Orthopedics is the branch of medicine concerned with conditions involving the musculoskeletal system. Orthopedic doctors specialize in diagnosis and treatment of problems of the musculoskeletal system. This would mean that they are primarily concerned with pathology of bones, joints, ligaments, tendons, muscles, and nerves. There are a number of professions that offer non-surgical treatment options for many orthopedic problems, such as physiotherapy, chiropractic, occupational therapy, podiatry, and kinesiology. Conditions requiring medication or surgical intervention are managed by orthopedic surgeons in Washington.Many orthopedic surgeons in Washington opt for further training or fellowship, after completing their residency training.