... nuts and bolts to the treatment concept of the APEX SPINE Center

Not only general practitioners but also orthopedic specialists or neurosurgeons tend to expose their patients to "over-treatment" - without knowing the proper diagnosis or cause of pain.

To make a well-founded diagnosis a conscientious and extensive approach is indispensable. Generally different examinations are necessary. These involve the following methods:

  • Knowledge of the patient's history is the basis for any professional diagnosis
  • Thorough orthopedic and neurological examination
  • Strength test of the lumbar extensors and the neck musculature
  • Electromyelography (EMG), spine motion
  • X-ray examination
  • Magnetic resonance imaging (MRI): provides detailed imaging of all spine structures (osseous spinal canal, the spinal discs, the spinal cord as well as the spinal nerves)
  • Internal medical examination with ultrasound and blood tests (infection, rheumatism and gout diagnostics)

If by these methods no precise diagnosis (like a herniated disc, a stenosis or inflammatory processes) can be made, a discography may be indicated. Under local anesthesia through a very fine cannula a contrast medium is injected into the spinal disc. By means of the distribution pattern of the contrast medium as well as the patient’s reaction (for example typical pain, memory pain) the defective and pain causing disc can be identified (artificial disc replacement and / or endoscopic surgery).

If you have difficulties with coming to our practice personally, you might benefit from a preliminary diagnosis based on our histories forms. Please fill them in thoroughly Use this link to get to the questionnaire: Quick online advice and diagnosis