Targeted Nerve Block

Radio Frequency

Another minimally invasive treatment methodology used to deal with chronic pain conditions consists of radiofrequency therapy. An electrode is inserted through the skin onto the affected region in order to block signaling nerve pathways. Also being a targeted nerve block, the pain signal is prevented from being transmitted for a longer period of time.

Classic indications consist of the treatment of radiculopathy, i.e., pain being mediated by the effected roots, also of headache being caused by the cervical spine or as a result of trigeminal neuralgia.

The so-called cooled radio frequency is considered a particularly effective subset of radio frequency therapies, being used, e.g., for the treatment of the joint or facet pain.

Less pain and faster healing

Neurostimulation

The technology is similar to the principle of a classic cardiac “pacemaker”, but in this case the device works more like a “jammer” to prevent pain signals from being transmitted to the brain. The so-called “pain pacemaker” can typically be used to address the spine area, often after extensive surgeries, but also for severe pain due to circulatory disorders. The pulse strength delivered by the implanted device can be adjusted by the patient to the respective conditions using an external control. New devices can even be recharged without having to be dismantled. Also this technology is very sophisticated.

Further information can be found, for example, on the ABBOTT website

Decompression Therapy

Pump Systems

Therapy with a pump system is particularly suitable for patients with back pain or tumor pain. A medical device is implanted into the body to deliver pain-relieving medication directly to the affected region. The system has the advantage that the patient’s systemic exposure to medications is lower because they do not first pass through the organism or being transported via the circulatory system. The dose and delivery quantity can be individually programmed and continuously adapted to the patient’s actual needs.

EMS

Alleviating amyotrophia / sarcopenia by means of electric myo-stimulation (EMS)

Chronic pains stages are often associated with amyotrophia / sarcopenia, i.e., loss of muscle tissue and muscle strength, often favoring falls with bone fractures as a consequence. This, however, leads to a vicious circle enhancing the detrimental effects of spine disorders.

For this reason, under medical supervision, we have established an electro-myo-stimulation (EMS) training program to help to overcome these sequelae by means of direct stimulation of the musculature.

Electric muscle stimulation or electric myo-stimulation (EMS) is a highly effective form of training. It utilizes low and frequency electric currents to significantly increase the body’s natural muscle strength. By means of our personal trainer the workout can be adopted to numerous individual training goals. For example, EMS personal training has been shown to significantly reduce back pain.

A final point of this overview deserves mention: all treatments are completely pain free, either because they are entirely conservative or with minimally invasive techniques in mind, due to our anesthesiologic background and approach.

Striving for excellence, in collaboration with leading international institutions, and maintaining the highest technological standards, finally, providing cost-effective treatments for our national and international patients, are classic other aims of our medical institution.

MSCs are multipotent stem cells primarily found in bone marrow and are essential for building and repairing the structural and connective tissues.

The procedure of harvesting from the pelvic bone and administering the cells into damaged tissue, e.g., hip, ancle, knee and shoulder joints, again pain free and precisely targeted under X-ray and ultrasound control.

Less pain. Fast healing.

Autologous Cell Therapies

Autologous cell therapies make use of the body’s self-healing powers and the underlying regenerative mechanism.

In the event of an injury, a large number of complex, interlinked healing processes take place in the body. The blood platelets (thrombocytes) play a central role in this process. They release growth factors, which in turn promote new vessel formation and cell division and attract differentiated stem cells that differentiate into the required cell types at the site of the defect.

At the same time, anti-inflammatory cytokines are produced in the body, which reduce tissue inflammation, e.g. in wear processes or also in acute injuries.

Activate your body’s own self-healing powers

Autologous cell therapies are based precisely on these processes of the natural healing process: Cells, cytokines, and growth factors are separated from the patient’s blood and concentrated.

Placed at the site of the injury, these naturally support the body’s own healing process there. Regeneration is accelerated, inflammatory reactions reduced and pain relieved without medication.

Different cell therapies are used for different diseases. Depending on the diagnosis, a decision must be made as to whether platelet-rich plasma with or without leukocytes is used, whether it is applied in liquid or gel form, or whether a cell-free conditioned serum promises the best healing impulse.

The Impact® platform is a system that can produce various autologous cell therapies. With the innovative sensor technology, after centrifugation, exactly those components of your blood are automatically separated that can provide the greatest healing impulse for your disease. Your doctor will work with you to select the best autologous cell therapy for your condition.

Possible areas of application:

Classic indications to employ autologous blood products consists of:

• Osteoarthritis
• Tendon injuries and inflammation
• Muscle injuries
• Bone injuries
• Support of wound healing after surgery
• Bursitis
• Tennis elbow
• Golfer’s elbow
• Spondylarthrosis
• Osteochondrosis

Avoiding the side effects of cortisone by employing “endogenous cortisone”, i.e., autologous conditioned serum. Autologous conditioned serum a naturally occurring inhibitor of the cytokine interleukin-1. The latter is thought to be an important mediator of inflammation, pain, and tissue destruction in musculoskeletal conditions.