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Услуги Шипиловская
КОНТАКТЫ
MED Cемья на Шипиловской
+7 (499) 322-12-62
г. Москва, Борисовский проезд, 15к1с2
метро Шипиловская
График работы

Пн-Сб с 8:00 до 21:00
Вс с 9:00 до 19:00

МЕТРО РЯДОМ С НАМИ
  • Борисово
  • Красногвардейская

Лечение эпикондилита локтя («локтя теннисиста») на Шипиловской

Эпикондилит- это распространенная патология, характеризующаяся болями на наружной поверхности локтя. Из-за повреждения сухожилий, находящихся прямо над суставом, это состояние также известно как "теннисный локоть".


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    • 
	
  • Кировский государственный медицинский университет (нефрология) (2015 г.).
    • 
	
  • Кировский государственный медицинский университет (неврология) (2017 г.).
    • 
	
  • Кировский государственный медицинский университет (хирургия) (2017 г.).
    • 
	
  • Кировский государственный медицинский университет (ревматология) (2018 г.).
    • 


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	 Зеленов Василий Алексеевич работает в сфере ревматологии и неврологии. Неврологи работают со всевозможными патологиями нервной системы. Диагностировать их удастся уже на начальных этапах, вовремя заметив появление таких симптомов, как внезапная потеря сознания, шум в ушах, скачки внутричерепного давления, дискомфорт в области позвоночника, головокружение, мигрени или частые головные боли.
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	 Василий Зеленов проанализирует все необходимые данные для постановки диагноза, а затем сформирует формат терапии в зависимости от вашего текущего состояния.
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	 Занимается диагностикой и лечением:
</p>
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	<li>различных заболеваний ревматологического профиля;</li>
	<li>системных заболеваний соединительной ткани (системная склеродермия, перекрестные формы склеродермии, диффузный эозинофильный фасциит, склеродемой Бушке, очаговая склеродермия, дермато-полимиозит, синдромом Рейно, ревматоидный артрит, системная красная волчанка, системные васкулиты, анкилозирующий спондилоартрит, остеоартроз, реактивные артриты и др.).</li>
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	 Зеленов Василий Алексеевич работает в сфере ревматологии и неврологии. Неврологи работают со всевозможными патологиями нервной системы. Диагностировать их удастся уже на начальных этапах, вовремя заметив появление таких симптомов, как внезапная потеря сознания, шум в ушах, скачки внутричерепного давления, дискомфорт в области позвоночника, головокружение, мигрени или частые головные боли.




	 Василий Зеленов проанализирует все необходимые данные для постановки диагноза, а затем сформирует формат терапии в зависимости от вашего текущего состояния.




	 Занимается диагностикой и лечением:



    
	
  • различных заболеваний ревматологического профиля;
    • 
	
  • системных заболеваний соединительной ткани (системная склеродермия, перекрестные формы склеродермии, диффузный эозинофильный фасциит, склеродемой Бушке, очаговая склеродермия, дермато-полимиозит, синдромом Рейно, ревматоидный артрит, системная красная волчанка, системные васкулиты, анкилозирующий спондилоартрит, остеоартроз, реактивные артриты и др.).
    • 


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Зеленов Василий Алексеевич
Невролог, Ревматолог

Клиника Шипиловская
Записаться на прием
Зеленов Василий Алексеевич
Невролог, Ревматолог
Клиника в Шипиловская

Общая информация

Стаж: 18 лет

Образование:
2006 г. - Кировский государственный медицинский университет (лечебное дело)

Записаться на прием 
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	<li>2014 г. — повышение квалификации по программе «Экстрапирамидные расстройства. Клиника, диагностика и лечение»</li>
	<li>2010 г. — повышение квалификации по программе «Ботулинотерапия в медицинской практике»</li>
	<li>2010 г. — повышение квалификации по программе «Экстрапирамидная патология»</li>
	<li>2011 г. — ГАУ ДПО «Институт усовершенствования врачей», профессиональная переподготовка по специальности «Анестезиология и реаниматология»</li>
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  • 2014 г. — повышение квалификации по программе «Экстрапирамидные расстройства. Клиника, диагностика и лечение»
    • 
	
  • 2010 г. — повышение квалификации по программе «Ботулинотерапия в медицинской практике»
    • 
	
  • 2010 г. — повышение квалификации по программе «Экстрапирамидная патология»
    • 
	
  • 2011 г. — ГАУ ДПО «Институт усовершенствования врачей», профессиональная переподготовка по специальности «Анестезиология и реаниматология»
    • 


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	 Ведет прием с 1 года
</p>
<p>
	 Специализируется на диагностике, лечении, профилактике и реабилитации заболеваний, затрагивающих периферическую и центральную нервную систему, а также патологий, связанных с опорно-двигательным аппаратом и сопровождающихся неврологической симптоматикой.
</p>
<p>
	 Занимается сбором анамнеза, проведением неврологического обследования, назначением необходимых дополнительных и инструментальных методов диагностики, разработкой индивидуальной схемы лечебной терапии и реабилитационных мероприятий.
</p>
<p>
	Владеет следующими методиками:
</p>
<ul>
	<li>люмбальная пункция</li>
	<li>лечебные блокады (паравертебральные, сакральные, фасеточные)</li>
	<li>инъекции ботулотоксина типа А (диспорт, ксеомин, ботокс, лантокс) при любой нозологии, в том числе под КТ, УЗИ, ЭНМГ, ФГС</li>
	<li>мезотерапия</li>
	<li>ботулинотерапия</li>
</ul>
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	 Ведет прием с 1 года




	 Специализируется на диагностике, лечении, профилактике и реабилитации заболеваний, затрагивающих периферическую и центральную нервную систему, а также патологий, связанных с опорно-двигательным аппаратом и сопровождающихся неврологической симптоматикой.




	 Занимается сбором анамнеза, проведением неврологического обследования, назначением необходимых дополнительных и инструментальных методов диагностики, разработкой индивидуальной схемы лечебной терапии и реабилитационных мероприятий.




	Владеет следующими методиками:



    
	
  • люмбальная пункция
    • 
	
  • лечебные блокады (паравертебральные, сакральные, фасеточные)
    • 
	
  • инъекции ботулотоксина типа А (диспорт, ксеомин, ботокс, лантокс) при любой нозологии, в том числе под КТ, УЗИ, ЭНМГ, ФГС
    • 
	
  • мезотерапия
    • 
	
  • ботулинотерапия
    • 


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Мокина Татьяна Владимировна
Невролог, Детский невролог

Клиника Шипиловская
Записаться на прием
Мокина Татьяна Владимировна
Невролог, Детский невролог
Клиника в Шипиловская

Общая информация

Стаж: 18 лет

Образование:
2014 г. — ГАУ ДПО «Институт усовершенствования врачей», ординатура по специальности «Анестезиолог...

Записаться на прием 
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	<li>2020 "Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)", Портал непрерывного медицинского и фармацевтического образования<br>
 </li>
	<li>2020 "Неврология", Российский национальный исследовательский медицинский университет имени Н.И. Пирогова<br>
 </li>
	<li>2019 "Организация здравоохранения и общественное здоровье", Российская медицинская академия непрерывного профессионального образования</li>
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  • 2020 "Профилактика, диагностика и лечение новой коронавирусной инфекции (COVID-19)", Портал непрерывного медицинского и фармацевтического образования
    
 
    • 
	
  • 2020 "Неврология", Российский национальный исследовательский медицинский университет имени Н.И. Пирогова
    
 
    • 
	
  • 2019 "Организация здравоохранения и общественное здоровье", Российская медицинская академия непрерывного профессионального образования
    • 
	
  • 2022 "Методики локальной инъекционной терапии болевых синдромов осевого скелета", Первый Санкт-Петербургский государственный медицинский университет им. И.П. Павлова
    
 
    
 
    • 


 

 

 

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	 Врач-невролог, Клиника здорового позвоночника "Здравствуй!" Москва<br>
 <br>
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  • 2021
    
	 Врач-невролог, Клиника здорового позвоночника "Здравствуй!" Москва
    
 
    
 
    • 
	
  • 2018-2021
    
	 Заведующая неврологическим отделением, ЦКБ Москва
    
 
    
 
    • 
	
  • 2015-2018
    
	 Врач-невролог, ГКБ №55 (в последующем ОКД 1 филиал №1) Москва
    
 
    
 
    • 
	
  • 2010-2015
    
	 Врач-невролог, Детский оздоровительный лагерь «Юный ленинец» Горловка, Московская обл.
    
 
    
 
    • 


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    • 
	
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  • ишемический, геморрагический инсульт;
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  • бессонница;
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  • менингит, миелит, полиомиелит;
    • 
	
  • проводит диагностику;
    • 
	
  • мигрень, невралгия, рассеянный склероз;
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  • болезнь Паркинсона, Альцгеймера;
    • 
	
  • гидроцефалия, повышенное внутричерепное давление;
    • 
	
  • миопатия;
    • 
	
  • проведение консультативных приемов, осмотр пациента, назначение лечения.
    • 


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Сергеева Наталья Анатольевна
Невролог

Орехово, Шипиловская
Записаться на прием
Сергеева Наталья Анатольевна
Невролог
Домодедовская, Орехово, Шипиловская

Общая информация

Стаж: 29 лет

Образование:
1998 Ординатура по специальности "Неврология", Смоленская государственная медицинская академия ...

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Все специалисты

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Наш центр поможет подобрать оптимальное обследование и назначить правильное лечение для жителей района:

Лечение эпикондилита локтя у метро Борисово
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Лечение эпикондилита локтя у метро Красногвардейская
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Отдых в сочетании с обезболиванием - единственное лечение. Эпикондилит лечится сам по себе, но нужно запастись терпением, так как течение болезни может быть очень длительным и крайне болезненным.
 
Эпикондилит- это патология (тендинопатия) наружной стороны локтя. Для нее характерна локализованная боль.
Это состояние классифицируется как опорно-двигательное расстройство верхней конечности.

Причины

Основными причинами являются микроразрывы сухожилий. Обычно это происходит из-за повторяющихся жестов или чрезмерного напряжения мышц (ношение тяжелых предметов...). Также причиной может дефект васкуляризации сухожилий и физиологическая дегенерация.

Диагностика

При клиническом осмотре врач проверяет, является ли область воспалительной (нет покраснения или отека) и чувствительна ли она к пальпации. Диагноз ставится, если некоторые жесты (сгибание-разгибание запястья и пальцев или вращение руки), вызывают боль.

Рентген может быть полезным для диагностики, особенно если внезапное появление симптомов вызывает подозрение на разрыв сухожилия или если боль сохраняется, несмотря на медицинскую помощь.

Ультразвук локтя показывает утолщение сухожилий на ранних стадиях;
Магнитно-резонансная томография (МРТ) обеспечивает тот же тип информации;
Редко дифференциальная диагностика может включать другие обследования: электромиограмму (ЭМГ), рентгенограмму шейного отдела позвоночника.
 
Это распространенная патология, которая затрагивает в основном людей в возрасте от 35-40 лет до 60 лет.

Это, прежде всего, профессиональное заболевание, которое ежегодно поражает от 1 до 3% наемных работников.

В промышленно развитых странах число случаев, выявленных врачами, неуклонно растет в течение последних двадцати лет.

Факторы риска

На работе, если выполняются действия руками (сжимание, завинчивание, удар рукой), а также, которые требуют частых вращений предплечья с повторными сгибаниями запястья или ударами руки, способствуют возникновению эпикондилита.

Некоторые виды спорта вызывают этот недуг: теннис, бадминтон, гольф, гребля, бейсбол. Таким образом, любители играть в теннис страдают гораздо больше, чем профессиональные игроки.

Отягчающими факторами также являются психосоциологические риски, связанные с плохими условиями труда.

Чрезмерное потребление табака, некоторые заболевания, такие как диабет могут способствовать развитию недуга.

Симптомы эпикондилита

Эпикондилит проявляется иногда сильными болями в локте, появление которых может быть резким или, наоборот, постепенным.

Если у одних людей недуг проходит в течение нескольких недель, то у других время заживления исчисляется месяцами или даже годами (в этом случае это называется хроническим эпикондилитом).

Лечение эпикондилита

Консервативные методы лечения облегчают боль, но не ускоряют заживление повреждений сухожилия. Поэтому нужно набраться терпения или выбрать метод УВТ.

Прекращение деятельности, вызывающей боль, является наиболее эффективным методом лечения эпикондилита.

Если перестать заниматься деятельностью вызывающей эпикондилит сразу после появления симптомов, он может пройти спонтанно в течение нескольких недель.

Физиотерапия
Различные методы могут помочь облегчить боль: применение компрессов со льдом, сеансы физиотерапии, наложение специальной шины

Снятие боли
Болеутоляющие средства, такие как парацетамол, а также нестероидные противовоспалительные препараты или НПВП (Ибупрофен...), могут использоваться для успокоения боли.

Инфильтраты кортикостероидов имеют определенную эффективность. Однако следует избегать повторных инфильтраций, поскольку они могут ослабить сухожилие.

Инфильтрации плазмы с высоким содержанием тромбоцитов являются еще одним типом лечения, которое в последнее время дает положительные результаты. Принцип заключается в том, чтобы вводить в локоть плазму крови, полученную из анализа крови самого пациента, обогащенную тромбоцитами крови после центрифугирования. Это будет способствовать заживлению повреждений сухожилий.

Хирургия
Хирургическое вмешательство проводится очень редко, и в основном оно касается людей, страдающих хроническим эпикондилитом.
Альтернативные методы лечения
При лечении тендинопатий предлагаются различные природные методы лечения, например фитотерапия или гомеопатия. Хотя, они не доказали свою эффективность.
Ударно-волновая терапия
В лечении эпикондилита крайне эффективнаударно-волновая терапия (УВТ) – воздействие на ткани низкочастотными акустическими волнами. УВТ снимает боль и воспаление, ускоряет обменные и восстановительные процессы, формирует новые кровеносные сосуды, способствует выработке коллагена – подталкивает организм к быстрой регенерации повреждённых тканей.

После 2-х сеансов УВТ болевой синдром полностью исчезнет. Для закрепления эффекта понадобится ещё три сеанса, и Вы сможете полностью забыть о боли в локте на долгие годы!

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