Conservative therapies
Alternatives to surgery
Treatments on the spine and joints
We successfully offer treatment by means of medicinal or physical therapies (so-called conservative therapies) in our practice. These procedures completely dispense with surgical measures. Physiotherapists and masseurs in particular regularly use them to treat their patients. Users of physical therapy work with direct current or infrared light, among other things.
Conservative therapy includes chirotherapy/manual therapy, extracorporeal shock wave therapy, magnetic field therapy, laser therapy, arthrosis therapy, osteoporosis therapy, rheumatism therapy, infusion therapy, hyaluronic acid injections, needling and punctures of calcifications as well as trigger point treatment. You will also receive acupuncture and kinesio taping.
We offer a variety of conservative therapies to relieve pain and will be happy to advise you on our diverse therapy methods, such as osteoarthritis therapy.
Our therapies at a glance
Shock wave therapy
Stoßwellentherapie in Berlin
Our shock wave therapy in Berlin is a gentle and non-invasive treatment for chronic tendon and muscle disorders, inflammation or injuries. Many orthopaedic problems – from the shoulder to the heel – can be treated with extracorporeal shock wave therapy (ESWT): Extracorporeal here means that it is an external application outside the body, which means that treatment with shock waves is very painless and has no known side effects. In some cases, shock wave therapy can even avoid surgery.
Stem cell therapy
Stem cell therapy in Berlin
Stem cell therapy is one of the modern methods of regenerative medicine. It utilizes the ability of certain of the body’s own cells to repair damaged tissue and stimulate healing processes.
In orthopedics, the primary focus is on the regeneration of joint, cartilage, tendon, and connective tissue . The goal of treatment is to alleviate pain, improve mobility, and slow down the progressive degeneration of these tissues.
In contrast to purely symptom-oriented therapies, stem cell therapy pursues an approach that aims to support the body’s own regeneration mechanisms.
PRP therapy
PRP and ACP therapy in Berkin
Chronic joint pain, tendon irritation, and sports injuries can no longer be treated solely with medication or surgery. In modern orthopedics, we increasingly rely on the body’s own healing mechanisms to reduce inflammation and promote regeneration.
One innovative approach is PRP therapy ( platelet-rich plasma ), in which growth factors from the patient’s own blood are used in a targeted manner. A frequently used variant of this is ACP therapy ( autologous conditioned plasma ), which is particularly pure and well-tolerated.
Osteoporosis therapy
Osteoporosis therapy
As the disease progresses, osteoporosis increasingly leads to a reduction in bone density and mass. The consequences are pain in the affected bones and an increased risk of fracture. If osteoporosis is suspected, we can carry out a bone density measurement in addition to a clinical examination and determination of laboratory parameters.
What does osteoporosis therapy involve?
Osteoporosis therapy includes a consistent change in lifestyle and diet (e.g. more exercise, spending more time in the sun, sufficient calcium intake, reducing tobacco and nicotine consumption), conscious fracture prophylaxis (prevention of fractures such as removing “tripping hazards” in the home) and drug therapy based on the guidelines of the DVO (Dachverband Osteologie e. V.).
Osteoarthritis therapy
Osteoarthritis therapy
Osteoarthritis is the most common joint disease worldwide. Joint wear and tear (osteoarthritis), which leads to wear and tear of the joint cartilage and consequently to changes in the bone, often causes discomfort and pain. Typical symptoms of this disease are initial pain, effusion, joint deformities, functional limitations and movement-dependent pain.
More about osteoarthritis therapy
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DIE DIAGNOSE
Die wichtigsten Ziele unserer Arthrose-Therapie in Dahlem sind Schmerzreduktion, vollständige Schmerzfreiheit und die Vermeidung mechanischer Einschränkungen. Wenn Sie unter Gelenkschmerzen leiden, dann kontaktieren Sie unser Team der orthopädischen Praxis Ortho Eins in Berlin Zehlendorf: Rufen Sie gleich bei Ihrem Arthrose-Spezialisten in Berlin an und vereinbaren Sie einen Termin in unserer Privatpraxis für Orthopädie. Sie kommen aus Zehlendorf, Steglitz, Dahlem, Wilmersdorf, Spandau, Schöneberg, Tempelhof, Grunewald, Mitte, Charlottenburg oder aus anderen Bezirken in Berlin? Oder wohnen Sie in Brandenburg (z. B. Potsdam, Stahnsdorf, Teltow, Güterfelde, Ludwigsfelde oder Kleinmachnow)? Egal woher Sie aus Deutschland kommen, unsere Arthrose-Spezialisten in Berlin finden individuell für Ihren Fall die richtige Arthrose-Therapie.
SO GEHEN UNSERE SPEZIALISTEN BEI GELENKSCHMERZ VOR
Um in der Arthrose-Therapie erfolgreich behandeln zu können, bedarf es eines ausführlichen Anamnesegesprächs mit Ihrem Gelenk-Arzt in unserer orthopädischen Praxis in Berlin Zehlendorf. Unsere Arthrose-Spezialisten werden Sie zunächst über Beschwerden, Veranlagung, Operationen und Verletzungen befragen. Zusätzlich prüft der erfahrene Arthrose-Arzt in Berlin die Beweglichkeit des betroffenen Gelenks. Darüber hinaus kann der Grad der Arthrose über ein Röntgenbild, Ultraschall, MRT oder CT ermittelt werden. Unser Facharzt für Arthrose in Berlin erkennt Arthrose meist schon an den typischen Beschwerden und durch eine äußerliche Untersuchung der Gelenke. Bewegungsumfang, Bewegungsschmerz, Gelenkschwellung, Hautveränderungen und ein Gangbild lassen unsere Orthopäden erkennen, ob Sie unter Arthrose leiden und ob eine Arthrose-Therapie für Sie infrage kommt.
DAS SIND DIE MASSNAHMEN BEI DER ARTHROSE-THERAPIE IN BERLIN ZEHLENDOR
Der vorhandene Schaden am Knorpel kann durch eine Arthrose-Therapie nicht rückgängig gemacht werden. Dennoch gibt es viele Möglichkeiten, den Verschleiß aufzuhalten und die Beschwerden zu lindern und sogar Schmerzfreiheit zu erlangen. Was hilft gegen Arthrose? Wie lassen sich Gelenkschmerzen richtig behandeln? Wichtig für eine gute Arthrose-Behandlung ist, dass die Gelenkkrankheit frühzeitig erkannt wird, damit effektive Gegenmaßnahmen eingeleitet werden können. Nicht nur Physiotherapie und Schmerzmittel helfen gegen Arthrose: Unsere Arthrose Spezialisten in Berlin bieten Ihnen viele unterschiedliche Arthrose-Therapien an – von Hyaluronsäure-Therapie über Radiofrequenz-, Magnetfeldtherapie und Lasertherapie bis zur Eigenblutbehandlung (PRP-Therapie und Orthokin-Methode). Entsprechend Ihrer individuellen Bedürfnisse finden wir die am besten geeignete orthopädische Behandlung für Sie. Unsere Arthrose-Therapie umfasst unter anderem folgende Behandlungen und Therapieformen:
- Hyaluronsäuretherapie
- Gelenkspülung
- (gepulste)Radiofrequenztherapie
- Akupunktur - Magnetfeldtherapie
- Lasertherapie
- Einlagenversorgung/Schuhzurichtungen
- Versorgung mit Bandagen/Orthesen
WAS SIND DIE URSACHEN FÜR ARTHROSE? ANTWORTEN VOM ARTHROSE-THERAPEUT
Arthrose ist eine degenerative Gelenkerkrankung, bei welcher der Knorpel an den Gelenken langsam abgebaut wird. Der Knorpel an den Gelenken verschleißt also. Wie kommt es zu Arthrose? Vor allem falsche Belastung und Abnutzung schaden dem Knorpel und führen zu einem allmählichen Abbau. Als häufigste Ursache für Arthrose ist die altersbedingte Abnutzung des Gelenkknorpels zu nennen – die primäre Arthrose. Bei der sekundären Arthrose kommen auch Ursachen wie Vorerkrankungen oder Verletzungen infrage. Bei beiden Arten kann eine Arthrose-Therapie Abhilfe schaffen.
AN WELCHEN GELENKEN HILFT EINE ARTHROSE-THERAPIE?
Der Knorpel an den Gelenken dient als Schutzschicht zwischen den beiden Knochenenden. Er soll verhindern, dass die beiden Knochen aneinander reiben. Zudem dämpft er Stoßbewegungen ab, indem er die Belastung gleichmäßig auf das Gelenk verteilt. Im Körper befinden sich rund 100 voll ausgeformte Gelenke. Ist nur ein Gelenk betroffen, spricht man von Monarthrose, bei mehreren Gelenken ist die Rede von Polyarthrose; für die Arthrose-Therapie ist die Anzahl der betroffenen Gelenke jedoch unerheblich. An jedem Gelenk kann Arthrose auftreten; betroffen sind jedoch am häufigsten die Gelenke, die viel beansprucht werden:
- Hüfte (Coxarthrose)
- Schulter (Omarthrose am Schultergelenk oder ACG-Arthrose am Schultereckgelenk)
- Wirbelsäule (Facettgelenkarthrose)
- Knie (Gonarthrose)
- Sprunggelenk (OSG-Arthrose)
- Füße insbesondere am Großzehengrundgelenk (Hallux rigidus)
- Hände und Finger insbesondere am Daumen (Rhizarthrose bzw. Daumensattelgelenk-Arthrose).
Sie haben Arthrose oder leiden unter Gelenkschmerzen? Sie haben Fragen zu Gelenkerkrankungen? Rufen Sie unsere Orthopäden in unserer orthopädischen Praxis für Privatpatienten und Selbstzahler an und vereinbaren Sie einen Termin mit unseren Arthrose Spezialisten in Berlin. Unsere erfahrenen Gelenkärzte in Zehlendorf geben Ihnen Antworten auf Ihre Fragen zur Gelenktherapie. Gemeinsam mit Ihnen ermitteln unsere Gelenk-Spezialisten die ideale Arthrose Therapie für Sie.
DAS SIND DIE TYPISCHEN SYMPTOME VON ARTHROSE
Arthrose verursacht bei vielen Betroffenen starke Schmerzen und kann zu einer Versteifung der Gelenke führen. Zu den typischen Symptomen bei Arthrose zählt beispielsweise der Anlaufschmerz. Dabei kommt es nach einer längeren Ruhephase zu Beginn einer Bewegung zu Schmerzen: so etwa beim Aufstehen nach längerem Sitzen. Normalerweise lässt der Schmerz nach kurzer Bewegung wieder nach. Ein häufiges Anzeichen für Arthrose ist auch die Morgensteifigkeit. Nach dem Aufstehen fühlen sich die Gelenke steifer an, dies gibt sich aber relativ schnell wieder. Bei einer Entzündung der Gelenke hält diese Steifigkeit hingegen länger an. Zusätzlich kann es zu Druckempfindlichkeit an den Gelenken, schlechterer Beweglichkeit, Knirschen bei der Bewegung oder Schwellungen kommen. Egal, welche Symptome Sie haben, wir können Ihnen mit einer professionellen Arthrose-Therapie helfen. -->
Rheumatism therapy
Rheumatic diseases are often characterized by joint complaints that can be accompanied by pain, effusion, restricted movement or acute inflammatory processes. In this case, we have various treatment options at our disposal, which are individually tailored to the patient depending on the findings and symptoms. These conservative treatment options include joint injections, joint lavage, cortisone and infusion treatment, acupuncture, electrotherapy, orthotic and bandage treatment and kinesio tapes.
In a personal consultation, we will explain the advantages and disadvantages of the individual therapies and find the most suitable one for you.
Trigger point treatment
Trigger point therapy in Berlin from ORTHO EINS uses heat, massages or shock waves to relieve painful muscle stiffness. Our orthopaedic specialists identify the sore spot by taking a holistic view of the patient and find the right therapy to combat the pain. Our Berlin sports physicians and specialists treat privately insured and self-paying patients from Zehlendorf, Dahlem, Wannsee, Steglitz, Wilmersdorf, Grunewald and all of Berlin. Of course, our orthopaedists are also happy to receive visitors from Potsdam, Teltow, Kleinmachnow, Brandenburg and all over Germany.
Just give us a call – the specialists around Dr. Christopher Topar will be happy to inform you about the possibilities of trigger point massage.
WHAT IS A TRIGGER POINT? CAUSE AND SYMPTOMS
Myofascial trigger points or myogeloses are shortened and hardened muscle fibers that appear as knots in the muscles. These pain points are often caused by incorrect loading, overloading, tension, postural disorders or other illnesses. The hardened muscles are usually sensitive to pressure and can cause or trigger pain, which is caused by the impaired blood circulation at this point and the deposition of metabolic toxins and inflammatory substances. Myofascial trigger points can occur in the entire musculature and cause pain.
DIAGNOSIS & CONSEQUENCES OF UNTREATED TRIGGER POINTS
The triggers lead to tension, hardening and limited muscle function as well as restricted movement, although these functional disorders do not have to occur directly in the area of the trigger point. Tension and pain often occur in the shoulder/neck area, jaw, calves or buttocks. The muscle hardening triggers pain that can also occur in other parts of the body. Trigger points in the trapezius muscle and the levator scapulae muscle can cause neck pain, headaches or pain behind the eyes, for example. This is why trigger point diagnosis is complex: X-rays, ultrasound or similar methods do not make trigger points visible. The trigger points that cause the pain are identified by palpation and can then be treated effectively. Trigger point treatment by a good specialist can quickly resolve the pain points and alleviate discomfort. The aim of trigger point treatment by a specialist in orthopaedics is to precisely localize and eliminate the trigger point. Children and adolescents can also be affected. This is why we also use trigger point treatments to relieve pain in our pediatric orthopaedics department in Berlin.
TRIGGER POINT TREATMENT & TRIGGER POINT MASSAGE NEAR YOU: ORTHOPÄDIE BERLIN ZEHLENDORF
The experienced orthopaedists at ORTHO EINS orthopaedics in Berlin Zehlendorf have many years of experience and professional foresight to identify the trigger point causing the pain and treat it effectively.
Trigger point therapy is used for
- for back pain,
- For tension in the shoulder and neck area
- for muscle stiffness
- Sports injuries and training damage
- for complaints of the Achilles tendon and other tendons
- Joint pain in the elbows, knees and hips
- Pain caused by the sciatic nerve.
During trigger point treatment, our orthopaedists localize the myofascial trigger points in your muscles and destroy them in a targeted manner. This is done – depending on the trigger point therapy used – with pressure (trigger point massage) or microstimulation through shock wave therapy. This effective trigger point treatment can quickly relieve your pain and discomfort. An application in our orthopaedic practice for private patients and self-payers takes about 20 minutes.
SUCCESSES OF THE TRIGGER POINT TREATMENT AT YOUR ORTHOPAEDIST ORTHO EINS IN BERLIN
Trigger point treatment improves the blood supply to the muscle fibers. This allows the muscle to regain elasticity and functionality, while at the same time the treatment helps to relieve tension and pain and reduce swelling. With trigger point therapy, tension can be treated in a targeted manner and annoying pain such as back pain, shoulder pain or muscle pain can be alleviated. Trigger point massage or trigger point treatment by our experienced orthopaedists in Berlin Zehlendorf is carried out on the basis of in-depth medical and anatomical knowledge and is therefore safe and targeted.
Infusion therapy
We use infusion therapy to treat symptoms for which targeted, local therapies do not lead to the desired reduction in pain.
We first insert a very fine needle into a vein, fix it in place and then connect it to the infusion. The dosage is precisely adjusted to the patient beforehand and the course of therapy is constantly monitored.
It makes sense to administer an infusion of pain and anti-inflammatory medication over a period of 3-5 days. Support is provided by one of our trained employees.
Injections with hyaluronic acid
Hyaluronic acid therapy makes use of the natural properties of this substance to treat osteoarthritis or other joint problems: Hyaluronic acid is a natural component of human connective tissue. It is found in the intervertebral discs, cartilage and skin, among other places. Hyaluronic acid binds moisture, is a nutrient carrier and has anti-inflammatory properties. Thanks to its viscosity, hyaluronic acid acts like a shock absorber. It therefore fulfills an important protective function, especially in the joints.
After a hyaluronic acid injection at Orthopaedist Dr. Topar in Berlin Zehlendorf, you will benefit from the regenerative properties of hyaluronic acid and a minimally invasive, conservative therapy. Let us advise you on your options and the procedure for hyaluronic acid injections in our private practice!
HYALURONIC ACID INJECTIONS FOR JOINT COMPLAINTS
If joint wear and tear such as osteoarthritis, joint injuries, heel spurs or chronic irritation of tendons occurs, a good orthopaedist can provide relief with a hyaluronic acid injection. It is injected into the joint space to improve the synovial fluid. The hyaluronic acid injection promotes the synovial fluid and thus the gliding ability of the individual joints.
PROCEDURE OF HYALURONIC ACID THERAPY
In arthrosis therapy, the orthopaedic surgeon injects three to five hyaluronic acid injections into the affected joint at one-week intervals. In the case of tendon tissue disease, hyaluronic acid therapy with a single injection is usually sufficient to relieve the pain. Depending on the patient, the effect, i.e. a reduction in pain or improved joint mobility, lasts between 3 and 12 months. As long as patients benefit from the effect of hyaluronic acid injections, they are refreshed at certain intervals in the event of joint inflammation or osteoarthritis.
At ORTHO EINS Orthopaedics, hyaluronic acid is used to treat various types of joint wear:
- Osteoarthritis (knee osteoarthritis, joint osteoarthritis, etc.)
- Cartilage injuries (cartilage damage, injuries to the joint cartilage)
- Heel spur
- Irritation of tendon insertions such as tennis elbow
- Chronic irritation of the Achilles tendon
Punctures
Swelling and effusion in tissues or joints can occur as a result of wear and tear, inflammation, surgery or injury. In the case of fluid accumulation, a puncture is occasionally required to relieve the pressure on the structures (e.g. in the knee, shoulder or hip joint).
To determine the extent, volume and consistency of the swelling or effusion, we usually carry out a sonography (ultrasound). Once the puncture site has been determined, an appropriate cannula is inserted into the joint or soft tissue structure and the fluid is withdrawn. This relieves the structures more quickly, resulting in a rapid reduction in pain. For each puncture, we assess individually whether an anti-inflammatory and pain-relieving substance should be injected after a successful procedure.
Based on the appearance of the tissue fluid taken, we then decide whether the sample should be sent to a laboratory for further examination, e.g. if an infection is suspected. For this purpose, the pathogen must be determined in order to be able to initiate an effective therapy.
A puncture is usually not particularly painful. They are performed under very sterile conditions, on an outpatient basis and under local anesthesia.
Migraine/headache treatment
Migraine is a chronic, periodically recurring headache. This is often accompanied by symptoms such as nausea, vomiting and sensitivity to light and sound.
The causes of these complaints are often not yet clearly understood. However, one thing is widely known: Migraines are often caused by an irritated 3rd occipital nerve (leading from the neck to the back of the head). Whether this is the cause of the attack can be determined at the beginning of a migraine by injecting the nerves. This is the case if you are symptom-free for the duration of the local anesthetic after the injection. The nerve is then treated accordingly.
Therapy for injuries and accidents
Injuries such as broken bones, strains, torn muscle fibers, bruises, cuts and whiplash sometimes occur during sport, at home and in everyday life. Thanks to state-of-the-art technical equipment in-house (ultrasound, X-ray, MRI and CT), we can immediately get a picture of your injury, make a diagnosis and initiate the necessary treatment (e.g. chirotherapy, injections, punctures, dressings and sutures).
The orthopaedic medical supply store in the building offers the possibility of immediate bandage or orthotic treatment for immobilization or relief. This enables us to guarantee short distances and fast medical care.
Acupuncture
Acupuncture, a Chinese therapy method that is thousands of years old, treats complaints by inserting needles at designated acupuncture points on the so-called meridians. According to the Chinese view, the life energy runs through these, whereby the balance between yin and yang must sometimes be restored. The treatment can eliminate or reduce disturbances in the energy flows within the body.
Depending on the clinical picture, we insert different numbers of needles, which remain in the skin for about 20 minutes and are then removed. The treatment cycle takes 10-12 sessions. When performed correctly, acupuncture is free of side effects.
Dr. Topar’s TCM training provides him with specialized knowledge and skills that enable optimal treatment. We use acupuncture to treat chronic joint complaints, arthrosis complaints/joint pain (e.g. in arthrosis therapy), back pain, shoulder/neck complaints, rheumatic diseases, muscle stiffness, tendon insertion disorders, headaches, migraines and ringing in the ears (tinnitus). We also carry out acupuncture to support nicotine cessation and weight loss.
Provision of orthopaedic aids
Orthopaedic aids include, for example, supports, orthoses, splints and crutches. These are usually unavoidable for the treatment of bruises or tendon stretches. People with a leg injury often need walking aids to be able to move freely.
There is an orthopaedic medical supply store in our practice building that offers all kinds of aids. Here you will not only receive prompt care, but also instruction in the function and handling of the prescribed equipment.
Insole supply
In the course of our lives, our skeleton and musculoskeletal system are constantly changing. The feet are also affected. Shoe inserts are often required to enable pain-free walking into old age. These insoles should be custom-made and meet the respective functional requirements, e.g. support for the inner edge of the foot.
Sports Medicine Berlin
At Dr. Christopher Topar’s specialist practice for sports medicine and sports orthopaedics in Berlin Zehlendorf, professional sports doctors and sports physicians will advise and treat you. With a great deal of experience and expertise, we take care of your sports injuries, sports accidents, training injuries or fitness injuries and help you recover. Our aim is to get you back into your sport as quickly as possible and in the best possible way, and to enable you to maintain your resilience over the long term.
SPORTS MEDICAL PRACTICE AND SPORTS ORTHOPAEDICS WITH THE LATEST THERAPIES AND SPORTS MEDICAL DIAGNOSTICS
In order to be able to treat sports injuries and sports damage as early and effectively as possible, our sports physicians work with the latest diagnostic procedures and therapies. For sports medical diagnostics, we rely on diagnostic techniques such as ultrasound, X-ray, MRI or CT in addition to the palpation findings of our experienced and specially trained sports physicians. After a detailed medical history and diagnosis, the attending physician will work with you to develop the ideal therapy for your symptoms.
There is a wide range of possible injuries in sports medicine: Joint pain, muscle injuries, muscle overload, knee problems, tendonitis, ankle sprains, ligament injuries, sprains and bruises – our sports orthopaedists and sports physicians in Berlin Zehlendorf will find the right treatment and therapy for everything. We use state-of-the-art therapies such as trigger point treatments, pain therapies, hyaluronic acid therapy, magnetic field therapy or shock wave therapy in Berlin. Our sports medicine department in Berlin Zehlendorf also offers manual medicine such as chirotherapy, acupuncture and kinesio tape. Visit us at our sports medicine practice in Berlin Dahlem. Sports Medicine Zehlendorf is located directly at the Oskar Helene Heim subway station and is easily accessible by BVG or car. Thanks to the large parking garage, you will find a parking space in the immediate vicinity of our orthopaedic specialist practice.