Лечение в Германии Center for medical treatment in Germany

Tel.: +49 89 1500 15 4515 E-Mail: registratura@ger-doc.de
en  de  ru 

Vegetative dystonia

Диагностика и лечение

Medicine in Germany

Typical Soviet armed diagnosis

In the opinion of the German doctors in the “Soviet” (now in Russian) medicine often with the diagnosis of the disease is not there! It is about the so-called diagnosis of VSD, i.e. vegetative-vascular dystonia. It is usually make the toda, if not able to (or not want), in through accurate diagnosis, patients complain about the following complaints: frequent headaches, General weakness, dizziness, pain in the region of the heart, drop in blood pressure or the imbalance of the body.
For this these doctors believe the “diagnosis” vegetative-vascular dystonia is incurable and is one of the chronic diseases. Thus, they are “stamped” as a patient “for life” and leave him alone with this disease.

Lack of Knowledge in the East

The German medicine thinks that the diagnosis of “Vegetative dystonia” is very controversial. Critics see it as a scientifically not justified. The term as such is so far-fetched that terms such as “functional disorders”, “malaise”, “Stress-syndrome”, “exhaustion of the mental and physical condition” or “psychosomatic symptoms” also apply to the description of the condition of the patient.
It is not always disturbances are purely of a psychological nature, in the different kind of physical ailments without any laboratory confirmation. There are also other diseases, for example, under the influence of the social environment or a natural disaster, which may result in secondary psychiatric disorders. The man must be the organic unity of the Psyche, the soul and the body. Every mental vibration can traces and lead to a different kind of changes in the physical state, and Vice versa, see → psycho-physical correlation.

Opinion and recommendations of the German doctors

The diagnosis of “Vegetative dystonia” — in Germany more than a cure and these kind of complaints without any problems treatable in Germany.
The whole thing only in the correct diagnosis of the causes for the symptoms of vascular dystonia.
Therefore, the Patient should be as fast as possible, pass through deep diagnostics in Germany for the following specialists:

Neurologist
Cardiologist
Endocrinologist
under the question of the ENT and psychiatrist.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Vegetative dystonia please go to medical advice.

Hurt crushing of spinal cord

Clinical diagnosis

МРТ и МРА головы

МРТ и МРА

Heavy spinal cord trauma. Unstable fracture dislocation of body. C6. Hurt crushing of spinal cord. Superior flabby Para paresis, lower paraplegia. Dysfunction of pelvis organs on central type. Condition after posterior and anterior spondylosyndesis. Condition after tracheostomy, epicystostomy. Sepsis. Septic shock on background of bilateral infiltrate pneumonia. Serious degree of anemia.

The patient was brought to Regional Medical Centre by these complains:pains on the neck part,nonmovement of hands.
Anamnesis morbi: According to information received from relatives the patient was crashed by crash. He was brought to regional Medical Centre, to reanimation.

Anamnesis vitae

According to information received from mother he didn’t have any skin diseases, never has derma to venerologik,tuberculosis.he doesn’t have genetic disease. The patient had an operation with  problems as anterior spondylosyndesis.C 5-C7 with Atlantis system, and by epicystostomy.After X-ray all problems are solved which he had before.The patient breaths by instrument.he can’t breath himself that’s why they did an operation by putting tracheotomy.His condition was so serious and he consulted at professor and he was advised to be at Regional medical centre..He was output for neurorehabilitation.

Anamnesis vitae

According to information received from mother he didn’t have any skin diseases, never has derma to venerologik,tuberculosis.he doesn’t have genetic disease. The patient had an operation with  problems as anterior spondylosyndesis.C 5-C7 with Atlantis system,and by epicystostomy. had serious type of anemia that’s why he took 473 ml of 2 dose blood transfusion.He doesn’t have bad habits.

Status praesense communis

Condition of patient is so hard,dysfunction of spinal cord.Body structure is normosthenic.Colour of skin is normal,clean,body temperature is  36 C,wetty.Condition of eyes are clean.Shape of nose is not changed, breathing is normal.Type of breathing is mixed.,rhythmical.Breathing is 18 time per minute.Vesicular breathing on lungs’ auscultation,there is not any vibration while breathing.On heart auscultation the sound of heart is normal,rhythmical.The colour of oral cavity is pink,clear.The shape of tongue is normal,dry.Inside is soft,there are n’t any peritonitis  symptoms.

Status nevrosus

He answers all questions very adequate. He has an orientation.Photoreaction is saved. D=S. Tongue’s position is by central stripe. The function of teeth is normal.Tetraplegia. Lower part of  chest  is nonsense to any medicine. Dysfunction of pelvis organs on central type. Pains on spinal cord.
Last: hemoglobin-134,  erythrocyte-3.8, leukocyte-6.6, monocyte-5.4, lymphocyte-35.3.
Previos:  protein-59.2, albumin-33.6, bilirubin-10,20, sugar-5,04, urea-5.1, creatinine-89.0

Treatment

After rehabilitation condition of patient is normal,but after treatment all pains such as Superior flabby Para paresis, lower paraplegia. Dysfunction of pelvis organs on central type is left.

Offers

  • Must be on the observation of neurologist,urologist.
  • Breathing gymnastic,acupuncture,massage.
  • Renal tea.
  • Doesn’t have complication of lungs.
  • To continue rehabilitation at Regional Medical Centre,neurosurgery section.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Hurt crushing of spinal cord please go to medical advice.

Paraparesis and lower paraplegia

Full information of diagnoses

МРТ шеи

Paraparesis and lower paraplegia

Heavy spinal cord trauma. Unstable fracture dislocation of body. C6. Hurt crushing of spinal cord. Superior flabby paraparesis, lower paraplegia. Dysfunction of pelvis organs on central type. Condition after posterior and anterior spondylosyndesis. Condition after tracheostomy, epicystostomy. Sepsis. Septic shock on background of bilateral infiltrate pneumonia. Serious degree of anemia,spinal cord trauma,paraplegia.

Anamnesis morbi

Carcrash on 16.12.12.Operation on 18.12.12. On 18.12.12 the patient had an operation with  problems as anterior spondylosyndesis.C 5-C7 with Atlantis system,and by epicystostomy.After X-ray all problems are solved which he had before.The patient breaths by instrument.he can’t breath himself that’s why they did an operation on 24.12.12 by putting tracheostomy.

Anamnesis vitae

According to information received from mother he didn’t have any skin diseases, never has derma to venerologik,tuberculosis.he doesn’t have genetic disease.

Status nevrosus

Level of consciousness of 15 points on a scale of Glasgow. Photoreaction is alive, symmetrical face, swallowing and phonation are not violated. urinating by epitsistostome. muscle strength in the legs and in the bones is 0. Dysfunction of pelvis organs.

Local

Injury without signs of inflammation with sluggish granulation and fibrin coating in the area of ​​the scar in the area of ​​the projection of the vertebral.C4-Th1.

Survey

Indicators of laboratory and instrumental examinations for admission to the respective lists of hospitalization at Scientific Medical Centre. fracture-dislocation of the spine, chronic bronchitis, blood negative for HIV, hepatitis B negative blood, some reduction in the size of the left kidney;
Conclusion urologist: disruption of the pelvic nitrogen bladder, cystitis secondary.
Operation 1: Front access parafaringialny left, the removal of metal, resection of the body.
Operation 2: rear access, spinal fusion neurological status in the dynamics unchanged, there is not any active movement of the lower limbs.Was output home in a satisfactory condition. recommended: observation by a neurologist, avoid colds and physical activity, occupational therapy courses at the neuropathologist.

Rehabilitation treatment

Some reduction in the size of the left kidney;

Course of rehabilitation treatment is completed, the patient is discharged home in a satisfactory condition. during treatment with positive dynamics. improved overall health. stable hemodynamics, pain in the cervical vertebra.
When you receive a complaint: pain in the cervical spine, enhancing when turning the head. Weakness  and violation sensibility in the limbs, limitation of movement in the hands, disruption of the pelvic weakness.

Physiotherapy

A laser-projection of the bladder: magneto-on the distal upper and lower extremities. bladder to the distal upper and lower extremities: mineral wax on the distal lower extremities massage of the lumbosacral spine of the lower extremities.
postural exercises in neck braces, dosed.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Paraparesis and lower paraplegia please go to medical advice.

Heavy spinal cord trauma

Clinical diagnosis:

Heavy spinal cord trauma. Unstable fracture dislocation of body. C6. Hurt crushing of spinal cord. Superior flabby Para paresis, lower paraplegia. Dysfunction of pelvis organs on central type. Condition after posterior and anterior spondylosyndesis. Condition after tracheostomy, epicystostomy. Sepsis. Septic shock on background of bilateral infiltrate pneumonia. Serious degree of anemia.

The patient was brought to Regional Medical Centre after car crash with spinal cord trauma

Patient’s complains: Pains of the neck, pains during the movement, paraplegia.

Anamnesis morbi: According to information received from relatives the patient was crashed by crash. He was brought to regional Medical Centre, to reanimation.

Anamnesis vitae: According to information received from mother he didn’t have any skin diseases, never has derma to venerologik,tuberculosis.he doesn’t have genetic disease.
Status praesense communis: Condition of patient is so hard,dysfunction of spinal cord.Body structure is normosthenic.Colour of skin is normal,clean,body temperature is  36 C,wetty. Condition of eyes are clean.Shape of nose is not changed, breathing is normal.Type of breathing is mixed.,rhythmical. Breathing is 18 time per minute.Vesicular breathing on lungs’ auscultation,there is not any vibration while breathing. On heart auscultation the sound of heart is normal,rhythmical. The colour of oral cavity is pink,clear. The shape of tongue is normal,dry. Inside is soft,there are n’t any peritonitis  symptoms.
Status nevrosus: He answers all questions very adequate. He has an orientation. Photoreaction is saved.D=S.Tongue’s position is by central stripe.The function of teeth is normal.Tetraplegia. Lower part of  chest  is nonsense to any medicine.Dysfunction of pelvis organs on central type.Pains on spinal cord.
Result of analysis:unstable discolation,crushing spinal cord.
It was an operation by intubation.After operation there was problems with vertebra,C-6-C5 vertebras are fully dislocated.All problems was received to neurosurgery and suggested to do an operation. The patient had an operation with  problems as anterior spondylosyndesis.C 5-C7 with Atlantis system,and by epicystostomy. After X-ray all problems are solved which he had before. The patient breaths by instrument. He can’t breath himself that’s why they did an operation by putting tracheostomy.On auscultation part of lungs there is vibration,pneumonia. There is purulent  liquid  by tracheostomy instrument,body temperature is 37-39 C.On status nevrosus there is superior flabby paraparesis,lower paraplegia,dysfunction of pelvis organs on central type.
The history of patient was informed and suggested to invite other neurosergeons and neureanimations to other Medical Centre.
The patient was at professor. He advised to continue antibacterial theraphy,vitamin theraphy,eating by  probe,to find out sensibility to antibiotics.
The patient  was again at professor. He found out the vibration on the right side of auscultative lungs.
By analysis his hemoglobin was 75 g\litre,that’s why doctor advised to do bloodtransfusion,and change all antibiotics because he has reaction to them.
Blood to sterility – Blood is sterility.
Nowadays the condition of patient is feet and can breath himself.
Nevrosus status is clear,but superior flabby paraperesis,lower paraplegia,dysfunction of pelvis organs are left.
The patient was output for rehabilitation.

Offers:

  • Must be on the observation of neurologist,urologist.
  • Breathing gymnastic,acupuncture,massage.
  • Renal tea.
  • Doesn’t have complication of lungs.
  • To continue rehabilitation at Regional Medical Centre,neurosurgery section.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Heavy spinal cord trauma please go to medical advice.

Gastric cancer

gastric cancer

gastric cancer

Patient:

A female friend of mine ( aged  25 ) from Dubai was diagnoses as having gastric cancer  2 months ago.  She has had part of her stomach removed in a hospital in Shiraz  ( Iran ).  She has been told by the doctor who did the operation, to go immediately to Germany for the continuation of her treatment.  Please kindly advise as to exactly where in Germany is best for her to go for the continuation of her treatment.
Thanking you for your kind attention, I look forward to hearing from you soon.

Answer:

Thank you for contacting our Medical Services  for information on obtaining medical care for you.
In order for our physicians to properly review this case and determine an appropriate course of treatment, we would need additional information.
Please complete the attached New Patient Form and sign the Financial Policy statement and return the forms along with all pertinent medical records in German or English (including any CT scans, MRIs or x-rays, etc).

In order to give a 2nd opinion the doctors need to know/receive:

  1. Clinical notes, medical history,
  2. Treatment he has received up till now Chemo? Dosage & frequency?
  3. Radiation? Dosage & frequency?
  4. His symptoms?  
  5. Current list of medication
  6. List of operations/surgeriesOperative report
  7. Pathology slides and reports.
  8. A copy of the images of his PET CT Scan on a CD sent to our address below.

Also, as of January 1, 2000 we are required to verify patient identity. Please review the attached document which list acceptable forms of identification.
Please send a copy of his photo identification to our Medical Services Department with his completed patient forms and medical records and be prepared to show his original photo documentation when he arrives for his appointment(s).
You may return the forms/medical records via e-mail and you can return these forms to our office via regular mail, DHL, Fed Ex or UPS to our address.
Once we have received this information, our physicians will review the case and advise accordingly.  Please be advised that there may be a fee associated with this consult.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Gastric cancer please go to medical advice.

Tummy Tuck

Tummy Tuck in Germany

Abdominoplasty

Abdominoplasty in Germany

Patient:

I have had loose skin in and fat stored in my abdominal area since I can remember.

I am seriously considering having a Abdominoplasty Tummy Tuck but first would need some more information before going through with it.
I’m not over weight i just have a small belly that hangs out with some loose skin which i would like to be removed through this procedure. Firstly how much does the operation cost because in my country the price is extraordinary and are seeking alternative’s price wise. So roughly could you tell me how much the operation would cost including the 1-3 day stay in your hospital. Also when your happy for me to leave your care after 1-3 days would i need to then see a doctor in my country to get the stiches removed? or would you recommend me staying in Berlin for two weeks to get the stiches removed there before flying back to the UK?

I would also like to ask if you have had someone visit you for a similar  operation before from the UK? If so would you need someone to come with you or would you manage ok on your own after and operation like this?

If I’m happy with the information provided i would like to go ahead with the procedure and book the next available appointment. I can provide pictures of my abdomen from different angles if requested.

Answare:

Thank you very for contacting our center. We do have a lot of patients coming to Munich for the same procedure. The  surgery price depends on the amount of the skin to be removed and varies. We need to know your health history, weight, height and all the pictures and any additional information you can provide  to tell you the price range.

Patient:

Yeah sure I understand in order to get an accurate price I can provide this information: I’m 22, 168cm tall/5ft.5, I weigh 65kgs, I’m not on any medication, I don’t have any disability’s or health conditions, and I’m not allergic to anything. Any I have attacked 3 pictures of the area of skin I would like removed/tightened.

Answare:

Can you,please, send us a copy of your passport for the authentication.
We will send you an estimate later this week. Thank you for choosing us!

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Tummy Tuck please go to medical advice.

Multiple adenocarcinoma

Diagnosis and treatment in Munich

Diagnosis and treatment of oncological diseases in Munich

Question:

Please consider the possibility of treatment / extending the life of comfort for my brother.

Oncology Clinic in Belarus diagnoses (by a consultation) Generalized form of cancer (adenocarcinoma) with no established primary focus with the defeat of the skeleton and bone marrow, the development of DIC.

Diagnosis: Secondary malignant neoplasm of bone and bone marrow (S79.5).

Multiple mts adenocarcinoma in bones of the skeleton of an unknown primary tumor. State after trephine biopsy of the tumor left iliac region (22.03.2013g.). Chronic DIC. Progressive liver-kidney failure.

TNM: Tx Nx M1 stage IV

These morphological studies:

Adenocarcinoma NOS [8140/3]

cell tumor (most likely adenocarcinoma)

Metastases: regional – not found

remote – in the bones

19/03/2013 Analyses:

Blood for tumor markers: CEA> 1000 ng / ml, CA19-9> 1000 kg / ml ACE 2,08 ME / ml PSA total. 0.55 ng / ml

Coagulation:

APTT: 32.3 sec

Fibrinogen 1.6 g / l

Thrombin time: 21.2 seconds

Large bruises all over his body.

In its current state: morphine analgesia 4 p / day. In the mind.

Please advise whether it is possible hospitalization and emergency treatment options for the patient.

P.S. There is a history of the disease in the pdf in Russian.

 

Answare:

We are ready at any time convenient for you to organize a consultation with our professors and if necessary treatment at the clinic.
To concretize the treatment of adenocarcinoma of the proposals, please provide us with the following information:
- A copy of the first page of your passport (for authorization).
- Case history and all the results of this research, etc.
- The date of the desired arrival.

Payment for medical care you will make doctors and hospitals directly.

 

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Multiple adenocarcinoma please go to medical advice.

Treatment of Barrett’s esophagus

Treatment of Barrett's esophagus in Germany

Treatment of Barrett’s esophagus in Germany

Question:
In 2008 I was diagnosed with esophagus  Barrett. Sigmenta length of 6.5 cm
All these years I was taking rabeprazole (40) and Gaviscon and regularly made gastroscopy.
But the improvement was not observed.

The latest survey showed presence of polyps in the stomach and easy dysplasia in the esophagus. My doctor believes that as my case I for the treatment of esophageal shown BARRX Radiofrequency aplation (HALO 360). But in Moscow, this device is not present.

I am wondering whether there was in your clinic treatment of Barrett’s esophagus. Treatment by BARRX radioyaastotnoy ablation is crucial when choosing clinic in Germany.

Answer:
Certainly we have at the disposal of the unit BARRX Radiofrequency aplation and on par with other modern methods of treatment Barrett’s esophagus in Munich is used and the method of treatment BARRX.

To concretize our offerings, you will need to sign an agreement with us, send us a copy of the first page of your passport and your case history.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Treatment of Barrett’s esophagus please go to medical advice.

Treatment of tinnitus in Germany

Treatment of tinnitus in Germany

Treatment of tinnitus in Germany

Question:
How to apply for treatment at the clinic with the acquisition of CP acoustic neuromodulator in Germany?

Answer:
It’s enough to sign the agreement sent by us and send us a copy of the first page of your passport.

Question:
What are the tentative dates of treatment in Germany?

Answer:
According to German law, before proceeding with the treatment of the disease (in your case, tinnitus), the clinic is obliged to make a full diagnosis and establish a definitive diagnosis. This gives you the absolute advantage, because Tinnitus – is another manifestation of the disease, not the disease itself!

For example, tinnitus arises in the chamber, the lack of oxygen in the blood, severe hearing loss, thrombophlebitis, etc. Therefore, the treatment of tinnitus in Germany can take from 2 days to several months. But in 90% of cases it is not required to conduct stationary and may continue treatment at home.

Question:
How much does the treatment of tinnitus in Germany?

Answer:
Consultation with our professor is about 500 €. It does not include the price of research and analysis, which assigns (recommended) Professor individually.

Question:
How much does in the medical tourism in Germany?

Answer:
Everything is written in our agreement with the patients. If you need additional services, such as: VIP service, limousine service in Germany, help with accommodation in Munich, etc., depending on the volume of our work will be determined by the price.

NB!!! To continue (or start) our dialogue and focusing our offerings, you will need to sign an agreement sent by us and send us a copy of the first page of your passport.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Treatment of tinnitus in Germany please go to medical advice.

Of the abdomen

Diagnosis and treatment in Munich

Diagnosis and treatment of cancer in Munich

LIVER: Location – in the right upper quadrant.
Form-variant of the norm.
The contours are smooth, clear.
The capsule is not changed.
Dimensions are not changed: the right lobe of the thickness of 129 mm (normal, 120-125 mm), left lobe – the thickness of 76 mm (normal 50-60 mm)
The structure of the parenchyma diffuse-not homogeneous.
Echogenicity, increased vascular drawing is saved.
Gate Vienna anehogennoe visualized as a tubular structure is not expanded, with a diameter of 10 mm (normal up to 13 mm). The hepatic veins are dilated. Lower hollow Vienna diameter of 19 mm. Choledoch – 5 mm (normal up to 6 mm) at the gate of the liver. Intrahepatic bile ducts are not dilated Volumetric structures have been identified.

Recommendation: run diagnostics in Germany.

GALLBLADDER: Location – the usual.
The form has not changed. The contours are smooth, clear.
Dimensions are not changed: dlinnik-78 mm (normal range 60-100 mm) diameter, 22 mm (standard 30 mm), cavity – free, anehogennoe content.
Stones, structures have been identified.
Not thickened walls (norm to 3 mm).
Echogenicity of the wall – the average.
The structure of the wall – homogeneous.
Choledoch not extended, pass all over.

Recommendation: spend a treatment in Germany.

Pancreas: Location typical. The contours are smooth, clear.
Form-variant of the norm.
Dimensions are not changed: a head-23mm (normal up to 11-30 mm), the body is 18 mm (normal 4-21 mm), tail 22 mm (normal, 7-28 mm).
The structure of the parenchyma – diffuse uniform, medium-grained.
Increased echogenicity
Virsungov duct is not extended straightforward.
Space-occupying lesions were found.
In the omental bursa hypoechoic structure 53 * 46 mm round shape, with a clear smooth contour.

Recommendation: the treatment of cancer in Munich.

Spleen Location typical.
Form-variant of the norm.
The contours are smooth, clear. The capsule is not changed.
Dimensions: length 115 mm (normal up to 120 mm), width of 46 mm (normal up to 80 mm), homogeneous parenchyma. Mixed echogenicity
The splenic Vienna is not extended. At the gate of the spleen two hypoechoic rounded education with an irregular outline, poor blood flow in the DRC 30 and 49 mm.
The upper pole hypoechoic structure 14 and 8 mm in the middle third 46 mm on the lower pole 41 mm. Space-occupying lesions were found.
Free fluid in the abdominal cavity were found.

Recommendation: treatment in Munich.

CONCLUSION: diffuse changes of the liver and pancreas moderate severity. Education in the gate spleen , education packing bags . metastatic lesion spleen .

Recommendation: go through the diagnostics in Munich.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Of the abdomen please go to medical advice.

Diagnosis of testicular seminoma

Treatment of seminoma in Munich

Seminom

Question
Recently began to notice a gradual painless enlargement and discomfort in the right half of the scrotum. addressed to the urologist, performed ultrasound, and the appendage of the left testicle is not changed. The right testicle with fuzzy rough contours, heterogeneous parenchyma due to inclusions hypoechoic nodular structure, the size of eggs 11.2 x6, 7 cm The epididymis is not changed. When DRC is marked diffuse increase in blood flow in the right testicle.
AFP – 1.0 IU / mL hCG – 1.1 mIU / mL LDH – 2575 units / l.
Our doctors suspect cancer.
What is required for the passage of diagnosis in Munich?

Answer:
To assist in the organization of diagnosis and treatment seminoma testicular (ie, testicular cancer) you want to start to send the case history.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Diagnosis of testicular seminoma please go to medical advice.

Diagnosis of Hodgkin’s disease by CT scan of the abdomen

Diagnosis of Hodgkin's disease in Munich

Diagnosis of Hodgkin’s disease


CT scan of the ABDOMINAL

Scan Mode: spiral. Slice thickness: 1.0 mm Contrast enhancement – omnipak-350 100ml intravenously. The patient’s consent to the introduction of contrast agents received. Pathological reactions to the introduction was not recorded.

The liver is usually not changed shape, dimensions: 17.4 cm right lobe, left 5.7 cm contours of her smooth, precise. The structure of homogeneous parenchyma density natively +43 H11. Intra-and extrahepatic bile ducts are not dilated.

The gallbladder is usually not increased. In the lumen of radiopaque stones were found.

Gate, splenic, inferior vena cava is not extended.

The spleen is usually normal shape, size 14,8 x4, 8 cm, the contours of her smooth, clear, homogeneous structure, the density of the parenchyma natively +45 H11. The pancreas is a typical shape and size (26 mm head., The body is 24 mm, tail 22 mm. Its normal, the structure of the parenchyma moderately diffuse inhomogeneous density natively +30 BUT, clear outlines. Pancreatic duct with no signs of obstruction, not expanded. Parapancreatic Fiber is not changed. Determined conglomerates lymph nodes: in the gate spleen size up to 58×42 mm. (with gipodensivnymi sites in the structure), para-aortic to 37×30 mm.

Free fluid in the abdominal cavity were not detected. Bone-destructive changes were found.

Conclusion: CT signs of lymphoproliferative disease with enlarged lymph nodes and spleen at the gate paraaorgalnoy group (lymphoma). Hepatosplenomegaly.

Diffuse changes in the liver, pancreas

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Diagnosis of Hodgkin’s disease by CT scan of the abdomen please go to medical advice.

Мultiple Myeloma

Treatment of multiple myeloma in Germany

Diagnosis of multiple myeloma in Germany

Question:

Hello,
my sister in ’32 she recently was diagnosed with multiple myeloma.
Prior to this, she is 3 years old were treated with renal insufficiency only when it started to hurt very badly paid attention and took a bone marrow analysis.
Tell me what to do and what are our chances?

Аnswer:

We will be happy to help organize a diagnosis, consultation and treatment in Germany, your sister with our professors oncologists.
To concretize the proposal, please provide us with your sister’s case history (medical records)
Maybe (?) Would make sense to get a prior written advice from our oncologist, MD, chief physician of the Institute University Hospital of Munich. But for that he would need a full set of its documents.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Мultiple Myeloma please go to medical advice.

MRI and MRA of the skull

MR imaging and MR angiography of the skull native

MRI and MRA of the skull

MRI and MRA of the skull

MRI and MRA of the skull after i.v. – contrast agent (gadolinium)

Justifying end Indications:
Follow at Z.n. Seminoma OP.
Evidence of cerebral metastases?

Layers and layer sequences:
Sagittal FLAIR / axial T1-T2-T1 Gd + / TOF FISP3D angiography sequence with subsequent
MIP reconstruction / diffusion-weighted imaging / cor T1 Gd +

Findings:
Symmetrical, appropriate for age-wide ventricles.
Usually right Hirnwindungsrelief.

MRI and MRA of the skull

MRI and MRA of the skull

No abnormal signal in the white matter alterations.
No suspicious contrast enhancement.
Cerebellum, the cerebellopontine angle region and brainstem normal.
Basal ganglia, thalamus and internal capsule on both sides also unremarkable.
Pituitary or sellar region inconspicuous.
Literally pictured with paranasal sinuses, orbits and mastoid air cells. Appears normal arterial vascular structures in MRA.
No evidence of diffusion restriction.

Assessment:
Age According unobtrusive presentation of the neurocranium.
No tumor criteria.
No acute inflammatory changes.
No sign of a fresh ischemia.
No blood evidence.
No vascular malformation.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about MRI and MRA of the skull please go to medical advice.

Mammary cancer

Mammary cancer

Mammary cancer

Mammography

Examination was accomplished in standard projections: straight and oblique. The mammary glands are symmetrical.
The areolas are output at a contour. The skin is not thickened, not condensed. The bands of fibrous tissue – Cooper’s ligaments are left from the skin. The premammary space is not constricted. A tissue of the mammary gland is presented in central and lateral areas by the glandular tissue, in medial by adipose and line diffuse fibrosis in all quadrants. The density of both breasts has the 2nd grade.
At this background of pathological masses, no micro calcinations are detected
Single micro calcifications are visualized on the border of inferior quadrants of the left breast.
A vascular grid is well defined.
No abnormalities of the lymph flow zones on the right and on the left.

ECHO MAMMOGRAPHY

The mammary glands are symmetrical. The skin is not changed.
The mammary glands have the usual structure for this age.
The differentiation of tissues is evident sufficiently.
Cooper’s ligaments which go deep are thickened and condensed.
Galactophorous ducts are moderately dilated till 2.0-2.5 mm.
No pathological parts of vascularization are detected.
Parts near areola are without any changes.

Impression: No signs of malignizalion are detected. ACR1 is for the right and ACR2 is for the left breast. The density of both breasts has the 2nd grade. Ultrasonic signs of diffuse changes of the breasts by the type glandular mastopathy.

General examination: The patient complaints for having a mass in the upper-internal quadrant of the left breast, which she noted in August 2012. She has felt enlargement of this mass in sizes from August till today.
Data of previous consultations – 28 of May 2012 – mammography, Breast use – ACR1 is on the right, ACR2 is on the left.
For the period from May till November felt changes in hormone therapy, climate changes (lived in Uzbekistan in summer).
St. localis: The mammary glands are symmetrical, and the regular color. The skin is not condensed under them. A mass of rounded form with solid non-crushing consistency and unconsolidated with surrounding tissues till 2 sm is palpated in the upper-internal quadrant of the left breast. Palpation is without pain. The axillary lymph nodes are not palpated.
Breast ultrasound: The mammary glands are placed typically; the skin is without any changes. The differentiation of tissues is expressed in both breasts. The correlation of adipose and glandular tissue: 1/3.
The Galactophorous ducts are thickened a little in both breasts till 2.0-2.1 mm. Cooper’s ligaments are not thickened and not expanded.
A dimensional, massive, hypo echoic and avascular mass of oval form 17.4×10.3 mm, which has calcinations in the center is located in the left breast in the upper-internal quadrant. No areas of pathological vascularizations. The regionary lymph nodes are not increased.

Impression: Ultrasonic signs of moderate diffuse changes of both breasts by the type of glandular mastopathy. Signs of dimensional mass of the left breast (fibro adenoma?). Biopsy of the pathological mass of the left breast is recommended.

HYSTOLOGY EXAMINATION

Tissue labeling, number of objects: №1 – biopsy of the tumor of the left breast.
Clinical diagnosis: Malignized tumor of the left breast.
Macroscopic description: 4308-01, 02 – two (2) grey color bands with brown areas and with the length of 1.7 sm each.
Microscopic description: Conclusion: Enlargements of invasive ductal carcinoma Grade III are revealed in all biopsy samples in the tissue of the mammary gland.

Mammography

Examination was accomplished in oblique views. The mammary glands are symmetrical and not deformed. The skin is not thickened, not condensed.
The bands of fibrous tissue – Cooper’s ligaments are left from the skin. The premammary space is not constricted.
A tissue of the mammary gland is mainly presented by glandular tissue, in medial areas by adipose tissue and line diffuse fibrosis in all quadrants.
High intensity without clear contours of rounded mass till 18 mm in diameter, which is located retromammary, containing single polymorph micro calcinations is revealed at this background on the border of internal quadrant of the left breast. Behind the mass, a single line calcination is visualized. Abnormality of architectonic of structured picture of the central part of the left breast due to stroma deformation is revealed. A vascular grid is well defined.
No abnormalities of the lymphatic flow on the left and on the right.
IMPRESSION: ACR1 is for the right and ACR4 is for the left breast. X-ray signs of dimensional mass of the left breast.

MAGNETIC RESONANCE IMAGING BREASTS

Description of the research:
A mass of rounded form with even contours and sizes 16x11x17 mm due to active accumulation of contrast material more on the periphery with washing-out to the 3rd minute is revealed in the left breast in the deep areas of the breast in the upper-internal quadrant. The mass is surrounded by the rich vascular grid.
No pathological changes in the right breast. No areas of accumulation of contrast material in the lymphatic nodes are detected.
No bone destructive changes.
IMPRESSION: MR picture of the left breast damage, probably, having neoplastic nature. Biopsy is recommended to make verifications.
Magnetic resonance tomograph EXCELART Vantage Atlas-X 1,5 T Toshiba

Complaints: for having occasional pain in the breasts and having a tumor-like mass of the left breast.
History of the disease: After self-palpation in April 2012, the patient noted a tumor-like mass for the first time.
General examination: Micromastia. The breasts are asymmetrical in the inferior-internal quadrant of the left breast. Vertically oriented tumor-like mass of the solid consistency with sizes 20-27 mm is palpated (the patient notes enlargement of the tumor after biopsy). No skin symptoms. Regionary lymph nodes are palpated not clear. No nipple discharge.
Diagnosis:
C50.3 Cancer of the left breast T3NxMx
Differentiated diagnosis: diagnosis is verified. Plan of examination: Mammography.
Treatment: Additional consultation of oncomammologist and chemotherapist for defining indications to have possible neoajuvant chemotherapy.

Рecommendation

Treatment in Germany.
Ideal: treatment in Munich.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Mammary cancer please go to medical advice.

Difficulties with diagnosis in a child

Difficulty diagnosing neurological, orthopedic children’s diseases.

The treatment and diagnosis of hallux valgus foot in Germany.

Treatment of hallux valgus foot in Germany.

Question:
My baby is 12 years old and up to now there is no definitive diagnosis.
How and from whom a consultation to clarify the diagnosis.

History:
The child was born prematurely at 34 weeks, weighing 2.450 g, height 45 cm.
During pregnancy, the mother at the time had the flu.
Originally had the following diagnoses:

  • perinatal encephalopathy in an easy manner.
  • congenital subluxation of the hip joint.
  • valgus foot.Rebemok gone to 1 year and 5 months, were treated by orthopedic (struts and tutara).

Wrapped legs, put your right foot on the toe.
Podiatrists (Rossiykogo Orthopaedic Institute) as a result determined that it is not their area, and neurology.
Neuroscientists pervonochalno seeing gait diagnosed with cerebral palsy, but on closer inspection threw up his hands and removed pervonochalny cerebral palsy.
Repeated MRI of the spinal cord showed no abnormalities.
Brain MRI revealed the following:

  • ventriculomegaly posterior horns of the lateral ventricles of the brain.
  • periventricular areas of gliosis.
  • arachnoid changes.In the genetic diagnosis of congenital heart disease mesenchymal connective tissue.

Now add the diagnosis of residual-organic brain damage in violation of the pyramidal tract in mild.
Treatment given: 2 times per year rate neyromultivita and rehabilitation.A child over 3 years studied the piano. Now he is learning well and the last 4 years enjoys horseback riding, swimming, diving. Serves himself.
But when walking impaired coordination, loses his balance, could fall.
Up the stairs without support from labor.
Down stairs – only with the support of adults, or holding on to the railing.What can you recommend?

Answer:

Diagnosis in Munich

Diagnosis in Munich

To start, we would advise you to consult a neurologist professor in Munich. In parallel, no matter what time to lose, we would recommend and refer to podiatrist, as The obvious problem with the bones and muscles of the legs.
For this course you will have a child to come to Munich. According to the results of the initial consultations will be clear which studies and analyzes have to do and how long it will take.
cost initial consultation with Professor is a neurologist from 400 €, and a podiatrist from 300 €. These prices do not include the cost of analysis and research, but they will be known to you after you assign them a doctor, but before your child they will do.
At the end you will receive an offer diagnostics pass treatment in Germany, with a very high probability it will treatment in Munich.

If you are interested in our offer, please fill in the form and send it to us along with all the case history (extracts, analysis and research.)

Question:
I would like to clarify what is going in a text document?
We are more interested in genetics counseling and the upper limit value of such consultations.
Whose passport is needed, or my child?

Answer:

The cost of the initial consultation with a genetics is 500 €. This price does not include the cost of analysis and research, but they will be known to you before they will do. A genetic diagnosis in Germany provides the required first contact with a physician-geneticist, which determines the amount of required research and analysis. Today it is possible to organize a reception at genetics in the second week of February, that is, at least 3 weeks.

However, I want to draw your attention to the fact that probably without a neurologist about podiatrist is necessary. And if the proposed price acceptable to you, then I would be in your place the necessary pre-planned visits. Treatment in Germany, as well as diagnostics, require planning in advance and usually are not organized at the last minute. I want to warn you of errors and help make better use of time in Munich.

Clarify that the passport must be the child (if any), and if not, then that’s okay, because child will be written in one of the parents’ passports. If necessary visa support, will require a passport and child and all accompanying persons.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Difficulties with diagnosis in a child please go to medical advice.

Liposuction in Germany

Liposuction in Germany

Liposuction

Total liposuction

Liposuction is a bariatric surgery to change surgically mass deposition of fat in certain areas of the body. As a rule it is the abdomen, thighs and buttocks. Liposuction can certainly is a method for the treatment of obesity, it does not affect the pathogenesis of obesity. With the help of liposuction can not remove all the fat. However, the visual effect of liposuction for a figure greater than the reduction in fat mass in other ways.

During the initial consultation, the German experts will demonstrate the opportunities and limitations of liposuction, will give an overview of different methods and techniques and.
Males have only about 30,000 of fat cells, while the women have about 40,000. The location on the body of the cell, and therefore justified gineticheski are hereditary. Problems arise only when they are enlarged, irregular and often in places where they do not really need. The concept of “problem areas” is the key to these cases.

Diet? Sports? Both approaches are undoubtedly correct and are recommended, depending on the physical condition and medical history. However, compared with liposuction are very important differences and the results: for example diet is recommended if the weight has to be reduced as a whole.
The downside of the diet is that a woman loses weight in the wrong places .  Another undesirable consequence of the diet is the effect of the so-called “yo-yo.” After each diet, the body tries to compensate for the loss of weight, and more often  adds additional pounds of weight.

Special exercises and sports for fitness, health and the development of character is always useful. But it is not always possible with the help of sports at certain locations to reduce fat and come to their ideal figure. As with any diet, weight loss is not enough if the patient feels that with additional shoulder and thigh muscles are even thicker than before.

Benefits liposuction

Unlike diet and intense exercise liposuction does not reduce the weight of the body and does not increase muscle mass. But liposuction solves problems in those places where it is desirable to: flab disappear where they seem unattractive or just plain ugly. Even in these hard to reach areas such as the chin, knees and ankles. Thus, you can actually talk less about liposuction, but rather about lipo-formation. This kind of modern approach allows for outpatient treatment in Germany and is a very gentle way to implement bodyforming.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Liposuction in Germany please go to medical advice.

Underarm hyperhydrosis

Treatment of axillary hyperhidrosis

Axillary hyperhidrosis

Treatment of axillary hyperhidrosis in Germany.

Axillary hyperhydrosis – is a very strong selection of underarm sweat or excessive sweating.

Hyperhydrosis treatment in Germany.

Axillary hyperhydrosis is a disproportionate  sweating  of armpits. Most people find it is annoying, because hyperhydrosis often goes along with no perspiration control  and a strong body odor.

In the past, attempts were made to treat this condition, including by injection of botulin toxin ( Botox ). Unfortunately it  provides only short-term results and therefore should be repeated regularly.

German experts have developed a new technique for extraction of sweat glands  that allows 90% of patients to get a long term results. The method of  an extraction of the sweat glands is based on the technique of liposuction (fat removal). Only experienced surgeons can do it successfully.

Analysis of the extent and function of the sweat glands is needed to make a proper recommendations.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Underarm hyperhydrosis please go to medical advice.

Tummy Tuck in Germany

Skin tightening stomach and abdominoplasty in Germany

Skin tightening stomach

Abdominoplasty

A tummy tuck or abdominoplasty in Germany is only when this becomes necessary. For example, after pregnancy or as a result of the strong weight loss. A simple pull on the skin may not be sufficient to eliminate the excess skin or wrinkles on her. Another indication for surgery is called an overhanging belly or so-called hanging belly. German surgeons in this situation, at the same time spend and reduce fat.

There are so-called big tummy tuck and so-called small abdominoplasty.

For large abdominoplasty simultaneously moves navel. In the general case, the incision is made above the symphysis, ie at the level of the pubis. Incision placed in such a way that it can not be seen in a swimsuit or bikini. Significant excess skin is removed with or without removal of excess fatty tissue, so that the abdominal wall is tightened. In some cases, banding and adaptation of muscles. This is partly determined at the time of surgery, or sometimes when the preliminary study.
To prepare for the surgery required to pass a preliminary examination and preparation for surgery in Munich. In Germany, the German doctors will help determine which method is best suited to each individual case. This may be pure liposuction or skin sufficiently flexible and simple tummy tuck will be sufficient.

Operations of this kind are usually not very expensive, and it takes no more than 3 hours. A tummy tuck operations in Germany are carried out only under general anesthesia. Patients after their stop in 1-2 days.
Postoperative control will require multiple visits for inspection and preoverki zazhivaemosti. Alternating weeks after surgery, the patient will be placed on the so-called top, which will promote good healing. In this case, individual counseling in Munich will also be important.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Tummy Tuck in Germany please go to medical advice.

Cancer treatment with Cyberknife©

Cancer treatment in Germany

Cancer treatment in Germany with Cyberknife

Cancer treatment in Germany with Cyberknife©


“Proton therapy” and Cyberknife© are the most advanced high-tech method in the treatment of cancer with radiation therapy.

In the radiology clinic of Munich cancer patients are given the opportunity to be treated by one of the most modern methods of treatment of cancer. Them is a highly accurate, robot-assisted and high-tech method of radiation known as Cyberknife©.

This method has successfully treated more than 10,000 patients from all over the world in the Specialized Clinic Munich Cyberknife© are in Germany.

Therapy by the Cyberknife© is not only the most gentle, and painless for the patient, and always on an outpatient basis. Producing point exposure through special terminals and the concentration of rays that are at the intersection have significant energy potential. Thus, no interference with a surgical scalpel and cancerous tissue is destroyed, without exposing the ravages of its surrounding healthy tissue. No longer requires a painful and difficult for the body to open surgery. Due to this method, doctors can avoid possible complications of anesthesia, a multi-day hospital stay, postoperative treatment costly and lengthy recovery period of the patient.

A particular advantage of the approach in Cyberknife© is an painless, but very effective treatment of a number of cancers, for example: the spine cancers, spinal tumors, brain metastases and brain cancer, lung cancersand

. Through the use of several terminals, this approach makes it possible to divide a strong dose for a few much smaller exposures, each of which by itself is completely harmless, and at the intersection of rays created the necessary concentration. Thus, it was possible to conduct therapy in the most sensitive places and bodies, and the surrounding healthy tissue is not damaged.

Outpatient treatment Cyberknife© is held only once and does not require any restrictions during the daily life and the usual routine patient remains Following this therapy session.

Due to the strong, but the point dose therapy Cyberknife© is usually a one-time procedure and lasts depending on the requirements of a few minutes. German experts recommend the checks no later than one half of the year.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Cancer treatment with Cyberknife© please go to medical advice.

Gastric banding in Germany

Question:
Good day! Could you send us your price for gastric banding + medical interpreter services. At what time in your clinic will manage such an operation (full set). Patient: male, BMI (body mass index) 39. Estimated time: in June or early July.
Looking forward to your reply, or call.
Thanks in advance, XXX

Answer:
Good afternoon, Mr. XXX
Thank you for contacting our company.
Everything (All-in) hospital services for gastric banding, namely preoperative study, meals, accommodation, surgery, medications, postoperative study and all consultations will cost from 5.000 € to 15.000 €. The exact price depends on the age, medical history and physical condition of the patient.
The total residence time in the hospital for 3 to 5 days.
Medical translator costs from 30 € to 60 € per hour.

Sincerely, YYY

Question:
Hello YYY!
We are very interested in your offer for gastric banding in Germany. Tell me, what kind of clinic? And are there any reviews about it and doctors who work in it? Thank you.
Sincerely, XXX

Answer:
Good afternoon, Mr. XXX
The clinic is located in Munich. Surgery for gastric banding will make himself the chief surgeon and head of the Department of Surgery (MD) in one of the best clinics, not only in Germany.
He has 22 years of experience and global name in the field of abdominal surgery. «Made in Germany» refers not only to BMW and Porsche, but also to the German medicine.

Sincerely, YYY

Question:
YYY, I’m looking for in a private clinic. My weight 145 kg, height 191 cm No other abnormalities, except there is no complete.
I do not need a visa, I have it. Munich – because there colleague put band 5 years ago and she lost 58 kg. Another way for us, I do not see, except those transactions. I sult in the company ZZZ, but there comes a little expensive. Here, we select the possible options. COP Vashumi conditions, we agree!
Who will do the surgery? Where to send money for the surgery?

Answer:
Good afternoon, Mr. XXX
Will personally operate Sir Dr. med. RM – chief doctor of the Department of General, Visceral and Vascular Surgery at the Surgical Clinic of Munich (full name and address).
Payment for medical services will be made to you directly hospital in Munich (without requests!).
We will always happy to quickly and efficiently help you solve any problems.
Sincerely, YYY

Question:
As long as the surgery is performed gastric banding?

Answer:
Hello XXX
the whole operation will be under the supervision of the 3-D program that makes your hands and head physician of the robot controlled by a computer. Lasts 20 minutes!
But I will not tell you about the wonders of German medicine, since no accident you have decided on the venue for the operation!

Sincerely, YYY

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Gastric banding in Germany please go to medical advice.

Treatment Demodicosis

Clinic demodicosis

Treatment Demodicosis

Treatment Demodicosis


Follicular bugs, mites, larvae (Larva migrans cutanea) and sand fleas are the most common cause of infectious diseases of the outer layer of the skin, ie disease parasites. When demodicosis, Demodex Brevis (tick sebaceous glands) or Demodex folliculorum (follikulny mite) resides in human skin. Demodicosis disease common in people with oily skin. In 95% of healthy people may find minor length ectoparasites living in the follicles of the face and hair of the head. With age, the number of ticks per each follicle increases. But most of the mites are harmless, however, and they can cause severe inflammatory facial sebaceous glands, ie demodicosis.
Most often heavily infected follikulnymi ticks common in patients with oily skin. The clinical picture in highly contaminated areas follikulnymi mites usually seen in follicular-related and inflammatory sites, and maybe even whole domains. In this case, the skin is scaly, itchy often observed.
It is known that human infection only occurs from the other person. Infections in children appear from the first contact with the mother.

Diagnosis of the disease demodicosis in Germany

At diagnosis granulomatous facial dermatosis in patients refractory or relapsed disease, immediately suspect the disease demodicosis. The same applies in the case of perioral dermatitis lesions. For demodicosis typically strictly unilateral, marginal and erythematous papular-pustular lesions that occur mainly on the chin, cheek and forehead. In the diagnosis should be excluded: perioral dermatitis, Rosacea papulopustulosa, shingles and seborrheic dermatitis.

Disease treatment demodicosis in Germany

In Germany, the effective treatment of demodicosis give the right to a guarantee of success. For this purpose a number of drugs for systemic and local therapy.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Treatment Demodicosis please go to medical advice.

Treatment of bunion in Germany

Treatment of bunion (hallux valgus) in Germany.

Treatment of bunion (hallux valgus) in Germany.

What is a bunion (hallux valgus)?

Bunion – valgus deformity of the foot (Latin: Hallux valgus) is one of the common strains interphalangeal joints (Latin: Articulatio interphalangealis) arising on the big toe (Latin: Articulatio metatarsophalangealis).

Epidemiology and causes.

Statistically, only about 10% are caused by genetic because of flat feet, but for the remaining 90% of cases are caused by incorrect selection of shoes.
Stronger forms of deformation primarily affect women. This is due to the weakness of the connective tissue in women. In addition to the features of the form of women’s shoes, which are contributing to this negative trend.
There are three factors forms of footwear:

  1. Heel height.
    At an altitude of more than three inches observed significantly increased pressure on the forefoot. On the one hand, it contributes to the appearance of flat feet, and on the other hand, the toes are pressed into the shoes.
  2. Narrow toe shoes.
    If the toe of their shoes are too tight, then you do not see your toes freedom. As a result, they have to be in a bad position, which eventually leads to permanent deformation at the ankles.
  3. Too short shoes.
    If the shoe is too short, the toes do not have to be in a natural position, and this contributes to bursitis of the big toe.

Clinical manifestations

When valgus deformity of the foot significantly increased the angle between I and II metatarsals. In this case, I-I metatarsal bone starts to grow in, because of this, her head begins to form a mound, named “bone on his feet.” Since in this case the big toe can not continue to look inside, it gradually deviates outward.

Complications

As the result of constant pressure were “Bones” as inflamed conflicts with the shoes.
This usually leads to bursitis, ie inflammation of the mucous bag replacement.
In addition, as a consequence of the constant pressure begins bone changes in the head I-th metatarsal bone. Changes in bone lead to swelling, sensitivity, pain and excessive irritability “bones” on a thumb.
Wrong location and angle of the big toe leads to premature wear of the fixed joints affected cartilage and significantly increase the size of the bone growth on his leg.

Treatment in Germany

There are more than 150 different methods of operating adjustments arising valgus deformity of the foot. The overall goal of these methods is to reduce the angle between the metatarsal bones, as This will put the base of the big toe to the right position. German orthopedic surgeons use about five different methods of solving these problems.
In German clinics surgery to correct bone of the thumb is conducted:

  1. Transection of the metatarsal I (known as: Corrective osteotomy).
  2. The so gennante Scarf osteotomy procedure.
  3. The preferred proportion of the toes downward metatarsal move in direction of the second metatarsal.
  4. With heavy sutures are again just put the big toe.
  5. From the first metatarsal the abnormal bony enlargement will be removed.
  6. At the phalanx of the big toe is the damaged portion of the joint is removed and reinforced in a good position again (called arthrodesis).
  7. Then either a special redressierenden association or the removal of the skin sutures.

The postoperative wound healing takes about 1 to 2 months. It is recommended to wear within 1.5 months of the orthopedic shoes.

See also

Wikipedia “Hallux valgus“.
Wikipedia “Bunion“.

Notes

{{Notes}}

References

Leitlinien der Deutschen Gesellschaft für Orthopädie und Orthopädische Chirurgie und des Berufsverbandes der Ärzte für Orthopädie

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Treatment of bunion in Germany please go to medical advice.

Areas of treatment in Germany

Obstetrics and gynecology – pregnancy and childbirth, treatment of gynecological diseases.

Conception and pregnancy childbirth and the postpartum period, the prevention and treatment of complications during pregnancy and fetal disease.
Infertility and IVF egg freezing and preservation of pregnancy.
Gynecology cervical erosion mammography and fibroid tumors of the uterus, nephropathy eclampsia in pregnant women endometriosis.

Center for medical treatment in Germany "German Doctor"

Center for medical treatment in Germany “German Doctor”

Angiology and treatment of disease of blood and lymphatic vessels.

Angiology diseases of blood and lymphatic vessels.
Thrombocytopenia or thrombosis, thrombophlebitis thrombocytopathies
Struggle with acute and chronic pain, phlebology, insult cerebral infarction cerebral hemorrhage and subarachnoid hemorrhage.

Gastroenterology, proctology and internal medicine in Germany.

Diseases of the liver, gall bladder and bile ducts, probelmy rectum and colon, as well as anal abscess cholecystitis
Surgery abdominal obesity and overweight radical echinococcectomy hydatid cyst removal “gidatida” Escherichiosis ulcer
Pancreatitis – inflammation of the pancreas and loloproktologiya.

Hematology – treatment of blood disorders in German hospitals.

Hematology – treatment of diseases of the blood and blood kroverazrusheniya.
Splenomegaly pathological enlargement of the spleen or erythremia polycythemia blood cancer leukemia leukemia white sickness.

Dermatology Allergy allergic reactions and parasitology.

Skin disease, psoriasis and demodicosis trichophytia, nevus skin fistula seborrhea and eczema of the skin erythema sepsis.
Sudamen abrasions acne neyrodermitis onychomycosis fungal disease scleroderma pyoderma trichophytia female cellulite.
Hay fever Allergic rhinoconjunctivitis allergic reaction to pollen.

Venereology and virology – treatment of viral diseases, immunology and infectious diseases.

HIV infection is AIDS papilloma aureus trichomoniasis encephalitis FMD sarcoidosis chlamydia.

Diagnosis of diseases in German hospitals.

MRI, CT, ultrasound …

Cardiology and cardiac surgery at the world-renowned cardiology Munich.

Cardiovascular Surgery heart arrhythmia heart failure atrial fibrillation pericarditis endocarditis. Cardiac mitral valve prolapse, angina tachycardia extrasystoles

Neurology – treatment of a disease of the nerves in Baden-Baden.

Brain disease neuralgia neuritis neuroses neuropathy neurofibromatosis Reklingauzena Parkinson’s disease Alzheimer Huntington.
paresthesia synesthesia sclerosis epilepsy
Treating Child Spinal polio paralysis (ICP) and spinal cord diseases.

Oncology – modern methods of cancer treatment in cancer patients.

Treatment of cancer using nuclear medicine, minimally invasive surgical oncology radiotherapy and radiology.
Kaposi teratoma brain tumor early diagnosis of cancer metastasis cancer neuroma shell nerves – a benign tumor. neuroblastoma of the sympathetic nervous system – cancer, cirrhosis of the liver.
Uterine fibroids cervicitis fibrosis pheochromocytoma cholangitis exostosis

Orthopedics – treatment of diseases of the musculoskeletal system and traumatology.

Arthrology treated joints arthritis and arthrosis, coxarthrosis and bony growths osteoarthritis and osteochondrosis. Nose osteomyelitis arthroplasty osteochondropathy spinal hernia flat sore arthritis and diseases of the joints. Prosthetic joints treatment of scoliosis spondylitis tendinitis tendon tissue degeneration.

Otolaryngology – diagnosis and treatment of diseases of ear, nose, throat, head and neck pathology.

Otosclerosis otitis ENT disease inflammation of the ear, tonsillitis, pharyngitis.
Chronic rhinitis treatment and diagnosis of different types of sinusitis: sinusitis ethmoiditis sphenoiditis front.

Ophthalmic treatment of eye diseases using modern technology.

Detachment of the retina, the treatment of retinoblastoma tumor eyes blinding trachoma tremor uveitis.
Retinopathy is damage to the retina, that is, the retina, the eye.

Pediatrics and Pediatric clinics in Germany.

Pediatrics pediatrics, and treatment in pediatric clinics in Germany. Treatment of dental fluorosis in Munich.

Psychiatry in Munich.

Treatment of psychosis and psychopathy.

Pulmonary diagnosis and treatment of pulmonary diseases.

Pulmonary effusion pneumoconiosis silicosis pneumothorax
Toxocariasis is a bot from the group nematosis characterized by bronchitis, pneumonia, tracheitis hepatosplenomegaly or eosinophilia focal emphysema.

Rheumatology.

Sciatica rheumatism and gout.
Rehabilitation in German hospitals.

Oral and Maxillofacial Surgery.

Prosthetic implants installation bite correction. Orthodontics – dental implants, orthopedic orthopedic prosthetic dental pulpitis, periodontitis.

Urology and Kidney Disease in the German urological clinic.

Prostatitis, urethritis pyelonephritis renal nephritis kidney transplant diagnosis of diseases of the urinary system Male reproductive system adrenal disease pathological processes in the treatment of prostate retroperitoneum urologists and oncologists in German hospitals. Cystitis urinary organs epididymitis

Surgery and plastic surgery.

Brain surgery removal of polyps – giperplazicheskih outgrowths of human tissues in the nose, uterus, stomach or ear.
Organ transplant abdominal abscess Thoracic Surgery Neurosurgery purulent pleural enuresis

Endocrinology.

Grave’s disease pituitary goiters thyroid disease diabetes.

Dieser Post ist auch verfügbar auf: German, Russian

For more information about Areas of treatment in Germany please go to medical advice.