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Treatment of Rheumatoid Arthritis in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for rheumatoid arthritis
1707
Diagnosis and conservative treatment of rheumatoid arthritis
3496

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Endocrinology, Rheumatology and Nephrology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for rheumatoid arthritis
4498
Diagnosis and conservative treatment of rheumatoid arthritis
8131

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Nephrology and Rheumatology

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
Diagnostic tests for rheumatoid arthritis
4006
Diagnosis and conservative treatment of rheumatoid arthritis
8242

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Hematology, Oncology, Palliative Care, Rheumatology and Infectology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for rheumatoid arthritis
3755
Diagnosis and conservative treatment of rheumatoid arthritis
7843

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Hematology, Oncology, Adult and Pediatric Rheumatology

According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
Diagnostic tests for rheumatoid arthritis
0
Diagnosis and conservative treatment of rheumatoid arthritis
0

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Hematology, Oncology, Hemostaseology, Rheumatology and Infectology

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
Diagnostic tests for rheumatoid arthritis
3539
Diagnosis and conservative treatment of rheumatoid arthritis
7523

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Nephrology, Rheumatology, Osteology and Endocrinology

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
Diagnostic tests for rheumatoid arthritis
3928
Diagnosis and conservative treatment of rheumatoid arthritis
8148

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Gastroenterology, Hematology, Oncology, Hepatology, Infectology, Rheumatology and Clinical Immunology

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
Diagnostic tests for rheumatoid arthritis
3354
Diagnosis and conservative treatment of rheumatoid arthritis
7058

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Nephrology, Rheumatology, Endocrinology and Kidney Transplantation

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
Diagnostic tests for rheumatoid arthritis
4492
Diagnosis and conservative treatment of rheumatoid arthritis
9359

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Oncology, Hematology, Rheumatology and Immunoncology

According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
Diagnostic tests for rheumatoid arthritis
3830
Diagnosis and conservative treatment of rheumatoid arthritis
8243

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Nephrology, Rheumatology, Endocrinology and Diabetology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for rheumatoid arthritis
3490
Diagnosis and conservative treatment of rheumatoid arthritis
7354

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Orthopedics and Traumatology

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
Diagnostic tests for rheumatoid arthritis
3371
Diagnosis and conservative treatment of rheumatoid arthritis
6984

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Infectology and Rheumatology

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
Diagnostic tests for rheumatoid arthritis
4997
Diagnosis and conservative treatment of rheumatoid arthritis
10148

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Internal Medicine, Nephrology, Hypertensiology and Rheumatology

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
Diagnostic tests for rheumatoid arthritis
3585
Diagnosis and conservative treatment of rheumatoid arthritis
7421

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Rheumatology

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
Diagnostic tests for rheumatoid arthritis
4480
Diagnosis and conservative treatment of rheumatoid arthritis
9126

HELIOS University Hospital Wuppertal

9.8/10
location_onGermany, Wuppertal

Department of Nephrology and Rheumatology

According to the prestigious Focus magazine, the HELIOS University Hospital Wuppertal ranks among the top medical facilities in Germany! The hospital rightfully enjoys the status of the maximum care medical facility and provides its high-quality services in all modern fields of medicine. The hospital operates on the basis of the
Diagnostic tests for rheumatoid arthritis
3597
Diagnosis and conservative treatment of rheumatoid arthritis
7344

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Rheumatology

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
Diagnostic tests for rheumatoid arthritis
3658
Diagnosis and conservative treatment of rheumatoid arthritis
7858
| from Booking Health GmbH

Rheumatoid arthritis is an autoimmune disease of unknown origin which is characterized by damage to the joints and internal organs. It often causes serious consequences: vascular changes, joint deformities, osteoporosis and bone fractures. In Germany, during the treatment of this disease, doctors successfully use new drug therapy regimens. To combat the complications of rheumatoid arthritis, sparing surgical interventions and specialized rehabilitation are provided here.

Content

  1. Conservative Therapy
  2. Management of Musculoskeletal Complications
  3. Treatment of Cardiovascular Complications
  4. Organization of Treatment Abroad

Rheumatoid arthritis can be treated with conservative methods: with the help of systemic drugs and intra-articular injections. However, with the development of complications, operations on the joints (arthroscopy, arthroplasty), as well as on the heart and large vessels, may be required.

The best clinics for the treatment of rheumatoid arthritis are University Hospital of Ludwig, Maximilian University of Munich, University Hospital Rechts der Isar in Munich and University Hospital Ulm.

You are welcome to leave your request on the Booking Health website and we will help you receive treatment in Germany as soon as possible. The specialists at the Booking Health company will recommend a clinic with the highest treatment success rates, draw up a preliminary medical program, book airline tickets and apartments for the patient and his accompanying person and provide medical insurance for the period of treatment and recovery. You will also receive a personal interpreter and a medical coordinator for the entire period of treatment.

Conservative Therapy

 

Most patients are prescribed nonsteroidal anti-inflammatory drugs. These are used to relieve joint pain. The drugs are usually used in minimal dosages. It is undesirable to use these drugs at a high dose due to the risk of cardiovascular complications.

Here are some other drugs for the conservative treatment of rheumatoid arthritis:

  • folic acid analogues; 
  • anti-inflammatory drugs; 
  • selective immunosuppressants; 
  • tumor necrosis factor-alpha inhibitors;
  • interleukin inhibitors; 
  • antimalarial medications;
  • cytostatics;
  • glucocorticoids; 
  • monoclonal antibodies. 

The more severe the disease, the more intensive the therapy. Risk factors for the development of complications are considered to be early joint erosions, high activity of inflammatory markers in the blood and long-term preservation of high pathology activity against the background of ongoing therapy.

During the period of exacerbation of arthritis (joint inflammation), the severity of symptoms can be quickly relieved with the help of an intra-articular injection of glucocorticoids. These can also be injected into the area of periarticular tissues, inflamed tendons and tendon bags. However, the frequency of injections should not exceed 1 time in 3 months, since glucocorticoids can adversely affect the metabolism of cartilage tissue in the joint.

Some clinics use stem cells for rheumatoid arthritis treatment. At the moment, stem cells are not part of the standard treatment but they have already proven themselves well in clinical trials. This method was first studied in 2004 and by 2018, the number of clinical trials had reached a peak. Doctors use autologous mesenchymal stem cells, which are injected intravenously. They are used for rheumatoid arthritis which is resistant to standard pharmacological treatment.

Management of Musculoskeletal Complications

 

Many patients with rheumatoid arthritis develop osteoporosis. Its risk is much higher after the long-term use of glucocorticoids. To prevent osteoporosis, calcium and vitamin D preparations are prescribed and bisphosphonates can also be used for treatment.

Frequent and severe inflammation can lead to significant damage to large joints, most often the knee joints. Such patients will require surgical treatment in the following cases:

  • with persistent and drug-resistant synovitis, arthroscopic synovectomy is performed (minimally invasive excision of the synovial membrane);
  • with severe functional disorders and pain syndrome, joint arthroplasty is performed – the joint is replaced with an artificial prosthesis.

Treatment of Cardiovascular Complications

 

Rheumatoid arthritis accelerates the progression of atherosclerosis. As a result, patients are 4 times more likely to develop coronary heart disease and myocardial infarction, as well as have a 50% increased risk of stroke.

In the case of a coronary heart disease, doctors will perform procedures and operations to revascularize (restore blood supply) to the myocardium. Whenever possible, the problem of poor blood supply to the heart muscle is solved with the help of a minimally invasive procedure: angioplasty and stenting, which is performed through an incision in the groin. Doctors deliver a balloon to the blood vessels of the heart, this expands the stenosed sections of the arteries. They then place a stent inside, which is a frame that keeps the lumen of the blood vessel open. With severe atherosclerotic lesions of the coronary vessels, coronary artery bypass grafting is performed. In Germany, this surgery is often performed on a beating heart in order to reduce the risk of complications. Some clinics perform a totally endoscopic coronary artery bypass grafting, using a robotic surgical system.

In some patients with rheumatoid arthritis, the heart valves are affected. Such patients undergo surgery for their reconstruction or prosthetic repair. In some cases, German doctors resort to minimally invasive procedures that are performed from inside the blood vessels.

Organization of Treatment Abroad

 

With the Booking Health company, you can get diagnostics and any type of rheumatoid arthritis treatment, in Germany. On the Booking Health website you can find out the cost of different types of treatment and you will be able to compare the prices for medical services in specialized clinics in Germany. The qualified medical advisors will select the most suitable clinic for you and fully organize your trip to Germany for treatment at the best possible price. With the Booking Health company, you can entrust the restoration of your health to world-famous specialists.

 

Authors: 

The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova 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:

The Journal of Rheumatology

MedicineNet

Web MD




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