Specialist in Physical Medicine
Doctor Jelena Pešut graduated from the Faculty of Medicine in Belgrade. She gained work experience at the Health Center "Dr. Milenko Marin" in Loznica as a doctor in the General Practice Service and the Emergency Medical Service, and then in the Special Rehabilitation Hospital of Banja Koviljača. As a specialist in physical medicine and rehabilitation, she works at the Special Hospital for Cerebral Developmental Neurology in Belgrade. She has passed the subspecialist exam in children's physical medicine and rehabilitation. She is currently dedicated to subspecialty work.
Diseases and conditions for which you need to go to a physiatrist examination:
1. Pain conditions - pain in the neck, pain and tingling in the hands, pain in the lower back, i.e. lumbar spine, pain and tingling in one or both legs, so-called sciatica, pain in the thoracic spine, neuralgia, pain in peripheral joints (knees, hips, small joints of the hands), degenerative joint diseases (gonarthrosis, coxarthrosis...), painful shoulder, so-called "frozen shoulder", pain in the elbow area, so-called tennis elbow or golfer's elbow, heel spur, etc.
2. Rheumatic diseases (degenerative and inflammatory): degenerative diseases of the spinal column and peripheral joints, inflammatory rheumatic diseases in remission (rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis - Bechterev's disease, gout...), extra-articular rheumatism (e.g. tendinitis, enthesitis ), osteoporosis, etc.
3. Conditions after injuries and fractures, sports injuries, conditions after distortion, subluxation and luxation of joints, contusions, dysesthesias, muscle ruptures, and ligament strains
4. Rehabilitation of postoperative conditions (after hip, knee endoprosthesis installation, knee meniscus surgery)
5. Rehabilitation of neurological diseases (conditions after a stroke, rehabilitation of patients with multiple sclerosis, Parkinson's disease, etc.)
6. Examination of children as part of monitoring psychomotor development, as well as children in the period of growth and development, foot and spine deformities (scoliosis, kyphosis)
What does a physiatrist's examination look like?
The doctor takes anamnestic data which includes personal data, complaints that the patient reports, then information about the beginning and development of the current disease with an insight into the medical documentation, which can include: laboratory tests (blood and urine tests), X-rays (x-rays), CT (computerized tomography) i.e. scanner, MRI (magnetic resonance), EMNG (electromyoneurography of arms and legs), the US of soft tissues and joints and DOPPLER blood vessels of the neck, blood vessels of the arms and legs), data on existing diseases or operations as part of personal anamnesis, as and family history.
Then follows the clinical examination of the patients. The doctor examines gait, posture, active and passive mobility of the spine and all joints, muscle tone, trophic and strength according to the MMT (manual muscle test), reflex activity, sensitivity, anthropometric measurements (circumference and limb length), condition of peripheral circulation, the activity of daily life test (DLT test), of course, when necessary.
After that, the development of a therapy plan is started, which includes the application of medicinal therapy, kinesitherapy, and physical therapy.