The Orthopedic Treatment Team
What is orthopedics?
The word orthopedic comes from the Greek words:
Ortho meaning straight
Paedia meaning children
Orthopedic surgery is the branch of medicine concerned with diseases, injuries, and conditions of the musculoskeletal system relating to the body's muscles and skeleton, and including the joints, ligaments, tendons, and nerves.
Who treats orthopedic conditions?
Orthopedic conditions may be treated by your doctor or other medical specialists and healthcare providers. Several doctors from different medical specialties may be involved in the treatment at the same time. This approach is important to manage the symptoms of an orthopedic condition, especially as many symptoms are chronic and change over time. Some of the more common medical professionals involved in the treatment of orthopedic conditions may include:
Primary care doctor. A primary care doctor has specialized education and training in general internal medicine, family practice, or another first-level-of-care area. Primary care doctors are those who provide patients with any/all of the following:
Routine health care (including annual physical exams and immunizations)
Treatment for acute medical conditions
Initial care for conditions that may become more serious or chronic in nature
While your primary care doctor may treat and diagnose your disease, he or she may refer you to a specialist for more specialized treatment of certain aspects of a disease.
Orthopedic surgeon. This doctor specializes in orthopedic surgery. He or she may also be called an orthopedist. Orthopedists are educated in the workings of the musculoskeletal system. They can dignose bone, muscle, joint, tendon, or ligament conditions, treat an injury, provide rehabilitation, and advise on how to prevent further damage to a diseased area.
The orthopedist may have completed up to 14 years of formal education. After becoming licensed to practice medicine, the orthopedic surgeon may become board-certified by passing both oral and written examinations given by the American Board of Orthopaedic Surgery. Many orthopedic surgeons choose to practice general orthopedics, while others specialize in certain areas of the body (i.e., foot, hand, shoulder, spine, hip, or knee), or in a specialized area of orthopedic care (i.e., sports medicine, trauma medicine). Some orthopedists may specialize in several areas and may collaborate with other specialists, such as neurosurgeons or rheumatologists, in caring for patients.
Primary care sports medicine physician. Primary care physician has extra fellowship training in musculoskeletal injuries and other problems that affect athletes. This type of physician can manage many orthopedic problems while also recognizing which cases need surgery.
Rheumatologist. A rheumatologist is a doctor who specializes in the treatment of arthritis and other rheumatic diseases that may affect joints, muscles, bones, skin, and other tissues. Most rheumatologists have a background in internal medicine or pediatrics and have received additional training in the field of rheumatology. Rheumatologists are specially trained to identify many types of rheumatic diseases in their earliest stages. This includes arthritis, many types of autoimmune diseases, musculoskeletal pain, and disorders of the musculoskeletal system. In addition to 4 years of medical school and 3 years of specialized training in internal medicine or pediatrics, a rheumatologist has had an additional 2 or 3 years of specialized training in the field of rheumatology. A rheumatologist may also be board certified by the American Board of Internal Medicine.
Physical therapist. Physical therapy is the health profession that focuses on the neuromuscular, musculoskeletal, and cardiopulmonary systems of the human body, as these systems relate to human motion, health, and function.
Physical therapists, or PTs, are very important members of the healthcare team. They evaluate and provide treatment for people with health problems resulting from injury, disease, or overuse of muscles, ligaments, or tendons.
Physical therapists have an undergraduate degree in physical therapy, and many have a master's degree. All graduates must be licensed by their state by passing a national certification examination before they can practice.
Physical therapists may practice in a variety of settings, including:
Home health agencies
Community health centers
As related to orthopedic conditions, physical therapists provide comprehensive training such as:
Balance and gait retraining
Body mechanics education
Wheelchair safety and management
Family education and training
Help with pain relief and management
Instruction in walking safely
Pre- and post-surgical rehabilitation
Occupational therapist. Occupational therapy is a healthcare profession that uses "occupation," or purposeful activity, to help persons with physical, developmental, or emotional disabilities lead independent, productive, and satisfying lives.
An occupational therapist often coordinates the following in the care for the individual with a debilitating condition, such as an orthopedic condition:
Evaluating children and adults with developmental or neuromuscular problems in order to plan treatment activities that will help them grow mentally, socially, and physically
Assisting children and adults in learning how to carry out daily tasks
Conducting group or individual treatment to help children and adults in a mental health center learn to cope with daily activities
Recommending changes in layout and design of the home or school to allow children and adults with injuries or disabilities greater access and mobility
Occupational therapists work in a variety of different settings, including:
Home care agencies
Physiatrist. Physical medicine and rehabilitation, also known as physiatry, is a medical specialty that involves the process of restoring lost abilities for a person who has been disabled as a result of disease, disorder, or injury. Physiatry provides integrated, multidisciplinary care aimed at recovery of the whole person by addressing the patient's physical, psychological, medical, vocational, and social needs. The doctor who specializes in physical medicine and rehabilitation is called a physiatrist.
Podiatrist. A podiatrist specializes in foot care and is licensed to prescribe medication and perform surgery.
Nurses/nurse practitioners and physician assistants. Other providers who specialize in the care of orthopedic conditions may assist your doctor in providing care.
Depending on the specific condition involved, other doctors and healthcare professionals, such as pain specialists, may be involved in treating orthopedic conditions. For example, a neurologist or neurosurgeon may assist in treating problems involving the spine because of involvement of the spinal cord. Occupational therapists may be involved in treating conditions that require rehabilitation. Occupational therapists often work in conjunction with physical therapists.