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  • Everything for your health.

    Understanding comes before treatment:

    Only when we understand your individual situation, concern or complaint will we suggest a possible treatment.

    Treatments that serve to ensure that you continue to feel healthy or that your health will improve in the future are the basis of our philosophy.
    Whether check-up, prevention or acute suffering – we have the necessary knowledge, techniques, skills and empathy that you need for your optimal medical care.

    EMG - Electromyography

    Computer work is unavoidable for many of our patients. The increased use of home office increases the rise of posture-related muscle tension, e.g. due to incorrect sitting position or non-ergonomically designed workstations. In order to provide you with relief as quickly as possible, we at the ROC offer you the possibility of objectively presenting the causes of these tensions or muscular deficits: by means of electromyography, also known as EMG.

    What is Electromygraphy?

    Electromyography is an electrophysiological method in neurological diagnostics in which electrical muscle activity is measured using action currents of the muscles and displayed as an electromyogram. In other words, electromyography is a painless and informative method of identifying complaints in any muscular area.

    How is an electromyographic examination done?
    1. Resting tone measurement (muscles are not irritated)
      Hypertonic and dysbalanced muscle areas are displayed in comparison with reference data
    1. Maximum tension of the muscle:
      Automatic analysis of muscle atrophies (=weakening of muscle cells) and activation deficits in right-left comparison
    1. Functional test:
      Assessment of coordinative deficits in standardized movement sequences.

    Based on these results, we can explain to you precisely and in detail why your pain occurs in the end, how we can treat it most quickly and best, and what you can do yourself to avoid such complaints in the future.

    An electromyography enables us to give you practical, condition-improving exercises for the workplace as well as for leisure time as a result of the measurement analysis.

    Denervation

    Sometimes our conservative therapies for pain reduction cannot help effectively. In such cases, surgery is usually the next step. However, there is another method to minimize acute, chronic pain: The Denervation.

    What is denervation?

    Denervation is the denaturation of the outer layer of nerves. In other words: The capping or obliteration of pain nerves. Prior to the treatment, the nerve causing the pain is clearly identified as the source of the pain. A thermal probe is then passed through the skin to the nerve to performe the therapy. The whole process is electrothermal i.e. via electrically generated heat.

    Under constant X-ray control, work is carried out with millimeter precision in order to perform the procedure under sight. Denervation is a largely painless process and ensures freedom from pain for at least 8-24 months. Typically, denervations are performed on the spine. More precisly on the facet joints, as well as sacro-iliac joint. However the shoulders, hips and knees can be denervated as well.

    Open MRI

    Many of you probably associate the word MRI with an uncomfortably long wait for an appointment as well as a narrow tube with claustrophobia. Since we as medical practice with the fastest, and above all, most successful regneration and therapy possible, we have had an internal open magnetic resonance imaging system installed for you from January 2023.

    Q&A: Why an MRI?

    With MRI, you can see “inside” the body: It gives the physician an insight into the condition of soft tissue structures, such as connective, muscle and nerve tissue. Unlike conventional X-ray equipment, magnetic resonance imaging uses magnetic fields and radio waves to produce its images. Thus, there is no health risk from radioactive waves during a recording. An MRI session usually takes about 20 minutes. In addition, the ROC Aschheim strictly avoids the use of contrast agents. Incidentally, it is also advised not to eat any more meals 4 hours before the appointment.

    Our patients are, of course, given priority in scheduling, thus avoiding long waiting times.

    4D-spine measurement – postural diagnosis
    Recognizing possible causes for pain

    Many of our patients suffer from back pain. Causes could be either structural or functional changes such as malposition’s of the pelvis (pelvic obliquity), muscle tension or, of course, consequences of injuries.

    Each back pain must be considered individually to make the correct diagnosis and resulting therapy.

    To visualize structural changes, it requires images like x-ray, computed tomography, or MRI. Except for the MRI, this means radiation exposure for our patients‘ body, which we would like to avoid if possible. With the 4D-spine-measurement, we can provide you with meaningful images of functional changes – without exposing your body to radiation.

    What is the 4D – scan?

    With the 4D spine measurement, the causes of physical complaints or misalignments of the spine can be identified:

    • 4D-whole-body diagnostics with 2 million measurement points
    • free of radiation and side effects
    • virtual 3D–spine
    • knee static analysis
    • leg axis measurement
    • dynamic gait and running analysis
    • thermography – 3D- representation of thermal images
    • dynamic pedobarography*
    *What is pedobarography?

    Also called foot pressure measurement, pedobarography represent a method of accurately depicting the load on the foot over the tread surface of the sole of the foot using highly sensitive measurement sensors. This method is an extension of our 4D-spine measurement.

    A foot pressure measurement can be done either standing or dynamically.

    With the 3D animation, the measurement results can show where asymmetries in pressure distribution are prevalent.

    Weight distribution of the feet, resulting forces in the dynamic or the roll function, or track of the foot are a few of many input parameters that a pedobarography can analyze.

    For more information, please contact us.

    Spinal therapy
    Ultrasound-guided Periradicular Therapies (PRT)
    Periradicular therapy is an injection guided under sonography control. This means no radiation exposure compared to CT-guided infiltrations. Anti-inflammatory drugs or PRP (autologous blood plasma) can be injected directly into the nerve root exit points.
    Ultrasound-guided facet infiltrations
    Facet infiltration is a sonography-guided injection. This means no radiation exposure compared to CT-guided infiltrations.
    Anti-inflammatory drugs, hyaluronic acid or PRP (autologous blood plasma) can be injected directly into the facet joint.
    Nucleoplasty – the outpatient, gentle and microsive intervertebral disc procedure on the spine
    It is a modern microsive form of intervertebral disc “operation” completely without scalpel and without scar.
    If conventional therapies do not lead to the desired freedom from symptoms, nucleoplasty can help.
     
    A significant advantage of this gentle and modern method is that the procedure is carried out with the help of a probe only 1 millimeter thin.
     
    The very thin needle is inserted into the affected disc during supervised short sleep under X-ray control. Through the opening in the instrument, a very thin probe is inserted into the soft core of the intervertebral disc. At the probe tip, a plasma field with a temperature of around 40 to 70° is generated in the damaged area by long-wave current pulses. In this way, the excess intervertebral disc tissue, which is responsible for the patient’s complaints, is evaporated in a procedure lasting about half an hour.
    Patients can get up again immediately after the procedure and move normally. As a rule, the patient has less pain immediately after the operation. After only a few days, the pain has completely disappeared in over 80% of those affected. Thus, an operation, which previously led to a hospital stay of several days, becomes a gentle and painless outpatient procedure.
    Infusion therapies
    The intravenous administration of various substances (also in combination) can achieve a rapid (within a few minutes), uniform and well-tolerated effect or pain reduction. Infusion therapy is particularly helpful and promising for patients with gastrointestinal problems, blood thinners or other underlying diseases that do not allow oral tablets to be taken.
    Acupuncture / TCM
    Put simply, the body’s own pain-inhibiting systems are activated by needle pricks in defined areas of the skin. The origin of the procedure is dated to about 200 years before Christ.
     
    Osteoarthritis therapy
    Peri- and intra-articular infiltrations

    Painful overuse or incorrect strain syndromes as well as signs of wear and tear are treated with anti-inflammatory substances, Hayluronic acid or PRP. These are usually injected into the affected joint or into the surrounding soft tissues (e.g. joint capsule, ligament structures, bursa, etc.).

    Hyaluronic acid injections

    Hyaluronic acid is an endogenous product that occurs in cartilage. The application of synthetic Hyaluronic acid is an endogenous product found in cartilage. The administration of synthetic hylauron can improve the gliding properties of the joint. The cartilage becomes more elastic and resistant again.

    ACP / PRP / Autologous blood therapy

    In the so-called autologous blood therapy, certain of the body’s own blood cells (especially platelets) are processed in such a way that they are injected into inflamed tissue or joints. The possible healing effect of platelet-rich plasma is based on the growth factors that are released from them and induce a wound healing reaction. Numerous studies have investigated its success in the context of osteoarthritis therapy or tendonitis.

    Aids (e.g. bandages / orthoses)

    In the case of a large number of injuries, inflammations or instabilities, orthopedic aids can provide For a variety of injuries, inflammations or instabilities, for example, orthopaedic aids can provide temporary or permanent relief. Depending on the situation and necessity, such medical devices can be prescribed, and their use and duration of use are determined together.

    Kinesio-Taping

    The principle is based on a relaxing or stabilizing effect on the muscles or joints under the tape. Kinesio The principle is based on a relaxing or stabilizing effect on the muscles or joints under the tape, depending on the technique and material used. The principle is based on a relaxing or stabilizing effect on the muscles or joints under the tape. Kinesio tape has become widespread in recent years, but has been used in orthopaedics since the 1970s. It can be traced back to the Japanese chiropractor Kenzo Kaser.

    Acupuncture / TCM

    Put simply, the body’s own pain-inhibiting systems are activated by needle pricks in defined areas of the skin. The origin of the procedure is dated to about 200 years before Christ.
    You can find more information at www.knorpeltherapie.de

    Injuries
    Diagnosis

    In our practice, two ultramodern, high-resolution ultrasound device a practice-owned digital X-ray device

    The practice has three ultra-modern, high-resolution ultrasound machines, a digital X-ray machine and a state-of-the-art DVT (digital volume tomogram).
    Furthermore, we can carry out bone density as well as the full range of blood analysis.

    Wound care

    All wounds that do not require hospital treatment due to their extent and the need for anaesthesia can be treated professionally and quickly. These are, for example, contusions, cuts, lacerations etc.
    We can also provide initial treatment for accidents at work. However, if further therapy is necessary, you must consult a BG doctor.

    Bandage or Cast therapy

    Whether, for example, fractures that need to be treated conservatively, fractures, immobilization due to inflammation or post-operative aftercare or injuries. We provide appropriate modern treatment methods for a regular healing process.

    Aids (e.g. bandages / orthoses)

    After injuries or after operations, orthopedic aids are often necessary to allow the damaged structures to

    After injuries or operations, orthopaedic aids are often necessary to allow the damaged structures to heal.

    These provide sufficient stability and/or relief. Depending on the situation and necessity, such medical devices can be prescribed, the use and duration of which we determine together.

    Sports medicine

    Sport is known to be the “best medicine”. But various symptoms can arise from overuse or incorrect mobilization.

    Examples include the “tennis elbow”, the “runner’s knee” or “marching fractures”. The treatments aim to accelerate regeneration in order to ensure a quick return to sport.

    Super inductive system (SIS)

    In the case of numerous acute or chronic overload syndromes in the area of ​​the tendons or tendon Our BTL SIS 6000 corresponds to the latest technology for pain-free regenerative therapy. The system provides pain relief, muscle relaxation, myostimulation and joint mobilization through its focused magnetic induction field.

    Frequency-specific pain management

    Due to the wide range of frequency ranges, the BTL Super Inductive System SIS can be used for all levels of pain conditions. Pain management is based on three different theories, each with a different frequency spectrum. Therefore, SIS therapy leads to immediate improvement of all levels of pain, whether chronic or acute.

    Joint mobilization

    Joint mobilization is achieved through repetitive contractions of the muscles surrounding the joint capsule. The repeated contractions replace manual joint mobilization and lead to restoration of joint play.

    Fracture healing

    The induction field promotes blood circulation in the affected area and supports the formation of the vascular and cartilage callus, resulting in increasing mineralization of the cartilage tissue and remodeling of the bone.

    Myostimulation

    The interaction of the induction field within the neuromuscular tissue leads to depolarisation of the nerves and muscle contractions. Depending on the selected stimulation frequency, a facilitation or strengthening of the muscle can be achieved.

    Reduction of spasticity

    By influencing the control of muscle tone at the spinal cord level, increased muscle tone is counteracted. This mechanism is used to treat central motor disorders where spasticity occurs.

    The most common treatment options
    • Mobilization of the entire spine
    • Shoulder-arm syndrome, lime shoulder, impingement syndrome
    • Carpal tunnel syndrome, nerve regeneration
    • Arthritis and arthrosis of all joints
    • Fracture healing
    • Reduction of spasticity
    • Improvement of respirationMuscle regeneration, prevention of muscle atrophy

    There are no contraindications, except for pregnancy, pacemakers/defibrillators and metal implants in the treatment area. Treatment costs are usually covered for privately insured patients. Billing is in accordance with the current scale of fees for doctors (GOÄ).

    If you have one of the above-mentioned diseases and are interested in this form of therapy, I will be happy to offer you an individual consultation and therapy planning.

    Shockwave therapy

    In the case of numerous acute or chronic overload syndromes in the area of ​​the tendons or tendon In the case of numerous acute or chronic overload syndromes in the area of the tendons or tendon transitions, shock-wave therapy achieves a bloodless, chemical-free improvement in the symptoms. The best known examples are:

    • Lime shoulder
    • Heel spur (plantar fasciitis)
    • Achilles tendinitis (achillodynia)
    • Tennis elbow (epicondylitis humeri radialis)

    There are also numerous other applications (e.g. tennis elbow, patellar tendinitis, hip tendinitis, etc.). Roughly speaking, the principle is based on an activation of the regeneration of the affected tissues by the mechanical stimulation.

    Osteoporosis
    Consultation

    Early detection of this widespread bone metabolism disorder in mainly older patients is necessary to avoid damage to the skeleton. Especially because bone formation is very slow (over a period of years). Prevention is the order of the day here, but in the case of already manifest disease, a rapid guideline-based procedure must be carried out. Regular monitoring of the therapy is just as necessary as a possible change or supplementation.

    Diagnosis

    The most widely used method is the so-called DXA measurement (Dual Energy X-ray Absorptiometry) on the lumbar spine (up to the age of 70) and the thigh necks. This is used to detect any deviation from the normal values and, depending on the severity, to initiate osteoporosis therapy. In addition to the bone density measurement, it may be necessary to determine some specific blood values in order to determine the cause of the bone mass loss.

    We have all the necessary equipment and diagnostic methods to examine and advise you comprehensively.

    Non-drug treatments

    In addition to sufficient exercise, sunshine and a varied diet, various preparations can be provided to eliminate the risk factors or stimulate bone formation. 

    Medical therapy

    Various preparations are available that can be combined depending on the severity and individual situation. These include, for example, the proven bisphosphonates, denosumab, vitamin D, calcium, etc.

    Intervall Hypoxie Training – IHHT
    Altitude training at rest

    MITOVIT® hypoxia training usually takes place in a relaxed situation while lying down.

    The application is perceived as pleasant and leads many people to relax and fall asleep during the training. In contrast to the altitude training of athletes, there is usually no sporting activity during hypoxia training. To mimic the stimuli of physical exertion, MITOVIT® hypoxia training works with a more strongly reduced oxygen concentration. As a rule, altitude training of athletes takes place at an altitude of approx. 2,000 – 5,000 meters, which corresponds to an atmospheric oxygen of approx. 16% – 12%.

    vnsanalyse®
    The new check-up for the whole family 

    vnsanalyse® is a painless and side-effect-free analysis of the autonomic nervous system. This method is used to make diseases in the making visible in good time, even if the laboratory parameters and other examination results do not yet indicate this.

    Our autonomic nervous system regulates all vital functions, such as the cardiovascular system, respiration, blood pressure, our immune system, etc. According to clinical studies, excessive activity of the so-called tension nerves promotes disease and thus affects our life expectancy.

    With the VNS analysis, the balance between stress and relaxation can be measured and recorded graphically.If the stress level is elevated, this causes regulatory disorders (e.g. poor organ regulation) and means a significant deterioration in your health.

    The VNS analysis is uncomplicated (similar to measuring blood pressure) and therefore an ideal prevention tool for the whole family.

    Take advantage of the benefits:

    • Ideal prevention (twice a year)
    • Clarification of health and disease prognosis 
    • Measurement of the current stress level of your body
    • Measurement of burnout risk
    • Measurement of your body’s current stress management in everyday life
    • Checking the effects of medication and therapies
    • Analysis and risk assessment of all organs in case of existing diseases
    Others
    • Pediatric orthopedic diseases
    • Insole prescription
    • Fitness tests for mass and competitive sports from an orthopedic point of view
    • Ergonomic workplace advice
    • Check-up and prevention
    • Home visits as needed
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