What Kind of Doctor Treats Arthritis?

One day you’re doing the same activity you’ve done thousands of times before and then … well, you feel unusually stiff and sore. Maybe it’s a hand or wrist that hurts. Perhaps a knee or ankle is moving like a rusty hinge.

Whatever joint on your body is the source of pain, you begin to wonder whether arthritis is to blame. But what kind of doctor should you see to find out whether that’s the case and for treatment?

Let’s look at some of your options with orthopaedist Michael Star, MD.

What doctors treat arthritis?

There are certain types of doctors specifically associated with arthritis care. (We’re looking at you, rheumatologists.) But those aren’t the only medical professionals involved in treating the joint condition.

Different experts may be involved at different points in the process, explains Dr. Star.

Early arthritis diagnosis and treatment

The first doctor you’ll want to see to talk about your achy joints should be a familiar face.

Primary care doctors are the best place to start when it comes to arthritis care, says Dr. Star. To diagnose arthritis, they’ll probably conduct a physical exam and test the range of motion in your joints. They may order an X-ray to look for joint damage, too.

Osteoarthritis is the most common form of arthritis. It’s age-related wear of the cartilage in your joints. If your healthcare provider suspects you’re in the early stages of osteoarthritis, they’ll start you on a treatment plan to relieve the pain and symptoms. That could include:

• Over-the-counter anti-inflammatory medications.
• Prescription medications to reduce inflammation. (This could include topical creams.)
• Cortisone shots to relieve pain and reduce swelling.
• A referral to a physical therapist. (“That is the treatment that has shown to have the greatest benefit,” notes Dr. Star.)

Many times, this course of treatment will be enough to keep you moving through life pain-free. But if symptoms don’t improve or they get worse, your primary care doctor may recommend seeing a specialist.

Specialists who treat arthritis and joint issues

Arthritis management and joint care are points of focus for two specific types of doctors ― rheumatologists and orthopaedists. Let’s look at each.

Rheumatologists

Rheumatologists specialize in treating arthritis, as well as other diseases and conditions affecting joints, muscles, bones and skin. They work with osteoarthritis, as well as rheumatoid arthritis, psoriatic arthritis or other types on inflammatory arthritis.

If you’re sent to a rheumatologist, there’s a chance you have a form of arthritis other than osteoarthritis, says Dr. Star.

Rheumatologists will work with you to create an individualized treatment plan to ease pain and improve joint function while also slowing the progression of arthritis. They may recommend forms of medication, injections and physical therapy.

Orthopaedists

When arthritis hits a point where surgery may be needed, you’ll probably end up talking to an orthopaedist. They treat various injuries and diseases of the musculoskeletal system, including osteoarthritis.

For arthritis that gets worse despite treatment, an orthopaedist can perform injections of corticosteroids (powerful anti-inflammatory drugs) or hyaluronic acid (a substance that lubricates joints).

They can also do surgery (such as a joint replacement) in cases of severe arthritis that causes significant pain and seriously limits daily life.

‘Specialized’ specialists

Sometimes, the specialist you see will be dictated by the location of the problem. If you’re being treated for osteoarthritis of the spine, for instance, you may be directed to someone at a spine center before starting on a traditional treatment such as physical therapy and exercise.

Whichever doctor you see, your care team will help address your arthritis pain and offer treatment options to help you get closer to feeling better.