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Orthopaedic services in Wolgast

Dr. med. habil. Richard Kasch, Dr. med. Christoph Jährling and Prof. Dr. med. habil. Hans-Christof Schober offer various orthopaedic services in their orthopaedics practice in Wolgast, ranging from chiropractic therapy, digital X-ray diagnostics and neural therapy to shock wave therapy and acupuncture.

Extensive range of therapeutic services

Our range of services in the field of orthopaedics is very extensive. For this reason, the following is an overview of the most important services we offer in our joint practice. Since every person is individual, we’d be happy to discuss the best treatment method for your complaints with you in a joint appointment. All members of our group practice undergo regular further training in order to be able to guarantee you competent care – based on the latest scientific findings and recommendations in the field of orthopaedics – at all times.

Digital X-ray diagnostics is a radiological imaging procedure that gives us a very precise insight into your bone structure. Digital X-ray diagnostics is a procedure that can be performed quickly. At the same time, it is low-radiation and gives you as a patient a reliable diagnosis.

´Digitally produced X-rays require a very low radiation dose for image production. As a result, you as a patient are only exposed to a very low radiation dose during the examination. Our specialist staff have been trained accordingly in X-ray diagnostics through specialist courses.

Support through image converters

Our diagnostic and therapeutic work is also supported by image converters. X-ray fluoroscopy (image converter, C-arm) enables the assessment of dynamic processes as well as X-ray findings in real time. This is necessary, for example, during a surgical procedure or for the exact placement of an injection cannula for injections on the spinal column.

Many of the structures of the body to be treated by means of injections are located deep in the tissue, below the skin surface. Features such as palpable bones or skin folds provide information about the approximate location. However, they don’t provide a reliable representation of the structure to be treated. With an image converter, the body region can be immediately displayed on a monitor in real time by means of X-rays. After the treatment objective has been precisely displayed, the needle can be safely placed. In this way, possible side effects and unwanted complications are reduced.

Focal points of the treatment

In our joint practice, we set the following focus areas for this form of treatment:

  • tarsal injections,
  • carpal injections,
  • elbow injections,
  • injections of all small joints,
  • hip joint injections,
  • ankle joint injections,
  • vertebral joint injections
  • injections close to the intervertebral discs.

The number of necessary treatments depends on the success of the therapy. Experience has shown that it is between two and six appointments. Depending on the period of improvement, these series can be repeated. Depending on the content of the injection, the costs for this therapy can be covered by both private and statutory health insurance companies. We will be happy to clarify the exact costs in a personal consultation and draw up your individual therapy plan.

What is manual therapy?

Manual therapy is a form of treatment that remedies functional disorders of the musculoskeletal system. Dysfunctions can cause limitations in mobility with or without pain.

Restrictions in movement can occur in any joint of the body. This results in shortening of the muscles and connective tissue fasciae, which can be relaxed and loosened by manual therapy.

Treatment of complaints

The following complaints can be treated with manual therapy:

  • arthrosis-related secondary disorders
  • restricted movement and reduced joint mobility of the extremities and spine
  • joint blockages, especially in the spine
  • consequential disorders after operations, inflammations and injuries or after excessive loads or immobilization
  • migraine and headaches
  • dizzy spells
  • pelvic contortions and pelvic joint dysfunctions
  • TMJ problems

GWe would be happy to discuss with you in a personal meeting which form of treatment (manual therapy, chirotherapy or osteopathic techniques) is best suited to treat your complaints. Simply make an appointment with us..

What causes back pain?

The spine consists of different structures that sit close together and may cause pain. The following causes can be responsible for back pain:

Small vertebral joints, which connect the vertebral bodies with each other: Misalignments and loosening within the movement segments of the spine as well as ageing processes may cause irritation to these joints, which can result in back pain with or without pain radiating into the arms or legs.

Intervertebral discs: Protrusions of intervertebral discs lead to a crowding of adjacent structures. Pain reduction can be achieved at these structures close to the spine and throughout the body with various local injections of local anaesthetics.

Do you also suffer from back pain? Simply make an appointment with us so that we can determine the cause in a joint discussion.

What is hyaluronic acid?

Hyaluronic acid is mainly produced in cartilage cells and the joint mucosa. Hyaluronic acid gives the joint fluid its thick fluid. Hyaluronic acid is thus the actual “lubricant” in the joint, which supports the gliding ability of the joint surfaces. In case of inflammation or after injuries, the availability of hyaluronic acid in the joint decreases. This reduction can be compensated by injecting hyaluronic acid directly into the joint.

Relieve knee pain with hyaluronic acid injections

Hyaluronic acid is mainly produced in cartilage cells and the joint mucosa. Hyaluronic acid gives the joint fluid its thick fluid. Hyaluronic acid is thus the actual “lubricant” in the joint, which supports the gliding ability of the joint surfaces. In case of inflammation or after injuries, the availability of hyaluronic acid in the joint decreases. This reduction can be compensated by injecting hyaluronic acid directly into the joint. Simply make an appointment with us.

An alternative treatment to conventional therapies for arthrosis and sports injuries, using the body’s own substances

The alternative treatment of arthrosis and sports injuries using autologous platelet-rich plasma (A-PRP) – extracted from the patient’s own blood – has proven its worth for many years. In autologous blood therapy, blood is taken from a vein, prepared and injected in concentrated form into a joint, ligament, muscle or, for instance, an inflamed tendon.

The importance of platelets in the healing process

Blood platelets (thrombocytes) are formed in the bone marrow. They are responsible for blood clotting and help to close wounds. When an injury occurs, the platelets attach themselves to the wound and clump together to stop the bleeding. In the process, the platelets secrete hormone-like growth factors that promote the healing process. They also attract stem cells, which the body needs to regenerate itself.

The body’s own platelets and blood plasma with useful components

Platelets and blood plasma contain many useful components such as nutrients, vitamins, hormones, electrolytes and growth factors that are essential for cell survival. The growth factors play an important role in healing tissue defects in the body. These cells can be extracted from the patient’s blood and more highly concentrated to support biological repair mechanisms specifically in the tissue.

Platelet-rich blood plasma is of particular importance in autologous blood therapy, as the healing cells in this plasma are isolated and activated both exogenously and endogenously, which in turn releases the growth factors. At the same time, undesirable pro-inflammatory cells are largely removed from the plasma and thus cannot further maintain the adverse inflammatory reaction.

Treatment of diseases and injuries using platelet-rich plasma (PRP)

PRP therapy can be used to treat a variety of diseases and injuries. These include:

  • tendon injuries (e.g. Achilles tendon or rotator cuff)
  • tendopathies (non-inflammatory tendon diseases such as epicondylitis, tennis elbow, patellar tendinitis)
  • injuries to the joint ligaments (anterior cruciate ligament and medial collateral ligament at the knee, ligaments at the ankle)
  • muscle injuries
  • arthroses of the large joints (shoulder, elbow, hand, hip, knee and ankle joints in stages I, II and III)
  • arthroses of the small spinal joints and the sacroiliac joint
  • spinal canal or neuroforaminal stenoses

Consultation appointment before treatment with autologous blood

For a successful treatment with autologous blood, important questions must be clarified with the patient before commencing A-PRP therapy. Before autologous blood therapy, the treating doctor checks the medication that the patient is already taking. Since the mode of action and ingredients such as NSAIDs (non-steroidal anti-inflammatory drugs) or antithrombotic drugs can have a harmful effect on treatment, their use should be specifically discussed in advance.

The orthopaedist will also discuss with their patient the costs involved in the therapy and how many treatments are necessary.

Contact us, so that we can decide together whether an autologous blood treatment using A-PRP is suitable for you. Our team in Wolgast will be hay to answer your questions and make an appointment with you. You also have the option of making an appointment online via our calendar.

 

In a targeted fashion, focused beams of light from the laser penetrate into superficial or deep tissue layers to relieve pain.

In modern medicine, various lasers are used for gently and carefully treating various symptoms of illness and relieving pain using rectified, monochromatic and coherent light. Irradiation with light of a special wavelength and radiation intensity activates metabolic processes in the cells. The photobiomodulating light rays penetrate the skin and can thus stimulate even deep tissue layers.

Gentle and careful pain treatment using laser therapy

Laser therapy is a gentle and careful form of treatment in orthopaedics which uses the effect of photobiomodulation with special red and near-infrared light waves. The wavelength of the light is crucial for the therapy of musculoskeletal diseases, as it affects the penetration depth and effect. Laser beams consist of a special form of light and can be well focused on the treatment site.

The effect of light rays on the body

The mode of action of laser beams on the body is described in terms of an acceleration of cell proliferation. It helps to improve and increase cell metabolism by about 150%. The treated cells are enriched with energy, resulting in a bio-stimulating effect. After the therapy, increased cell activity and an increase in the concentration of enzymes are recorded.

In addition, venous microcirculation and lymphatic drainage are stimulated, leading to improved wound healing. The increase in the pain threshold (analgesic effect) contributes to pain reduction.

Laser therapy for the alternative treatment of pain in joints and tendons

Laser therapy can be used to alternatively treat and relieve various types of pain in joints and tendons. These include:

  • symptoms of tendinosis of the Achilles tendon (Achilles tendinopathy) such as pain, stiffness or limited mobility in the upper ankle joint.
  • osteoarthritis
  • chronic back and neck pain
  • sports injuries
  • subacromial impingement syndrome of the shoulder
  • epicondylitis (tennis elbow and golfer’s elbow)
  • trauma to the musculoskeletal, ligament and tendon system
  • wound healing disorders
  • rheumatic complaints
  • headaches
  • torn muscle fibres
  • sprains and strains

Painless treatment using laser therapy

Treatment with light rays of a special wavelength in laser therapy is completely painless and at the same time efficient. The laser stimulates specific areas of the body to expose them to a local stimulus. The tissue responds with a positive change in its cell structure. Laser therapy relieves pain at the point of origin and supports the body’s self-healing powers without the use of medication.

Consultation appointment for laser therapy

Contact us, so that we can decide together whether a laser therapy is suitable for you. The orthopaedist will draw up a treatment plan with you and clarify the costs of the therapy. Our team in Wolgast will be happy to answer your questions and make an appointment. You also have the option of making an appointment online via our calendar.

 

When is shock wave therapy appropriate?

Shock wave therapy (ESWT) is a gentle alternative to many operations. It often allows a gentle treatment of inflammation, calcification or injuries to the joint. Shockwave therapy also has practically no side effects and makes many operations unnecessary.

It is often used for the following symptoms:

  • calcified shoulder (tendinosis calcarea)
  • tennis golfer elbow (epicondylitis)
  • trochanteric pain syndrome
  • heel spur
  • plantar tendon inflammation
  • Achilles’ tendon inflammation (achillodynia)
  • Chronically painful trigger points of the musculature

Contact us so that we can draw up a therapy plan together and alleviate your symptoms.

 

Improvement of muscle function through kinesiological taping

If the muscle apparatus is overstressed, for example by excessive sport, smaller ruptures in the muscle tissue can occur, which are accompanied by a leakage of fluid into the tissue. This increase in pressure leads to pain. This leads to an increase in the tone of the affected muscles and a restriction of mobility in the joint. Kinesiologic taping improves the metabolism in the affected area and reduces the tone of the muscles.

Removal of circulation restrictions by kinesiological taping

The human body often reacts with inflammation to tissue damage. This causes tissue fluid to leak from the affected area. This space-occupying swelling causes an increase in pressure between the skin and the underlying tissue. The skin is lifted by applying a kinesiologic tape. The mobility of the local skin layers under the tape improves, restoring optimal blood and lymph circulation.

Are you interested in kinesiological taping? We would be pleased to give you professional advice during an appointment in our practice.

What is acupuncture?

The stimulation of acupuncture points is probably the oldest and most widespread healing method in the world. The best known is the acupuncture of traditional Chinese medicine, the so-called body acupuncture. By stimulating precisely defined points on the skin, disturbances in the entire organism, i.e. inside the body, can be alleviated and often even eliminated.

How does acupuncture work?

Acupuncture sends stimuli to the brain and has a healing effect, especially in the case of disturbed organ function, via interaction. However, if the destruction of structures is already at an advanced stage, acupuncture can only relieve the symptoms, such as pain. Applied by qualified doctors, acupuncture is a treatment method that is practically risk-free and has no side effects.

What does an acupuncture treatment in Wolgast cost?

The cost of an acupuncture treatment depends on the individual symptoms and the extent of the required sessions. An overview of the most common symptoms [link to “Symptoms”] is available separately on our website. In a personal consultation we will be happy to inform you about the exact costs and draw up a treatment plan that is tailored to your needs. Contact us to arrange an appointment with one of our orthopaedic specialists.

Which orthopaedic technologies are offered in Wolgast?

In our joint practice for orthopaedics we offer the supply and prescription of bandages, corsets, support corsets, orthoses, prostheses and especially orthopaedic shoe supply. Please contact us if you have any questions about orthopaedic technology. We’ll be happy to provide you with expert advice.

What is the purpose of infant hip sonography?

Hip joint sonography of new-borns in the sense of hip dysplasia screening is important and useful. It should be carried out at the latest as part of the U3 preventive examination in the fourth to fifth week of life at the latest. Mal-positioning of the legs gives an indication of hip disease, while palpation of a hip maturation disorder is not possible. Early diagnosis is particularly important, as this way the natural growth potential of the hip joint can be used in therapy.

Would you like to have a sonography of your baby's hip? Our competent and child-friendly team will be happy to make an appointment for you.