Services
Treatment of the entire spectrum of neurosurgical disorders with a special focus on minimally invasive therapy (MIC), spinal surgery, pain management procedures and many other neurosurgical procedures.
Pain therapy procedures
Special pain therapy procedures can be used to treat even seemingly hopeless cases of pain. This can significantly improve quality of life.
Elimination of pain fibres in the vertebral joints through ablation
Denervation is a minimally invasive procedure that is performed on an outpatient basis for chronic pain in the back and pelvic area. It can be repeated two to three times to achieve lasting pain relief.
Millimetre-thin surgical needles are guided to the pain-conducting nerve endings on the spine. These are then ablated using a short-term heat (thermodenervation) or cold stimulus (cryodenervation). High-frequency electrical currents or a special cold generator are used. Thanks to local anaesthesia, the patient usually only feels a sensation of pressure during this procedure.
An even gentler alternative is pulsed radiofrequency (RF) stimulation of the nerve tissue. The positive biological and physical effects on pain have been confirmed by numerous studies.
Facet infiltration on the spine and joints
In cases of painful joint disorders (not of rheumatic origin), the targeted injection of anti-inflammatory drugs and/or water-binding artificial joint fluids (e.g. hyaluronic acid) can help to significantly relieve pain and improve mobility.
As the anatomical structures are clearly visible during the injection under X-ray, CT or ultrasound guidance, the risk of injection in the wrong location is minimized.
The procedure is performed on an outpatient basis and must be combined with professional physiotherapy.
Nerve root treatment (periradicular therapy)
Periradicular therapy has been developed for patients with nerve root pain and abnormal sensations caused by disc protrusion or disc herniation.
Under computer or MRI guidance and local anaesthesia, thin needles are inserted into the exit hole of the irritated nerve root. A contrast agent makes it possible to see where the nerve and needle are located.
Once the needle has reached its target, the neurosurgeon injects pain-relieving and decongestant medication precisely at the site of the problem.
In cases of scar tissue (previously operated patients), a fine endoscope can also be used to release the nerve tissue under visual control.
Thanks to the use of modern X-ray technology, these procedures, which are performed on an outpatient basis under local anaesthetic, are particularly safe and efficient.
If there is an improvement in symptoms after the first session, the procedure is repeated several times at intervals of one to two weeks to help achieve long-term pain relief.
Neuromodulation for intractable pain (SCS)
Many patients suffer from pain that does not respond adequately to physiotherapy or medication. There are many reasons for this. Often, the cause can no longer be remedied, or surgery would be too invasive, too dangerous and therefore not advisable.
The nerves send signals to the brain when touched or even spontaneously, which are perceived as unpleasant sensations such as burning or knife-like stabs, even at rest (neuropathy).
This is where neuromodulation (SCS) comes in. It is a method that has been established for 30 years for the treatment of seemingly unrelievable pain. With a simple procedure, a permanent reduction in pain of more than 50% can be achieved in about 85% of patients.
Elimination of pain fibres in the vertebral joints through ablation
Denervation is a minimally invasive procedure that is performed on an outpatient basis for chronic pain in the back and pelvic area. It can be repeated two to three times to achieve lasting pain relief.
Millimetre-thin surgical needles are guided to the pain-conducting nerve endings on the spine. These are then ablated using a short-term heat (thermodenervation) or cold stimulus (cryodenervation). High-frequency electrical currents or a special cold generator are used. Thanks to local anaesthesia, the patient usually only feels a sensation of pressure during this procedure.
An even gentler alternative is pulsed radiofrequency (RF) stimulation of the nerve tissue. The positive biological and physical effects on pain have been confirmed by numerous studies.
Facet infiltration on the spine and joints
In cases of painful joint disorders (not of rheumatic origin), the targeted injection of anti-inflammatory drugs and/or water-binding artificial joint fluids (e.g. hyaluronic acid) can help to significantly relieve pain and improve mobility.
As the anatomical structures are clearly visible during the injection under X-ray, CT or ultrasound guidance, the risk of injection in the wrong location is minimized.
The procedure is performed on an outpatient basis and must be combined with professional physiotherapy.
Nerve root treatment (periradicular therapy)
Periradicular therapy has been developed for patients with nerve root pain and abnormal sensations caused by disc protrusion or disc herniation.
Under computer or MRI guidance and local anaesthesia, thin needles are inserted into the exit hole of the irritated nerve root. A contrast agent makes it possible to see where the nerve and needle are located.
Once the needle has reached its target, the neurosurgeon injects pain-relieving and decongestant medication precisely at the site of the problem.
In cases of scar tissue (previously operated patients), a fine endoscope can also be used to release the nerve tissue under visual control.
Thanks to the use of modern X-ray technology, these procedures, which are performed on an outpatient basis under local anaesthetic, are particularly safe and efficient.
If there is an improvement in symptoms after the first session, the procedure is repeated several times at intervals of one to two weeks to help achieve long-term pain relief.
Neuromodulation for intractable pain (SCS)
Many patients suffer from pain that does not respond adequately to physiotherapy or medication. There are many reasons for this. Often, the cause can no longer be remedied, or surgery would be too invasive, too dangerous and therefore not advisable.
The nerves send signals to the brain when touched or even spontaneously, which are perceived as unpleasant sensations such as burning or knife-like stabs, even at rest (neuropathy).
This is where neuromodulation (SCS) comes in. It is a method that has been established for 30 years for the treatment of seemingly unrelievable pain. With a simple procedure, a permanent reduction in pain of more than 50% can be achieved in about 85% of patients.
Pain therapy using spinal catheter technology
In this procedure, which is performed under local anaesthetic on an outpatient basis or during a two- to three-day inpatient stay, a very thin, flexible tube is inserted through natural openings in the spine under continuous X-ray guidance and temporarily placed on the spinal cord membrane.
In difficult anatomical conditions, the neurosurgeon uses a fine endoscope to place the catheter precisely, i.e. scar tissue can be loosened under visual control and the nerve fibres that are compressed by the disc tissue can be released. An effective solution of anaesthetics, anti-inflammatory substances and tissue-shrinking enzymes is then flushed in. This method is particularly suitable for patients with protrusions at several levels or scar tissue adhesions following spinal surgery.
Pain therapy using spinal catheter technology
In this procedure, which is performed under local anaesthetic on an outpatient basis or during a two- to three-day inpatient stay, a very thin, flexible tube is inserted through natural openings in the spine under continuous X-ray guidance and temporarily placed on the spinal cord membrane.
In difficult anatomical conditions, the neurosurgeon uses a fine endoscope to place the catheter precisely, i.e. scar tissue can be loosened under visual control and the nerve fibres that are compressed by the disc tissue can be released. An effective solution of anaesthetics, anti-inflammatory substances and tissue-shrinking enzymes is then flushed in. This method is particularly suitable for patients with protrusions at several levels or scar tissue adhesions following spinal surgery.