Cruciate Ligament Reconstruction
Non surgery treatment with a special proprioceptive training protocol might be the first choise. I use the HUBER 360 training international.chattgroup.com/products/huber-360-md in co-work with physiotherapy on balance boards. When stabilisation and pain freedom does not reach, surgical treatment should recommended.
The classic procedure is the implant free (no screw or other fixation aids) BTB ACL reconstruction from the medial patellar tendon with well proved outcome for more than 30 years. The technology is mature and offers a high degree of safe healing and a high stabilsation within 20 years experience ACL reconstruction film. Arthroscopic cruciate ligament technique with semitendinosus (ST) and small absorbable screw is an alternative for low impact sport and activity. There is a disadvantage in reduced power of extension in sprint and jumps and hip disorders. Innovative technique www.ligamys.com restore the body’s cruciate ligament in freshly injured cruciate ligament tears using arthroscopical sutures of the ligament stumps and a dynamic stabilisation.
Biological self healing responce in ACL
In partial ruptured ligaments with a lower degree of instability an arthroscopical procedure stimulating the self healing of the ligament with the help of stem cells from the own bone marrow is successfully used. In addition with new functional braces and HUBER 360 training the results are mostly the same like reconstruction. But less surgery stress and now lost of donor tendons of the knee.
Arthroscopic surgery uses modern options to preserve the meniscus. Smaller tears of the meniscus can be stabilize with the knee physiotherapy. Larger tears give particularly unstable feeling and blocking the knee with painful irritation. This requires an arthroscopic partial removal of meniscal tissue. For fresh meniscal tears of the meniscus, the meniscus is reattached with suture techniques. In meniscal loss or even after previous surgery on the meniscus a menicusmatrix offers treatment options.
• Arthroscopic meniscus partial resection
• Arthroscopic meniscal repair with sutures
• Arthroscopic meniscus meniscus replacement with implants in certain cases / CMI www.ivysportsmed.com or Actifit www.actifit.info
Overloading of the knee are common in sports. Specially in outdoor sports or playing football for a long time different joint structures are overloaded. You need sophisticated treatment methods to restore the function of the joint structures .
• meniscus damage
• Cartilage Damage
• Cruciate Ligament Rupture
• capsulare injury
• knee cap discomfort
The concept of MOTION focuses on the preservation and restoring of joint structures. To prevent early osteoarthritis. Today injection with hyaloron acid or PRP human growth factors are effective in therapy.
Cartilage damage is often and a typical injury in sports. Injuries are treated individually according to the patient’s size, load profile and static axis. Various methods have been established in recent years:
• Small cartilage damage are treated with suitable growth activators like Autologe Conditioned Plasma (ACP) or Platelet-Rich-Plasma (PRP)
• Microfracturierung to regain fibrocartilage stimulation of small articular surface defects / biological self healing technique
• larger cartilage defects treated with:
autologous chondrocyte implantation (ACI) – small samples of cartilage cells from the joint are stimulated after laboratory procedure in new cells used to replace the damaged cartilage.
artificial scaffolds – a special patch or gel is used to repair the damaged cartilage.
Shoulder and Neck Pain
Shoulder – and neck pain is very common in computer work or over head sports activities. The shoulder girdle is a very complex system of shoulder joint, spine and chest. The focus is the re balancing of muscles and coordination in the shoulder and thoracic system.
• specific manual and osteopathic techniques as myofascial techniques.
• stabilisation techniques as Red Cord, HUBER 360° training.
• Indoor Climbing therapy and physio - or ergotherapy
• painful trigger points and tender points respond well to shock wave therapy www.shockwavetherapy.eu/
Shoulder symptoms occur for example on ball sports, swimming, kiten, windsurfing, snowboarden and gymnastics.
• physiotherapy, manuelle therapy, osteopathy,
Huber 360 training for non invasive therapy
• instability and injuries (eg, supraspinatus tendon) or the lip (labrum) arthroscopic procedure to restore the stability and power delivery (reattachment of the labrum and reattachment of the supraspinatus tendon (www.arthrex.com, www.depuy-mitek.de)
Sports activity is often too intense and focused on specific movements. Especially when axial deviations ( eg, O or X leg) occurs, after a time painful osteoarthritis could be the result.
Joints with osteoarthritis may have acceptable function if flexibility, coordination , sensomotoric and strength training are in balance . Supportive help comes from Hyaloronacid Injections, PRP Therapy and cellular restoring therapy to improve joint function. Functional unloading braces allow more load capacity.
Muscle and tendon injuries
Muscle and tendon injuries occur in sports overload. The self-healing takes time, there can be physical, manual therapy or regenerative methods to shorten the healing time. Anabolic steroids also play an increasingly important role, particularly in young fitness ambitious athletes. Therefore, it is becoming more common to muscle – and tendon injuries.
• osteopathic myofascial techniques in the restoration of the muscular and tendinous load
The tennis elbow or golfer’s elbow appears either in gardening or in racket sports and often during climbing or sailing. Unfortunately, the reasons and thus the therapeutic methods are much more complex. These complaints are often expressed in a functional disorder of the entire neck / shoulder – neck and architecture.
• manual techniques / muscular chains
• osteopathic techniques / myofascial techniques
• Shock waves therapy
• injection of cortisone or ACP/PRP
The most common sports injury is the lateral buckling of the ankle. This has consequences for the entire dynamic body structure. Stabilize the joint with a functional orthosis are state of the art. Surgery on the ligaments are rarely necessary. However, chronic symptoms should be evaluated by MRI, since cartilage injuries can lead to long-term consequences.
• manual handling techniques, spiral dynamics
• osteopathic techniques, myofascial techniques
• sensomotoric coordination exercises with exercise equipment like HUBER 360.
• arthroscopic techniques for painful impingement of chronic instability, movement disorders
Sports enthusiasts and athletes have an increased risk of hurting their joints, skeletal axes or the muscles and tendons. Sport is a way of life and helps with proper activity to feel more healthy, to reduce the effects of aging and powerful to experience their daily lifes. The main objective here is a dosed training and the right choice of sport to prevent injuries and overloading. Too little exercise and too much movement of the body, metabolism particularly harms the joints and spine. Therefore, the awareness of this knowledge and training advice is an essential part of the consultation. The prevention of permanent joint damage in Sports injuries is in the foreground.
• Sport as a setting to understand movement and physical challenges in the body and mind.
• improve performance and quality in any stage of life.
Back pain is one of the most frequent complains in orthopedics, the causes are often sedentary or overload. Rarely the disc is actually the problem. Prolonged sitting at work, lack of exercise and stress are causes of pain in the sacrum. Back training with equipment is another risk for back pain. If the cause is known, a rapid improvement in symptoms can be achieved in most cases through physiotherapy, osteopathy and special training. The aim is to reduce injection therapies to a minimum and start an active smart strengthening of the back.
The concept of HUBER 360 is an excellent robot tool to restore spine and body balance controll. It gives a neuromuascular training.
Extreme sports such as kiten, surfing or snowboarding with jumps are a high risk activities leading to serious injury of the spine.
Good muscle coordination and agility can help prevent damages.
• Red Cord Training System
• HUBER 360 training
• physiotherapy techniques for stabilization and proprioception and flexibility
Achilles Degeneration & Injury
acute & chronical achillo tendon pain and injury is one of the most pain after long distance running or dancing but also seen in elder people. You must focus the complete dorsal human body to understand this problem. Osteopathy, shockwave therapy etc can help in a lot of cases. Other option as
• Injection therapy with ACP (biological treatment see below)
• Electricity wave therapy
• Endoscopic minimally invasive surgical techniques
Two greece words "osteo" and "pathie" for bone and disease created the concept of Osteopathy by the founder Dr. Andrew T. Still in 1874. A manuell medicine under co-work of the whole body system. The key idea is to get the functional organsition together in order to help the body self healing process which is the most powerful "doctor" in every human being. The hand and the knowledge of the exact anatomy and physiology stimulates the self-healing and restoration of dynamic functions in the body.
The shock wave therapy provides an alternative treatment for painful tendon changes with calcium deposits in the shoulder, the elbow and the Achilles tendon. Even painful muscle areas can be reached with the myofascial shock wave therapy to improve the circulation of the soft tissues, painful reflex tension which then can be solved.
• Tennis elbow or elbow (lateral epicondylitis)
• Inflamation of the plantar fasciitis, with or without heel spur
• calcification in shoulder (calcific tendinitis of the SSP tendon)
Autologous conditioned plasma www.orthoillustrated.com / biologics produces the body’s own growth factors for the biological healing of tendons and muscle injuries.
Application with shoulder injuries such as the supraspinatus tendon injury, lighter knee damage (arthritis), tennis elbow and irritation of the Achilles tendon.
Huber 360 HUMAN BODY EQUILIBRIUM
Aging and injuries are associated with decline in physical function that could result in the development of physical impairment and disability. Hence, interventions that simultaneously challenge balance ability, trunk (core) and extremity strength are extremly effective in preserving and enhancing these physical functions. For knee, shoulder, ancle or spinal recovery after surgery this is the new option in active therapy.
High Frequency Therapy
Cell Regeneration with a special power from the energy field therapy medicine supports the cellular function in regneration. In wound healing after surgery, lack of lymphatic drainage and soft tissue swelling after contusions it´s a strong therapy as well as in painful tendon and muscular changes after overload in sport actions. The high tone has therefore become in many Olympic training centers to standard therapy.
Clinical tests & Sonography
Clinical examination tests of the modern dynamic sonography give immediately the diagnose. Sophisticated and expensive tests such as eg MRI examinations can be reduced. However, the radiological examination is of high value in the assessment of biomechanics and the screening of other systemic diseases , especially in orthopedics and sports injuries.
Healthy natural food makes the body regenerate sufficiently. Sugar and fat in industry food products is the poison of this century. Diseases like diabetes, obesity, hypertension, and cancer are the consequence. Joints also suffer from the negative effects from industry food. Therefore the knowledge of preparing fresh seasonal food in sports stress or after surgeries helps the cellular system to recreate. Particularly in high stress situations such as extreme sports (eg triathlon, marathon , road cycling or ballet ) certain dietary supplements may be useful. Intolerance (allergy) to natural foods are rare – but common in industrial produced products of the food industry.