always be treated in hospital on a specialized ward called Stroke Unit.

Here neurologists and neuroradiologists work hand in hand. Depending on the extent of the stroke, it is treated with medication (e.g. lysis therapy). It is now also possible for neuroradiologists to remove the blood clot directly from the brain. This procedure is called thrombectomy. The neurologist in private practice then takes over the follow-up treatment after a stroke

What does a radiologist treat?

Radiologists can also treat circulatory disorders. They are usually needed when a metal tube (stent) is inserted into a blood vessel. At the heart, this intervention is performed by cardiologists.

In the leg arteries, the constriction can be bridged by the angiologists or the radiologists. This varies greatly from clinic to clinic and depends on the focus of the individual departments. In principle, radiology is certainly not the first point of contact for circulatory disorders. However, it can be brought on board by other departments to dilate any vascular occlusions, for example, in the event of a stroke, the thrombus is removed by the neuroradiologists, or if the liver or kidney arteries are narrowed, the radiologists can also place a stent there.