Due to my long lasting practice as a Consultant at Level I Trauma Centres in Germany, I cover the hole spectrum of modern Traumatology. As your treating doctor or just in an advisory function i.e. for a second opinion I am at your disposal for all injuries of the musculoskeletal system. The private hospital „Clinica Quiron“, as a partner, offers an excellent infrastructure and equipment to treat trauma patients on the highest international level.
Osteoarthritis is a degeneration of the articular surface which is beyond the normal aging process. During the development of osteoarthritis, cartilage is lost, leading to pain and loss of function of the affected joint. Generally all joints can be affected. The reasons why a patient develops osteoarthritis are multifactorial and must be analysed during a diagnostic workup. Predisposing factors that are reversible or therapeutically addressable are of special interest. These are i.e.:
- Overweight -> Weight reduction
- Rheumatologic disorders -> Pharmacological therapy
- Axis deviation -> i.e. correction of mechanical axis
- Muscular insufficiencies -> Medical training programme
- Reconstructions of the rotator cuff
- Reconstructions after acute shoulder dislocation (Bankart Repair)
- Reconstructions after recurrent shoulder dislocation (Latarjet procedure)
- Arthroplasty (anatomic and inverse shoulder prosthesis)
- Nerve entrapment
- Carpal tunnel syndrome (Median nerve)
- Entrapment ulnar nerve (wrist, elbow)
- Trigger finger/thumb (tenosynovitis stenosans)
- Osteoarthritis small finger joints
- Arthroplasty (after osteoarthritis or femoral neck fracture)
- Revision Arthroplasty
- Knee arthroscopy
- Surgery of the meniscus (reconstruction)
- Anterior cruciate ligament (ACL)
Minimal invasive surgical techniques (MIS) are getting more and more popular. Also in the field of foot surgery, minimal invasive (percutaneous) techniques are nowadays well established. Whereas the main operative principles are in line with conventional surgical techniques, the minimal invasive technique only requires incisions of a few millimetre. The smaller surgical skin incisions are associated with a reduced risk of wound healing disturbances or infections. Furthermore scars are almost invisible after minimal invasive surgery of the foot.
The musculoskeletal system (muscle, tendons, bone) directly reacts on mechanical stimuli. A specific exercise program i.e. can lead to changes of the structure of tendons, bone or muscle. Shockwave therapy uses specific acoustic waves, that can induce tissue regeneration due to biophysical interactions with the tissue. The treatment does not only relieve pain but also induces healing, with the aim to avoid surgical procedures.
Back pain has become a medical burden in industry nations. Treatment is often long lasting and can be frustrating for the patient just as well as for the therapist. However, it is important to know that there are several reasons for back pain. Therefore diagnostic work up must be done first. Then an individual therapy plan can be made addressing the problem. In the first phase of treatment pain relieving procedures are in the focus.
Afterwards in a second phase of treatment a specific exercise programme is indicated in most patients. With the Palma Clinic Vital we have a modern rehabilitation facility at our disposal to implement an individual exercise programme. A strong and well trained musculature of the trunk is of great importance to prevent further episodes of back pain.
Potential reasons for back pain
- Degenerative Disk Disease
- Spinal disk herniation
- Spinal stenosis (Claudicatio spinalis)
- Myofascial pain syndrome
- Facet joint disorders
- Sacroiliac joint pain
Osteoporosis is a worldwide problem especially in older patients, leading to an reduced bone mass and reduced bone density. This can lead to bone fractures even after minor injuries or even during normal walking. Worldwide an osteoporotic fracture occurs every 3 seconds. These fractures are painful and therapy can be long lasting. The risk for a women to develop osteoporosis is 10x higher than being diagnosed with breast cancer and 5 x more likely than having a heart attack.
The aim of Prevention is to recognize a potential risk for the development of osteoporosis and stop it. Generally a primary and a secondary osteoporosis can be discriminated. The recognition of the disease and early treatment can stop the bone loss and prevent osteoporotic fractures.
A osteoporosis screening is recommended in:
- Woman older than 50 years of age
- Men older than 55. years of age
Osteoporosis screening includes:
- Clinical examination
- Measurement of Bone mineral density
- Blood analysis
- Urine analysis
- Risk assessment
- Therapy planning