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General and special orthopedic methods of treatment

General and special orthopedic treatments for back pain

General and special diagnostics

Journey to the clinics

Microtherapeutic removal of sequestered herniated discs of the lumbar spinal column

Microscopic laminotomy for herniated discs of the lumbar spinal column

Microscopic decompressing laminotomy with the help of a trocar

Artificial disc in the lumbar and cervical spinal column

Reinforcement surgery (spondylosis) of the lumbar spinal column

Micro laser treatment for herniated discs of the cervical spinal column

Microsurgical removal of herniated discs of the cervical spinal column with the help of a trocar

Reinforcement (fusing) surgery for herniated discs of the cervical spinal column

Reversible manipulation of nerve conductors

Injection of bone cement for osteoporosis. Vertebroplasty/balloon-kyphoplasty

Nerve pain in the hands, arms, or legs. Bottleneck syndrome

Features and benefits
Bei Nervenschmerzen durch sogenannte Engpasssyndrome wird der einengende knöcherne Kanal geöffnet und damit die Bedrängung (Kompression) des Nervs behoben. Die häufigste Engpasserkrankung ist das sogenannte Karpaltunnelsyndrom (CTS)


Nerve pain in the hands, arms, or legs. Bottleneck syndrome

Nerve pain in the hands, arms, or legs Bottleneck syndrome of peripheral nerves. Carpal tunnel syndrome, ulnaris syndrome, tarsel tunnel syndrome


With so-called bottleneck syndrome, an important nerve is pinched on an arm or leg. Through degeneration or over-loading, these so-called peripheral nerves surrounding larger joints become constricted and damaged.
The most common bottleneck disease is the so-called carpal tunnel syndrome (CTS), in which the median nerve in becomes pinched in the wrist (the nerve must squeeze through a narrow canal, formed from bone and ligament connections). In addition, the ulnaris nerve is frequently pinched near the elbow (ulnaris syndrome), as well as the shin nerve near the ankle (tarsel tunnel syndrome). The patient suffers from nerve function failure with loss of tactile feeling, paralysis of the hands or feet, and severe pain. These symptoms and pain occur often at night.

Operating technique

Under local anesthetic and, if desired, also under full narcosis, the doctor makes a mere two centimeter incision over the pinched nerve. The constricting, bony canal is then opened and with it, the nerve compression is eliminated. At the same time, protuberant ligament tissue is removed from this point, which significantly reduces the risk of a repeat occurrence. By severe nerve damage around the elbow, it is occasionally necessary to shift the nerve to the inside of the elbow (crook).

Indication

Bottleneck syndrome of peripheral nerves (i.e. carpal tunnel syndrome, ulnaris syndrome, tarsel tunnel syndrome)

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