Minimal invasive joint therapy, for example as a result of osteoarthritis (shoulder, knee, hip, ankle, elbow and wrist)
After a detailed anamnesis interview, examination can be made at Badarf current MRI scans. Subsequently, a therapy plan is created. For chronic or therapy-resistant complaints, targeted injections into the joints have a high priority. The injection of cortisone-containing drugs in the joint can usually treat the inflammatory process quickly. Unfortunately, cortisone has the unpleasant side effect of permanently damaging the articular cartilage, so that the intra-articular injection of cortisone is only indicated in acute cases and is therefore not a permanent treatment for joint arthrosis.
In addition to well-tried medications such as local anesthetics, cortisone and hyaluronic acid are also modern forms of therapy in the field of orthobiological therapies available.
In practice for interventional pain therapy, targeted injection therapies in the diseased joints can be carried out with the help of modern imaging techniques from radiology such as computer and MRI scanners. Anti-inflammatory drugs (plant-based or cortisone-based) combined with topical anesthetics are applied to the area of the joint capsule or to the joint 3-5 times every several weeks.
In addition, difficult-to-reach joints (for example, the hip and ankle joint) can be treated with computer (CT) or MRI (magnetic resonance tomography) control. Modern CT uses low-dose radiation to reduce radiation exposure. The treatment is carried out under local anesthesia and on an outpatient basis. By using fine cannulas and simultaneous visual inspection by means of computer or magnetic resonance tomography, it is possible to perform the treatment safely, precisely and relatively painlessly. The simultaneous display of adjacent organs significantly reduces the risk of injury.
The accompanying physiotherapeutic measures are prescribed by us and controlled in close contact with the attending physiotherapist. After 6 weeks, 3, 6 and 12 months, we recommend a follow-up examination including consultation. The desired positive influence of the arthrosis should be controlled. The aim of all treatment measures is to delay an artificial joint replacement as long as possible.
"As much exercise as possible, as little stress as necessary"
After the acute symptoms of activated arthrosis (swelling, effusion, redness, pain even at rest) subsided, a muscle-building program, initially under physiotherapeutic guidance, can be started. In addition, stretching of shortened and relaxation of hardened muscle groups, mobilization, walking school and exercise baths makes sense. Sufficiently well-trained muscles positively influence osteoarthritis due to the improved joint guidance. Adequate movements of worn joints result in a better supply of nutrients. Own activity in the treatment of arthrosis is a prerequisite, with the following rule: "As much exercise as possible, as little strain as necessary!" Therefore, for arthrosis in the leg joints swimming and cycling are ideal sports, since the body weight is not completely on the joints
