Joint Surgeons in Germany

Gelenk Klinik Orthopaedic Clinic

Alte Bundesstrasse 58

D-79194 Gundelfingen


fon: +49-761-55 77 58 28

fax: +49-761-58 974 650

Back Pain Therapy

PASHA® Electrode: EPRF therapy is a minimally invasive therapy for back pain

Within the spinal cord, the PASHA® Electrode (EPRF electrode) is navigated to the pain-triggering site with the aid of a screen.
© Within the spinal cord, the PASHA® Electrode (EPRF electrode) is navigated to the pain-triggering site with the aid of a screen. ©

Der PASHA®-catheter is a minimally invasive pain therapy. It is performed by a electromagnetic effect on the pain signal conduction inside the nerve fibres in the spinal cord (neuromodulation). Pain therapy with the PASHA® catheter is a minimally invasivetreatment that is performes through a n epidural needle: The eelctromagnetic treatment with the duration of 4-7 min results in a lasting moderation of the physiological pain signal transduction in the spina. The effect of the neuromodulation treatment with the PASHA®-electrode lasts for up to 2 years. The electrode is fixed at the end of a flexible plastic tube (catheter). This electrode can be navigated through the spine while controlling the position with x-ray vision. This inially invasive pain therapy is also called "Epidural pulsed radio frequency therapy" (EPRF). The popular name for this EPRF-therapy (PASHA®-catheter) is after the inventor of this procedure, the German neurosurgeon Dr. Omar Pasha.

Hydrogel - Filling the degenerated spinal disc with chondroid gel

Fig. 1: The generated disc has a reduced volume. The height of the disc space is reduced. This causes increasing strain on the vertebral body and the facet joints (vertebral joints), resulting in pain. Injecting the hydrophylic Hydrogel draws fluid back into the disc. The volume, thus the height of the disc space, increases. Disc function increases again. ©

Back pain can have a number of different causes.

One common cause is degeneration of the disc. Wear or loss of disc tissue is a normal part of ageing. The loss of fluid, loss of protein structure over the course of life cause the disc to change. It becomes less and less elastic, fragile and its height decreases.

Increasing the disc volume with Hydrogel

Using the Hydrogel injection method we’d like to illustrate how we can counteract the loss in height in the degenerated disc: By injecting the highly expansive polymer substance Hydrogel considerably increases water retention in the viscid core of the disc. The highly water-binding, expansive Hydrogel increases the disc diameter in the long term again. This effect lasts for years.

Orthopedic Rehabilitation and Physical Medicine in Germany

There is a strong tradition of Rehabilitation and Physical Therapy in Germany. Rehabilitation has been a focus of medical research and practice since the middle of the 19th century.

Our general philosophy on rehabilitation: Excellent surgery only lays the foundation for a complete recovery. The extent of recovery and the lasting benefit for the patient is dependant on qualified, dedicated and specialised rehabilitation.

Principle of ZRT® Matrix Therapy - Focus on Health of Individual Cells

Extracellular matrix System (ECM) system Extracellular matrix System (ECM) system: The metabolic processes of the extracellular matrix are the focus of the cell biological regulation medicine. © Dr B. Dickreiter

As a working principle, ZRT® Matrix Therapy enhances the regeneration of the body by supporting, and improving the metabolic situation of the individual cells which together make up our organs (such as muscles and tendons).

On this basis, ZRT® Matrix Therapy is relevant for every tissue and organ in the body and it’s application in cases of chronic pain and immobility in the muscle system has shown to be particularly effective.

ZRT® Matrix Therapy - Indications and Applications

The ZRT® Matrix Therapy is a therapeutic method, developed by Dr. B. Dickreiter, based on a set of techniques which were already established in the former USSR and Eastern Germany as a form of physiotherapy for athletes. It was found that athletes treated with ZRT® Matrix Therapy experienced great benefits in recovery following training and competition. Their rate of injury decreased, especially in the muscles and tendons (the “musculoskeletal system”).

Matrix-Therapy and Biomechanical Stimulation (BMS) for Painful Disorders - Swelling and Muscle Tension

The oscillation must not be placed directly on the most painful point The oscillation of the biomechanical stimulation therapy must not be placed directly on the most painful point. A hamstring syndrome (achillodynia) or a heel spur may instead be treated by introduction of the vibration on the other side of the affected muscle. The support of the metabolism in the extracellular matrix takes place throughout the course of the muscle fibres. © Dr B. Dickreiter

Matrix therapy, also known as biomechanical muscle stimulation, has been a proven method of treatment for many years, in the areas of prevention, recovery and rehabilitation.

In the area of physical medicine Matrix therapy is mainly to treat a variety of painful conditions such as local circulatory problems, swelling and muscle tension.

Increasing the temperature of deep tissue by the application of Water filtered Infrared-A (wIRA)

wIRA matrix therapie with water filtered infrared wIRA ZRT®-Matrix-Therapy with water filtered infrared is an established principle in rehabilitation. ©

The use of heat is a long, well established tradition in physical therapy. However an effective step forward in the use of local heat therapy, was achieved by the development of modern biophysics.

The natural heat source of the sun was used as the basis for this therapy. The infrared radiation from the sun, is filtered on it’s way to the ground, by the water vapor in the atmosphere. This natural filtering system was a model for the development of a therapeutically useful treatment device.

Clinical Study and Effectiveness of ZRT®-Matrix-Therapy

Supervised clinical Study with 418 Patients followed for at least one year after ZRT®-Matrix Therapy

For many years the clinical application of cellbiologically orientated Matrix Therapy saw significant results. After DAK Gesundheit (one of the largest public health insurance companies in Germany with more than 14 million members), accepted ZRT®-Matrix-Therapy into their program, an extensive study of it's effectiveness was conducted.

Regulation and management of local acidity in ZRT®-Matrix-Therapy

In general practice at the moment, only a little attention is paid to the regulation of the acid-base balance (bases can be thought of as the chemical opposite of acids). A reaction between an acid and base is called neutralisation.The organism is dependent in all areas on a balance of acids and bases so that the level of acid does not become too high.

Please stay up to date with Follow on Facebook

Orthopaedic Clinic Germany

orthopedic clinic and surgeon in Germany

Gelenk Klinik Orthopaedic

ISO 9001:2008 certified quality

Alte Bundesstrasse 58

D-79194 Gundelfingen


Please Select Your Area

Anatomic structure
Shoulder Pain and Shoulder Problems - Orthopedic Information Ellbow pain Hand und Joint Hip spine Hand Fuss Ankle Pain, Ankle Surgery, Ankle Specialist Knee pain

360° Virtual Tour

Map and Route

Location of Gelenk-Klinik Gundelfingen
View Details of the location
  • Distance to EURO-Airport Basel: 80 km (45 mins)
  • Distance to Zurich: 161 km (1h 40)
  • Distance to Frankfurt: 259 km (2h 20)

Centre for Arthroplasty

Center of Excellence in Arthroplasty

Certified Centre for Arthroplasty (Centre for Endoprosthesis)