15.05.2012 An individual doctor increasingly reaches his limits when treating complicated back pain. When the first therapy does not work, or if the pain moves into the legs or arms and patients who have already undergone sur¬gery continue to experience pain, a team of several doctors from different disciplines is
A strong team against back pains: Dr. Schneiderhan & colleagues
required to free the patient from pain. Orthopaedists, neurosurgeons, radiologists, neurologists and pain specialists must work together in order to discover the sources of the pain and eliminate them by using a the¬rapy that is individually tailored to the patient. “Ideally, they will do this under one roof,” says Dr. Schneiderhan. The Munich-based orthopaedist and pain therapist recognised this some years ago and has put it into pratice at his spinal centre.
Back pain has many different causes. Dr. Reinhard Schneiderhan believes that discussions with the patient are key to finding the correct diagnosis.
This interdisciplinary concept has so far been offered in very few centres. Even large clinics have difficulties with this because patients have to be referred to several other departments where there can be long waiting lists. The new concept has been working perfectly for years at Dr. Schneiderhan’s medical centre, which is a model European centre for the diagnosis and treatment of all types of back pain. Eleven specialist doctors from various disciplines and a large team of physiotherapists work together here. All examinations can usually be carried out within a single day. The doctors jointly provide the diagnosis and prepare a tailored
Doctors’ conference: Praxisklinik Dr. Reinhard Schneiderhan & Kollegen takes an interdisciplinary approach to agreeing on which therapies to recommend for patients
therapy plan. The range of treatments at the Praxisklinik Dr. Schneiderhan & Kollegen medical centre includes outpatient and inpatient pain therapy as well as minimally invasive and operative methods for the spine and the use of disc prostheses. The highly specialised team of doctors has considerable experience, with more than 15,000 epidural catheter treatments across Europe and more than 12,000 of intervertebral disc laser treatments and over 17,000 heat-probe treatments worldwide.
Modern therapies alleviate discomfort in a gentle way
Minimally invasive operations on the spine preserve the surrounding structures and shorten the convalescence period
Neurosurgeons at the Praxisklinik Dr. Schneiderhan & Kollegen medical centre are able to expand a narrowed vertebral canal (spinal stenosis) with the help of the new MAXXSPINE procedure, whereby they place a small plastic implant between the spinous processes of two vertebrae. The VertiFlex technique allows the dynamic stabilisation of extensive spinal stenosis. This new Dyna-bolt shock absorber enables a high degree of movement to be retained in the spine. If there has been extensive damage to intervertebral discs, artifcial spinal discs can be used in certain cases. The specialists at Praxisklinik Dr. Schneiderhan & Kollegen also carry out this surgery in a minimally invasive way.
Two minimally invasive methods help to rebuild vertebrae that have been damaged by osteoporosis. During the vertebroplasty, Dr. Schneiderhan inserts a thin needle into the vertebral body and injects liquid bone cement. The cement hardens within a few hours and stabilises the vertebrae. If there is already a deformation, so-called vessel-plasty provides a remedy for this. This involves raising the vertebral body with the help a balloon before the injection of the bone cement, and the balloon is then finally filled with bone cement.
so-called keyhole surgery is currently the most advanced and gentlest way of operating on the spine
Endoscopic surgery is currently the most advanced and gentlest way of operating on the spine and allows the removal of severe slipped discs with symptoms of paralysis. The so-called keyhole surgery is carried out under endoscopic guidance through a small tube that is only seven millimetres in diameter. Muscles, ligaments and tendons no longer need to be detached or separated when inserting the endoscope. This also prevents the formation of scar tissue that in turn can cause further back pain. The patient quickly becomes healthy and strong again. Don’t just accept back pain, take matters into your own hands and improve the quality of your life – seek specialist help at a Spinal Cord Rehabilitation Centre.
Contact: MVZ Praxisklinik Dr. Schneiderhan & Kollegen
Tel: +49 (0)89 / 614510-90
Fax:+49 (0)89 / 614510-12
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