Orthopädie

Erläuterungen zu einem MRT Bild

I offer the following range of surgical and therapeutic services:

Surgery

Total hip arthroplasty (hip replacements)

During surgery, a complete replacement of the hip joint is performed. This consists of the socket, head and stem. This type of surgery is minimally invasive. This means that the muscles are NOT severed during the operation. This has the advantage of faster mobilization post- surgery and no muscle insufficiency.

Knee prothesis

The operation is a surface replacement. Depending on the wear of the joint, either a total end prosthesis/partial prosthesis or a half-slide is made.

With total knee replacement, the entire knee joint is replaced. The kneecap is replaced or left in place depending on the severity of the wear.

The half-slide is a replacement of one side of the knee joint. This means either outside lateral or inside medial, depending on where the arthrosis is located.

Knee arthroscopies

This is an endoscopy of the knee joint. This is used for:

  • Meniscus injuries
  • Cruciate ligament injuries
  • Pilica syndrome (a painful mucosa fold in the knee fold)
  • Clarification of unclear knee complaints)
Foot surgery
  • Hallux valgus: Straightening of the first toe by cutting and shifting the metatarsal bone and fixing with 1-2 screws. After the operation, a forefoot relief shoe must be worn consistently for six weeks so that a callus can form and the metatarsal bone can bear weight again.
  • Hammertoe: during this procedure the claw-like bending of the toe is eliminated.
Hand surgery
  •  Snapping finger: the snapping of the finger is eliminated by cutting the ring ligament.
  • Carpal tunnel syndrome: Exposure of the median nerve by cutting the retinaculum, which compresses the nerve.
  • Rhizarthrosis: surgery on the thumb saddle joint; removal of the polygonal bone and insertion of a flexor tendon.
  • Dupuytren’s contracture: this is a shrinkage of the tendon plate in the palm of the hand. If prolonged, it can affect the fingers as well, resulting in a fixed flexion position of the affected fingers. During the operation, this tissue is removed.
I am happy to operate on you privately or refer you to a public hospital of your choice.

Conservative Therapy

Infiltrations

with

  • cortisone: a mixture of cortisone and a local anaesthetic is injected. Cortisone is anti-inflammatory and analgesic. The local anaesthetic temporarily “numbs” the affected region and thus also has a pain-relieving effect.
  • Homeopathic remedies
Hyaluronic acid therapy

Hyaluronic acid (cartilage regeneration): Hyaluronic acid is injected into the joint. This is a component of the synovial fluid and cartilage and ensures the smooth functioning of the joint. It acts as a lubricant, shock absorber and placeholder and inserts itself into the cartilage defects.

Autologous blood therapy
In autologous blood (also ACP) therapy, approx. 10ml of blood is taken from the vein and then centrifuged. This separates the blood cells from the plasma. The plasma contains growth factors that can positively influence various healing processes. Application for e.g. arthrosis, epicondylitis, heel spurs, injuries to ligaments, muscles and tendons, etc.
Infusion therapy
Painkillers are administered via the vein if the symptoms are so severe that they cannot be sufficiently alleviated by ingesting medication.
Shock wave therapy
The shock wave is a high-energy pressure wave which conveys the energy bundled (focused) to a location. It is a high-energy, audible sound wave. By releasing the body’s own growth factors and increasing the metabolism, a reduction in pain is achieved. Blood circulation is increased and the damaged tissue can regenerate and heal. This promotes self-healing. Cold deposits can also be shattered. The focused shock wave is usually used in combination with a pneumatic pressure device, the radial shock wave. 2-5 sessions are necessary.

Application Radial

  • Tension
  • Muscle stiffness
  • Painful conditions of the whole spine
  • Shortened musculature

Application Focussed

  • Achilles tendinitis
  • Tennis/golfer’s elbow
  • Heel spur
  • Calcified shoulder
  • Tendonitis
  • Shin splints
  • Bone marrow oedem
Cryofos
Healing results through thermal shock therapy

Using a gun, liquid carbon dioxide is sprayed at high pressure onto the area to be treated. This causes the treatment area to cool down from 32 to 2-4 degrees within 30 seconds. As a result, inflammatory substances are broken down and pain is relieved by dilating the blood vessels.

Application

  • For acute injuries
  • After operations
  • For sports injuries
  • Torn muscle fibre
  • Bruises
  • Headaches
  • Tension
  • Also an ideal combination with infiltrations or shock waves
Laser
Laser light is light with special properties. It can be visible or invisible and has a high energetic energy. It positively stimulates the metabolism of the cells. The laser light causes a reduction of pain and is also anti-inflammatory, decongestant and promotes wound healing. My special LASERNEEDLE-HPD bundles a weak laser and brings its radiation to the place of application. This results in an extremely high light density, which then stimulates the biological regeneration processes in the tissue. It is a non-invasive, painless therapy. Usually between 5-10 applications are necessary.

Applications

Spot or surface irradiation for

  • degenerative and acute joint complaints
  • Muscle injuries
  • for rapid rehabilitation after surgery
  • Wound healing disorders
  • Psoriasis
  • Rheumatic complaints
Cold Red light

Cold Red light

Is a highly effective medical LED technology.
The pulsed, high-intensity cold red light penetrates the tissue
without heat and inhibits there the leukotriene metabolism which
is responsible for the inflammation. It leads to a faster
Regeneration of the tissue (through formation of ATP = cell energy)
and to pain reduction.

Application areas:

  • Neck and lower back pain
  • Joint pain
  • Muscle pain
  • Tendinitis

Usually about 8-10 treatments are necessary (2-3 times a week).

Extracorporeal Magnetotransduction Therapy (EMTT)
Is a non-invasive treatment solution for musculoskeletal complaints. The device can also be positioned over clothing to the area that is causing pain. High-energy magnetic pulses are transmitted to the body. The diseased cells are positively influenced with chemical reactions. Cell metabolism is reactivated and physiological processes are normalised. One treatment lasts approx. 15 minutes. Approx. 8 sessions are necessary.

Use for:

  • Sports injuries
  • Torn muscle fibre
  • Back pain
  • Joint pain
Laboratory
I have a cooperation with “Ihr Labor”. This means that I can take your blood sample in my practice and you save yourself a trip to the laboratory. I can also take wound swabs and analyse punctates.
Fascia Distortion Model

What is FDM (Fascia Distortion Model according to Typaldos)?

The fasciae form the basic structure of the human body and are part of the human connective tissue. If these fasciae are injured, pain and movement restrictions can occur. FDM enables the rapid therapy of these complaints through special hand movements.

Please inquire in my practice which costs of conservative treatments are covered by your health insurance.