Physicians and specialists

The Institute cooperates with the best specialists in medicine, pedagogy and related fields both within and outside the country. Our team assures a smooth and successful rehabilitation process. Interdisciplinary assistance and a problem-oriented approach are keys to our success in rehabilitation treatment. Team spirit and possibility to discuss each clinical case together with all specialists makes it possible for our patients to receive the best treatment and for us to be leaders in rehabilitology in the country.
We primarily focus on local personnel and try to educate new modern specialists by filling the niches we received in some fields of health care. We have both physicians working every day and physicians accepting by appointment.
Team spirit and a problem-oriented approach to each clinical case create an individual character of rehabilitation programs for each patient and uniqueness of treatment of each patient. Rehabilitology is a synthetic science that appeared on the basis of three fields — medicine, pedagogy and psychology. To render professional assistance to an injured person, a rehabilitation specialist must be able to use methods that would affect the psychological, social and physical spheres of the person. A rehabilitation specialist is both a physician and a psychologist with the knowledge of kinetotherapy, physiotherapy, neurology in one. Disabled people and people who experienced severe physical and psychological injuries require the assistance of a rehabilitation specialist. Using psychotherapeutic methods and systems of exercises, a rehabilitation specialist adapts a patient to percept the society and relate with people. A rehabilitation specialist creates an individual rehabilitation program for a patient and controls the process. A rehabilitation specialist faces the following tasks: to return a person to normal life or provide conditions required to return a disabled person to normal life. Physical disability is an extreme case of existence because it is accompanied with complete or partial inability to meet primary needs, considerably restricts the freedom and capabilities of a person. This extreme life of disabled people and specificity of the activity of a rehabilitation specialist imposes special requirements to this specialist and his/her professional qualities. The profession of a rehabilitation specialist appeared from the need to help these people.
It may sound strange but a rehabilitation specialist does not treat any diseases in the usual sense of treatment: his/her predecessors – specialists in surgery, cardiology, orthopedics, traumatology, neurology etc. do it. As a rule, a patient goes to a rehabilitation specialist with existing consequences of some injury or after surgical or conservative treatment of a certain disease. This is what determines the diseases a rehabilitation specialist treats. It is a rehabilitation physician who helps the patient completely recover. The key objective of any rehabilitation course is to release the patient from forced restriction of some capabilities and restore the lost functions as completely as possible. Depending on the type of the disease, surgery or injury, rehabilitation will have clear orientation — orthopedic, neurological and neurosurgical or even cardiologic. Orthopedic rehabilitation is performed after physical injuries, as well as after surgical interference in case of different pathologies of the musculoskeletal system. Neurological and neurosurgical rehabilitation is performed after cerebral or spinal injuries, after surgical treatment of cerebral or spinal diseases as well as after treatment of peripheral nervous system diseases. Most often, neurological rehabilitation is required by people who suffered from a stroke, paresis or palsy. Complications after a heart attack are treated by cardiologic rehabilitation also performed by a rehabilitation physician.
Long-term treatment with strict bed confinement or long and forced staying in a lying position lead to partial muscle atrophy. This is the case when you should visit a rehabilitation specialist, because a correctly selected individual rehabilitation course will help restore the muscle tonus and strengthen metabolic processes in tissues, organs and systems of the organism. A rehabilitation physician will also help restore the whole movements in joints in case of fractures and sprains, remove pain and swelling after musculoskeletal injuries, improve the state and increase the level of physical activity after a stroke, paresis or palsy. Moreover, physical exercises, massage, physioprocedures are useful for those who complain of headaches and back pain. Visit a rehabilitation specialist who will recommend how to remove the abovementioned symptoms without any medications. For example, he/she may prescribe a course of kinetotherapy that makes it possible to strengthen the musculoskeletal apparatus and become free from an intervertebral hernia, as well as prolong the remission of many neurological and musculoskeletal diseases.
The standard examination procedure is as follows:
  • Patient intake (medical history), review of previous medical documentation
  • Palpation, visual examination of the patient, his/her movement and gait
  • Manipulations with regard to examining the motion and sense spheres aimed at detecting pathologies in the interested areas
  • Depending on the complaints and results of examination the rehabilitation physician can prescribe additional examinations: roentgenography, computer tomography (CT), magnetic resonance imaging (MRI), electromyogram (determination of the electrical activity of muscles), densitometry, laboratory analyses characterizing the general background of the pathology, accompanying diseases, as well as research to determine the presence of infectious and inflammatory processes. A cardiologist diagnoses, prevents and treats diseases of the heart, large vessels as well as hypertension. It is a vast sphere that includes not only heart diseases but also the diseases of the main artery of the organism – aorta and its large branches, lungs vessels. Cardiology deals with cardiovascular problems caused by other chronic diseases such as diabetes mellitus, thyroid diseases, chronic diseases of the lungs and bronchi (bronchial asthma, chronic obstructive bronchitis), atherosclerosis, fat metabolism disorders. The institute performs a full range of non-invasive cardiologic services including the cardiopulmonary test with physical load, with simultaneous use of external respiration breathing, echocardiography, stress echocardiography, Doppler echocardiography, Holter monitoring and 24 hour blood pressure monitoring, as well as develops an individual cardiorehabilitation program for patients after myocardial infarction, invasive or cardiosurgical interference. The detailed information on the program is given at our website under the "Cardiorehabilitation" section.
  • Hypertension of any origin;
  • Ischemic heart disease in all its manifestations (angina of effort, myocardial infarction, cardiac rhythm disorders with rapid or on the contrary slow pulse);
  • Inflammatory diseases of the heart (or some structures of the cardiac wall of valves: myocarditis, endocatditis, perocarditis and their combinations);
  • Vegetovascular (neurocirculatory) dystonia;
  • Valve prolapsed syndrome;
  • Congenital or acquired failure of the heart, aorta, large arteries
  • Fat metabolism impairment (high level of cholesterol in the blood, obesity)
  • Different types of congenital and acquired arrhythmia including ciliary arrhythmia, arrhythmia with extra pathways including Wolff-Parkinson-White syndrome and others
  • Chronic cardiac deficiency and all its manifestations.
  • ECG in standard and special derivations;
  • echo-ECG (ultrasound heart examination);
  • ultrasound scanning of the aorta and large vessels;
  • 24-hour ECG and blood pressure monitoring;
  • laboratory diagnostics;
  • ECG and respiration monitoring in sleep to detect sleep apnea and related arrhythmias;
  • treadmill;
  • bicycle ergometry;
  • a cardiopulmonary test.
Occurrence of any problems relating to pain in the area of the heart, changes in the blood pressure, heart rhythm disorders, collapses and faintness, swelling in the lower extremities and shortness of breath requires a visit to a cardiologist. A visit to a cardiologist includes an examination, review of available medical documentation, as well as prescription of diagnostic procedures according to the state of the patient. Treatment may include medication or physical therapy (or their combination).
  • results of the previous ECG for comparison;
  • an examination form registered at the reception desk;
  • information from the previous laboratory examination;
  • information from the previous functional examinations (echocardiogram, data of the previous ECG and blood pressure monitoring).   A podiatrist is a physician, specialist that deals with detection, treatment and prevention of diseases of feet, lower extremities, hips and the backbone, as well as interrelations of the foot and the body. Our body is a construction developed by evolution the elements of which are interrelated. Podiatry is a field of medicine that is new in our country while in English speaking countries this discipline has been studied and developed for a long time. It was formed at the confluence of different medical disciplines and relies on recent achievements in clinical biomechanics, orthopedics, neurology, osteopathy, sports medicine, applied kinesiology, posturology, therapy and surgery of the musculoskeletal system of the human being. Practice shows that in most cases stable pain syndromes of the musculoskeletal system disappear irrevocably after qualified correction of the feet function with special manual techniques, exercises and advanced orthotics. A podiatrist helps people of any age but the most important thing is to visit this specialist to maintain mobility and independence in declining years. Foot joints are small and very complex, therefore the change of their function due to arthritis or an injury can be nearly invisible. That is why the professional skills and experience of the physician are very important. A podiatrist is also interested in leg mechanics. Such factors as the gait, joint configuration and muscle force influence not only the feet but also the knees, pelvic girdle and lower back. For example, if one of the two soles is more flattened, the balance of the body becomes impaired which can lead to pains in the hips, while an inflexible big toe can ‘wreak havoc’ with the spine.
  • Transverse-longitudinal patypodia (presence/prevention of valgus of the first and second toes, formation of an “ossicle”, foot flattening). Knock knees and bow legs. Clubfoot;
  • Heel spur. Pains in the foot when walking (and/or at rest). Morton’s neuroma
  • Overstrain and overpressure on the sole, plantar callosities and dry calluses. Most often beauty salons deal with these problems, removing calluses as a protective layer but not removing the reason why they are formed
  • Pains in joints (arthritis, arthrosis) and deformations of the lower extremities (foot joints, ankle, knee and hip joints)
  • Frequent strain in the ankle, recurrent subluxation of the ankle joint
  • Tendovaginitis of the Achilles tendon;
  • Postsurgical and posttraumatic changes in the joints, tendons, ligaments, muscles and articular capsules (deformations, pain, shortening, movement restriction, contractures);
  • Different length of legs, as well as related pathologies – disc hernia, slant/obliquity of pelvis, gait and posture disorders, scoliosis deformation
  • Prevention of diseases of the veins in the lower extremities
  • In the period of pregnancy – prevention or avoidance of recurrence of musculoskeletal disorders in the spine, joints of the lower extremities, feet
  • Palsies and pareses of peripheral nerves of the lower extremities (drop foot stabilization)
  • Increased fatigability of muscles of the back and lower extremities
  • Prevention of professional overload in case of excessive use of high heels, walking and/or running, long-time standing
  • In record setting sports orthoses help increase both speed and jump parameters thanks to the improvement of the jump-off function of the foot, as well as decrease the risk of injuries.
These technologies were initially developed to assure ergonomics, dynamic balance and minimum strain during sports activities.
Individual corrective insoles are produced in 2-3 days. Then the patient leaves the doctor in them. 2-3 weeks later primary correction and 2 months later secondary correction are performed. Corrected orthotic insoles take into account all peculiarities of the foot and shoe structure: transverse and longitudinal arches, valgus/varus position of the forefoot and rearfoot, structural peculiarities of tarsometatarsal and metatarsophalangeal joints as well as joints of the heel, huckle and navicular bones. Moreover, acquired and congenital deformation of the foot is taken into account which assures correct position of the foot at rest and during movements. Orthoses (individual orthotic insoles) are suitable for any type of shoes. The main requirement for shoes is to have a counter. The average life time of orthoses is 1.5 – 2 years for athletes, 3 years for an active life style. The material of the insoles is absolutely safe, chemically neutral, non-allergenic and non-toxic. They can be corrected as many times as necessary, it means that you will not have to buy something new when the foot changes in the process of treatment. The insoles can be washed with any cleanser.
ergotherapist Ergotherapy (Occupational Therapy) – is a specialty that is based on scientifically proven facts that purposeful useful activity of a person helps improve his/her functional capabilities (motion, emotional, cognitive, psychic). Its purpose is to restore, as much as possible, the capacity of a person for an independent life (self care, productive activity, relaxation) regardless of his/her disorders, restrictions in the everyday or social life. Ergotherapy is distinguished by its interdisciplinary character. The term “occupation” in ergotherapy characterizes different types of activity that can be seen in the life of every person and give sense to it. It is common practice to distinguish between activity in the everyday life, activity in work and productive life, activity in games, recreation and hobbies. An ergotherapist -is a specialist who deals with maximum adaptation of a person in the surrounding conditions with lost and preserved functions. Lost functions restrict a person in his/her usual life; therefore there is an urgent need to teach independent living skills, adapt to independent mobility, participation in labour. An ergotherapist tries to explain and teach how to move, how to use prostheses (orthoses), how relatives should take proper care. Ergotherapists work with patients of different age groups, in almost all areas of medicine. They help people with physical, cognitive, emotional or psychic disorders, developmental lag or age-specific changes. Therefore, to maintain or restore, as much as possible, the life roles of a patient that were completely or partially lost after a disease or injury, as well as to return him/her to usual types of activity and social life an ergotherapist must be a mandatory participant of the rehabilitation process.
  • personal hygiene (hair care, washing, toileting);
  • dressing;
  • eating;
  • observance of rules for health support and maintenance;
  • socialization;
  • functional communication and mobility;
  • mobility in the society;
  • satisfaction of sexual needs.
  • household duties (clothes care, apartment cleaning, cooking, housekeeping and safe dwelling);
  • taking care of other people;
  • possibility to learn something new;
  • research activity (choice of specialty, job search, work performance, retirement planning, voluntary participation in something).
  • possibility to select a game, type of recreation, hobby
  • possibility to perform the required actions during relaxation or games.
  • to change the visions about the needs of people with developmental disorders;
  • to learn to accept these people in an integral context taking into account their life values, interests;
  • to take into account the influence of surrounding factors on the ability to function in the everyday life (correspondence of the environment at home and in the street to functional capabilities – availability of elevators, wheelchair ramps, special tools, etc.)
To detect existing disorders, to restore or to develop functional capabilities of a person he/she needs in everyday activity. To help a person with restricted abilities become independent in the everyday life as much as possible by restoring (developing) his/her lost functions, using special devices, as well as adapting the surrounding world. To create optimum conditions for a person with restricted abilities to develop and engage in self-realization by “occupying” him/her in different life spheres and, eventually, to improve the quality of his/her life.
The patient should receive qualified assistance for improvement of the quality of his/her life. The most important resource of ergotherapy is the patient himself/herself (or parents if the patient is a child). Together with the ergotherapist he/she sets long-term and short-term goals of interference. Their common task is to help reveal and use patient’s own potential and his/her desire to reach the goals. The ergotherapist is a member of an interdisciplinary team that includes a physical therapist, special educator, social educator. Through mutual work of the interdisciplinary team and the patient (or his/her parents) we can only achieve positive results. The patient should be regarded within the surrounding situation (physical or social), taking into account its influence and providing that they actively and permanently interact. The interactions of the ergotherapist and the patient must be open, based on mutual confidence. The work of a dentist is characterized by using modern technologies, an individual approach to each patient, top quality equipment. Sterilization has a complete automated technological cycle. Therapeutic dentistry includes active preventive measures and oral hygiene education, conservative methods of teeth whitening (at home and at the dentist’s). We use three-stage cleaning of dental plaque and deposit with Air Flow devices, ultrasonic scalers. Tooth filling is made with up-to-date composite material. Gums are treated with a Vector device. In prosthetic dentistry we use porcelain fused to metal, metal free ceramics, partially and fully removable dentures, dental implant prosthetics. Surgical dentistry deals with extraction of impacted and half-impacted teeth of different severity including extraction and treatment of primary teeth, gingivoplastics, pericoronitis treatment.

Preventive dentistry is the most important branch of modern dentistry and deals with elimination of all reasons that can cause different dental diseases or lead to premature loss of natural teeth. Regular, proper oral care is not only an indication of the culture of any adult person but also the basic preventive measure to avoid dental caries and other diseases of the oral cavity. It is oral hygiene that our institute focuses on with special attention within preventive dentistry.

Professional oral hygiene includes:

  • removal of supragingival deposits with an ultrasonic scaler;
  • treatment of accompanying gingivitis that can be caused by injuries or unsatisfactory oral hygiene.
  • Removal of subgingival and supragingival deposits with the Vector device.

The Vector device makes it possible to fight against subgingival calculus and bacteria on a qualitatively new level by removing the plaque, hard deposits without blood, pain and injuries to the soft tissues around teeth. During the Vector procedure dental deposits and granulation tissues from gingival pockets are removed with ultrasonic energy. Thanks to a special mixture with microparticles endotoxins and deposits are removed from dentogingival pockets, teeth surface is polished, which promotes the healing process.

The Vector device makes it possible to treat hard-to-reach areas of the oral cavity, to treat pockets thoroughly and effectively, as well as to work with deeply located fixtures of dental implants. In dentistry the Vector device is used even for treating patients with highly sensitive teeth and gums. It helps kill periodontitis, makes it possible to avoid surgical interference.

As a result of professional hygienic procedures your teeth become perfectly white, beautiful, and, above all, healthy.

Prosthetic dentistry is an extensive field of medicine that studies diseases of the musculoskeletal apparatus and develops methods of diagnostics, treatment and prevention. Prosthetic dentistry methods are used in case of absence of one tooth, several or all teeth on the upper or lower jaw bones, cosmetic defects (inconsistency in the size, form and colour), arthritis, arthrosis of the jaw joint. Nowadays prosthetic dentistry is developing rapidly thanks to the use of the latest materials and technologies, renewing the function of the masticatory apparatus after loss of several teeth or one tooth. Today, different types of dentures become very popular among people who take care of their health. Dentures can be removable and fixed. Prosthetics can be made of porcelain fused to metal, metal free ceramics, as well as zirconia.

Advance technology in metal free ceramics become more and more popular as this type of prosthetics is mainly focused on esthetics. The denture is produced of high-strength ceramics containing no metals. This adds esthetics to the dentures, moreover, ceramics does not change in colour (it does not become dark), and is not allergenic. Prosthetic dentistry offers a lot of metal-free ceramic denture versions: crowns, veneers, inlays.

Types of dentures overview:

A veneer - is a thin ceramic plate (laminate) that is fixed on the front surface of teeth. Veneers add natural and healthy appearance to a tooth.

Metal ceramic crowns contain metal alloys or metal (titanium, gold, platinum, palladium, chrome-nickel, gold-platinum and other alloys). Depending on the metals and their alloys used we distinguish metal ceramics on gold, cobalt-chrome alloys etc. Further, the frame is faced with special ceramic mixture produced specifically for dentistry application. The facing is performed manually in several layers. After applying one layer the frame is burned in a special furnace that maintains a temperature of 950 ºC. This production technology creates a strong chemical bond between the metal and ceramics. The metal frame with ceramic facing can be seen in the photo, it is a ready-to-use denture.

Metal crowns also contain metal or metal alloys (titanium, gold, platinum, palladium, chrome-nickel, gold-platinum and other alloys). They are less common today.

What is a stump inlay and why is it necessary?

A stump inlay is an insert for a crown. Using these inlays a tooth destroyed to the root (or a tooth with very thin walls) is restored to be covered with a crown. Then an artificial crown is fixed to this inlay with special cementum. A stump inlay has root and crown parts. The root part of an inlay looks like a dental core (this part is fixed in the root canal). The crown part of an inlay has the form of a dental stump machined for a crown. That is why this inlay is called a ‘stump’ inlay.

What removable dentures are used?

Removable dentures - are prostheses the patient can remove and insert. They are used when a great number of teeth are missing, i.e. in the cases when there is no possibility to make a fixed denture. Removable dentures (unlike fixed dentures) mainly rest on the gingivae, but when natural teeth remain some load can be distributed to the remained teeth.

Complete removable dentures - are prostheses fabricated when all of the teeth are missing on the jaw. They rest exclusively on alveolar processes of the jaws (roughly speaking, on the gingiva), and the palate. Fixation of complete removable dentures (especially on the lower jaw) leaves much to be desired, as the teeth to which they could be fixed with clamps are missing. A complete removable denture can be made of either traditional plastic or nylon.

Partially removable prosthetics means that there are one or several teeth on the jaw that will be remained and used for prosthetics purposes. It means that a partial removable denture usually rests on not only the gingival but also on the remained teeth. These dentures can be made both of plastic or nylon and with a metal frame (bugel dentures).

Bugel dentures take their name form a German word “Bugel” that means an “arc”. Unlike nylon and plastic dentures this type of dentures is based on a metal frame. Thanks to this frame manufacturers managed to decrease the size of the plastic basis in the patient’s mouth, it means that the denture becomes more comfortable when you wear it, speak and eat.

Opportunities of modern pediatric dentistry form an absolutely new image of prevention and treatment of dental diseases in children. Now parents have no reasons to postpone the visit to a pediatric dentist. After little teeth emerged you should take regular and systematic care of them. Caries prevention should start as early as possible. Besides traditional caries prevention methods (teeth cleaning, healthy nutrition, etc.) other very effective procedures are used today. One of these procedures, the sealing of dental hollows (fissures), is rather widely used in developed countries and makes it possible to considerably reduce the risk of caries development. Dental plaque, caries, pulpitis, abnormal occlusion, all these dental diseases can be avoided in children if you take preventive measures in due time. Here not only everyday oral hygiene is meant.

Diseases of the oral cavity are not less spread in children than in adults. Love of sweets and improper teeth cleaning, children’s fear of dentists and parents’ poor awareness of the importance of early prevention and sanation lead to pathologic processes in the oral cavity. Caries and decay of primary teeth, pulpitis, infection distribution along the root canals, damage of permanent teeth, malformation of the dental row are the main dental diseases in children that require early treatment.

Another problem children often suffer from is abnormal occlusion. If you are willing and patient, occlusion can be corrected. Here special removable and fixed systems (plates and brackets) are used. Abnormal occlusion in children negatively influences not only the esthetics of the dental row and attractiveness of a child but also the general health. Occlusion correction makes it possible to avoid a lot of problems: masticatory disorders, musculofacial pain syndrome, formation of dental calculus and dentogingival pockets, teeth damage (fractures, abrasion, caries), as well as psychological barriers and complexes.

Surgical dentistry is an extremely important area of dental practice that is aimed at restoring the beauty and integrity of the dental row, correcting the lost function. The basic direction of this discipline is the study of surgical diseases, specifically, injuries of teeth, organs of the oral cavity, face and neck. In recent years surgical dentistry began to use new up-to-date materials, new surgical methods to protect against infections, minimizes the risk of postsurgical complications. Today, any dental surgery is only performed with most advanced anesthetics that even make the first anesthetic injection painless.

Surgical dentistry includes:

  • treatment of inflammatory processes;
  • surgeries to preserve teeth;
  • extraction of teeth;
  • implantation;
  • decorative surgeries.

Year after year, cosmetic manipulations on gums become more and more popular in surgical dentistry. Such procedures as gingivoplastics, frenuloplastics, elimination of gingival recessions, vestibuloplastics are performed most often.

Most people associate snow-white teeth with a successful and beautiful life!

When a person has no reasons to be doubtful of his/her smile, he/she easily makes contacts with other people, charms them and achieves his/her goals! However much we desire to naturally have brilliantly white teeth, this still happens very seldom. Therefore, teeth whitening procedures that make our smile dazzling become more and more popular day by day. Causes why teeth turn yellow:
  • Insufficient hygiene of the oral cavity;
  • Metabolic disorders;
  • Smoking;
  • Excessive consumption of food with colouring agents;
  • Genetic inheritance;
  • Excessive consumption of sugar;
  • Antibiotics treatment;
  • Age-specific changes

Once in six months professional teeth cleaning should be performed even if all oral care rules are followed. However, this includes only superficial procedures they almost do not change the colour of teeth. To change the colour of teeth whitening is used; it is chemical impact on dental enamel. There is professional whitening, at the dentist’s, and domestic whitening.

For professional cleaning we use three-stage teeth cleaning from dental plaque and deposits with an Air Flow device and ultrasonic scaler. Using different teeth whitening procedures, our dentists will help you partially transfer teeth whiteness maintenance activity to your home, which makes this service accessible for a wide range of customers. If the dentist detects some diseases of the oral cavity during the first examination, they must be treated before teeth whitening. If a patient has tooth filling material, dentists recommend replacing them after the whitening procedure as the filling material does not change its colour. The same concerns different dental onlays, for example veneers. Besides psychological diagnostics and consulting, one of the most effective and available methods to render psychological support to people after diseases, injuries and to disabled people to change personal reactions is psychological correction and psychotherapy. Psychological correction -is a set of actions aimed at correcting and improving the psychological characteristics of a person according to special requirements based on the internal reserves of the person. Body-oriented correction is a system of a special psychological and physiological functional organization of a disabled person to develop psychological defense and redirect him/her with regard to his/her diseases. Corrective methods can focus either on some norm or on individual capabilities of a disabled person. Emotional, rational or social and psychological spheres of relations are subject to correction. Psychocorrection can be realized in different forms of group or individual impact: exercises, training sessions, games, social and psychological training. Psychotherapy is a complex remedial impact on the mind of a disabled person and on the whole organism of the patient with psychic methods in order to remove pain symptoms and change his/her attitude to the disease, to himself/herself and to the environment. The most adequate method of psychotherapeutic impact in case of disability is rational explanatory, relaxing, distracting and activating psychotherapy. Indirect infusion is also acceptable taking into account the individual peculiarities of the disabled person, type of the disease and severity of the general state. The main objectives of psychotherapy are in explaining the role of the disabled person in the success of the treatment and rehabilitation, correcting the extent of emotional stress, activating people to treatment, weakening negative reactions. One of the main tasks of psychotherapy is to create a system of mutual approval and, based on it, conditions for suppressing the negative relation to the disease that hinders the process of treatment.
The rehabilitation process can be divided into several stages. Remedial stage (treatment). For the rehabilitation to be successful a relevant psychotherapeutic atmosphere should be created around the disabled person in his/her family, in the environment of his/her relatives. The psychological mood of the disabled person should be permanently monitored, for this purpose his/her relatives and friends should be regularly communicated to, observation data should be used. Rehabilitation. The psychological part of the rehabilitation process begins with overcoming of negative reactions and psychological mobilization. Special attention in the psychorehabilitation activity is given to compensation of the lost professional and social adaptive qualities of the person. At the same time the attitude of disabled people towards psychological methods of work should be taken into account. In one case we observe a positive attitude of the disabled person towards the techniques and methods of psychotherapy, in the second case we observe a passive meditative attitude towards the psychologist and his/her work, in the third case we can observe an unstable, changeable attitude, even a negative reaction to the demands and wishes of the psychotherapist. и Re-adaptation. Re-adaptation implies a remedial process that provides the patient with complete adaptation to the living conditions to the level he/she used to be at before the disease.
Psychological support, which is a complex of planned or episodic events aimed at encouraging positive changes and results in the behaviour and activity of a patient who suffered from a disease or injury as well as of a disabled person; psychological assistance is an alternative set of events that reveal psychic activity of a person in the presence and with the assistance of a specialist; psychological infusion is indication of a single and quite definite way to behave and perform activity according to a standard; social psychological prediction, which is a complex of organizational and group events aiming at the creation of favourable conditions for social interaction of the person; psychological load, which is the way to form skills for overcoming psychologically difficult situations in the emotional and rational sphere.
Psychological defense is an adaptation mechanism launched by the consciousness of a person when coming across a pathogenic situation. Psychological defense of a disabled person can be useful and promote fighting against the disease, as well as harmful and enable the disease and impede the remedial preventive activity. Psychological defense includes alteration of both conscious and non-conscious psychological attitudes, change of the subjective hierarchy of values, i.e. events that deprive of significance and neutralize the things that became psychologically traumatic. The art of the social work is mainly determined by the fact whether the specialist can remove the effect of psychological defense mechanisms when communicating with the disabled person and create trust relations with him/her. Therefore, the procedural part of cooperation between a social worker and a disabled person should take into account the following psychological circumstances:
  • When communicating with a disabled person we try to catch his/her slightest concerns, display warm-heartedness, amiability and kindness, listen to the suffering person with attention and display goodwill and interest;
  • We always try to empathize, participate in the emotional experience of the patient and not to conceal our actual feelings with regard to mutually experienced events, gradually moving forward to understanding the psychotraumatic factors and situations;
  • We try to organization the communication to provide a face-to-face interaction with the disabled person, to fully assess the properties of his/her nervous activity (force, mobility and even-temperedness). We provide speech correction service regardless of the age: for children and adults. A logopedist for adults is quite an exotic word combination for most people. However adults visit logopedists not as seldom as it may seem. This support is mainly necessary in case of speech loss after a stroke, injury and other cerebral impairments and diseases. In these cases aphasia or dysarthria can develop. Here the logopedist works in cooperation with the neurologist, psychologist, physiotherapist. The specialist team restores not only the impaired speech but also other superior psychological functions: memory, attention, reading and writing. Stutter is also within the competence of a logopedist. All voice disorders not related with stutter should be a reason to visit a logopedist for adults. Now young people place higher requirements to their image and, consequently, speech. Impaired sound pronunciation and poor articulation sometimes impede our advancement at work. More often young mothers visit logopedists for adults not to set a bad speech example to the growing child. An individual plan of activity is used with each patient. The basic activities in logoneurosis and other speech abnormality treatment in adults are as follows:
  • Tongue muscle strengthening exercises;
  • Work on correct sound reproduction;
  • Exercises for regular breathing;
  • Exercises for correct articulation..
Moreover, writing is also speech, it is only written speech. Writing difficulties in high school students and adults are due to defectologic problems and called dysgraphia. Very often a teacher or a coach alone is not capable of coping with this problem without the assistance of a logopedist.
The most often speech related problem that occurs in adults is logoneurosis or simply stutter. It is manifested in different ways: spastic pauses in speech, stretching out words (tonic logoneurosis in adults), repetition of syllables or sounds (clonic logoneurosis in adults). There are three main causes of stutter: congenital pathology of the vocal apparatus, genetic factor, and neurological disorder. Severe stress, startle, trauma in a child can cause speech impairment, therefore stutter worsens in case of strong excitement or anxiety. Curing stutter in children is much easier than in adults. But sometimes parents do not understand the seriousness of the situation and do not visit the specialist. While in the course of time a stuttering person develops a certain pronunciation stereotype. Therefore, when treating stutter in adults we should make double efforts.
The most often speech related problem that occurs in adults is logoneurosis, or simply stutter. It is manifested in different ways: spastic pauses in speech, stretching out words (tonic logoneurosis in adults), repetition of syllables or sounds (clonic logoneurosis in adults). There are three main causes of stutter: congenital pathology of the vocal apparatus, genetic factor, and neurological disorder. Severe stress, startle, trauma in a child can cause speech impairment, therefore stutter worsens in case of strong excitement or anxiety. Curing stutter in children is much easier than in adults. But sometimes parents do not understand the seriousness of the situation and do not visit the specialist. While in the course of time a stuttering person develops a certain pronunciation stereotype. Therefore, when treating stutter in adults we should make double efforts.
Such speech impediment as rhotacism in adults is not less spread. Often those who have this impediment think4s that trilling the sound ‘r’ is a zing while sometimes it is difficult for the surrounding people to understand them. Speech impediments distract from what is saying. Causes of rhotacism in adults: tongue muscle palsy, short frenulum, sound perception disorder, congenital factor. How an adult can become free of rhotacism is not a simple question. If rhotacism in an adult is caused by physiological problems, they should be corrected by an experienced specialist (surgeon, dentist, neurologist). If the cause of this impediment is a long-standing habit, logopedic sessions for adults can help. To get rid of rhotacism in an adult it is necessary to strengthen tongue muscles, there are special exercises for that.
Lisping is also common in adults. This term refers to inability to clearly articulate some sounds, sibilating them. Before trying to understand how to eliminate lisping in an adult, we need to determine the cause. This speech impediment can be caused by abnormal occlusion, special structure of the vocal apparatus, as well as a severe stress, psychological trauma. People think about their lisping in different ways, too. Most often this impediment makes people control their speech. As a result permanent strain provokes neuroses. Lisping in adults should be corrected to achieve emotional calmness and free speech sensation.
Lessons with a logopedist are also necessary for adults in case of other problems: dysarthria, dyslalia, aphasia. These are serious speech impediments that considerably spoil the life and require compulsory treatment. Neurology is an area of medicine the basic principles of which are focused on studying the causes and mechanisms that give rise to diseases of the nervous system and developing methods for treating this pathology. Neurologist (or neuropathologist) diagnoses, prevents and treats diseases of the central and peripheral nervous system. Diseases of the nervous system are very diverse. They are based on
  • Disorders in the work of nerve cells (neurons) and in the links between them
  • Various infectious and non-infectious inflammations that appear in the cerebrum and spinal cord as well as in nerve fibres.
After primary consultation the neurologist decides on the additional examination required to determine the entire state of the patient. He/she can prescribe myography, MRI, a comprehensive analysis of the functions relevant to the nervous system, etc. Based on the examination, research and analyses the neurologist determines treatment for the patient.
Diseases treated by a neurologist quite often occur together with palsy as well as loss of sensitivity (to temperature, pain, etc.), psychic dysfunction and cramps. The following states are within the direct competence of neurologists:
  • Facial pain, headache (Bell’s palsy, blind headache, tremor, facial spasms, etc.);
  • Back pain (radiculitis, hernias, spinal osteochondrosis, etc.);
  • Tumour masses of the spinal cord/cerebrum;
  • Numbness of different parts of the body;
  • Sleep and memory disorders;
  • Buzzing in ears;
  • Impairment of hearing, vision and smelling;
  • Cramps, epileptic seizures (impairment of consciousness, loss of consciousness, etc.);
  • A stroke with the relevant consequences;
  • Injuries of the back, head including their consequences;
  • Neuritis, neuralgia, neuropathy;
  • Encephalopathy;
  • Alzheimer’s disease, Parkinson’s disease, etc.
  • Different blood circulation disorders relevant to the cerebrum and spinal cord.
Many diseases of this type occur together with changes in behavior and psychic state, which, consequently, requires cooperation with psychiatrists. As to how a neurologist treats, everything depends on the peculiarities and specificity of the disease. Thus, for some diseases conservative therapy is enough, while other diseases require a surgery. The required treatment is selected highly individually.
Medication methods include all drugs used for treatment of diseases of the nervous system. Non-medication methods include diets, phytotherapy, methods of non-conventional medicine, acupuncture. Remedial massage, reflexotherapy, and manual therapy are also widely used. Physical methods include different sets of exercises to prevent and treat neurological diseases. They also include physiotherapeutic procedures: laser therapy, magnetotherapy, diadynamic therapy, myostimulation, electrophoresis. The surgical method is used when other methods did not have sufficient effect and the disease progresses. Neurosurgeons perform surgeries on the cerebrum and spinal cord, nerve fibres.
  • Blind headaches, severe and frequent headaches;
  • Sleep disorders in the form of frequent wakening, insomnia etc;
  • Tingling, numbness of the extremities, buzzing in ears;
  • Motor dysfunction, memory impairment, pain in the back;
  • Consciousness, faintness, giddiness.
  • Patient intake (medical history) in case the pathology of the central or peripheral nervous system is relevant;
  • Palpation, visual examination of the patient;
  • Manipulations with regard to examining the motion and sense spheres aimed at detecting pathologies in the interested areas.
Depending on the complaints and results of examinations the neurologist can prescribe additional research. Manual therapy can be characterized as local proportional impact with the physician’s hands on the joints of the spine and extremities, muscles, ligaments, fascias to restore the normal function of the musculoskeletal apparatus and remove pain as well as to correct the posture. Manual therapy (or manual medicine, which is more correctly) includes two basic sections, manual diagnostics and manual therapy itself. Manual therapy combined the achievements of neurology, neurophysiology, and orthopedics. It became attractive for many medical specialties thanks to its practical results that involve quick restoration of the function of the spine, extremity joints, elimination of muscle spasms and improvement of the posture. A manual therapist is, first of all a certified orthopedist or neuropathologist, only after this it is a specialist on manual treatment. A manual therapist helps the patient if his/her muscles begin to constrict vessels or nerves are pinched. Moreover, you can visit a manual therapist in case of spinal curvatures and even hernias in the vertebral discs. His main task is to rearrange the biomechanics of the spine, bones, all muscles, as well as ligaments. In spite of the fact that manual therapy is not enough to become free of a hernia, a good specialist will be able to considerably relieve the injured area of the spine.
  • Sudden pain in the lower back (lumbar myalgia) ¬ lumbago;
  • Chronic or subacute pain in the lower back (when it is difficult to bend, and more difficult to straighten back) — lumbodynia;
  • Dragging pain in legs combined with pain or discomfort in the lower back — lumboischialgia;
  • Back pain (in the area of shoulder blades);
  • Motor restriction both in the spine and in large joints;
  • Pain in the heart projection with a normal cardiogram;
  • Neck pain irradiating to the arm or head;
  • Elbow pain (when it is difficult to hold even a kettle);
  • Pain in the shoulder joint (when you can raise your arm with pain and not entirely);
  • Frequent headaches, giddiness, buzzing in ears;
  • Impaired concentration and memory;
  • Numbness of fingers and toes;
  • Pain in the coccyx — coccygodynia (pain is growing when you stand up from a sitting position);
  • Nagging pain in the knee (more often side surfaces);
  • • Pain in the area of the hip joint or clunis.
Why does manual therapy in case of spinal hernia (intervertebral hernia), intervertebral disc protrusion give the fastest and most stable effect? How often is the manual therapy of the spine necessary? The basic cause of protrusions and hernias of intervertebral discs are incorrect functioning of the spine both during movements and when maintaining the posture when the load on the intervertebral discs is distributed unevenly. Sooner or later the intervertebral discs that are exposed to permanent overloading weaken and begin to decay. At first, small cracks, then protrusions and then hernias form in the fibrous ring of an intervertebral disc. To avoid this, the spine has to function correctly. Manual therapy of the spine is the most effective method of both prevention and treatment of spinal osteochondrosis, hernias and protrusion of intervertebral discs, as it eliminates their causes — disorders in the spine functioning. Only if the function of the spine normalizes, the normal blood supply and venous outflow in the area of concern restore. Tablets, injections, ointments, physiotherapy are not able to relieve nerve fibres and vessels from entrapment and to make the spine work properly. In this regard, answers to the following questions become quite clear: "Why is manual therapy necessary? What does a manual therapist treat? Why is manual therapy in case of spinal hernia, intervertebral disc protrusion most effective?" An average course of treatment includes five to ten sessions of manual therapy. It is recommended to undergo a course once in six months, but there are different individual variants. After the course of treatment is over the manual therapist gives several exercises of remedial gymnastics to confirm and maintain the results or refers you to a physiotherapist.
AA023148 Gastroenterology is an area of medicine that deals with diseases of the digestive system. Gastroenterology is focused on diagnostics and treatment of diseases that damage the esophagus, stomach, small intestine, liver, gall bladder and pancreatic gland. Like many other areas of medicine, gastroenterology consists of several sections: hepatology, proctology, coloproctology, enterology, gastrology and esophagology. The first universal and unbiased method of diagnosing gastroenterological diseases is stomach examination that includes external examination, palpation, tapping and listening. During this examination a gastroenterologist should pay attention to the hollowness, swelling and symmetry of the stomach. Palpation makes it possible to feel a tumour, the size of internal organs (liver, gall bladder, etc.), as well as determine the localization of pain. Listening helps determine intestinal motility and detect peristaltic sounds. Tapping is used to determine the presence of gases and fluid in the peritoneal cavity. For diagnostics, instrumental methods for examination of the gastrointestinal tract are also used. Fibre optics is always used in these methods of investigation. For gastroenterological diagnostics contrast roentgenological examination (for diagnosing diseases in the large and small intestines, stomach and duodenum) and ultrasound examination (for diagnosing pancreatitis, stones or tumours) are used. Functional tests are also successfully used for diagnosing in gastroenterology. Analyses of feces, urine, blood, gall and gastric content are also required.
  • Difficulty in swallowing;
  • Unexplained loss of weight;
  • Pain in the stomach;
  • Vomiting;
  • Gastritis ;
  • Intestinal obstruction;
  • Bitter flavor in the mouth;
  • Belching after meals that also has an unpleasant flavour;
  • Offensive breath;
  • Permanent epigastric burning (after meals);
  • Pains localized in the intestinal tract, hypochondrium or stomach;
  • Heaviness in the stomach that appears on an empty stomach and disappears after meals, as well as sickness;
  • Diabetes mellitus;
  • Permanently altered defecation pattern;
  • Changed colour of fecal masses, vomiting;
  • Skin rash of non-infectious origin, peeling skin, eczema, idiopathic deterioration in the state of hair and nails;
  • Hemorrhoid;
  • Diarrhea and vomiting;
  • Data of X-ray examination of the abdominal cavity;
  • Gastroesophageal reflux;
  • Hernia in the esophageal opening;
  • Hyperperistalsis syndrome;
  • Hepatitis;
  • Liver diseases;
  • Malabsorption syndrome;
  • Postsurgical examination of the intestinal tract;
  • Rectal bleeding;
  • Mucous colitis;
  • Gastric ulcer;
  • Ulcerative colitis;
  • Intestinal tract cancer;
  • Polyps in the intestinal tract;
  • Crohn’s disease;
  • Diverticulosis.
  • Toxoplasmosis;
  • All types of hepatitis;
  • Dyspancreatism ;
  • Gastritis of any etiology and form;
  • Ulcer disease;
  • Infectious mononucleosis;
  • Chronic diseases of the gastrointestinal tract;
  • Gall stone disease.
  • Liver;
  • Esophagus and stomach;
  • Intestines (large and small), as well as duodenum;
  • Pancreatic gland;
  • Gall bladder and ducts. Dietology is a science of nutritional therapy. It develops and recommends diets both in case of any impairments and diseases and for preventive purposes. Before treatment starts, a consultation with the nutrition specialist is carried out in the institute after a body composition analysis (with a bio-impedance meter, 3D bioscanner and densitometer) to determine the general and regional percentage of osseous, muscle and fat tissue of your body versus figures recommended for your sex, age and height. A treatment program is developed as a result of examination. The institute uses such methods of physiotherapy and rehabilitation as active kinetotherapy – underwater and antigravitational treadmill; massage, vibration therapy, pressure therapy, electromyostimulation, vacuum roll, radio wave and light therapy. When prescribing a diet the nutrition specialist proceeds from the individual physiological needs of the patient for nutritional substances and energy. The specialist also takes into account functional, pathomorphological, metabolic, as well as enzymatic and other impairments in the organism due to some pathologic process. It is very important to set a correct goal, first of all, it must be achievable and harmless for health (it should not lead to a negative experience and give lifelong confidence that you will never be successful). When strictly followed these methods are very effective and give a visible result even after the first procedure.
  • Covers the needs of a person for required substances;
  • Increases the efficiency of therapeutic methods;
  • Has a remedial effect;
  • Promotes recovery;
  • Has a preventive effect;
  • Prevents pathologies as well as transfer of acute diseases to chronic diseases
  • Normalization of the metabolism;
  • Health improvement;
  • Increase in strength and energy;
  • Positive impact on the general state of health.
Initial examination makes it possible for physicians to assess the general state, physical strength, restrictions, and body composition that influence the selection of the rehabilitation program. Based on all received data physicians develop an individual rehabilitation program safe and effective especially for you.
Our rehabilitation is aimed at improvement of your general health using exercises on our training equipment, walking (terrain cure), bicycling, swimming and other physical activity. Don’t worry if you have never done exercises before. The team of rehabilitation physicians will select a set of exercises safe and comfortable for you. Generally, these exercises should be done three to five times a week. You will be taught how to do these exercises, how to warm up and stretch muscles before the main set of exercises.
Diet is one of the most important moments in our rehabilitation program. Healthy nutrition helps in losing excessive weight. You will be taught how to eat and select healthy food that best suites you avoiding excess fat and eliminating the habit to eat often and much. You will be taught how to cope with pain and tiredness.
Body weight reduction is a serious problem that makes you feel frustrated. It can lead to depression, annoyance. You can’t work or do routine things. Therefore, psychological support is very important. If you suffer from depression don’t ignore this step of rehabilitation, otherwise recovery from the disease will become very difficult. Control of depression can be made with the help of both medication therapy and psychotherapy. Although it is difficult to begin a rehabilitation program when you are not confident about its successful result, the situation will considerably improve in future and give you strength and energy.
After the rehabilitation course you will have to continue to maintain the healthy lifestyle, this concerns the diet, bad habits, and exercises. By that time you will know all about these.   Endocrinologist diagnoses, treats and prevents diseases of the endocrine system. What an endocrinologist does is directly related to hormonal control of the organism and any impairments of this function. This specialist studies the work of the endocrine system, diagnoses and treats its pathologies, removes impairments caused by these pathologies. It means that an endocrinologist treats not only diseases but also their consequences: corrects the hormonal balance, restores normal metabolism, eliminates sexual dysfunction, etc. After the initial examination the endocrinologist decides on what additional research is necessary to determine the entire state of the patient. Thus, he can prescribe ultrasound imaging, MRI, hormonal panel, etc. Based on the examination, research and analyses the endocrinologist determines treatment for the patient. The tactics and plan of the treatment depend on the disease and are selected individually. Treatment procedures can require regular visits and control.
  • Frequent tiredness, feeling tired without any reasons;
  • Leg, hand tremor ;
  • Menstrual disorder, continuous or heavy menstruation;
  • Rapid heartbeat; difficulty in cold and heat tolerance, excessive sweating;
  • Considerable changes in the weight without any reasons;
  • Problems with appetite, dry mouth;
  • Low spirits, problems with attention concentration;
  • Frequent intestinal obstruction, sleep disorders, giddiness;
  • Deterioration in the state of nails, hair;
  • High blood pressure;
  • Infertility of unexplained etiology.
  • Thyroid gland;
  • Hypothalamus;
  • Pineal body;
  • Pancreatic gland;
  • Hypophysis;
  • Adrenal glands.
  • Diabetes mellitus (group of diseases caused by insufficiency of insulin hormone);
  • Calcium metabolism disorder (elevated or lowered level of calcium in blood serum);
  • Hypothyroidism (increased thyroid gland due to lack of iodine);
  • Autoimmune thyroiditis (thyroid gland inflammation of autoimmune nature);
  • Diabetes insipidus (impairment of the function of hypothalamus or hypophysis accompanied with polydipsia);
  • Acromegalia (excessive production of growth hormone);
  • Itsenko-Cushing’s disease (neuroendocrine disease that leads to impairment of the function of adrenal cortex);
  • Impairments caused by pathologies of the endocrine system: osteoporosis, obesity, sexual dysfunction, muscle weakness, neuropsychiatric deviations..
A visit to an endocrinologist can require the following minimum. You should take all medical documentation you have. Remember! Some laboratory analyses and USI should be made in specific time of the day and on a specific day of the cycle.
  • Patient intake, examination of the previous medical documentation;
  • Visual examination, palpation;
  • Depending on the complaints and results of examination the endocrinologist can prescribe additional research. Gynecologist is a specialist in women reproductive health that diagnoses, treats and prevents diseases of female genital organs, pregnancy and delivery pathologies. After the initial consultation the gynecologist decides on what additional research is necessary to determine the entire state of the patient. Thus, he can prescribe ultrasound imaging, MRI, smear on the flora, pap smear, analyses to detect inflammations and infections, hormonal panel, etc. Based on the examination, research and analyses the gynecologist determines treatment for the patient. The tactics and plan of the treatment depend on the disease and are selected individually. Treatment procedures can require regular visits and hospitalization.
  • Pathological discharge;
  • Lower abdominal pain including during a sexual intercourse;
  • Menstrual disorders, painful menstruation, absence of menstruation;
  • Infertility, miscarried fetus, premature delivery;
  • Genital bleeding;
  • High blood pressure, swelling during pregnancy.
A visit to a gynecologist may require special preparation. You should not visit this doctor during menstruation, as bleeding makes it difficult to perform gynecological examination and diagnostics. However, in urgent situations the physician can accept the patient on any day of her cycle. Before the visit to the gynecologist you should not perform syringing and other procedures, as this can distort the results of examination and hinder the diagnostics. Preliminary hygiene of the external genital organs on the day of the visit should be discussed with the gynecologist in advance not to distort the pathology. How is a gynecologist’s examination performed?
  • Patient intake, examination of the previous medical documentation;
  • Palpation, vaginal examination;
  • Depending on the complaints and results of examination the gynecologist can prescribe additional research. Otorhinolaryngologist (ENT) is a physician that prevents and treats ear, throat and nose diseases. An ENT treats diseases of three organs at a time, because these organs are closely physiologically connected. This is also the reason why diseases, especially infectious, of these organs often require comprehensive treatment. An ENT treats impairments of all ENT organs: impaired nasal airflow, smelling and hearing defects. Moreover, an ENT treats symptoms that are not externally related with ENT organs (e.g. fits of dizziness that can occur in case of Meniere’s disease localized in the inner ear). The cabinet of the otorhinolaryngologist at our institute provides a full range of services for accurate diagnostics and effective treatment of diseases of ENT organs: otitis, sinusitis, tonsillitis, polyps and other neoplasms of mucous membrane. Innovative endoscopic equipment that helps make a detailed examination of the ENT organs as well as ultrasound, X-ray and laboratory investigation make it possible to determine the exact cause of the disease. Specialists of the institute will quickly remove unpleasant symptoms and select comprehensive therapy for patients with a chronic form of ENT diseases. We invite only physicians with a long-term experience that are in demand among our patients.
  • ear
  • throat;
  • nose;
  • maxillary sinus;
  • tonsils;
  • bronchi;
  • frontal sinus;
  • Highmore’s antrum.
  • rhinitis (runny nose, inflammation of the nasal mucous membrane);
  • maxillary sinusitis (inflammation of the mucous membrane of the maxillary (Highmore’s) sinus);
  • quinsy (acute tonsillitis, inflammation of lymphadenoids of the parapharyngeal ring (most often palatine tonsils become inflamed);
  • pharyngitis (inflammation of the mucous membrane and lymphoid tissue of the pharynx);
  • otitis (inflammatory processes in the ear);
  • polyps in the nasal cavity (nonmalignant mass in the nasal cavity);
  • cerumen impaction (large cerumen accumulation in acoustic meatus);
  • Treats injuries of the nose, ear, pharynx as well as extracts foreign objects from ENT organs (mostly in small children);
  • Performs preventive and planned examinations as well as prevention of ENT diseases, mainly upper respiratory infections.
During the initial examination the otorhinolaryngologist performs:
  • Patient intake (medical history), learns about possible complaints of the patient.
  • Examination and palpation (touching) of ENT organs.
  • Depending on the complaints and results of examination the ENT can prescribe additional research: USI; endoscopy; audiometry; X-ray imaging; magnetic resonance imaging. Ophthalmologist is a physician specializing in diagnostics, treatment and prevention of diseases of eyes and adnexa. A visit to an ophthalmologist is necessary in case of sight problems, watery eyes, dryness, pain or itching in eyes, pregnancy, diabetes mellitus, thyroid gland or blood diseases. Our institute provides high quality ophthalmological assistance to solve any problem relating to vision system pathologies: age-specific changes, virus and infectious diseases of eyes, injuries, autoimmune and atrophic diseases of visual organs. On the day of the visit specialists of the institute will perform all necessary diagnostic procedures and prescribe treatment with the use of most advanced effective medications. If required, they can select glasses or contact lenses for you.
Many people postpone the visit to an ophthalmologist if sight impairment does not bring significant discomfort. Specialists of the institute remind that the earlier you visit an ophthalmologist, the quicker and with less medical interference a positive result will be achieved. You should visit an ophthalmologist if you have any of the following symptoms:
  • Dry eyes, eye strain;
  • Visual impairment, restriction of the visual field;
  • Swelling and redness of eye mucosa, eyelids;
  • Foreign body sensation, burning, itching, sandpaper in the eyes;
  • Watery eyes, transparent, purulent, foamy discharge;
  • Pain in the eye, forehead, temples;
  • Rainbow vision, double vision, spots, glint, etc.;
  • Impaired ability to distinguish colours, photophobia;
  • Injury, burn of the eye.
  • Cataract (lenticular opacity) of any degree of maturity
  • Glaucoma (ocular hypertension)
  • Squinting
  • Diseases of the amphiblestrode and visual nerve/li>
  • Impaired vision (short-sightedness, long-sightedness, astigmatism)
  • Eye inflammations (conjunctivitis, keratitis, blepharitis, etc.)
  • Virus and infectious eye diseases (herpes, cytomegalovirus, toxoplasmosis, chlamydia)
  • Autoimmune diseases of eyes (iridocyclitis, chorioretinitis, etc.).
During the initial examination the ophthalmologist performs:
  • Patient intake (medical history), learns about possible complaints of the patient.
  • Examination of visual organs.
  • Depending on the complaints and results of examination the ophthalmologist can prescribe additional research.
Squinting (heterotropia or strabism) is an eye disease that shows itself as a deviation of one or at once two eyes from the central axis. In other words, in case of squinting the irises and apples of the eyes look in different directions and you cannot focus on a certain object. In most cases squinting is congenital and caused by an abnormality of oculomotor muscles. Squinting symptoms can be easily distinguished in childhood. Usually they show themselves in the disagreement of the movements of eyes, impaired coordination of movements and visual perception. It is easier to cure squinting at an early age. However, there are cases of acquired squinting that occurs at a mature age. Usually these patients suffer from eye strain, unilateral vision impairment, giddiness and headaches. Acquired squinting can be caused by the following:
  • long-sightedness, astigmatism, myopia of high severity;
  • head injuries or cerebral diseases;
  • stresses (startles);
  • inflammations and other pathological changes in eye muscles;
  • high visual load in childhood
Squinting is not only an esthetic problem. In the course of time the healthy eye takes all the visual function and the visual function of the squinting eye gradually decreases, the damaged eye begins to see worse and worse, which in future impairs the binocular sight.
Dermatologist1200Dermatology (dermatopathology) is focused on studying the physiological functions and structure, as well as diseases of skin, hair, nails, sebaceous and sudoriferous glands. Dermatology is closely connected with endocrinology, venereology, oncology, allergology and a number of other medical disciplines. From time to time we come across problems with our skin. Skin, or epithelium, is the largest organ of a human being with the functions which are most important for the whole organism; these are respiratory and protective functions. Skin accepts considerable impact of the environment and at the same time runs the risk of suffering from various infections including oncologic neoplasms. Thermal and other impacts leave their marks on skin. In addition skin is subject to aging, as well as suffers from different disorders of the organism. Taking this into account, almost any possible factor that impairs skin functions becomes important when a disease is diagnosed by the dermatologist.
  • Skin diseases, nail diseases caused by fungous agents (epidermophytosis, trichophytosis, microsporia, etc.);
  • Infectious diseases of skin (impetigo)
  • Virus diseases of skin (different type of lichen, papillomas, herpes);
  • Eczema, neurodermatitis, dermatitis of allergic nature;
  • urticaria; parasitic diseases of skin;
  • somatic and inflammatory diseases of glands (sebaceous, sudoriferous) – seborrhea, etc.;
  • skin diseases and eruption caused by diseases of the internal organs, HIV infection, as well as toxic and medical substances;
  • psoriasis;
  • acne; problem skin in adolescence.
Many people postpone the visit to a dermatologist thinking that changes on the skin, in nails, with hair do not bring significant discomfort. Specialists of the institute remind that the earlier you visit a dermatologist, the quicker a positive result will be achieved. You should visit a dermatologist if you have any of the following symptoms:
  • pale and accentuated eruption;
  • skin swelling, long-term itching ;
  • pustulation, furunculus;
  • abundant verrugas, moles, sudden change in their size;
  • flaking and redness of some parts of skin;
  • fungous inflammations of toes;
  • inflamed or weeping parts of skin;
  • abundant pustules, acne.
It should be noted that it is difficult to list all existing pathologic conditions that can be related to skin, as any change on the skin requires attention and the relevant measures. If a patient’s pathology is caused by disorder of internal rather than external organs, an experienced dermatologist will be able to not only prescribe treatment but also refer him/her to the required specialist.
Any problem with skin requires a visit to a dermatologist. A dermatologist’s examination includes visual examination, as well as prescription of diagnostic procedures relevant to the condition of the skin. The treatment can involve medication or physiotherapeutic treatment (or combined); in some cases a surgery is required. It should be noted that some diseases can be infectious, therefore they should not be neglected in any case. Then, the specialist performs the following:
  • Patient intake (medical history), learns about possible complaints of the patient.
  • Examination of the skin and its appendages.
  • Depending on the complaints and results of examination the dermatologist can prescribe additional research Physiotherapist is a rehabilitation specialist that treats diseases by means of curative properties of physical factors (cold, heat, magnetic fields, ultrasound, ultraviolet radiation, etc.), It is also a massage therapist, specialist in remedial gymnastics. So, it is a person who knows how to help an organism overcome a disease that leads to motor disorders using physical factors and special physical exercises. A physiotherapist possesses sufficient knowledge in pathophysiology and physiology of a human being. He/she keeps medical documentation to describe the condition of patients before, during and after sessions. The strategic treatment plan is prescribed by a rehabilitation physician while a physiotherapist selects a method to impact with physical factors and the required motor complex for each patient taking into account his/her individual characteristics, previous diseases and existing pathologies as well as performs them. According to the form of muscles, ligaments, joints, as well as the circulation of blood, lymph and even the direction of energy flows a physiotherapist evaluates the condition of the inner organs and the psychoemotional sphere of a person.

Many people postpone the visit to a doctor thinking that the developing disease only brings discomfort. Specialists of the institute remind that the earlier you visit a doctor, the quicker positive results will be achieved.

You can schedule a visit to a therapist who will refer you to the required specialist, or can call 404-83-10/11/12 for more detailed information. We will be glad to answer all of your questions and to schedule a visit to our specialists for you.

A physician’s examination includes patient intake, visual examination, percussion, palpation, as well as prescription of analyses. Based on the analysis of all information, treatment will be prescribed that can be either medication or physiotherapeutic (or combined), in some cases a surgery is required.

In the process of treatment during a calendar month a follow-up or interim visit can be scheduled for you. Depending on the complaints and results of examination the physician can prescribe additional research.

Cardiologist, gynecologist, pulmonologist, otorhinolaryngologist (ENT), ophthalmologist, traumatologist, surgeon, vertebroneurologist (spinal specialist), manual therapist, proctologist, andrologist, urologist, psychotherapist, psychiatrist, oncologist, neuropathologist, phlebologist (vascular specialist), gastroenterologist, allergologist, endocrinologist, dermatologist, venereologist, phthisiologist (tuberculosis specialist), immunologist, as well as psychiatrist, psychologist, psychotherapist, logopedist, autism specialist, biomechanic, physiotherapist, massage specialist.
It is recommended to take the results of the previous examinations: images, tomograms or ultrasound examinations, laboratory analyses, hospitalization releases, prescriptions. This will help in determining the correct diagnosis, avoiding additional costs for examination and will promote in prescribing successful treatment.


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