Orthopaedics/Rheumatology

The fields of orthopaedics and rheumatology are concerned with the musculoskeletal system, including its specific diseases and functions. The bones, muscles, joints, ligaments and tendons are the building blocks that make up the musculoskeletal system.

Diagnoses are based on an examination of the body’s static structures and movement patterns. The main goal of a diagnosis is to evaluate pain-triggering factors and potential restrictions in everyday activities.

Besprechung von Röntgenbildern

Imaging procedures (e.g. x-rays, MRIs and ultrasounds) are used to illustrate and analyse the structure and condition of bones and joints. But these images and values alone tell us nothing about the function or resilience of the affected structures. Additional functional exams are therefore necessary, including posture analyses, foot pressure measurements, tests on balance and the risk of falling, strength measurement, work posture analysis and endurance and coordination tests.

The results of the above tests form the basis for an interdisciplinary, function-oriented rehabilitation programme. Numerous activation measures and techniques – in the form of individual or group therapies – are available. 

Orthopaedic tests

  • This procedure allows the natural posture of the spine to be visualised without the use of x-rays. It provides information on posture, pressure distribution on the feet and the control of the body. 

    • Illumination of the patient’s back with parallel lines of light 
    • Creation of a digital picture of the spine from a diagonal perspective 
    • Mathematical reconstruction of the surface profile of the spine (using a wave pattern), which can then be used to determine the position of the spine
    • Imaging and analysis of the natural posture without the use of x-rays 
    • If necessary, further images with a simulation of corrective measures 
    • Introduction of targeted physiotherapy or other measures such as insoles to compensate for discrepancies in the length of the legs
  • For foot pain and other conditions (such as abnormal gait), one must first check for a static cause of the pain, such as a wrongly positioned toe, a foot deformity or an incorrect distribution of weight. It is also important to determine whether the pain occurs while standing or walking. Foot pressure measurements can be taken while walking or standing, and are a useful complement to a clinical examination. They also come in handy when making custom inserts or orthopaedic shoes.

Our specialists

  • André Ljutow, M.D., MSc in interdisciplinary pain medicine

    Head of the Centre for Pain Medicine

    Orthopaedic Specialist
    SGSS Pain Specialist
    Additional fields (D): rheumatology, physical medicine, chirotherapy, special types of pain therapy