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Diagnostics and therapy

Learn more about our most frequent surgeries, tests and care methods here.
Please visit our practice and we would be happy to answer your questions.


Outpatient surgeries

We conduct minor and small surgical operations such as arthroscopy or removal of implants in our practice. These surgeries are done under local anaesthesia and generally, you can return home shortly thereafter.

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Inpatient surgeries

ur specialists can conduct surgical operations even when a surgical intervention is usually required in the hospital. Thanks to our cooperation with the hospitals in the region, we help our patients with operations including hospitalisation and we would continue post-operative aftercare in our practice.

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Diagnostics

Modern technologies for tests and diagnostics are available in Herzomed consulting rooms.

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X-RAy diagnostics

The conventional X-Ray image is useful for reliable examination of structures with high density and hence suitable for bony parts of the body. The results are available just after few minutes and we can quickly make assessments about bone fractures, dislocations and other injuries to the skeleton. The radiation exposure is comparatively lower in a conventional X-Ray imaging.

Bone density measurement DXA method

The DXA-Osteodensitometry (dual energy X-ray absorptiometry) is the most common procedure for bone density measurement. The bone thickness at specific parts of the skeleton (mostly lumbar spine and hip joint) is determined by using low level radiation and recorded on an evaluation chart. This helps in the early determination of osteoporosis risks and we can inform you about preventive measures.

Sonography

This painless examination procedure does not have any accompanying radiation exposure, and it is highly versatile: this quick procedure can be used for organs with high levels of fluids and that too without any further surgical intervention. Ultrasound procedure is equally suitable for vessels, joints and even for fractures to an extent.

Vascular diagnostics

Ultrasound is used to image the blood vessels in our body. Thus, it is possible to diagnose constrictions (arteriosclerosis) or enlargements (aneurysms) of individual vessels and make precise assessment about the circulatory condition of the limbs. It even helps in diagnosing damage to venous valves (e.g. varicose veins) or thrombosis.

Outpatient surgeries

At our Medical Care Centre, we conduct many types of surgeries as outpatient surgeries without hospitalisation. And you can return home after the surgery. Your specialist will discuss possibilities of outpatient surgical interventions with you.

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Arthroscopies of knee, shoulder and ankle joints

Arthroscopy allows a comprehensive examination and simultaneous treatment of structures within a joint. The medical specialist can examine ligaments, cartilages areas or joint capsules in real time with the help of the athroscope, which is thin tube with a video camera. The arthroscope as well as the instruments for treatments are inserted into the joint though small cuts on the skin and therefore this represents a minimally invasive surgery. Ligament fractures or cartilage damages can be assessed precisely and treated appropriately.

Removal of implants

The so-called osteosynthesis material is used after complicated bone fractures to stabilise bones and to support the healing process. Depending on the age of the patient and the position of the material, these metal plates, screws and wires are removed after few weeks to months: this surgery is mostly minor in nature and can be conducted as outpatient surgery.

Treatment of hand and ankle joint fractures
Forefoot fractures (e.g. surgery of Hallux valgus)

In case of a deformity of the big toe, the whole inner ball of the foot can get deformed which in turn changes the weight distribution on the foot and thus leads to pain. However, the original anatomical conditions can be restored by correcting the bony elements.

Inguinal hernia

An inguinal hernia can be congenital or may occur over the course of life; this is one of the most frequent diseases that is treated surgically. A part of the intestine that is normally in the abdomen may protrude outward through the inguinal canal - this is shifted back to the normal position through a surgical intervention and the abdominal opening is surgically sutured.

Umbilical hernia

In case of umbilical hernia, parts of the peritoneum and sometimes even the intestine inside can bulge at the navel height. This causes extreme pain and swelling of the navel. The hernial gap in the abdominal wall is sealed with the surgery.

Haemorrhoids, anal fissures and similar surgeries on the rectum

Haemorrhoids are vascular cushions that ensure sealing of the anus. In many adults these are pathologically enlarged - due to lack of movement or low fibre diet - and cause pain as well as bleeding. Different outpatient surgical procedures can be used to remove the affected area: your medical specialist will advise you about the suitable procedure.

Trigger finger and other surgeries on the tendon sheaths and hand tendons

The "trigger finger" is often caused by swelling of the tendons due to wear and results in a situation where the affected finger no longer bends or extends uniformly or is completely blocked. The movement can be completely restored by separating the ring ligament surrounding the tendon in a microsurgery.

Carpel tunnel syndrome and other nerve compression syndromes

The hand is supplied by three major nerves. If one of these nerves is constricted or damaged, it causes pain or a feeling of numbness in the respective area of the hand. These symptoms can be tackled through a surgical dilation of the carpel tunnel.

Surgery for the Dupuytren contracture of the hand

The Dupuytren contracture represents a hardening and shrinking of the palmar aponeurosis - a tendon plate that is located in the inner area of the hand. Increased bending of the ring and small finger is the main symptom; the movement is restored through a surgical removal of the affected parts of palnar aponeurosis.

Elbow surgeries for tennis and golfer's elbow (radial and ulnar epicondylitis)

The tennis or golfer's elbow can occur even if you do not play any sports: a regular overloading of the underarm musculature results in this symptom. This is characterised by pain at the base of the tendon in the elbow joint area and is often accompanied by a swelling of the underarm muscle. The so-called epicondylitis can be treated in 90% of the cases with analgesics, rest and physiotherapy; if there is a requirement for surgery, an outpatient surgical intervention is sufficient to remove the affected tissue.

Port surgeries

We implant and remove port catheters in our practice as an outpatient procedure. For example, these accesses make it easier to administer medicines and in blood transfusions or blood sampling. A port catheter is inserted into blood circulation through one of the major veins in the upper body and implanted under the skin where it can stay for many years.

Vein surgery, varicose vein surgeries

Varicose veins often result from congenital weakness of the connective tissue and they are not just a cosmetic problem: the blood "accumulates" in the legs because weakened veins can no longer ensure quick return flow to the heart. This results in oedema and inflammation. The diseased parts of the veins can be removed easily with minimally invasive surgery; even a puncture and treatment with catheter-supported thermal sclerotherapy promises success in case of not very advanced stages of disease.

Removal of ganglia and other tumours on the hand

Ganglia are protrusions of synovial membrane that mostly occur on the back of the hand. Ganglia can be painful or may restrict hand movement but they are relatively easy to remove with a surgical procedure. In most of the cases, we opt for inpatient surgery and the hand joint can be moved immediately after the surgery.

Inpatient surgeries

Major and complex surgeries may require hospitalization. Even here we provide complete support: thanks to our cooperation with the hospitals in the metropolitan region, your Herzomed specialist can conduct surgical operation in the partner hospital. Thus, you will receive diagnostics, therapy and aftercare from a single provider.

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Endoprosthetics

Endoprostheses are permanent implants in the body used to replace a joint either completely or partially. Artificial hip joints are the most prevalent implants. But even knees and shoulders can be replaced with an endoprosthetics. In collaboration with our partner hospitals, we perform implant surgeries or correction of knee and hip prosthetics; aftercare is then continued in our Medical Care Centre.

Fracture treatment
Rotator cuff surgery

The tendons and muscles, which secure the humeral head in the shoulder joint, are called the "rotator cuff". If this structure is damaged through wear or injury, it may result in a constriction of the shoulder and may later lead to arthrosis of the joint. The movement of the shoulder can be restored through a surgical procedure if physiotherapy treatment is not successful.

Cruciate ligament plasty

The cruciate ligaments contribute mainly towards the stabilisation of the knee joint. But they are injured easily when there is quick change of direction when playing sports. If a cruciate ligament with the bony base is torn completely or partially, it can be refixed or sutured in an arthroscopic intervention. However, when it is not possible to restore the original cruciate ligament, cruciate ligament plasty is carried out and a tendon from elsewhere in the body replaces the injured ligament. This surgery also is done as part of an arthroscopy; with this type of surgery the patient can use the knee early and move freely.

Hernia surgery

A hernia can be congenital or may occur over the course of life; this is one of the most frequent diseases that is treated surgically. For example, a part of the intestine that is normally in the abdomen may protrude outward through the inguinal canal - this is shifted back to the normal position through a surgical intervention and the abdominal opening is surgically sutured to prevent a recurrence.

Thyroid surgery

A surgery may be required in case of node formation in the thyroid gland, enlargement of the organ or benign or malignant tumours after diagnosis. Depending on the type of disease, the affected tissue, a thyroid lobe or the entire organ is surgically removed - a minimally invasive surgical technique is possible depending on the scope of surgery. A thyroid surgery is generally carried out under full anaesthesia and takes about one to two hours. The thyroid gland is one of the organs with a strong blood supply. Therefore, there might be secondary bleeding after surgery. Therefore, monitoring in hospital for at least 24 hours is necessary.

Endoscopic abdominal surgery

The so-called laparoscopy is used to examine the organs in the abdominal area with the help of endoscopes and to provide surgical treatment. Small cuts on the skin are used to guide the instrument through the abdominal wall to keep scar formation and risk of infection as low as possible. The laparoscopy is especially used for the treatment of hernia (abdominal wall hernia) or removal of gall bladder.

Visceral surgery

Hospitalization is often necessary for abdomen and thyroid surgeries to guarantee a positive benefit of the surgery. If that is the case for you, you can ask your Herzomed specialist to conduct the surgery in one of our partner hospitals! Contact us for more information.

General surgery

We carry out many types of surgeries. Some of our most frequent surgeries are listed here.

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Vein surgery

Varicose veins often result from congenital weakness of the connective tissue and they are not just a cosmetic problem: the blood "accumulates" in the legs because weakened veins can no longer ensure quick return flow to the heart. This results in oedema and inflammation. The diseased parts of the veins can be removed easily with minimally invasive surgery; even a puncture and treatment with catheter-supported thermal sclerotherapy promises success in case of not very advanced stages of disease.

Proctology - rectal disorders

We carry out surgical treatments for rectal disorders: for example, haemorrhoid pain, anal fissures or abscesses. Many of these surgeries can be done as outpatient procedures at our Medical Care Centre.

Hand tumours (including recurrent tumours)

The term "tumour" describes a swelling or regeneration of tissues. Ganglia, cysts or bone tumours of the hand are the most frequent, benign changes that cause paint or restrict mobility. Such diseases can be often treated and removed with a small, outpatient surgical procedure.

Dupuytren contracture (all stages including revision procedures)

The Dupuytren contracture represents a hardening and shrinking of the palmar aponeurosis - a tendon plate that is located in the inner area of the hand. Increased bending of the ring and small finger is the main symptom; the movement is restored through a surgical removal of the affected parts of the palmar aponeurosis.

Nerve compression syndrome (including revision procedures)

The hand is supplied by three major nerves. If one of these nerves is constricted or damaged, it causes pain or a feeling of numbness in the respective area of the hand. These symptoms can be tackled through a surgical dilation of the carpel tunnel.

Soft tissue injuries and bone fractures in the hand area

Foot surgery

Our feet are exposed to a heavy load in our daily life - as a result any limitation - whether it is caused by injuries or dislocation - can be noticeably painful. We conduct surgical fracture treatment, joint surgery and reconstruction of the foot arch - these are conducted either as outpatient procedures or with hospitalisation in one of our partner hospitals.

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Forefoot corrections (e.g. surgeries for Hallux valgus, Hallux rigidus, claw toes or hammer toes)

In case of a deformity of the big toe, the whole inner ball of the foot can get deformed which in turn changes the weight distribution on the foot and thus leads to pain. However, the original anatomical conditions can be restored by correcting the bony elements.

Orthopaedic and trauma surgery

The main focus of our therapy spectrum is on surgical procedures and treatment of injuries or diseases of the locomotor system. As approved accident insurance doctors, we also provide treatments for work, school and commuting accidents.

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Trauma surgery

Trauma surgery is divided into many specialities that have a common goal: the best possible diagnostics and treatment of damage such as sports injuries, domestic accidents or work accidents. In particular, injuries to cartilages, tendons, muscles and skeleton are core components of trauma surgery. At Herzomed medical centre, we offer the best possible diagnostics and therapy by experienced specialists .

Treatment for work and school accidents (accident insurance doctors)

As a practice for accident insurance, we are authorised to provide treatment for work, school and commuting accidents. We will contact the trauma care hospital, rehabilitation facilities, medical specialists as well as accident insurance providers. We support and advise you right from the initial treatment to follow-up examinations and recommendations for compensation.

Osteology

The skeletal system is closely linked with the musculature and the nervous system. At Herzomed, we do not provide treatment only for injuries or bone diseases; we also consider them in the holistic concept of entire metabolism. A holistic diagnosis and therapy can help in early detection of many diseases and help us to provide better treatment.

Hyaluronic acid therapy

Thanks to the high water binding capabilities of hyaluronic acid, our joints can withstand high levels of load: it makes the cartilage elastic and joint fluids viscous. This helps in achieving smooth movement and impact absorption of the joint areas, which are reduced after injuries or inflammations. The natural level of hyaluronic acid decreases depending on the level of wear in a joint. When physiotherapy or arthroscopy do not provide any relief to the pain symptoms, an injection of hyaluronic acid into the affected joint is an useful alternative. It significantly improves movement and elasticity - and that too from a long-term perspective: the effect stays for a year after three to five applications at weekly intervals.

Orthpaedic palliative therapy

Backpain is very common. We not only specialise in the treatment of pain caused by injuries, but we also provide treatments for chronic pain of the locomotor system. An accurate diagnostics and root cause analysis is very important here so that we can recommend suitable therapy - our spectrum ranges from medicine-based treatment to manual therapy, electrical therapy and physiotherapy to alternative applications.

Chirotherapy

Chiropractic is a form of so-called manual therapy. The basis of manual therapy is the precise diagnosis of the blocked joints by searching for so-called irritation points, which indicate the position of the blocked joint via neurogenic interconnections. Then you have the opportunity to mobilize blocked or manipulative joints.(Wikipedia)

Shock wave therapy (ESWT)

ESWT is the abbreviation for extracorporeal shockwave therapy: a gentle and versatile procedure. This procedure uses high-energy mechanical waves, bundled through a special pillow and transferred to the body. These waves continue to propagate inside the body until they encounter tissues with higher thicknesses - for example tendons, cartilages or bones. The stimulation triggers the distribution of healthy messenger substances and thus contributes to a quicker healing process. Numerous studies show a positive effect of shockwave therapy for frozen shoulder, inflammation of the foot sole and tennis or golfer's elbow. The treatment with a shockwave therapy device takes about 5-15 minutes; mostly two to five sessions are required to achieve successful treatment.

Individual medical services

We also offer various additional services for our patients that are not provided by the statutory insurance providers. Please visit our practice to know more..

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Bone density measurement

The skeletal system is closed linked with the musculature and the nervous system. At Herzomed, we do not provide treatment only for injuries or bone diseases; we also consider them in the holistic concept of entire metabolism. A holistic diagnosis and therapy can help in early detection of many diseases and help us to provide better treatment.

Hyaluronic acid therapy

Thanks to the high water binding capabilities of hyaluronic acid, our joints can withstand high levels of load: it makes the cartilage elastic and joint fluids viscous. This helps in achieving smooth movement and impact absorption of the joint areas, which are reduced after injuries or inflammations. The natural level of hyaluronic acid decreases depending on the level of wear in a joint. When physiotherapy or arthroscopy do not provide any relief to the pain symptoms, an injection of hyaluronic acid into the affected joint is an useful alternative. It significantly improves movement and elasticity - and that too from a long-term perspective: the effect stays for a year after three to five applications at weekly intervals.

Sclerotherapy of varicose veins

Varicose veins often result from congenital weakness of the connective tissue and they are not just a cosmetic problem: the blood "accumulates" in the legs because weakened veins can no longer ensure quick return flow to the heart. This results in oedema and inflammation. Even a puncture and treatment with catheter-supported thermal sclerotherapy promises success in case of not very advanced stages of disease.

Cosmetic vein sclerotherapy

Spider veins and the so-called reticular varices are cosmetically annoying but they do not cause any disease. We use a sclerotherapy procedure to remove veins lying just under the skin surface. The vascular walls stick and close the blood vessel thoroughly when a sclerosing agent is injected. The vein adapts to the connective tissue after just a few weeks and then disappears completely.