Special surgeries

From altitude medicine to osteopathy to sports therapy

Our special surgeries get to the bottom of a wide variety of problems, whether you need high-altitude medicine consultation and examination or an examination to check your fitness for diving, whether you want gentle treatment for strains and pain or sport as medicine in the form of sports therapy for cancer, heart conditions or diabetes.

Tailored sports therapies are one of our specialist areas. Sport is good for your health, even when you are ill. It has been scientifically proven that most people with chronic illnesses benefit from regular exercise. However, it is always important to treat each patient as an individual, since “one-size-fits-all” recommendations for exercise can be ineffective or even dangerous. On the other hand, individual sports therapy can considerably improve the prognosis of disease, as well as the patient’s quality of life. At the Centre for Preventive and Sports Medicine, we integrate sport into our patients’ treatment plan, as a key part of their treatment (secondary / tertiary prevention). After the relevant preliminary examinations, we advise our patients on the dosage and intensity that will be the most effective for them.

With precise instructions and the signature of doctor and patient, exercise is as much a key part of treatment with us as taking tablets. Our vast studies on cardiology and oncology have given us extraordinary expertise in the field of sports therapy. We have prescribed sport as medicine to many thousands of patients since our Centre for Preventive and Sports Medicine was founded in 2003. We can now support them with telemedicine.

Special surgery for “high-altitude medicine”

Prevention and treatment of high-altitude diseases

An in-depth, high-altitude medicine consultation, including health check, will help you to avoid possible risks and mistakes, better assess situations and make your time at high-altitude safer.

Our experienced high-altitude physician, Dr. Boscheri, will give you comprehensive advice on:
• Preparation
• Acclimatisation
• Speed of ascent
• Possible altitude-related diseases
• What to do when first symptoms occur.

Once we know how you got on with previous trips at high altitude and what route you are planning, we will give you a comprehensive health check. After the sports and internal medicine examination and depending on your initial situation and planned stay at high altitude, we will recommend specialised diagnostics, such as a lung function test, cardiopulmonary exercise test, echocardiography or stress echocardiography, to minimise the risks of your planned trip as much as possible. 

High-altitude medicine consultations and examinations are private services that are not normally funded by statutory health insurance organisations. There might be exceptions where the health insurance organisation will pay for all or part of the services, for example, as part of a preventive examination.

Special surgery on “diving”

Have your physical fitness tested before you dive

Diving demands physical and mental fitness. Diving clubs recommend regular examinations and consultations with a physician who specialises in diving to rule out any risks for you and your diving partner.

We will take your medical history and risk factors during our sports and internal medicine preventive examination for divers. We check your physical fitness, paying particular attention to heart, vessels and lungs. We set various lung function parameters to establish your lung capacity and to check any abnormalities in your respiratory system. We examine your ear, nose and throat area, nervous system and your eyes, blood and urine. Based on the results, we then give you comprehensive advice, including about how you can manage unforeseen, stressful situations without endangering yourself and others.

Diving medicine consultations and examinations are private services that are not normally funded by statutory health insurance organisations. There might be exceptions where the health insurance organisation will pay for all or part of the services, for example, as part of a preventive examination.

Special surgery on “muscles and tendons”

Gently treating strains and pain

Excessive or incorrect training can cause muscles to become hardened and tendons inflamed. Runner’s knee, a painful Achilles tendon and tennis elbow are common examples of sport-specific complaints. You will get the best treatment for you as an individual in our special surgery on “muscles and tendons”.

The special surgery is led by our consultant Dr. Milan Dinic, specialist in internal medicine, cardiology and medical osteopathy and member of the board of the Deutsche Ärztegesellschaft für Akupunktur, Chirotherapie und Osteopathie e. V. If the pain has an orthopaedic cause, we work closely together with our colleagues in sports orthopaedics (Professor Andreas Imhoff) at Klinikum Rechts der Isar.

Acupuncture has been proven to be an effective treatment for muscular, tendon, ligament and joint pain. It relaxes, relieves pain and aids regeneration. Hardening of muscular tissue is often the core issue, for example, the hardened lower leg musculature found in Achilles tendon inflammation. Just a few sessions of acupuncture (dry needling) can help even in chronic cases with little hope of recovery.

Hardened, over-strained muscles can “trap” nerves, causing back and/or spinal column pain. Chirotherapy releases blockages and relieves muscular tension. All it takes is a few specific movements. We can also give you individual advice about special training to avoid muscular tension in the future.

Fascia treatment using osteopathy:
Fascia treatment using osteopathy is one of our specialist areas. Fascia covers muscles, nerves, organs, blood and lymph vessels, gives the body structure and holds it together. If the fascia becomes stuck down or hardened, its ability to move is limited and you will experience pain. By gently applying pressure or movements with the hands, we can mobilise your fascia and release tension and adhesions. We will also give you exercises to do at home to make your fascia supple again.

Cancer and sports therapy

Almost every third person will suffer from cancer at some point in their life. Sport now has a special significance in cancer treatment. Numerous scientific studies over the years have shown that physical exercise reduces symptoms of chemo and radiotherapy, contributes to a higher recovery rate and lower risk of relapse. We therefore recommend starting training on the first day of diagnosis. Exercise is always possible - while staying at the clinic, undergoing chemo or radiotherapy as an outpatient, during rehabilitation or at home. Even minimal physical activity has a positive effect and targeted, individually adapted therapy is even more effective.

Benefits of individual sports therapy for cancer patients
● An end to passivity - the chance to actively fight the illness
● Improve quality of life
● Improve prognosis
● Better tolerance of chemo and radiotherapy
● Fewer side effects (exhaustion, tiredness, nausea, pain, anxiety and depression)

We set up a special outpatient clinic for “Sport and Cancer” back in 2008. Call us and we will be happy to draw up a medically supervised, moderate exercise programme for you. We adapt the intensity in various phases, according to your capacity for exercise and your preferences. Training is done individually or in groups and is organised through the Kuratorium für Prävention und Rehabilitation an der TU München e. V.

Roman Herzog Comprehensive Cancer Center
Munich Tumour Centre
Bayerische Krebsgesellschaft

Along with sports therapy, the correct diet will also help to positively influence your chances of recovery. That is why we offer a special surgery on “cancer and diet“.

The heart and sports therapy

Sport strengthens the heart and circulation. Regular physical activity is therefore highly recommended for heart and vascular diseases (such as chronic high blood pressure and chronic cardiac insufficiency) and even after a heart attack. However, patients should never train without supervision, because too little training will not have the desired effect and too much strain puts their health at risk.

The basis for efficient training is a training plan for stamina, strength and coordination, tailored to age, physical capabilities, any other illnesses, medication and individual motivation.

Our extensive scientific studies have made us exceptionally experienced and well-known in the field of sports therapy. Cardiac patients come to us from all over Germany and beyond. We prescribe our patients optimum individual training plans (“sport on prescription”), after sports medicine and cardiological examinations such as echocardiography, stress echocardiography or cardiopulmonary exercise tests (where maximum oxygen capacity is reached and the ideal pulse rate for training is found).

Cardiac patients in our care always train with a heart rate monitor. We also look after patients using telemedicine to accurately assess intensity of exercise and to enable us to continuously adapt training. In cooperation with Kuratorium für Prävention und Rehabilitation e. V. we look after several sport and heart groups, where people train under medical supervision and instruction by specially trained coaches, gradually increasing their training intensity.

Benefits of individual sports therapy for cardiac patients
● Takes the strain off the heart
● Strengthens the heart by improving heart muscle function
● Widening of blood vessels and formation of new blood vessels
● Lowers raised blood pressure and blood fat values
● Improves maximum oxygen uptake from blood
● Reduces the risk of serious heart and vascular problems such as heart attack and stroke
● Increases respiratory volume
● Improves exercise tolerance and performance

Diabetes and sports therapy

6,700,000 people in Germany have diabetes and around 90 percent of them suffer from type 2 diabetes, which is caused by lifestyle. These figures were published by the Deutsche Gesellschaft für Diabetologie in 2016. Lack of exercise is one of the main causes of type 2 diabetes. Correspondingly, taking enough regular exercise is important for these patients. A sports medicine examination is essential before beginning training, because patients with diabetes often already have hardened vessel walls. Strain caused by exercising the wrong way can be extremely dangerous as it can, for example, trigger a heart attack.

In our special surgery on “sport and diabetes”, we find out how much exercise you can tolerate and draw up your individual training plan. We explain what combination of stamina and strength training will have a positive influence on your blood sugar levels, help with weight loss and so reduce your risk of secondary diseases. How great an effect exercise has on blood sugar levels differs from patient to patient. Regular sports medicine examinations enable us to continually adapt sports therapy.

Patients with type 1 diabetes can also exercise and improve their health. However, they have to pay close attention to their blood sugar levels when they exercise. Strenuous or incorrect training can cause blood sugar to plummet, resulting in dangerously low blood sugar. A tailored training plan with the optimum intensity of exercise for each patient helps to avoid such problems.

Benefits of individual sports therapy for diabetes patients
● Reduces blood sugar levels
● Improves sensitivity to insulin
● Loss of excess weight and reduction of abdominal fat
● Builds muscles and increases basal metabolic rate
● Prevents and/or treats high blood pressure
● Prevents late complications such as kidney function disorders, damage to retina, vascular calcification and heart attack

Would you like to be examined and advised?
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