TREATMENTS/MAIN POINTS OF FOCUS
Computer tomography of the head and the entire spinal column:
The Computer Tomography department on the ground floor of our clinic permits us to conduct a real-time (in emergencies even immediate) on-the-spot examination of a patient. Our computer tomography device is specially licensed for the diagnosis of disorders of the head and the entire spinal column.
Electroneurography of peripheral nerves:
The motor and afferent nerve conductivity velocity (NCV) of the nerves in arms and legs is measured with the aid of electroneurography. This allows us to determine whether nerves are being restricted and compressed and whether this might lead to medical complaints.
In addition, where required, electromyographic examinations (abbreviation: EMG, the examination of electrical functions of the skeletal muscles) and somatosensory evoked potentials (abbreviation: SEP, examination of electrical signals in the brain) may be conducted.
Range of surgical treatments:
Microsurgical lumbar intervertebral disc operations
Microsurgical decompression operation for spinal canal stenosis
Stabilisation operation for a slipped disc (spondylolisthesis)
Microsurgical intervertebral disc operations with ventral fusion
Disc problems also arise in the cervical spine as a result of increasing degeneration of the disc nucleus. However, static stress on the cervical spine is not so high as on the lumbar spine, so disc problems in the cervical spine are significantly rarer than in the lumbar spine.
In proven cases of disc problems with neurological dysfunction, it is often necessary to remove the problem disc, which is done via an anterior microsurgical approach.
To achieve normal stress stability of the cervical spine, an intervertebral fusion with an insert to the disc space is also required here.
The post-operative inpatient stay after a cervical disc operation lasts no longer than 2-3 nights in the OstseeKlinik.
Cervical disc prosthesis
|With young patients with a single disc problem and only slight degenerative changes in the cervical spine, we also implant a disc prosthesis to retain freedom of movement and to prevent subsequent adjacent level degeneration.||
Decompression and ventral fusion in cervical spinal canal stenosis
Peripheral nerve compression syndromes:
Decompression of the nervus medianus in carpal tunnel syndrome
Carpal tunnel syndrome is by far the most common compression syndrome of the peripheral nerves.
Many people suffer from increasing numbness of thumb, index finger and middle finger, with the complaints almost always being worst at night. Those affected wake several times a night and they have to shake and move their painful and numb hands.
Decompression of the nervus medianus in the carpal tunnel area helps. This can be done in the OstseeKlinik on an outpatient basis. These days, the affected hand no longer has to be splinted or plastered. It is bandaged, so it can be used for light tasks and heavier tasks are possible again after 6-8 weeks.
Decompression of the nervus ulnaris with sulcus nervus ulnaris syndrome
Because of its exposed position directly over the bone on the elbow, the nervus ulnaris is exposed to numerous stresses and traumas.
Over time, scar formation may increase, choking the nerves more and more. This results in painful paraesthesia or numbness in little fingers and in the ring finger of the affected hand.
When protection and eliminating strain no longer bring relief, it is necessary to perform a decompression of the nervus ulnaris in the elbow area and this can done in the OstseeKlinik on an outpatient basis. The patient merely has to avoid heavy physical work with the affected arm for 6-8 weeks after this operation.
Non-surgical, interventional treatments:
CT-guided periradicular therapy, PRT
With disc problems and disc protrusions that do not lead to compression of the spinal cord and the nerve roots heavy enough to cause dysfunction (paralysis, paraesthesia), we use CT-guided periradicular therapy (PRT).
Here, with computer tomographic viewing and control, a fine needle is used directly on the affected nerve root. Then pain relief medicines are introduced. In this way the affected nerve can be treated in a targeted and controlled manner and with a truly minimal degree of invasion and rapid pain relief can be achieved.
Periradicular therapy, PRT
Periradicular therapy, PRT