THERAPY

Dear patients, I offer you the most up-to-date and scientifically proven therapeutic procedures of modern orthopaedics. You can access the contents via the individual menu items.

shutterstock_772072012

ACUPUNCTURE

Acupuncture is a more than 2000 year old empirical medicine. The first written trace is the "Inner Classic of the Yellow Prince" (300 B.C.), a guide documenting the wisdom of Chinese medicine. Today, acupuncture enriches the treatment options of "western medicine", across all cultural boundaries. There are also well-founded scientific studies on numerous indications. In 1979 the World Health Organization (www.who.int) published a list of indications. In 1996, the German Federal Government included needlestick acupuncture as a medical service with 2 positions in the Fee schedule for medical doctors. Since then it has been officially recognised as a medical treatment procedure. In 2004, the German Medical Association (www.bundesaerztekammer.de) introduced acupuncture as a further medical training with subsequent examination. I hold the B-diploma of the acupuncture research group (www.akupunktur.info) and have been working for several years as an examiner for acupuncture at the Medical Association of Berlin (www.aerztekammer-berlin.de).

shutterstock_1243890055

CHIROTHERAPY

 

In orthopaedics, this is the term used to describe the "settling" of vertebrae or joints (of course the joints - there are also numerous joints in the spine - are not properly dislocated beforehand, i.e. they are not "beside themselves"; nor is there literally a "nerve jammed". But often the joints are displaced in themselves and blocked in this defective position, whereby the joint capsule is stretched, and this then results in the often point-like and mostly radiating pain, especially in the area of the spine). That you have "dislocated" something, you often notice by the fact that the pain has appeared suddenly, out of the blue, for example when showering or bending down. But be careful: There are numerous causes for such acute pain. The symptom mentioned is only an indication! Whether and how a manual therapy can be applied to you should be discussed after a special manual therapeutic examination.

shutterstock_1243890055
shutterstock_1111569995

CARTILAGE PROTECTION

The knee joint is the most heavily loaded joint in the entire human body. With every step, when walking or climbing stairs, the weight of the body is transferred in full to the knee joint. The upper and lower legs are supported by stable collateral ligaments and cruciate ligaments with surrounding muscle sheath. Suspension is provided by the inner and outer meniscus, two crescent-shaped fibrous cartilages. Joint mobility is ensured by the cartilage covers on the underside of the thigh, on the upper side of the lower leg, on the back of the patella, and by the synovia, the viscous synovial fluid.

Arthrosis: joint wear and tear occupies second place in the European disease statistics after heart disease. An estimated 10 million people in Germany live with osteoarthritis. This widespread disease causes direct costs of approximately 3 billion euros annually. As a result, patients are increasingly asking their orthopaedic surgeons: "Doctor, what can I do about my arthrosis?" or "How can I get rid of the joint pain?" or "Can I stop the arthrosis or prevent it?

Therapy: A sterile ready-to-use syringe (medical device) is inserted into the knee joint as an intra-articular injection. It contains non-animal, high-molecular hyaluronic acid gel in a particularly pure and viscous form of very high quality (Non Animal Stabilized Hyaluronic Acid). An NSHA gel bead consists of approximately 10 billion cross-linked hyaluronic acid molecules with a molecular weight of 1 million Dalton.

Conclusion: Targeted cartilage treatment leads to a decrease in pain during stress or rest, an improvement in joint mobility and thus to an increase in physical activity. The joint therapy relieves the arthrosis symptoms for 6-12 months on average. Additional painkillers can be saved.

shutterstock_1614951097

OPERATIONS

We do not longer perform our own operations. However, I have about 20 years of professional experience as a surgical surgeon in a clinic or in outpatient surgery centres (see curriculum vitae). There are close contacts to the current surgical specialists in Berlin and throughout Germany (neurosurgeons, shoulder, hip and knee specialists, hand and foot surgeons).

shutterstock_1614951097
shutterstock_281724122

PAIN THERAPY

Pain is an unpleasant sensory and emotional experience associated with acute or potential tissue damage. The word "pain" comes from the Greek language and means "terrible," "horrible," "excruciating." Experiences of pain are always subjective and emotional. A distinction is made between acute pain, which is a biological warning function of the body, and chronic pain. The latter is a senseless pain without function. It is important to fight it in time to prevent the development of a so-called "pain memory". Dr. Merettig has held the additional title of "Special Pain Therapy" at the Berlin Medical Association, a public corporation, since January 2001. Special pain therapists are doctors who are able to treat acute and chronic pain due to their special knowledge and experience, including work in a clinical pain outpatient clinic.

PRT_Spritze

PERIRADICULAR THERAPY

Periradicular therapy (abbreviated: PRT) is the application of a strong anti-inflammatory drug locally to a nerve root (radix) in the context of pain therapy of radiating (radicular) pain in proven diseases of the spine. The injected medication only acts on the damaged nerve root (epidural perineural injection). As a rule, 1 to 3 sessions at intervals of 7 to 14 days lead to significant pain relief or even complete freedom from symptoms in more than 80 percent of patients. The treatment is carried out on an outpatient basis and takes about 15 minutes.

Indications: Slipped disc, lumbar spinal stenosis (LSS), spondylolisthesis and pain syndromes after spinal surgery (postnucleotomy syndromes).

In addition to back pain, the following typical radiation patterns or pain zones frequently occur:

Nerve root L2 into the groin region

Nerve root L3 into the thigh

Nerve root L4 into the knee region, shinbone

Nerve root L5 in the back of the foot, big toe

Nerve root S1 in the calf, heel and sole of the foot

                                                                       

Technique: Prone position of the patient. The segment of the spine to be treated is shown by means of computer tomography. This is used to plan the direction and depth of the stitch. After skin disinfection, the sterile injection needle (coaxial interventional cannula) is positioned exactly. CT position control using a contrast medium, followed by the application of the medication (high-dose corticoid). After PRT injection, headaches due to CSF puncture may occur in a few cases (<5%). Despite damage to the spinal column or intervertebral disc, the patient can live, work and do sports without pain. A risky operation is usually spared."

PRT_Spritze