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Lumbar Spinal Stenosis Treatment in Germany | Best Hospitals, Doctors, Prices | Booking Health

Treatment of Lumbar Spinal Stenosis in Germany

Lumbar spinal stenosis Treatment in Germany | Information about hospitals in Germany and doctors | Rankings | Clinics | Prices | Send request to the hospital and go to Germany for treatment of Lumbar spinal stenosis

Best hospitals and doctors for lumbar spinal stenosis treatment in Germany

Leading hospitals

Cost for treatment

Diagnostic tests for lumbar spinal stenosis
1793
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
10115.98
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
13491.08
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
14668.71
Surgical treatment of lumbar spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
26020.93
Treatment of lumbar spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (1 segment)
20656.12
Treatment of lumbar spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (2-3 segments)
26057.47
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy
9649.31
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy and discotomy
14623.82
Neurological rehabilitation Phase C
0.00
Hospital Neuwerk Moenchengladbach
Germany, Moenchengladbach

Hospital Neuwerk Moenchengladbach

Overall rating10 / 10
The Hospital Neuwerk, which is in Moenchengladbach, has over 10 specialized operating departments. Located in the northern part of the city, the hospital has been a coordination center for the region for many years. The hospital has 310 comfortable beds for ist patients. Due to a wide range of medical services, the hospital offe
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Vivantes Auguste-Viktoria Hospital Berlin
Germany, Berlin

Vivantes Auguste-Viktoria Hospital Berlin

Overall rating9.7 / 10
The Vivantes Auguste-Victoria Hospital, has special expertise and received international recognition in the field of Urology, especially in the treatment of prostate cancer and also Oncology, Neurology, Cardiology and other directions. The possibilities of urological treatment include robot-assisted surgeries using the Da Vinci
Catholic Clinic Koblenz-Montabaur
Germany, Koblenz

Catholic Clinic Koblenz-Montabaur

Overall rating10 / 10
The Catholic Clinic Koblenz-Montabaur is a modern medical facility with an excellent reputation in Germany and abroad. The medical center is an academic clinic of the University Hospital Mainz, which gives patients the opportunity to take advantage of scientific advances and innovative treatments. The clinic has the widest possi
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Charite University Hospital Berlin
Germany, Berlin

Charite University Hospital Berlin

Overall rating9 / 10
According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
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Beta Clinic Bonn
Germany, Bonn

Beta Clinic Bonn

Overall rating9.7 / 10
The Beta Clinic Bonn is a modern private healthcare facility with 20 specialized departments. In addition, the clinic cooperates with 30 independent doctors of various specializations, most of whom have their own private practices. The doors of the clinic first opened for patients in 2008. Since that time, the medical facility h
University Hospital Freiburg
Germany, Freibung

University Hospital Freiburg

Overall rating9.7 / 10
The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
University Hospital Frankfurt am Main
Germany, Frankfurt am Main

University Hospital Frankfurt am Main

Overall rating10 / 10
According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
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University Hospital Erlangen
Germany, Erlangen

University Hospital Erlangen

Overall rating9.1 / 10
According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
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University Hospital Ulm
Germany, Ulm

University Hospital Ulm

Overall rating8.7 / 10
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
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University Hospital Würzburg
Germany, Würzburg

University Hospital Würzburg

Overall rating9.2 / 10
According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
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University Hospital Carl Gustav Carus Dresden
Germany, Dresden

University Hospital Carl Gustav Carus Dresden

Overall rating9.1 / 10
According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
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University Hospital Hamburg-Eppendorf
Germany, Hamburg

University Hospital Hamburg-Eppendorf

Overall rating9.2 / 10
According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
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Diagnostic tests for lumbar spinal stenosis
Price:
0.00
Go to the program
Diagnostic tests for lumbar spinal stenosis
Price:
0.00
Go to the program
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
Price:
14865.13
Go to the program
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy and discotomy
Price:
14903.76
Go to the program
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
Price:
19656.94
Go to the program
Treatment of lumbar spinal stenosis (2-3 segments) with decompressive laminectomy and discotomy
Price:
19766.56
Go to the program
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
Price:
21863.96
Go to the program
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy
Price:
21504.82
Go to the program
Surgical treatment of lumbar spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
Price:
39326.71
Go to the program
Surgical treatment of lumbar spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (4 segment)
Price:
39489.58
Go to the program
Treatment of lumbar spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (1 segment)
Price:
31451.08
Go to the program
Treatment of lumbar spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (1 segment)
Price:
31395.75
Go to the program
Treatment of lumbar spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (2-3 segments)
Price:
39169.07
Go to the program
Treatment of lumbar spinal stenosis in combination with instability with decompressive laminectomy and the stabilizing operation (2-3 segments)
Price:
39348.64
Go to the program
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy
Price:
16239.04
Go to the program
Treatment of lumbar spinal stenosis (1 segment) with decompressive laminectomy
Price:
16159.69
Go to the program
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy and discotomy
Price:
21567.46
Go to the program
Treatment of lumbar spinal stenosis (4 segments) with decompressive laminectomy and discotomy
Price:
21847.25
Go to the program
University Hospital Muenster
Germany, Muenster

University Hospital Muenster

Overall rating9.8 / 10
According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
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University Hospital Jena
Germany, Jena

University Hospital Jena

Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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University Hospital Marburg UKGM
Germany, Marburg

University Hospital Marburg UKGM

Overall rating8.6 / 10
The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
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University Hospital Rechts der Isar Munich
Germany, Munich

University Hospital Rechts der Isar Munich

Overall rating9.8 / 10
The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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| from Booking Health GmbH

Lumbar spinal stenosis is a narrowing of the spinal canal. Narrowing of the bony spinal canal can be caused by bone overgrowths, and herniated spinal discs. These usually result in load-dependent pain, irradiating on one or both sides. Subsequently, load-dependent symptoms in the legs as well. The problems usually occur when people walk, while they are almost non-existent during cycling (i.e., when the spine is bent forward).

This condition is fraught with disability and serious complications, and therefore requires adequate, and most importantly, timely treatment.

Content

  1. Overview of lumbar spinal stenosis
  2. Causes and symptoms of lumbar spinal stenosis
  3. Diagnosis of lumbar spinal stenosis
  4. Tactics of treatment of lumbar spinal stenosis in Germany
  5. Conservative treatment of lumbar spinal stenosis in Germany
  6. Surgery of lumbar spinal stenosis in Germany
  7. Rehabilitation after surgery
  8. Prognosis of lumbar spinal stenosis
  9. The cost of treatment of lumbar spinal stenosis in Germany
  10. Treatment of lumbar spinal stenosis in Germany with Booking Health

Overview of lumbar spinal stenosis

 

One of the most important functions in the human body is performed by the spinal canal. It protects the spinal cord inside the vertebrae. The spinal cord and brain form the central nervous system that regulates the functions of the human body. Therefore, for the spinal cord to function properly, the spinal canal needs to be intact.

Spinal stenosis is a chronic pathological process characterized by a stenosis (narrowing) in the diameter of the spinal canal and intervertebral foramen due to bone and cartilage overgrowth. The normal size of the spinal canal at the lumbar level is 15 – 25 mm and transverse is 26 – 30 mm. Spinal stenosis is a decrease in its size relatively up to 12 mm. At the same time, clinical manifestations may not be present at all. A decrease to 10 mm or less is called absolute spinal stenosis. This stenosis already has clinical signs.

Lumbar spinal stenosis is narrowing of the spinal canal in the small of the back.

Treatment includes physical therapy, pain and anti-inflammatory medications, surgeries.

Cost of decompressive laminectomy and discectomy in 1 serment is from €3,670. You can find other prices on the Booking Health website.

The best hospitals in Germany are:

  1. University Hospital of Ludwig Maximilian University of Munich
  2. University Hospital Rechts der Isar Munich
  3. University Hospital Frankfurt-am-Main
  4. Helios Hospital Krefeld
  5. Clinic of Advanced Biological Medicine Frankfurt-am-Main

Causes and symptoms of lumbar spinal stenosis

 

Lumbar spinal stenosis can be either congenital or acquired.

Congenital lumbar spinal stenosis is a rather rare condition. This condition is usually associated with narrowing of the spinal canal caused by abnormalities in the postnatal stage of development

The majority of clinical cases of stenosis still occur because of the underlying process of inflammation in the intervertebral discs initiated by the infection or injury.

Even though anatomical spinal canal narrowing is a pretty obvious and definitive component of lumbar spinal stenosis, it is not always obvious when undergoing the diagnostics. It can be diagnosed, if the degree of narrowing causes compression of neurovascular structures and impairs their function.

Patients also frequently experience impaired coordination, sensory dysfunction, and muscle weakness in the lower limbs. However, any problems in the lower extremities are not usually caused by stenosis, even when MRI shows severe anatomical damages caused by the disease.

There is a dynamic component to lumbar spinal stenosis as well. So, for instance, when walking or standing symptoms intensify, and on the contrary, when sitting or lying down patients feel relief.

Diagnosis of lumbar spinal stenosis

 

Medical diagnosis, like with any other pathology in medicine, starts with first examining the complaints and medical history in detail. A neurologist will ask about the nature of pain, where it is localized, how it relates to movement, etc. The specialist will also ask about other symptoms of diseases of the nervous system: decreased skin sensitivity, muscle weakness, and dysfunction of the pelvic organs.

Next, a physical examination is performed. It allows the doctor to make a preliminary diagnosis and determine the patient's further examination plan. A medical specialist examines and palpates the body parts where the patient feels pain, numbness, or weakness. To assess the function of the spinal cord, tendon reflexes are examined, as well as skin sensitivity and muscle strength are measured.

Additional instrumental diagnostic tests are usually needed to confirm the diagnosis. For spinal stenosis, specialists will prescribe a spinal X-ray and MRI. In some cases, a multislice computed tomography scan may be needed in addition to an MRI scan.

Tactics of treatment of lumbar spinal stenosis in Germany

 

Lumbar spinal stenosis treatment tactics depend on the severity of neurological disorders caused by stenosis, pain intensity, and the features of narrowing.

There are surgical and conservative (non-surgical) approaches to treatment. When treating patients with lower back pain, rational psychotherapy and various types of physical therapy are of great importance. Currently, the efficacy of physiotherapeutic methods for the treatment of back pain is being studied.

It is always advisable to start with conservative treatment, which includes therapeutic exercises, physiotherapy, manual therapy and massage, vitamins, and anti-inflammatory drugs. In most cases, a positive result can be achieved without surgery. The surgical treatment of spinal stenosis should be resorted to only in the absence of the effect from conservative therapy. This is due to the fact that any surgical treatment can be associated with the development of the most common complication of spine surgery – scarring and fibrosis. Therefore, it is extremely important to consider all the pros and cons for choosing the best option, to conduct a thorough analysis of the results of clinical examination and diagnostic imaging methods. Lumbar spinal stenosis cannot be treated without a comprehensive preliminary diagnosis.

Conservative treatment of lumbar spinal stenosis in Germany

 

The conservative treatment of stenosis is similar to conservative treatment of other degenerative diseases of the spine. The conservative treatment of lumbar spinal stenosis consists of a comprehensive and individualized approach, including recommendations for changes in lifestyle and motor activity, prescription of drugs from NSAID groups, anticonvulsants, vasoactive drugs, prostaglandin E1, calcitonin, epidural administration of glucocorticosteroids and local analgesics, and B vitamins.

The conservative treatment that includes drug therapy, physical therapy, massage, and epidural injection of steroids is effective for moderately pronounced symptoms of lumbar spinal stenosis. The latter method consists of injecting solutions of glucocorticoid hormones into the peridural space in the area of lumbar spinal stenosis. The effect of glucocorticoids is based on pain syndrome reduction due to the reduction of inflammation in the area of nerve compression. Glucocorticoid hormones are often used in combination with local analgesics, which quickly relieve pain, but have a rather short-term effect. In contrast, the effect of glucocorticoid hormones develops quite slowly and lasts for 2 – 4 weeks. Epidural injection of steroids is effective in 50% of patients with lumbar spinal stenosis. At the same time, this method of treatment can cause complications, so it is used only when other methods of conservative therapy are ineffective.

The surgical treatment is indicated if conservative therapy is ineffective.

Surgery of lumbar spinal stenosis in Germany

 

The main indication for surgery is the irresponsiveness of patients with lumbar spinal stenosis to conservative therapy. Considering the fact that the disease may be accompanied by periods of remission and exacerbation, doctors mostly resort to surgery when severe symptoms persist.

The following options can be used for lumbar spinal stenosis surgery:

  • Stabilizing surgery (stabilizing and expanding of the spinal space with subsequent enhancement of support function by implanting braces).
  • Decompression laminectomy (a surgical procedure to expand the spinal canal by removing some parts of the bone tissue, the arch of the spine, and ligaments; this surgery is considered one of the most traumatic).
  • Microsurgical decompression (a surgical procedure involves the use of a fixation system after the stenosis has been eliminated; most importantly, the function and flexibility of the spine is preserved after surgery).
  • Microdiscectomy or laser vaporization (types of interventions performed sometimes together with a laminectomy, in cases where the stenosis is caused by a herniated disc).

Surgery is aimed at alleviating compression on the nerves that are the common subject to it. The approach to spine surgery varies, but the goal stays the same. And the most widespread technique for it is conventional laminectomy.

Minimally invasive spine surgery for decompression consists of percutaneous removal of the hypertrophic ligament. A randomized study, which evaluated the outcomes of treatment over 6 weeks in 38 patients, showed no significant differences in the symptom relief between the patients who had minimally invasive spine surgery compared to the group receiving epidural steroid injections. Although, pain relief was higher in the group of patients who received minimally invasive spine surgery for decompression.

The use of one or another method of surgical intervention depends on the clinical situation. In most cases, the patient fully recovers after surgery. An important role in rehabilitation is played by the patient's behavior, compliance with all restrictions and rules established by the doctor.

Rehabilitation after surgery

 

Rehabilitation after the surgery for lumbar spinal stenosis can take place both on an inpatient and outpatient basis. For the first few days, patients remain under the supervision of a neurosurgeon, who performs daily bandaging and assesses the quality of healing of the postoperative wound. After discharge from the hospital, the patient gradually returns to his/her normal way of life.

The stitches are removed on the 7th or 10th day after surgery. A complete recovery takes 1-6 months, depending on the aggressiveness of the disease prior to treatment and the extent of conducted surgery. During this time, it is recommended to limit physical activity and stress factors. It is necessary to follow a diet, rest and adhere to the recommendations of the neurosurgeon.

Prognosis of lumbar spinal stenosis

 

Medicine cannot yet provide us with any concrete patterns for a good prognosis, since most people require individualized treatment.

The patients without severe progression usually have very good chances for recovery from stenosis. There are some cases when symptoms worsen after treatment, but in general, people remain symptom-free.

A recent study, based on MRI monitoring and general observation of 34 patients with spinal stenosis, showed that 60% of patients had regression of symptoms, despite condition worsening on MRI. Other studies have shown that manifestations of stenosis can have both negative and positive dynamics, regardless of stable condition according to MRI.

The cost of treatment of lumbar spinal stenosis in Germany

 

The financial aspect of treatment is one of the main considerations in choosing a destination. How much does treatment in Germany cost?

Many hospitals in Germany have a quite similar cost of treatment due to the unified pricing system, which is based on the diagnosis of the patient in a standardized case and the calculation of the cost of treatment in the German hospitals based on the average prices for different treatments. The cost of treatment in German hospitals is individualized for each case and also depends on the number of narrowed areas, the severity of the disease, the duration of a hospital stay, and other factors:

 Medical procedurePrice
1Diagnostics in suspected lumbar spinal stenosisfrom 498 EUR
2Spinal stenosis treatment with decompressive laminectomyfrom 3,999 EUR
3Spinal stenosis treatment with decompressive laminectomy and discectomyfrom 3,670 EUR
4Spinal stenosis treatment with decompressive laminectomy and additional stabilizing surgeryfrom 8,781 EUR
5Rehabilitation course after the treatment completionfrom 540 EUR per day

You can contact Booking Health to estimate a preliminary cost of treatment in Germany. This will allow you to assess your financial capabilities in advance.

Treatment of lumbar spinal stenosis in Germany with Booking Health

 

Booking Health will assist you in every matter regarding the organization of treatment in Germany. We will help you to get a medical visa, book the airline tickets and accommodation for you and the accompanying person (if needed), and even provide you with a personal interpreter for the period of your stay in Germany.

To get more information on how to proceed, please leave your request on the Booking Health website, and our medical advisor will contact you.

 

Authors: 

The article was edited by medical experts, board certified doctors Dr. Vadim Zhiliuk and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

National Spine Health Foundation

SPINE-health

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