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Treatment of pain after spinal surgery (failed back surgery syndrome) with implantation of an epidural catheter for selective injection of drugs into the epidural space in University Hospital Muenster
selective injection of drugs into epidural space (including the cost of medical pumpe)
stay in intensive care unit for 1 day
symptomatic treatment
control examinations
cost of essential medicines and materials
nursing services
full hospital accommodation
explanation of future recommendations
Required documents
Medical records
X-ray examination, MRI/CT scan (if available)
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About the department
The Department of General Orthopedics and Orthopedic Oncology at the University Hospital Muenster offers the full range of conservative and surgical treatment of all musculoskeletal diseases. The department ranks among the largest medical facilities of this kind in Germany, as well as among the specialized authoritative departments for the treatment of bone and soft tissue tumors in the European medical arena. The treatment is carried out both on an outpatient and inpatient basis, including the outpatient operations. In addition to its successful clinical activities, the department is proud of its productive research work, which has given birth to many innovations in orthopedics, for example, the department's specialists have patented the very latest prosthetic systems, particularly in the field of orthopedic oncology. The Chief Physician of the department is Prof. Dr. med. Georg Gosheger.
The doctors of the department have excellent qualifications and vast experience in the treatment of musculoskeletal cancer. The patients with such pathologies come here not only from other cities of Germany, but also from many other countries of the world. In order to ensure the comprehensive treatment and the most favorable therapy outcome, there is maintained close cooperation with the Comprehensive Cancer Center Muenster. In the course of therapy, all the necessary specialists are involved in the process, who carefully think through each stage of the treatment and the subsequent recovery of the patient. Considerable attention is paid to the psychological support of patients, since the diagnosis of cancer in most cases causes a great emotional shock.
The department also gained an excellent reputation in the treatment of joint diseases (certification as the Maximum Care Center for Joint Replacement Surgery by the German Society of Orthopedics and Orthopedic Surgery (DGOOC) and Working Group on Joint Replacement Surgery (AE)). The focus is on the treatment of arthropathy, synovitis and сhondropathy, as well as the knee and hip replacement surgery (partial and total replacement surgery, revision interventions for the endoprosthetic replacement). In the case of hip joint replacement surgery, cemented or cementless prosthesis, as well as combined (hybrid) prostheses are used. With appropriate indications, the surgical interventions are performed using sparing minimally invasive techniques. If it is necessary to replace the knee joint, the doctors perform treatment with the help of sliding prostheses, bicondial endoprosthesis (сemented and cementless fixation) and revision prosthesis. The most appropriate treatment option is determined depending on the severity of the joint disease or degeneration, as well as on the patient’s specific needs and wishes.
The service range of the department includes:
Orthopedic oncology and revision surgery
Resection of malignant bone tumors
Joint replacement surgery after tumor resection
Reconstruction using biological materials
Treatment of bone metastases
Treatment of malignant soft tissue tumors
Treatment of benign soft tissue and bone tumors
Amputation and limb reconstruction surgery
Diabetic foot treatment
Charcot foot (neuro-osteoarthropathy) treatment
Consultations and selection of auxiliary orthopedic appliances (for example, prostheses, orthoses, orthopedic shoes)
Spinal surgery
Correction of spinal deformities
Scoliosis
Kyphosis
Spondylolisthesis
Thorax deformities
Treatment of degenerative changes in all parts of the spine
Spinal disc herniation
Spinal stenosis
Osteochondrosis
Spinal osteoarthritis (for example, intervertebral joints)
Spondylolisthesis
Anococcygeal pain syndrome (coccyalgia)
Degenerative changes of the sacroiliac joint
Treatment of spinal tumors and metastases
Primary spinal tumors
Metastases (secondary spinal tumors)
Treatment of spinal inflammatory diseases and infectious lesions
Spondylodiscitis
Rheumatic spinal diseases
Acute and emergency clinical cases
Acute damage to the spinal cord (paraplegia)/acute nerve injury due to the spinal diseases
Spinal disc herniations
Instability/fractures (for example, in osteoporosis, tumors, inflammation)
Pain syndromes
Hip and knee replacement surgery
Primary hip replacement surgery
Minimally invasive primary implantation of the endoprosthesis through the direct anterior access
Treatment of hip dysplasia and hip dislocation
Manufacture of special prostheses
Endoprosthetics in metastases
Revision hip replacement surgery
Aseptic/septic revision surgery
Periprosthetic fractures
Repair of large defects in the pelvis using modular systems
Reconstruction of defects in the bone using modular prostheses up to the total replacement of the femur by special replacement systems (MUTARS)
Septic revision surgery (even in infection with multidrug-resistant microorganisms)
Plastic surgery for the reconstruction of defects and treatment of infections
Primary knee replacement
Implantation of special coated (Titaniob) prostheses
Partial replacement surgery using sliding prostheses
Revision knee replacement surgery
Modular revision systems with all fixation types
Reconstructive interventions in ligament instability and bone defects
Periprosthetic fractures
Reconstruction of large defects after oncology using special modular systems
Septic interventions of all types, followed by plastic reconstruction
Shoulder surgery and orthopedic sports medicine
Treatment of shoulder diseases
Impingement syndrome
Osteoarthritis of the acromioclavicular joint
Rotator cuff tear
Shoulder dislocation and instability
Biceps tendon injuries
Shoulder arthrosis
Frozen shoulder
Calcification of the forearm
Acromioclavicular joint injuries
Knee injuries
Meniscus injuries
Cruciate ligament injuries
Cartilage damages/osteochondral lesions
Patellar instability
Hip injuries
Hip impingement syndrome
Articular lip lesions
Elbow lesions
Tennis elbow
Free articular body
Shoulder stiffness
Arthrosis
Injuries of the upper ankle
Impingement syndrome
Cartilage damage/osteochondral lesions
Experimental orthopedics (interdisciplinary, translational and clinical researches)
Other medical services
Curriculum vitae
Professional Activities
1988 - 1995 Study of Human Medicine, Westphalian Wilhelm University, Muenster.
1995 Doctoral thesis defense. Subject: "Diabetic osteoarthropathy of the foot".
1995 - 1996 Training for the title of a Medical Specialist in Traumatology, Nordsee Clinic, Westerland/Sylt.
1996 - 2000 Training for the title of a Medical Specialist, Department of General Orthopedics, University Hospital Muenster.
2000 Senior Physician, Department of General Orthopedics, University Hospital Muenster.
2002 Head of the Department of Orthopedic Oncology and Limb Reconstruction.
2003 Habilitation: "Endoprosthetics in Oncopathology – New Developments in Reconstructive Surgery".
2006 Leading Senior Physician and Deputy Head of the Department.
2008 Invitation to the position of W3 Professor, University Hospital Würzburg.
01.09.2008 Appointment as a Full Professor and Head of the Department of General and Orthopedic Oncology, University Hospital Muenster.
Medical Specialization
Medical Specialist in Orthopedics.
Medical Specialist in Orthopedics and Traumatology.
Medical Specialist in Special Orthopedic Surgery.
Additional qualification in Sports Medicine.
Additional qualification in Physiotherapy.
Additional qualification in Radiography of the Skeleton.
Memberships and Positions in Professional Societies
German Association of Orthopedics and Orthopedic Surgery (DGOOC).
President of the European Musculo-Skeletal Oncology Society (EMSOS).
Board Member of the International Society of Limb Salvage (ISOLS).
Association of German Higher Education Institutions.
Transparency International Deutschland e.V.
Other Activities, Qualifications, Awards
Trainer in Sonography of the Musculoskeletal System and Hip in Infants (ÄKWL).
Certificate of the International Association for the Study of Osteosynthesis (basic course, advanced course).
Certificate on training in the field of MRI.
Theoretical basics of the specialty: Radiological Protection (X-ray diagnostics of the entire skeleton).
Rizzoli Oncology Courses (Prof. Enneking, Prof. Campanacci).
Photo of the doctor: (c) Universitätsklinikum Münster
About hospital
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 advanced diagnostic and therapeutic capabilities ensuring the first-class medical services. The hospital integrates more than 30 specialized departments, as well as numerous institutes and centers, thus representing all the specialties of modern medicine. The hospital treats more than 64,000 inpatients and 500,000 outpatients every year, which is an indisputable evidence of the highest quality of medical services.
The medical team of the hospital, consisting of more than 10,000 employers, is committed to preserving the physical health of patients, providing them with psychological support and compassionate attitude throughout the entire therapeutic process.
The hospital has succeeded in all specialties of medicine, however, main areas of its specialization include oncology, treatment of cardiovascular, neurological diseases, transplant medicine, psychiatry and psychosomatics, pediatrics with a special focus on rare diseases in children, traumatology, orthopedics, prenatal medicine, and reproductive medicine. In addition, key importance is given to scientific research and training of medical students, so that the specialists of the hospital make a momentous contribution to the development of medicine as a whole.
Photo: (с) depositphotos
Accommodation in hospital
Patients rooms
The patients of the University Hospital Muenster live in single or double rooms. The rooms are made in bright colors and modern design. Each room has an ensuite bathroom with shower and toilet. The standard room includes an automatically adjustable bed, a bedside table, a table and chairs for receiving visitors, a telephone and a TV. The hospital offers access to the Internet. If desired, the patient can also stay in the enhanced-comfort room.
Meals and Menus
The patients of the hospital are offered a tasty and balanced three meals a day: breakfast, lunch and dinner. The menu always features diet and vegetarian dishes. If for any reason you do not eat all the food, you will be provided with an individual menu. Please inform the medical staff about your dietary preferences prior to the treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
Religious services are available upon request.
Accompanying person
During the inpatient program, an accompanying person may stay with you in a room or at the hotel of your choice.
Hotel
During the outpatient program, you can live at a hotel of your choice. Managers will help you to choose the most suitable options.
The hospital offers a full range of laboratory tests (general, hormonal, tests for infections, antibodies, tumor markers, etc.), genetic tests, various modifications of ultrasound scans, CT scans, MRI and PET / CT, angiography, myelography, biopsy and other examinations. Treatment with medications, endoscopic and robotic operations, stereotaxic interventions is carried out here, modern types of radiation therapy are also used. The hospital offers patients all the necessary therapeutic techniques.
These are arthrosis and sports injuries of the joints, benign neoplasms and malignant tumors of various localizations, spinal injuries, osteoporosis, benign prostatic hyperplasia, urolithiasis, inflammatory bowel disease and other pathologies.
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