Services

Hallux rigidus

Arthritis in the big toe joint with increasing restriction of movement and formation of painful bony spur. In the early stages, treatment can be provided through insole support with a over curved sole or joint-preserving operations. In the advanced stage, fusing the damaged joint is the best option.

Hallux Rigidus (before surgery)

Hallux Rigidus (after surgery)

Hallux valgus

Through widening of the forefoot (splayfoot), deviation of the first metatarsal and formation of a prominent, painful bony protuberance can occur. Insoles or commercially available splints cannot correct the malposition, and in the presence of symptoms, only surgical correction of the malposition is a promising treatment. The patient will wear a special shoe for approximately 3 weeks and will be partially mobile in this period. A thorough analysis of the malposition and selection of the correct surgical method is essential for optimal treatment results.

Hammer- & Claw Toes:

Hammer Toes
A bend deformity in the toe joint leads to painful callus on the end of the toe.
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Claw Toes
Due to shortening of the flexor tendon, there is a malposition in the toe joint with formation of often painful callus. In the early stages, a tendon lengthening may be sufficient, but in the late stages, the toe must be shortened surgically.

claw toe (before surgery)

claw toe (after surgery)

Clubfoot

Formation of a painful nerve nodule in the area of the middle foot bone. The diagnosis can be made through a clinical examination and, if necessary, an MRI. The treatment consists of removing the painful nerve nodule.

Morton Neuroma

formation of a painful nerve node in the area of the metatarsal bone. This can be proven by a clinical examination and, if necessary, an MRI; the treatment consists in removing the painful nerve node.

Flatfoot

There is a flattening of the longitudinal arch of the foot. In the early stages, wearing special insoles helps, but in severe cases, stabilization of the lower ankle joint in children (sublatar arthrodesis, Prostop Fa. Arthrex) or fusing the joint in adults may be necessary.

Nerve Compression Syndrome

In the arm area (carpal tunnel syndrome, ulnar tunnel syndrome) or at the ankle (tarsal tunnel syndrome), the nerve function can be impaired by mechanical compression, leading to pain and loss of sensation in the sensitive area. The diagnosis is made by a neurological control measurement, and in severe cases, the affected nerve must be surgically seperated from adjacent tissue.

Malformations

The treatment of malformations of the lower limbs. Varus or valgus deformity of the leg can lead to pain and early osteoarthrosis of the knee and ankle joint. The malposition can be identified by an X-ray examination of the leg axis and an operative correction of the leg axis can be planned. We use the modern PSI technique of Newclip.

In case of shortening of the lower limb, compensation can be achieved through operative lengthening. The bone is cut at an appropriate location and the regenerating bone (callus) is then slowly pulled apart until the planned length compensation is achieved. After that, the newly formed bone must consolidate. An internal magnetic nail can be used as a technique, which is completely anchored in the bone and activated from the outside.

Alternatively, an external fixator can be mounted on the bone and then the bone can be slowly lengthened. With this technique, in addition to the length gain, the axis can be corrected at the same time and the patient can fully load immediately. At the same time, both legs can be treated. In case of dwarfism, a cosmetic leg lengthening can also be performed, but requires agreement with the health insurance for cost coverage.

For more information about our treatment methods, please email us.

Sonography of the musculoskeletal system

As a supplement to X-ray and before deciding on an MRI examination, most joints and soft tissues can be easily examined using ultrasound. In individual cases, fracture controls can also be performed using ultrasound to reduce radiation exposure.

A special feature is the sonography of the infant hip. Immediately after birth, the early detection of hip maturation disorder or hip dislocation is possible to allow early treatment and thus shorten the treatment duration and improve the treatment outcome. In the U-3 screening, this examination is scheduled between the 4th and 6th weeks of life, but can be done earlier.

Extracorporeal shock wave therapy (ESWT)

For various diseases of the musculoskeletal system, ESWT can be successfully applied:
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1) Calcification of the shoulder
2) Heel spur
3) Tennis elbow
4) Achilles tendonitis
5) Tendon insertion pain

Mechanical impulses are precisely directed to the inflammation using a special ultrasound probe, and after several sessions, the symptoms are often resolved. The insurance cover some are of the body, otherwise we offer interesting conditions for payment. Please contact us.

Gonarthrosis

Wear of the knee joint leads to cartilage damage and inflammation with subsequent pain during load and later also at rest. The knee swells and there can be a gradual deformation. The diagnosis is made by an X-ray examination. In the early stages, treatment and pain reduction can be achieved by injecting hyaluronic acid. In case of pronounced joint wear, the insertion of an artificial knee joint is necessary. In addition to the surgical treatment, physiotherapy and weight reduction can also contribute to a better outcome.

Knee osteoarthritis

Prosthesis front view

Pain therapy

Acute and chronic pain are distinguished. Acute pain often occurs after injuries or as acute back pain. Treatment is through injections, tablet administration or intravenous pain infusion. Chronic complaints occur with inadequate therapy or formation of changes in the spine in the form of disc changes or wear and tear of the vertebral joints.

Proof is by X-ray examination or MRI and a detailed pain history. Conservative measures such as drug administration or physiotherapy should be carried out. A special therapy is radiofrequency therapy. Under X-ray control, a fine electrode is placed on the pain-conducting nerve fibers and after testing, the nerve is interrupted by heating the electrode tip and thereby temporarily disabling the pain sensation in this area.

We offer the application of a SCS intra spinal electrode for constant pain reduction.