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Frequently Asked Questions

What if I don't use the entire deposit?

The unused balance will not be refunded, but you can allocate it to the services you need or use these funds to extend the annual program for the next year.

Может ли навредить, если покупать обувь на вырост?

Навредить, не глобально, а ситуационно, например, нарушить ритм походки.

Доктор: Бурцев Михаил Евгеньевич

В каком возрасте следует впервые показать ребенка ортопеду и на что обращает внимание специалист при наблюдении малышей первого года жизни?

Первый осмотр ортопедом обычно проводится во время первой диспансеризации в возрасте 1 месяца. В дальнейшем, согласно стандартам здравоохранения РФ, регулярные осмотры рекомендуется проводить в возрасте 3, 6, 9 и 12 месяцев.

В период новорожденности, то есть в первый месяц жизни ребенка, ортопед выявляет ранние симптомы потенциальных проблем, которые требуют внимания с самого начала. Среди них физиологическая незрелость, врожденная косолапость, аномалии тазобедренного сустава, дисплазия тазобедренного сустава, вывихи и подвывихи тазобедренного сустава, кривошея и привычные повороты головы.

Доктор: Бурцев Михаил Евгеньевич

Какие ортопедические проблемы могут возникнуть по мере взросления ребенка?

У многих детей с раннего возраста в медицинской карте появляется запись «диспластический синдром». Важно не путать этот синдром с серьезным генетическим диагнозом «дисплазия соединительной ткани». Диспластический синдром — это не болезнь, а особенность конституции ребенка, которую ортопеды рассматривают как характеристику организма.

Доктор: Бурцев Михаил Евгеньевич

Как быстро требуется хирургическое лечение при переломе локтевого отростка со смещением?

Так как в результате перелома трицепс теряет свое крепление к предплечью, он, как и любая мышцы, стремится к укорочению. Поэтому чем позже выполняется лечение, тем технически сложнее выполнить качественно репозицию отломков и сложнее разрабатывать движения.
 
Доктор: Бурцев Михаил Евгеньевич

What methods of treatment of auricular hematoma are offered?

Compression, drug therapy, puncture or drainage of a hematoma, surgical treatment.

Do I need additional follow-up after treatment?

Medical supervision is necessary at all stages of treatment, up to the complete restoration of the integrity of the auricle, in order to monitor the healing processes and take timely measures to prevent infection, the hematoma may accumulate again and it is important to drain it.

How long does it take to heal?

The healing time of the ear after a hematoma of the auricle may vary depending on several factors, including the size of the hematoma, the method of treatment and the individual characteristics of the patient's body. In general, the healing process can take from a few days to several weeks.

If the hematoma is small and does not require active intervention, it can resolve on its own within 1-2 weeks.

If a puncture and drainage have been performed, healing may take from 1 to 3 weeks. It is important to follow the doctor's recommendations for the care of the auricle after the procedure.

If complications occur, such as infection or repeated accumulation of blood, the healing time may increase.

Is ultrasound safe for adults and children?

Ultrasound examinations are absolutely safe for both adult patients and children.

Doctor: Babina Irina Alexandrovna

Is any pathology visible on the ultrasound?

Of course not. There are diseases in which ultrasound examination makes it possible to make a diagnosis in almost 100% of cases. For example, gallstones, nodules in the thyroid gland, heart valve defects, varicose veins of the lower extremities. But there are also diseases or forms of diseases in which there are no external changes in organs (for example, heart block, some forms of hepatitis), or methods with higher resolution than modern ultrasound scanners are required to detect pathology when examining from the surface of the body (for example, atherosclerotic plaques in the coronary arteries are not visible during transthoracic EchoCG, but are detected by coronary angiography or by examination with an intravascular ultrasound sensor), or structural changes do not form immediately, and as the pathology progresses (for example, erosion of the joints of the hands in rheumatoid arthritis is absent at the onset of the disease and appears only after some time).

Doctor: Babina Irina Alexandrovna

Is it true that ultrasound can not be done on the same day as some other studies?

There are no such contraindications. In some cases, the sequence of research is important. For example, if ultrasound of the abdominal organs and esophagogastroduodenoscopy (EGDS) are scheduled on the same day, ultrasound should be performed first, followed by endoscopy, otherwise gas entering the stomach and intestines will interfere with ultrasound imaging.

Doctor: Babina Irina Alexandrovna

How will skin sensitivity change after liposuction or abdominoplasty?

After liposuction and abdominoplasty, skin sensitivity temporarily decreases during the rehabilitation period. This is due to the fact that during the operation there is a violation of innervation due to tissue injury. This decrease in sensitivity is observed in all patients, is temporary and reversible. Over time, the sensitivity of the skin is restored.

Doctor: Andryushchenko Olesya Anatolievna

Are the scars noticeable after blepharoplasty?

After blepharoplasty, it is more correct to talk about postoperative scars rather than scars. Of course, after any surgical procedure where a tissue incision occurs, a scar remains. However, the aesthetic surgeon's task is to make this scar as inconspicuous as possible. We use a special suture material, optics, and an intradermal aesthetic suture for this purpose. Due to this, the scars after blepharoplasty are very thin, barely noticeable and almost invisible. When patients contact us, they know about our subtle scars and choose us precisely because of this. In upper blepharoplasty, the scar is located in the natural crease of the eyelid, which makes it invisible. With inferior blepharoplasty, it is located very close to the ciliary margin and becomes almost invisible on the 4th day after the sutures are removed, since it is filamentous and very thin.

Doctor: Andryushchenko Olesya Anatolievna

Is it possible to have breast plastic surgery before giving birth?

The possibility of breast plastic surgery before delivery depends on the type of surgery and the technique used. If we are talking about breast replacement, that is, the installation of implants, then this will not affect further lactation, skin sensitivity or the erogenous zone of the nipple-areolar complex. The techniques we use do not affect the glandular tissue. However, if we are talking about gigantomastia or hypertrophy of the mammary glands, and breast reduction (reduction mammoplasty) is necessary, then in the postoperative period there may be a temporary violation of the sensitivity of both the breast itself and the nipple-areolar complex. In the future, sensitivity is usually restored. It should also be noted that with breast asymmetry, various techniques are used, of which there are more than a dozen in our arsenal for the breast alone. We also apply more than 20 different surgical techniques on the face. The approach is always very individual, but in general, in the absence of contraindications, surgery can be performed before delivery.

Doctor: Andryushchenko Olesya Anatolievna

Is it possible to have breast plastic surgery before giving birth?

Mammoplasty before delivery is possible. Aesthetics, including breast aesthetics, play an important role for many women. Approximately twenty percent of women have a pronounced deformity of the mammary glands, which can cause complexes and make it difficult to find a partner. In particular, this applies to severe degrees of tubular deformation of the mammary glands, pronounced asymmetry of the shape and location of the mammary glands on the chest, as well as to the pathology of the absence of mammary glands. Of course, the female image is associated with the presence of mammary glands, not necessarily of impressive size, but above all of the correct shape. Girls who want to have a mammoplasty before giving birth often have complexes associated with breast deformity.

Doctor: Almazov Ilya Alekseevich

Do visible scars remain after mammoplasty?

Yes, any surgery, including mammoplasty, leaves scars. Regardless of the access — whether it's through the armpit, the breast fold, or the areola during breast lift — they all leave marks on the skin. However, these traces can be different: from the thinnest, barely noticeable, to large hypertrophied ones. It depends, firstly, on the technique and experience of the surgeon, and secondly, and importantly, on the individual predisposition of the patient to scar formation.

Doctor: Almazov Ilya Alekseevich

How much breast volume can be increased at one time?

The amount by which the mammary gland can be enlarged in one operation primarily depends on the anatomical characteristics of the patient. This is influenced by her weight, height, width and height of the mammary glands, their total volume, as well as the density of the skin. Therefore, if we take as an example a patient weighing 45 kilograms, with a breast size from zero to one and dense skin, then the maximum volume of the implant will be 350-400 milliliters. At the same time, a patient weighing 80 kilograms and tall – 180 meters and above – can have an implant volume of up to 800 milliliters.

Doctor: Almazov Ilya Alekseevich

What results can be expected from Morpheus 8 needle RF lifting?

Lifting with the Morpheus 8 machine helps to improve the oval of the face, smooth out wrinkles and shrink pores. Due to the combination of microneedles and radio wave energy, blood circulation increases, local immunity is normalized, and collagen begins to be produced in the deep layers of the skin. The skin is not just smoothed, its structure changes, it becomes dense, elastic. The procedure is suitable for all skin types, even sensitive ones. The results are visible after the first session, but for maximum effect, a course of 2-3 procedures is often recommended.

Doctor: Ayrapetova Izabella Leonidovna

Which is better to use for the correction of facial wrinkles — botox or fillers?

Botox is better suited for correcting facial wrinkles on the forehead, in the area between the eyebrows or around the eyes. It relaxes the muscles that cause the folds to form. Fillers work differently.: they fill the skin from the inside, restoring its volume, so they are more often used for nasolabial folds, cheekbones or lips.

Doctor: Ayrapetova Izabella Leonidovna

If I start giving injections, will I always have to do them later?

No, the need for constant injections is a myth. The effect of botox injections usually lasts 4-6 months, and fillers can keep the result from six months to a year, depending on the drug and the zone. When the drug is completely eliminated, your skin returns to its natural state. You can continue the procedures at will, but there is no obligation to do so — the skin does not get worse if you stop the injections.

Doctor: Ayrapetova Izabella Leonidovna

How to deal with persistent dryness in the throat?

To cope with a dry throat, you need to find its cause and act on it.

Doctor: Averbukh Vladimir Mikhailovich

Is it possible to completely cure snoring?

Snoring can be eliminated by surgical treatment, weight loss, and orthodontic treatment.

Doctor: Averbukh Vladimir Mikhailovich

At what age is it better to start anti-aging treatments to prevent the appearance of wrinkles?

At the age of 18, if indicated, begin preventive botulinum therapy.

Doctor: Avanesyants Sofya Igorevna

Which is better to use to correct facial wrinkles — Botox or fillers?

Correction of facial wrinkles (wrinkles that form only when muscles contract) is performed using botulinum therapy. Fillers are indicated for the correction of static wrinkles.

Doctor: Avanesyants Sofya Igorevna

Is it necessary to have wisdom teeth removed?

Not obligatory. If they have erupted correctly and are in contact with each other, if they are not affected by caries, if they do not interfere with orthodontic treatment and do not injure the cheek mucosa, then you can save

Doctor: Abramashvili Sofya Davidovna

Which bleaching method is the safest?

Philips ZOOM 4th generation bleaching is considered to be the safest at the moment.

Doctor: Abdumavlanov Azamat Abduvalievich

What can plaque on the tongue say?

A pathological plaque on the tongue is formed due to malfunctions of internal organs, taking antibiotics and smoking.

The appearance of plaque can be facilitated by infectious diseases (scarlet fever, diphtheria), stomach ulcer, liver pathology, lichen planus, diabetes mellitus, bronchitis, pneumonia and others.

Doctor: Abdumavlanov Azamat Abduvalievich

How often should I brush my teeth at the dentist?

Every 6 months

Doctor: Velichko Konstantin Vladimirovich

How do you know when a tooth needs to be removed and when else it can be treated?

The doctor will be able to tell about this at the reception.

Doctor: Velichko Konstantin Vladimirovich

Is it necessary to treat caries at the initial stage if the tooth does not hurt?

Necessarily

Doctor: Velichko Konstantin Vladimirovich

How often can MRI be done for preventive purposes, and is it necessary?

MRI for preventive purposes is usually not recommended without specific indications. The frequency and necessity of the procedure are determined based on the patient's medical history

Doctor: Uchevatkin Andrey Alekseevich

Do I need special preparation before an X-ray?

In most cases no special preparation is needed, but for some tests you should refrain from eating and drinking.

Doctor: Uchevatkin Andrey Alekseevich

What is the radiation dose of an X-ray and how safe is it?

The radiation dose from X-rays is minimal and is considered safe. Modern devices significantly reduce the level of radiation exposure.

Doctor: Uchevatkin Andrey Alekseevich

Is it possible to independently distinguish a bacterial infection from a viral one?

It is possible to determine exactly what causes respiratory symptoms only based on the results of laboratory tests and a doctor's examination.

Doctor: Tikhov Andrey Sergeevich

What medications should not be taken without consulting a doctor?

It is better to consult a doctor before taking any medications. For example, even when compiling a regular first-aid kit, it is better to find out from a specialist which drugs are contraindicated for you in order to avoid undesirable effects.

Doctor: Tikhov Andrey Sergeevich

Which doctor should I contact at the first symptoms of the disease?

To the general practitioner. He will help determine in which direction to look for the cause of the ailment, conduct the necessary examination, prescribe therapy or, if necessary, refer you to a specialist.

Doctor: Tikhov Andrey Sergeevich

Is it worth vaccinating a child against chickenpox, or is it better to let him get sick?

The chickenpox vaccine is not included in the National Mandatory Vaccination Schedule. Chickenpox is a viral infection transmitted by airborne droplets; its causative agent belongs to the family of herpesviruses of the third type. It is important to remember that after chickenpox, the virus persists in nerve cells for life and with a decrease in immune protection in adulthood, it can manifest itself as shingles, an extremely unpleasant and painful condition. Vaccination minimizes the risks of complications and the severe course of the infection itself.

Doctor: Tirsi Olga Raphaelovna

Is X-ray dangerous for a child?

X-ray radiation in large doses is dangerous for humans, especially for young children, as their bodies are still developing. Prolonged exposure can adversely affect the hematopoietic system, cause metabolic disorders and pathology of genital development, and increase the risk of cancer. Modern digital X-ray systems significantly reduce radiation exposure: for one image, the radiation dose is 0.1–0.6 mSv, which is not enough to harm the child's body. It is necessary to adhere to the permissible number of X-ray procedures per year: no more than two for infants and no more than six for children under 12 years of age.

Doctor: Tirsi Olga Raphaelovna

How does allergy to cow's milk proteins manifest itself in children?

The main symptoms are vomiting, colic, intestinal upset (constipation and/or loose stools), and various skin rashes. The disease usually first appears in the first half of life and is associated with the consumption of cow's milk or products based on it.

Doctor: Tirsi Olga Raphaelovna

What symptoms indicate I need to see a urologist immediately?

1. If you notice changes in urination, like more frequent urges with smaller amounts of urine, or if you experience pain or burning when you urinate.

2. If you have pain or discomfort in your back or groin.

3. If your urine appears reddish.

4. If you're having issues with erectile stability.

5. If you have a family history of kidney or bladder stones, or cancers of the kidneys, bladder, or prostate.

6. If you're 50 years old or older.

Doctor: Tirsi Karim Alievich

How often should men get their PSA levels checked?

Men aged 50 and older should have their prostate-specific antigen (PSA) levels tested every year. It’s important to monitor not just the absolute values but also how the levels change over time

Doctor: Tirsi Karim Alievich

What causes prostatitis?

There are three types of prostatitis based on the causes of this condition: infectious-inflammatory, congestive, and mixed.

Doctor: Tirsi Karim Alievich

What is an adenoma and what are the risks?

Prostate adenoma is a benign tumor (not cancer) that mechanically narrows the urethra. If left unchecked, its growth can lead to acute urinary retention ('urethral blockage').

Doctor: Tirsi Karim Alievich

What are the causes of sexual dysfunction?

Psychoemotional causes, vascular disorders — insufficient blood flow, systemic (atherosclerosis, diabetes mellitus), hormonal.

Doctor: Tirsi Karim Alievich

Should I see a urologist if I’m not experiencing any problems?

Yes, you should. It's important to get checked at least to maintain the health of your organs or to detect any diseases before they become symptomatic.

Doctor: Tirsi Karim Alievich

How often should I have a preventive checkup with a gynecologist?

It is recommended to have a preventive gynecologist checkup once a year, even if there are no complaints.

Doctor: Sonovа Marina Musabievna

What are the signs of a genitourinary infection?

Frequent urination, itching, burning, bad odor, and unusual discharge.

Doctor: Sonovа Marina Musabievna

What tests are required to prepare for pregnancy?

General blood and urine tests, infection tests, pelvic ultrasound and hormonal tests.

Doctor: Sonovа Marina Musabievna

When should I see a neurologist?

Frequent headaches, dizziness, numbness or weakness in the limbs, memory issues, seizures.

Doctor: Slivko Mikhail Pavlovich

What diagnostic methods are used in neurology?

Electroencephalography (EEG), magnetic resonance imaging (MRI), computed tomography (CT), electromyography (EMG).

Doctor: Slivko Mikhail Pavlovich

How can I prevent nervous system diseases?

Exercise regularly, eat right, sleep well, relax properly, don't smoke or drink.

Doctor: Slivko Mikhail Pavlovich

What are possible causes of constant hand joint and finger crackling?

Finger crackling itself is not a pathology. However, there are cases when it is a major symptom. Generally, people who crack their fingers trigger a hydraulic shock inside the joint caused by articular fluid displacement. Whether this is healthy or detrimental to the joint is debatable. But in any case, if you are concerned about crackles, especially if they are painful, it is worth consulting a hand surgeon. A quick diagnostics can rule out joint problems or start treatment in time.

Doctor: SAUTIN Maxim Evgenievich

What should I do about feeling constant hand tenderness after using a computer for an extended period of time?

When we sit at the computer, we are in a forced position for long periods of time. This can aggravate problems most commonly associated with nerves that run in tight spaces in the upper extremity. The most commonly affected nerves are the ulnar and median nerves. The first step is to diagnose the problem with specific tests. Hand surgeons deal with these problems. If conservative treatment is possible, physiotherapy and rehabilitation will be recommended. In some cases, the compression of the nerve is prolonged and threatens the safety of the nerve itself or the organs it innervates, in which case surgical treatment is recommended so that the nerve does not suffer and can continue to function in the future.

Doctor: SAUTIN Maxim Evgenievich

What symptoms may indicate wrist joint osteoarthritis is developing?

Wrist joint osteoarthritis is a common condition that can be caused by prolonged exposure to damaging factors, previous trauma to the joint, or develop over the course of a lifetime, manifesting in the elderly. Wrist joint arthritis is identified separately. In any case, the first thing to do is to consult a hand surgeon. The hand surgeon will help determine the direction of further diagnostics and treatment.

Doctor: SAUTIN Maxim Evgenievich

How to determine if there is a meniscus tear in the knee joint?

Most often, a meniscus rupture is manifested by pain on the inner and outer surfaces of the knee joint. The patient may notice clicks, wedges, joint swelling may appear. The pain is aggravated by exertion. If these symptoms appear, it is necessary to consult an orthopedic traumatologist for an examination and comprehensive diagnosis.

Doctor: Ryazantsev Mikhail Sergeevich

What should I do if the knee joint is unstable? There is a feeling of displacement in the knee joint, there is no confidence in the lower limb.

Initially, it is necessary to make the correct diagnosis. There may be several reasons for instability of the knee joint: rupture of the anterior cruciate ligament, instability and dislocation of the patella (patella).

The diagnosis is made on the basis of examination data, clinical tests and instrumental research methods (MRI, radiography).

Doctor: Ryazantsev Mikhail Sergeevich

How long does rehabilitation usually tak

How long does rehabilitation usually take after arthroscopy?

The duration of rehabilitation depends on the surgical intervention performed. After meniscus surgery, you can return to sports activities in 4-6 weeks. After surgery on the anterior cruciate ligament (ACL), sports loads are resolved 6-7 months after surgery.

Doctor: Ryazantsev Mikhail Sergeevich

What are the symptoms of silent sinus syndrome?

The "silent sinus" syndrome is characterized by a block of the maxillary sinus, as a result of which the ventilation of the sinus is disrupted, which can lead to deformation of its walls. The "silent sinus" syndrome is indicated by symptoms such as recurrent prolonged sinusitis on the one hand, pressure in the maxillary sinus, drooping of the eye, and facial asymmetry.

Doctor: Pugacheva Elena Nikolaevna

What diagnostic methods are used to confirm a silent sinus?

To confirm the diagnosis, it is necessary to perform a CT scan of the paranasal sinuses.

Doctor: Pugacheva Elena Nikolaevna

Does silent sinus syndrome occur in children?

Silent sinus syndrome occurs in children, and now it has become easier to identify it thanks to the development of computed tomography (CT) capabilities. With persistent nasal breathing disorders in children, it is important to conduct a CT scan in a timely manner in order to detect pathology before the appearance of obvious symptoms and prevent changes in the orbit of the eye through surgery.

Doctor: Pryanikov Pavel Dmitrievich

How are sinus polyps diagnosed?

Diagnosis is carried out using anterior and posterior rhinoscopy, endoscopic examination and CT, which allow you to visualize polyps and assess the degree of their effect on nasal structures.

Doctor: Pryanikov Pavel Dmitrievich

What happens if you don't treat otitis media?

Recurrent ear infections can lead to hearing loss and perforated eardrums. Acute otitis media can affect the bones of the ear, causing mastoiditis or damage to the inner ear.

Doctor: Pryanikov Pavel Dmitrievich

How to deal with a dry throat?

Drink to prevent dehydration, moisturize the air, and avoid drying factors like alcohol or caffeine. If the dryness is caused by inflammation, use a spray or lozenge with moisturizing ingredients. See a doctor if symptoms don't go away.

Doctor: Pryanikov Pavel Dmitrievich

How can I get rid of ear stuffiness on planes?

This is often due to pressure changes in the middle ear. There are a few simple ways to cope with this. Swallowing saliva, chewing gum, or sucking candy can help normalize ear pressure by moving the masseter muscles. If you still feel congested, yawning or the Valsalva method (slow exhalation with the nose and mouth clamped) can help. You can also use vasoconstrictors in the nose before flying to relieve nasal swelling. See a doctor if you have trouble breathing.

Doctor: Pryanikov Pavel Dmitrievich

Why should you take a preventive screening program (check-up)?

The annual screening program allows you to undergo the necessary examination in a short time and obtain data on your health status. This confirms that everything is fine with your health, or it shows that it's time to adjust your therapy or lifestyle.

Doctor: Maskin Maxim Sergeevich

What should I do if I have a persistent cough?

Coughing has many causes. Starting from common colds and ending with situations that at first glance are not related to coughing. For example, an undetected allergy that has developed into bronchial asthma, heart disease, chronic runny nose (when discharge from the nose flows down the back of the pharynx and causes coughing), as well as stomach problems. There are many options. The surest solution is to consult a general practitioner who will diagnose and prescribe the appropriate treatment.

Doctor: Maskin Maxim Sergeevich

Who should I turn to when my chest is "pricking"?

Chest pain can be either a sign of inflammation of a muscle or nerve, or a harbinger of a more serious disease — pneumonia, pleurisy, or heart disease. It is best not to diagnose yourself on your own, but to consult a therapist. He will conduct an initial diagnosis, prescribe treatment and, if necessary, refer you to specialized specialists.

Doctor: Maskin Maxim Sergeevich

What are the signs of a bone fracture?

The main signs are severe pain, swelling, deformity and inability to move the injured limb.

Doctor: Maysigov Musa Nazirovich

What should I do if I suspect a dislocation?

If a dislocation is suspected, it is necessary to fix the limb in a fixed position and consult a doctor as soon as possible for diagnosis and treatment.

Doctor: Maysigov Musa Nazirovich

How to avoid injury during sports?

Regular warm-up before training, the use of protective equipment and adherence to exercise techniques will help reduce the risk of injury.

Doctor: Maysigov Musa Nazirovich

What health issues can be treated with manual therapy?

Manual therapy is effective for treating back and neck pain, headaches, muscle spasms, and posture disorders.

Doctor: Ilchenko Denis Vladimirovich

How do I prepare for an appointment with a chiropractor?

No special preparation is required, but make sure to wear comfortable clothes that won't constrict your movements.

Doctor: Ilchenko Denis Vladimirovich

How often should I see a chiropractor to maintain spinal health?

The frequency of visits depends on the individual needs of the patient, but usually one session per month is sufficient to maintain the health of the spine.

Doctor: Ilchenko Denis Vladimirovich

When does an injury require surgical intervention?

Joint instability, improperly fused fracture, no improvement after nonsurgical treatment, and significant impairment of limb function.

Doctor: Ilyin Dmitry Olegovich

What is arthroscopy and when is it used?

Arthroscopy is a minimally invasive procedure used to diagnose and treat issues within a joint, such as meniscus tears, ligament injuries, and arthritis.

Doctor: Ilyin Dmitry Olegovich

What exercises help recover from a knee injury?

Exercises that strengthen the thigh and knee muscles are particularly helpful, such as knee flexion and extension, calf raises, swimming, and stretching.

Doctor: Ilyin Dmitry Olegovich

What is a shoulder rotator cuff?

Shoulder rotator cuff is a tendon unit of four muscles that stabilizes the shoulder joint and provides mobility.

Doctor: Ilyin Dmitry Olegovich

How is a rotator cuff tear diagnosed?

How long does rehabilitation take after rotator cuff surgery?

Full recovery can take up to six months, depending on the extent of the injury and the type of surgery. It is important to follow medical recommendations and not to overstrain the shoulder.

Doctor: Ilyin Dmitry Olegovich

How is shoulder impingement treated?

Early treatment includes nonsurgical procedures. Surgical intervention is required if there is no result or in case of complications.

Doctor: Ilyin Dmitry Olegovich

Can surgical intervention for shoulder impingement be avoided?

Early stages of shoulder impingement syndrome are successfully treated without surgical intervention. It is important to seek medical help in time and follow medical recommendations.

Doctor: Ilyin Dmitry Olegovich

Is it possible to prevent the progression of shoulder instability?

You can prevent instability by avoiding overloading the joint, performing proper exercises, strengthening the shoulder girdle muscles, and regularly warming up before physical activity.

Doctor: Ilyin Dmitry Olegovich

What are your main areas of expertise in traumatology and orthopedics?

I specialize in the diagnostics and both nonsurgical and surgical treatment of musculoskeletal injuries, with a focus on sports injuries. Sports injuries are not only common among professional athletes but also among people leading an active lifestyle. I primarily focus on minimally invasive and arthroscopic treatment methods for knee, shoulder, elbow, ankle, and hip joints. Common conditions we treat include osteoarthritis, ligament and meniscus tears, as well as degenerative and traumatic injuries to tendons and cartilage.

Doctor: ZARIPOV Aziz Rimovich

What inspires you?

It brings me great joy to see my patients recover. It's amazing to watch them embrace each new day with improved physical health, living pain-free, and pursuing their favorite sports. Knowing that I’ve contributed to their progress is incredibly gratifying. I share in their happiness as they get back on track, celebrate new sports achievements, and especially when they no longer need additional support or immobilization, leading active, fulfilling lives.

Doctor: ZARIPOV Aziz Rimovich

What are the signs of beginning joint disease and when should I see a specialist??

Early signs of joint disease include occasional pain, stiffness or discomfort in the joints, especially after exercise or in the morning. Patients may note crunching, clicking when moving, decreased range of motion, swelling and localized fever. If such symptoms persist for more than a few days or worsen, it is necessary to consult a specialist.

Doctor: ZARIPOV Aziz Rimovich

What types of injuries can be treated with joint arthroscopy?

Arthroscopy is effective for treating a variety of joint injuries, including meniscus, cruciate and collateral ligament tears, articular cartilage damage, intra-articular fractures, and removal of loose bodies from the joint cavity. This minimally invasive procedure serves to correct dislocations, diagnose and treat chronic joint instability, as well as inflammatory processes such as synovitis.

Doctor: ZARIPOV Aziz Rimovich

How are olecranon fractures diagnosed?

To diagnose an olecranon fracture, a dual-projection X-ray (straight and lateral) is performed to determine the nature of the fracture and the degree of displacement of the bone fragments. In some cases, a computed tomography (CT) scan may be required to assess the damage more accurately.

Doctor: ZARIPOV Aziz Rimovich

Does an olecranon fracture always require surgery?

Surgery is required if the fracture is displaced. Simple non-dislocated fractures can be treated nonsurgically, but early reduction and fixation are important to prevent complications such as contractures.

Doctor: ZARIPOV Aziz Rimovich

How are forearm fractures and fracture-dislocations diagnosed?

Diagnostics include forearm X-rays in two projections to assess the extent of damage to the bones and joints. In complex cases, a computed tomography (CT) scan may be required to obtain more detailed information about the condition of the bones and to plan surgery.

Doctor: ZARIPOV Aziz Rimovich

When is surgical treatment required for forearm fractures and fracture-dislocations?

Surgery is required when the fracture is accompanied by significant bone displacement, joint dislocation, or damage to surrounding soft tissues.

Doctor: ZARIPOV Aziz Rimovich

What types of anesthesia are there?

General, regional (spinal, epidural), local.

Doctor: Gavrilov Roman Mikhailovich

What should I tell the anesthesiologist before surgery?

Allergies, current medications, chronic diseases, previous experience with anesthesia.

Doctor: Gavrilov Roman Mikhailovich

What are the major risks of anesthesia?

Allergic reactions, respiratory complications, cardiovascular problems, nausea and vomiting.

Doctor: Gavrilov Roman Mikhailovich

Can it hurt if you buy shoes for growth?

To harm, not globally, but situationally, for example, to disrupt the rhythm of gait.

Doctor: Burtsev Mikhail Evgenyevich

At what age should a child be shown to an orthopedist for the first time and what does a specialist pay attention to when observing babies of the first year of life?

The first orthopedic examination is usually performed during the first medical examination at the age of 1 month. In the future, according to the health standards of the Russian Federation, regular checkups are recommended at the age of 3, 6, 9 and 12 months.

During the newborn period, that is, in the first month of a child's life, an orthopedist identifies early symptoms of potential problems that require attention from the very beginning. Among them are physiological immaturity, congenital clubfoot, hip joint abnormalities, hip dysplasia, dislocations and subluxations of the hip joint, torticollis and habitual head turns.

Doctor: Burtsev Mikhail Evgenyevich

What orthopedic problems may arise as a child grows up?

Many children from an early age have the entry "dysplastic syndrome" in their medical records. It is important not to confuse this syndrome with a serious genetic diagnosis of connective tissue dysplasia. Dysplastic syndrome is not a disease, but a feature of the child's constitution, which orthopedists consider as a characteristic of the body.

Doctor: Burtsev Mikhail Evgenyevich

How quickly is surgical treatment required for a dislocated ulnar process fracture?

Is it necessary to remove the plate after such an operation?

Since the ulnar process is located under the skin, patients often feel fixators under the skin after surgery. This worries them and we are planning to delete it.

Doctor: Burtsev Mikhail Evgenyevich

How quickly can you return to sports after a fractured ulnar process?

We focus on two things — the fusion of the fracture (about 3 months) and the function of the elbow joint. Until almost the full range of movement in the elbow joint returns, we recommend focusing on rehabilitation rather than sports.

Doctor: Burtsev Mikhail Evgenyevich

What symptoms can indicate heart problems?

Symptoms that may indicate heart problems include chest pain, shortness of breath, fatigue, dizziness, rapid or irregular heartbeat, swelling of the legs and ankles. If you have these symptoms, it is important to consult a doctor for a health assessment.

Doctor: Bogdanova Alexandra Andreevna

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Specialists

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Experience: 10 лет

Бейнарович Михаил Дмитриевич

Врач-пластический хирург, врач-челюстно-лицевой хирург

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Experience: 6 лет

Джафарова Амина Зауровна

Врач-пластический хирург

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Experience: 9 лет

Душевская Екатерина Алексеевна

Врач-пластический хирург, общий хирург.

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Ерохина Юлия Сергеевна

Врач-косметолог, врач-дерматовенеролог.

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Experience: 24 года

Жуманов Андрей Рудольфович

Врач-пластический хирург, Челюстно-лицевой хирург, общий хирург

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Experience: 10 лет

Кардов Хазрит Музаринович

Пластический хирург

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Кнутарев Степан Сергеевич

Врач-пластический хирург

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Experience: 14 лет

Косаченко Михаил Владимирович

Кандидат медицинских наук. Врач-хирург.

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How to reach

Address

Moscow, 1st Yamskogo Polya Street, 15

Operating hours Mon–Sun Around the clock

Phone +7 495 255-50-03

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On foot

How to get

From the Belorusskaya metro station of the Zamoskvoretskaya line - exit 4 After exiting the subway, walk through the pedestrian tunnel and climb the stairs. Move towards the railway tracks, go down the stairs immediately after them and walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS.

Travel time

9 minutes

Landmark

Olympus Clinic MARS sign

How to get

From the Belorusskaya metro station of the Ring line - exit 2. After exiting the subway, turn left and walk to the pedestrian crossing. Cross the road through two pedestrian crossings and move along the Tverskoy overpass. Go down the stairs immediately after the railway tracks, walk along the house, then turn right onto 1st Yamskoye Pole Street. At the turn to 3rd Yamsky Pole Street, cross the road at the pedestrian crossing and continue along 1st Yamsky Field Street, after a few buildings on the left you will see Olympus Clinic MARS

Travel time

11 minutes

Landmark

Olympus Clinic MARS sign

Address

7/1 Sadovaya-Sukharevskaya str., 129090, Moscow

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