Axomera Therapy

Axomera Therapy is a modern, non-invasive treatment method designed to target chronic pain and functional disorders of the musculoskeletal system.

Indications: Tendon irritation (e.g. tennis elbow, Achilles tendon disorders), chronic muscle and fascial conditions, joint pain (particularly in the shoulder and knee), sports-related overuse injuries and persistent symptoms following injuries.

Procedure: Following an orthopaedic examination and individual assessment, the treatment is performed with minimal discomfort and takes approximately 20-30 minutes. Depending on the condition, several sessions may be recommended.

Benefits: Non-invasive, generally well tolerated, no medication-related burden, targeted support of the body’s natural regenerative processes, and compatibility with other conservative treatments.

Consultation: During a personal consultation, we will assess whether Axomera Therapy is suitable for your condition. Please feel free to contact us by telephone or use our online appointment booking system.

Chirotherapy or manual medicine is a medical discipline that focuses on restoring joint mobility in cases where the joint’s structure and composition remain intact but there is a lack of correct function.

Methodology

In manual medicine, joints with limited mobility (hypomobile) can in principle be treated by mobilising or manipulating them. During the “mobilising” treatment, mobility is restored by using gentle and frequently repeated stretching movements. The “manipulative” treatment is based on the knowledge that rapid short movements performed with little force can often lead to an immediate and complete restoration of mobility. The manipulative techniques used are chosen by the appropriately trained physician.

Blockages as a functional disease

By treating a blockage with a rapid impulse, the therapist sets a targeted stimulus at so-called pain receptors, which are thereby switched off and the muscle blocking the joint becomes relaxed once more. To achieve this effect, neither a great force nor a great distance are required (gentle manipulation), so the “Three Ss” rule applies, i.e. small force, short distance, short time.

Prerequisites

Generally speaking, prior to this kind of manipulation, certain types of spinal column damage, for example metastases/tumours, must first be ruled out using X-rays.

In radiology, the term digital X-ray refers to X-ray methods where the images are recorded in a digital format. The biggest difference to X-rays on film are the improved post-processing and integration into the procedures at our medical practice.

Thanks to digital post-processing, it is (almost) impossible nowadays to produce a poor-quality X-ray. Various automatic recording systems as well as the windowing feature make any image usable. Digital X-rays are taken using an X-ray source just like any normal X-ray. The images are digitised and stored by scanning an X-ray imaging plate. Once the image has been recorded, a range of options for digital image processing become available.

The processing of digital X-rays offers major advantages. In the past, once the image had been taken, X-rays still had to be developed. Thanks to digital radiology, the images become available instantly. Messengers are no longer needed. The X-rays can be accessed on every PC and, unlike a normal X-ray, they can also be accessed at different locations. X-rays can no longer go missing. Chemicals are no longer needed to develop the films. Another advantage is the minimal space required to store X-rays, which must be archived for 10 years. Last but not least, depending on the system used, digital X-rays usually require less radiation, whereby the patient is also exposed to a substantially lower dose of radiation.

In an emergency, our practice is always able to provide competent emergency medical care.

EMTT is a state-of-the-art form of magnetic therapy and opens up completely new possibilities in the treatment of acute and chronic orthopaedic diseases.

https://www.emtt.info/de

ACP Therapy

Harnessing the Body’s Natural Healing Potential

As part of our orthopaedic treatment services, we offer ACP Therapy – a modern biological treatment approach that harnesses the body’s natural healing mechanisms.

ACP stands for Autologous Conditioned Plasma and refers to a procedure in which plasma rich in growth factors is obtained from the patient’s own blood and injected directly into the affected tissue.

How Does ACP Therapy Work?
A small amount of blood is drawn from a vein in your arm, similar to a routine blood test. The blood is then processed using a specialised Arthrex double-syringe system and centrifuged to separate the plasma from other blood components. The resulting plasma is rich in the body’s own growth factors and contains particularly low levels of cells that promote inflammation. It is then injected directly into the affected joint or tissue. Since only the patient’s own biological material is used, the treatment is generally very well tolerated. The entire procedure is completed during a single treatment session.

Potential Applications

• Osteoarthritis of the knee, shoulder, hip or other joints
• Tendon irritation and inflammation (tendinitis)
• Tennis elbow and golfer’s elbow (epicondylitis)
• Sports injuries and post-injury rehabilitation
• Treatment Procedure at Our Practice

The treatment is performed on an outpatient basis entirely at our practice. Following a detailed consultation, a blood sample is taken and processed immediately on site. The prepared plasma is then injected into the affected tissue within minutes. Hospitalisation is not required.

Whether ACP Therapy is suitable for your particular condition will be determined during a comprehensive examination and consultation. Please feel free to contact us for further information.

ACP Max Therapy

Highly Concentrated Plasma for Complex Conditions

ACP Max is an advanced development of the established ACP procedure, allowing the preparation of plasma with a significantly higher concentration of growth factors. It is particularly suitable for conditions where an increased concentration of the body’s own growth factors may offer therapeutic benefits.

How Does ACP Max Work?

The basic principle is similar to conventional ACP Therapy: blood is collected from the patient, processed and the resulting plasma is injected into the affected tissue. The main difference lies in the preparation process. With the ACP Max system, approximately 30–90 millilitres of blood are collected and processed using a two-stage centrifugation procedure. The result is a plasma preparation based on the buffy coat, with a concentration of up to twelve times that of normal whole blood, while containing low levels of inflammation-promoting granulocytes and neutrophils. This highly concentrated plasma is intended to provide targeted support for the body’s natural regenerative processes.

Potential Applications

• Advanced osteoarthritis affecting large and small joints
• Complex tendon and ligament injuries
• Sports injuries requiring enhanced regenerative support
• Conditions where particularly high concentrations of growth factors may be beneficial

Treatment Procedure at Our Practice

ACP Max Therapy is performed on an outpatient basis at our practice. Following a detailed consultation, an individually determined amount of blood is collected and processed directly on site. The concentrated plasma is then carefully injected into the affected tissue. Hospitalisation is not required.

We will discuss whether ACP or ACP Max is the most suitable treatment option for you based on your medical findings and history of symptoms.

PRP / Cellular Matrix

PRP (platelet-rich plasma) is used in the treatment of (sports) injuries and degenerative diseases to promote tissue regeneration.
As a cellular matrix, PRP is combined with a hyaluronic acid as an important component of both cartilage and joint fluids.

https://www.regenlab.de

SVF Therapy

Regeneration Using the Body’s Own Fat Tissue

With SVF Therapy, we offer an innovative biological treatment approach that uses regenerative cellular components obtained from the patient’s own fat tissue. This treatment is intended for patients for whom established conservative therapies have reached their limits and who are seeking a biological alternative to surgery. SVF stands for Stromal Vascular Fraction, a mixture of cells derived from the body’s own adipose tissue that possesses regenerative and anti-inflammatory properties. The procedure is performed using the Arthrex system.

How Does SVF Therapy Work?

First, a small amount of the patient’s own fat tissue is gently harvested, usually from the abdominal or hip area. The tissue is then processed directly at our practice using the Arthrex system. The resulting SVF preparation is subsequently injected into the affected joint or tissue, where it is intended to support natural regenerative processes and influence inflammatory responses. Since only the patient’s own biological material is used, the risk of intolerance is considered very low.

Potential Applications

• Osteoarthritis of large and small joints, including the knee, hip, shoulder and ankle
• Cartilage damage and early degenerative joint changes
• Tendon and ligament disorders
• Chronic overuse syndromes
• Sports injuries and other musculoskeletal conditions

Treatment Procedure at Our Practice

The treatment is performed on an outpatient basis following a comprehensive orthopaedic examination and personal consultation. The harvesting of fat tissue, its preparation and the subsequent injection are all carried out at our practice on the same treatment day. Hospitalisation is not required.

Whether SVF Therapy is suitable for your individual condition can only be determined through a personal medical examination.

We would be pleased to provide you with detailed information about the available treatment options, the procedure and the expected outcomes during a personal consultation.

In our group practice, we treat all diseases of the musculoskeletal system. These include malformations, degenerative changes (osteoarthritis) and osteoporosis (a reduction in bone stability). Our field of expertise partly overlaps with those of internal medicine, rheumatology and paediatrics.

In addition to your medical history (consultation), our focus is predominantly on clinical examinations as well as the use of modern diagnostic techniques such as ultrasound, X-rays and laboratory tests, which all take place on site at our practice. Furthermore, to treat the different diseases, we use all recognised therapy methods, including physical methods, physiotherapy, acupuncture, ultrasound, shock wave and magnetic field treatments.

rPMS is a completely new way to treat a multitude of painful states of the musculoskeletal system entirely without side effects. It is based on repetitive peripheral magnetic stimulation and highly effective, particularly for muscular problems.

Further information can be found at: http://www.inmetec.de/

We offer the following therapies:

1. Extracorporeal Shock Wave Therapy (ESWT)
Extracorporeal shock waves are high-energy sound waves generated by a medical device, which enter the body while causing only minimal pain. In internal medicine, for example, they are used to eliminate kidney or urinary stones without the need for surgery.
In orthopaedics and pain therapy, extracorporeal shock wave therapy (ESWT) is used to treat diseases of the muscles, tendons, joints and bones.
While internal medicine uses high doses of energy to break up stones, orthopaedic shock wave therapy uses significantly lower doses. Only a tenth of the dose needed to break up kidney stones is required for example.
The shock wave therapy methods used in orthopaedics aim to positively influence tendons, joint capsule parts, the periosteum and nerves. Treatment with extracorporeal shock waves can relieve or even eliminate pain.

The most common conditions treated with ESWT are:

• Tennis and golfer’s elbow
• Chronic shoulder pain
• Plantar heel spurs
• Joint wear (arthrosis)
• Pseudoarthroses (non-healing fractures or cuts
• Dupuytren’s disease

In addition to the diseases listed above, there are many other diseases where extracorporeal shock wave therapy can be helpful. We are always happy to discuss your ESWT treatment options with you.

The treatment process is as follows:
An ultrasound gel is applied to the affected joint. The shock wave device’s ultrasonic probe is then placed on the joint and positioned precisely. The ultrasound monitor shows the position of the incoming shock wave. The patient takes hold of the trigger for the shock wave generator and by pressing it continuously triggers a series of pulses. The patient can instantly stop the therapy at any time, simply by letting go of the generator. For the treatment to be successful, it is very important that the impulses hit the pain site precisely and thus also trigger the associated pain that would otherwise be caused by everyday movement sequences. As a rule, the pain caused during therapy decreases after approximately 500 pulses, so that the patient may have to find and set the location with the greatest pain sensitivity. Continuous monitoring by the attending physician is ensured.

Depending on the medical indications, the therapy is carried out at weekly intervals with 1,500–3,000 pulses administered per treatment session. The number of treatments required depends on how the individual patient responds to shock wave therapy and for how long the pain has been felt.

After the first few therapy sessions, the treated joint may temporarily feel more sensitive, i.e. the amount of pain perceived by the patient increases. However, this increased pain sensitivity will soon diminish once more. In general, this results in a change in the nature of the pain: the pain is no longer perceived as stabbing and shooting but rather as dull, radiating and pulling. In most cases, this change is followed by a significant reduction in pain.

As a rule, a decrease in the amount of pain felt is noticed after three to five treatments. Therapeutic success, in the sense of becoming pain free, cannot be guaranteed. However, a decrease in pain is regarded as a therapeutic success.

In orthopaedic use, the only known risk of ESWT for the patient is that the therapeutic effect is insufficient and that the pain may persist. A temporary increase in pain has been observed in a small number of cases.
In some patients, a temporary localised reddening of the skin occurs. In rare cases, sensitive skin can develop small punctiform bruises, which regress within a few days. No long-term damage is known.

2. Trigger Point Shock Wave Therapy (TPST)

A few years ago, a chance discovery was made that short and intense increases in pressure within muscle tissues, like those that arise due to the use of extracorporeal shock waves, which had actually been developed to break up kidney stones, are very well suited for the diagnosis and therapy of trigger points found in muscles.

A healthy muscle’s response to shock waves is hardly noticeably – even when high shock wave energy, which could easily cause kidney stones to break up, is directed at a healthy muscle, it is perceived as only a slight knocking sensation within the muscle, without being really noticeable.

However, if the same short and intense pressure increase in the tissue, which is caused by the shock wave, acts on a trigger point, pain is triggered instantly, and this also often happens even at much lower levels of shock wave energy. This pain can be perceived at the site of the trigger point as well as at a completely different location (known as referred pain).
As a result, that trigger point will then have been identified to be the cause of pain felt elsewhere.

Once, by virtue of the pain triggered, the trigger point (TP) has been identified as the source of the pain, it is treated with a few hundred (in the case of stubborn TPs even a few thousand) shots of shock wave therapy (the intensity of which will have been reduced to a level where unbearable pain is no longer triggered) and the patient will then immediately sense a decrease in the intensity of the triggered pain. However, the TP does not shatter like a kidney stone! The short-term increases in pressure within the tissues cause the cells to release substances that promote the healing process. The TP may recover after the first session; however, after a few therapy sessions, it is usually permanently eliminated, so that even pain that has persisted for years can often be reduced or eliminated for good.

Further information can be found at: https://www.eswt.info/de/

We primarily use the SpineMED® treatment method to help patients who suffer from disc or spinal problems. As the first practice in the Saarland, we have been successfully offering SpineMED® treatments for some time now. Possible fields of application for so-called “spinal decompression” range from herniated discs to classic lumbago to sciatica and osteochondrosis. If you have any questions about this non-operative, painless procedure, please do not hesitate to contact us.

Further information can be found at: https://spine-med.de

As part of the orthopaedic care we provide to the Olympic base Rhineland-Palatinate/Saarland and the Saarland Athletics Federation, as team doctors of SV 07 Elversberg and F91 Dudelange/LUX (football) as well as KSV Köllerbach (wrestling), we are familiar with the full range of professional sports and are able to always offer athletes the latest treatments in sports medicine.

We treat work- and commute-related accidents within the framework of care provided by employers’ liability insurance associations, whereby the injured person can visit our practice without prior appointment. All types of acute accidents that occur in sports, leisure and domestic environments are also immediately treated.

For this purpose, we have at our disposal state-of-the-art medical technologies including digital X-rays and sonography. Surgical wound treatments can be performed immediately in our surgical operating room, while fracture treatments make use of the latest expertise in splints and bandages. If surgical care should be required, we can arrange it at a clinic that collaborates with us on a regular basis.

“Sonography”, also called “echography” or more colloquially “ultrasound”, uses ultrasound waves

• as an imaging technique
• to examine organic tissues for medicinal purposes

Sonography is the most commonly used imaging technique in medicine. One essential advantage of sonography over X-rays, which are also frequently used in medicine, is the harmlessness of the sound waves used. Even sensitive tissues are not damaged, and the examination is completely painless.
Ultrasound can be used to make initial assessments, for example of joint effusions, tendonitis and muscle injuries as well as for follow-up checks. Joint cannulation procedures can also be performed under ultrasound guidance.