Diagnosis and therapy of various degenerative, extra-articular, metabolic, systemic rheumatic diseases, musculoskeletal ultrasound diagnosis of the shoulder, elbows, wrist joints, small joints of the hands and feet, hips, knees, ankle joints, feet, as well as peri-articular structures, tendons, and ligaments; under ultrasound control, evacuation of an increased amount of synovial fluid (aspiration) from the knee, hip, shoulder, ankle, elbow, wrist joint, enlarged bursae or Baker's cysts, as well as from tendon sheaths, and appropriate therapy is administered directly into the joint, tendon sheath or enthesis; the most modern therapy for degenerative and extra-articular diseases is applied using the patient's own serum or plasma enriched with regenerative factors and anti-inflammatory factors (Orthokin therapy, Cellular matrix or PRP treatments) under ultrasound control and guidance.
Rheumatic diseases represent a group of different diseases (there are about 150), characterised by pain at rest or during movement in muscles, tendons, bones, or joints, as well as reduced mobility.
The most common conditions are degenerative rheumatic diseases caused by loss of joint cartilage, and extra-articular diseases in which structures surrounding the joints that support movement are damaged (muscles, fasciae, ligaments and tendons). At Poliklinika Živanović, these conditions are treated with the most advanced therapies: the patient’s own serum enriched with regenerative and anti-inflammatory factors (Orthokin therapy), autologous platelet-rich plasma (PRP), or PRP combined with hyaluronic acid (Cellular Matrix), always with musculoskeletal ultrasound guidance and monitoring.
With the help of musculoskeletal ultrasound examination, dr Živanović quickly diagnoses various painful conditions affecting joints, ligaments, tendons, bones, muscles and other soft structures around the joints.
Under ultrasound control, evacuation of an increased amount of synovial fluid (aspiration) is performed from the joint of the knee, hip, shoulder, ankle, elbow, wrist, as well as aspiration of fluid from enlarged bursae or Baker's cyst.
Administers medication to a specific joint (intra-articular injection) or local infiltration of medication into peri-articular structures such as: bursae, tendons, muscles, ligaments and entheses (peri-articular injection) under ultrasound control.
Systemic connective tissue diseases belong to the group of inflammatory rheumatic diseases, with rheumatoid arthritis being the most common among them. Early diagnosis of rheumatoid arthritis is very important. Timely initiation of therapy establishes control over the disease and significantly improves the quality of life of patients.
Metabolic diseases are another group of rheumatic diseases, among which gout and osteoporosis are the most common.
A rheumatologist deals with the diagnosis, monitoring, and treatment of diseases of the bone-joint system, including systemic connective tissue diseases and osteoporosis.
