Detailed medical history
with typical pain
Detailed physical examination
withtypical positive test findings, examination of strength and ligamentous apparatus as well as trigger points. Typical pain during strength tests.
Detailed ultrasound examination (sonography), also X-ray diagnostics
Both examinations are carried out directly at the first visit to the practice.
If there is a clear change, a magnetic resonance imaging examination,
torule out a tendon tear and changes on the joint side.
Physiotherapy
Thisis primarily aimed at treating muscular imbalances and resolving trigger points or detonating myogelosis.
Anti-inflammatory treatment
withovernight ointment dressings or oral medication reduces activity and pain in the elbow.
Acupuncture
Theplacement of tiny needles at defined points on the skin stimulates the joint, resulting in pain suppression.
Shock wave
can be used to improve blood circulation to reduce pain and mobility.
Hyaluronicacid
can reduce pain and inflammation. This results in improved function.
ACP
can improve muscle healing and tendon irradiation.
Physiotherapy
The main aim here is to treat muscular imbalances and resolve trigger points or detonate myogelosis. Later on, attempts are also made to better counter specific strains by activating other muscles and avoiding overloading. The healing process is initiated by mobilizing and stretching the tense muscles in daily self-exercises.
Anti-inflammatory treatment
with overnight ointment dressings or oral medication with ibuprofen, diclofenac, metamizole etc. reduces the activity and pain in the elbow. The fastest and strongest effect can be achieved with cortisone infiltration. Due to the many unfavorable side effects, this treatment should be used very critically. However, the treatment is covered by all statutory or private health insurers.
Acupuncture
The acupuncture points are stimulated by inserting tiny needles at defined points on the skin. This leads to a neurophysiological superimposition of pain, resulting in pain suppression during the course of treatment.
Shock wave
This can be used to improve blood circulation, reduce pain and improve mobility. The shock wave is normally applied once a week over a period of 5-6 weeks.
Hyaluronic acid
This can lead to pain reduction and a reduction in inflammatory processes. This results in better function. As a rule, this is carried out once a week over a period of 3 weeks.
ACP
This can improve the healing of the muscle and tendon irradiation. It also leads to a reduction in pain and an improvement in mobility. Infiltration is carried out once a week for approx. 5 weeks, then 5 times a month if necessary.
Depending on the level of pain, for occasional pain after exertion. More intensive treatment is used for regular pain after exertion and pain during exertion or persistent pain in the elbow.
Hyaluronic acid is usually applied once a week over a period of 3 weeks.
ACP is infiltrated once a week for approx. 5 weeks, then 5 times a month if necessary.
However, we create an individual treatment plan for each of our patients, in which the current damage and expectations (such as sporting exertion) play a significant role.
Treatments last 6-14 weeks.
In the case of chronic disease, often only after 12-14 weeks, otherwise usually after 5-6 weeks.
ACP often has a clear anti-inflammatory effect immediately after the first injection. The patient usually notices how the tendon reacts after the injections. As with hyaluronic acid, in most cases a clear improvement can be felt after the 3rd injection.
As the elbow is heavily innervated, shock waves, acupuncture and injections are briefly painful, but are often well tolerated.
ACP treatment also involves a small blood sample, and the tendon can also react slightly when the regeneration processes begin. However, this only lasts for a few days and is described by patients as "working in the tendon" rather than pain.
Both hyaluronic acid and ACP are the body's own substances, and ACP even uses the body's own blood. This is why side effects hardly ever occur.
We avoid the risk of infection from an injection into a joint by disinfecting extremely thoroughly, for example, we use the same disinfectant that is used for disinfection during operations. This is a very costly disinfection process, but we want to ensure maximum safety for our patients.
Many years ago, autologous blood therapy was also used to treat chronic wounds and therefore the risk of infections, which are very rare anyway, is significantly lower.
Statutory health insurance companies cover physiotherapy and medication. Private health insurance companies often cover the treatment costs except for ACP.
As ACP is still a new treatment method and is still being researched, unfortunately not all private health insurance companies cover the treatment costs. As several studies have proven the effectiveness of ACP, we therefore recommend that you ask your health insurance provider in advance whether they will cover the treatment. Our entire team will be happy to support you with applications for your insurance with an additional letter from us. Reference is also made here to the latest literature, which can also be provided in written form at any time.
Our primary aim is always to offer you the best possible treatment and never to withhold options from you.
Of course, you can also cover the costs of tendon treatment yourself. We will be happy to draw up a treatment plan for you in advance.
Surgery is the last resort for chronic persistent pain that is resistant to therapy.
In the case of surgery
The most common surgical technique is the removal of the tendon fibers at the periosteum of the elbow (Hohmann) and denervation with severing of the pain-conducting nerves (Wilhelm). However, more recent studies show good results with tendon lengthening.
