Conservative Orthopaedics, Treatment Options & Second Opinions

Osteopathic techniques can be useful when complaints are not only structural but also muscular, fascial or functional. Common areas of use include back and neck pain, restricted movement, complaints after sports injuries and chronic tension. The aim is to identify disturbed movement patterns and support mobility of joints, muscles and fascia.

I often use acupuncture for back, neck, shoulder and knee complaints as well as muscular tension. Many patients seek a complementary option when pain persists despite other conservative measures or medication should be reduced. Treatment is performed with fine needles and is individually adapted. In chronic pain syndromes and functional disorders, it can be part of an overall concept.

I use kinesio tapes to support sports injuries, muscle tension, tendon irritation or joint complaints. They can relieve overloaded structures and improve body awareness. Common areas of use include shoulder, knee, Achilles tendon, back and elbow. Kinesiotaping does not replace diagnostics, but it can be sensibly integrated into an individual treatment concept.

PRP or ACP is obtained from the patient's own blood and introduced specifically into tendons, muscles or joints. In my practice, it may be considered for tendon irritation, tennis elbow, Achilles tendon complaints, muscle injuries or selected joint complaints. Because the body's own components are used, it is an individualized procedure. Suitability depends on diagnosis, duration of symptoms and previous therapies.

Hyaluronic acid is used mainly for wear-related changes and load-related complaints of larger joints, often the knee, shoulder, hip or ankle. The aim is to support joint function and reduce symptoms in everyday life or sport. Not every joint pain benefits equally. A thorough examination is carried out beforehand to determine whether this therapy fits the symptom pattern.

Cortisone injections can be effective for pronounced inflammatory reactions in joints, bursae or tendon insertions. The aim is to reduce inflammation and pain and improve mobility. I use cortisone in a targeted and cautious way when other measures are insufficient or rapid anti-inflammatory treatment is medically useful. The decision is made individually after examination and diagnosis.

Local injections are established conservative options for complaints of the spine, joints, tendons or muscles. They are particularly useful when pain can be assigned specifically to a structure. Common areas of use include spinal irritation, nerve root complaints, joint inflammation or painful tendon insertions. The aims are pain reduction, better mobility and narrowing down the pain source.

In neural therapy, local anaesthetics are injected specifically into skin, muscle, scar or trigger points. It is used for chronic pain, muscle tension, scar complaints or functional disorders of the musculoskeletal system. The aim is to positively influence disturbed regulatory circuits of the nervous system and reduce pain. I discuss suitability after a thorough examination.

Manual medicine deals with the diagnosis and treatment of functional disorders of joints, muscles and the spine. Complaints cannot always be explained by imaging alone, but often arise from disturbed movement patterns or blockages. Typical areas of use are back, neck, shoulder, rib or pelvic pain. The aim is to restore mobility and treat complaints as conservatively as possible.

Chiropractic therapy is part of manual medicine and is used to treat certain joint blockages. The spine, ribs, pelvis or joints of the extremities are often affected. After careful examination, targeted manual impulses can release restrictions of movement and reduce complaints. Not every cause of pain is suitable; therefore I assess benefit and safety before each application.

Yes. Many orthopaedic complaints can be improved sustainably with targeted physiotherapy, physical therapy and active exercises. After the examination, I discuss which therapy is appropriate. It is not only about reducing pain, but also about mobility, muscle building, coordination and preventing recurrent complaints. Especially for back problems, joint complaints and sports injuries, physiotherapy is an important component.

SpineMED therapy is a computer-controlled procedure for relieving the spine. Unlike simple traction treatments, the traction force is transferred to the affected spinal segment in a targeted and controlled way. The aim is to reduce pressure on intervertebral discs, nerve roots and surrounding structures. Treatment takes place lying on the back and is individually adapted.

SpineMED may be considered especially for herniated discs, protrusions, sciatic pain, nerve root irritation and chronic back and neck pain. Typical signs are radiating pain into the arms or legs, tingling, numbness or load-dependent back pain. Not every patient benefits equally; therefore examination and, if necessary, assessment of existing MRI images are carried out.

Water-pressure massage is performed on a special couch in which warm water jets act on muscles and soft tissues through a flexible surface. Many patients find it pleasant because the muscles are loosened without direct pressure on painful regions. It can be useful as an additional measure for back complaints, muscle tension, stress load or after sport.

My focus is conservative orthopaedics and sports medicine. This includes acupuncture, osteopathy, manual medicine, chiropractic therapy, kinesiotaping, neural therapy, targeted infiltrations, PRP and hyaluronic acid treatments, shockwave therapy, SpineMED therapy as well as training and physiotherapy concepts. Many complaints can be treated without surgery. If surgery is necessary, I am connected with experienced specialists in Mallorca.

A recommended operation does not automatically mean that a conservative route is no longer possible. For the knee, shoulder, hip, spine or tendons, an independent second opinion can help. Bring existing MRI, CT or X-ray images with you. As an orthopaedist working conservatively, I assess findings independently and discuss opportunities, risks and alternatives. If surgery is necessary, I refer to experienced surgeons.