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Diagnosis of Osteoporosis

Among the most important methods of diagnostics is the measurement of bone density (DEXA Method or quantitative computer tomography measuring). In cases of chronic back pain, a magnetic resonance tomography of the spine often reveals a sintering fracture of a vertebral body. Sintering within this context means that the vertebral body has collapsed due to calcium loss from the bone. Besides genetic factors, this is caused by a decrease in estrogen production in women during menopause (or after the removal of the ovaries). A conspicuous and chronic lack of vitamin D due to insufficient intake, even if exposure to the sun is sufficient, is typical in these cases. We carry out specific laboratory diagnoses and compile a therapy program based on the results.

4 D Structural Analysis of the Entire Body

This diagnostic method is also known as video raster stereography (VRS) and enables identification of spinal deformations completely without x-ray. This is important for children who are still growing but who suffer from scoliosis or Morbus Scheuermann, and who have to be measured on a regular basis. This procedure can also present the spine in a three-dimensional format, as opposed to other imaging methods. With this contact-free method, a projector throws parallel measurement lines onto the back, using white light, and a video camera forwards the pattern to a computer. Special software then converts the data into a three-dimensional image. This method also enables the simulation of correctional measures on-screen, in order to find the therapy that most suits the patient in question.

Proprio-receptive Static Correction

The body's proprioreceptors provide a type of supervision concerning the position and movement of the body in space. They transmit information about muscle tension, muscle length, joint position and movement to the brain where they are subconsciously processed. Proprioreceptors are located in the extremities, in the articular capsules and in the tendons. Proprioreceptors also provide feedback about possible deviations. There is a constant check between them and the central nervous system about the actual situation and the desired situation. For example, proprioreceptors also make sure that the body remains erect against the pull of gravity and keeps its balance. In cases of misalignment, such as distortions of the spine as in cases of scoliosis, this perfect system is fooled. Thus, over time, the wrong posture is accepted as the (new) current status. This leads to chronic malpositions, which can be corrected with the help of shoes and specially produced orthotic insoles. These correctional measures trigger certain of the body's own reflexes, which then spread throughout the body and the muscles and later through entire chains of muscles and thus adjust the distorted posture.

EMG and SEMG

Neurologists use needle electrodes stuck directly into the muscle in order to diagnose nerve damages and obtain an EMG. The surface EMG - SEMG - is able to determine the muscle's innervation without needles, using adhesive electrodes. This method provides a survey of the muscles' entire range of action and the development of energy. Compared to the EMG, this is completely painless for the patient and can be used to document the effect of training during physiotherapy.


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