The micro invasive therapy

In my practice I give the priority to the micro invasive therapies of the following spine diseases

• Prolapsed intervertebral discs and protrusions of intervertebral discs
• Spinal canal stenosis (congenital or acquired ones)
• Degenerative changes of the spinal facet joints (facet syndrome)
• Functional and degenerative changes of the iliosacral joints
• Arthrosis of all joints (hip joint, shoulder joint, knee joint …)

  The method of first choice is the micro invasive therapy. The therapeutic spectrum includes:

• The CT-controlled Peridural Catheter Therapy according to SALIM
• The CT-controlled periradicular therapy
• The LASER therapy of medial prolapsed discs under CT control
• The CT-controlled facets infiltration or facets denervation by LASER or Kryotherapy under CT control
• The CT-controlled iliosacral joint therapy including S2 block to treat pain in the sacral joint
• CT-controlled joint therapy of the hip, knee, ankle, shoulder, elbow, hand and mandibular joint including the application of hyaluronic acid gel

Excepting the Peridural catheter therapy and the LASER therapy all the micro invasive treatments are managed in a therapy cycle of three interventions to achieve the best results.
They are outpatient therapies.
If the micro invasive therapy doesn’t lead to the expected success, the invasive operation is the ultimate ratio.

The operative spectrum includes

• The micro surgical operation of prolapsed discs in the lumbar and cervical spine
• The micro surgical operation of spinal canal stenosis in the cervical and lumbar area
• The operation of peripheral nerves like carpal tunnel syndrome of sulcus ulnaris syndrome

All spine operations are performed in general anesthesia and by micro surgical technique, that means under operation microscope. The peripheral nerve operations are performed in local anesthesia.