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The field of orthopedics studies the origin, prevention, recognition and treatment of congenital or acquired deformations or functional faults of the musculoskeletal and support system, meaning the bones, joints, muscles and ligaments, as well as the rehabilitation of patients. Orthopedic treatments uses means among others from the field of chirotherapy, physiotherapy, the orthopedic pain therapy, physical and prescribed medication treatment of arthritis and acupuncture. One of the main goals of the field of conservative orthopedics is the prevention of surgery by to identifying and treating symptoms early enough. Treatments can also take place in combination with rehabilitation treatments.

Acupuncture is one of the oldest medicine methods. It originated in ancient China to treat pains and aches by manipulating thin, solid needles that have been inserted into acupuncture points in the skin. Normally, the first successes are visible after just one 30 minute session. Forgone will be an anamnesis of the patient’s symptoms. Acupuncture can be successfully used for the following illnesses:
- Chronic aches in the spine
- Complaints in the hip, knee and foot areas
- Shoulder-arm syndrom
- Rheumatic complaints
The public insurance companies cover this treatment for chronic complaints, meaning reoccurring pains in loins and knee over a minimum of 6 months.

Arthritis treatments
As part of the cartilage protection for arthritis treatments an artificial articular fluid (hyaluronic acid) is injected in the intra-articular space: this usually does not hurt. Often five treatments are necessary (once a week) in order for an effect to show. Afterwards the patient is commonly free of pain for 6-12 months.

Orthopedic insoles see to it, that the walk encourages an ideal power transmission and thus becomes optimal and comfortable. Pains due to bad posture and malposition of the feet can be alleviated through this. Orthopedic insoles will fit to the individual foot. A detailed diagnosis, a walk analysis and foot pressure measurement are used to fit the insoles.

Neural therapy
For pain and orthopedic illnesses a local anesthetic will be used to numb the affected areas. This not only serves for the neural therapy to numb the pain, but also to treat the source of the pain and other complaints.

Manual therapy / Chirotherapy
The manual therapy is part of a diagnostic and therapeutic concept to treat and prevent injuries of the locomotor systems. During the integral diagnosis all areas of will be considered, including potential psychosocial origins for the pain. The osteopathy is part of the manual therapy i.e. it will be treated will hands only. Treatments are common for the spine, extremities and joints.

Sport medicine / MedX-diagnostic and therapy
In addition to traditional orthopaedic treatments we also offer MedX-diagnostic and therapy concepts in our clinic. In many European countries, an active training concept is the norm to treat back pain. Often the imbalance of the back muscles is the origin for the pain. Through the use of MedX machines we can establish the condition of the deep back muscles and their strength deficit. For patients with chronic back pain the strength deficit is normally around 50% less than that of healthy patients in addition to the imitation of movement. The job of MedX-Therapy is to decrease the muscle deficit that causes the back pain. Therefore 18 training sessions are usually enough to reach an optimal level of strength. Multiple studies show that around 80% of all back pain patients can be helped with a MedX-therapy, of which around 30% of the patients are completely without pain after the treatment.

Shock Wave Therapy (ESWL)
Since the eighties, shock waves are used in urology to crush calcareous stones. In the nineties, the so-called shock wave therapy was also introduced in orthopedics to treat calcifying tendinitis and also bad healing bone fractures.

The ESWL treatment should be used for the following diseases:
- Tennis elbow
- Calcifying tendinitis of the shoulder
- Calcaneal spur
  (sole of the foot or attachment of the Achilles tendon)
- Patella tip syndrome (overstressing of the patella tip)
- Achillodynia (thickening of the Achilles tendon)
- Tibia edge syndrome
- Bursitis trochanterica (enthesitis at the greater trochanter of the femur)

Shock waves are short acoustic impulses of high energy, which are applied through the skin to chronic irritations on ligament and tendon attachments near the bone. The successful application of the shock waves' energy in orthopedic syndromes depends on the energetic spectrum, the deviation or absorption by neighboring bony structures. It is possible to dose the shock wave energy from low to high energetic so that hematomas can be avoided and it is not necessary to anesthetize the patient.

Usually, three sessions are necessary, each lasting approx. 10 to 15 minutes. Already after the first session the patient feels noticeable pain relief. Until now, there have not been any complications.

The transcutaneous electrical stimulation of nerves (TENS) treats the pain with weak electronic impulses. The TENS unit is usually connected to the skin using two or more electrodes. A typical battery-operated TENS unit is able to modulate pulse width, frequency and intensity according to the patients treatment. The goal of this therapy if to influence the nervous system in order to minder or prevent the transmission of pain signals to the brain. The pain threshold is thus increased by the Tens therapy.

H-Arzt procedure
Due to professional specialist qualifications, personal and clinical requirements and regulations we are taking part in the legal accident insurance institution (Professional trade association).
The following accidents and injuries can and will be treated in our clinic:
- work accidents
- school accidents
- commuting accidents to school or work

Kartäuserwall 61
50678 Cologne
0221 - 932 28 38
0221 - 932 28 40

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