Physiotherapy / Occupational Therapy during which patients learn and practice the use of orthopedic aids in everyday activities
The term "physical therapy" covers a wide range of treatments. Essentially, it is physiotherapy to relieve pain and to detect and avoid situations causing physical strain in everyday life. Furthermore, it serves to identify and eliminate deficits related to joints and / or muscles. In neuro-orthopedics, physiotherapy based on neurophysiological principles (e.g. the Bobath Concept or the Vojta Method (reflexlocomotion)) plays an especially important role. Patients are taught how to abandon pathological movement patterns and learn new physiological patterns.
Occupational therapy deals primarily with activities of daily life (ADL) such as dressing and undressing, washing, eating and working. Patients learn how to perform complex motion patterns. If aids are needed, they are designed, tested and adjusted.
Cast treatment for non-surgical correction (e.g. Ponseti method)
While the body is still growing, casts made of plaster or synthetic materials can be a very effective method of treatment. Plaster refers to the gypsum originally used to make casts. Nowadays, casts are usually made of synthetic materials. They are used to immobilize limbs, joints and other body segments.
Plaster casts are an optimal form of treatment for foot deformities in newborns. Properly applied, severe congenital malformations (clubfoot, flat foot) can be completely corrected without surgery. Neurogenic deformities such as spasticity can also often be successfully treated with casts.
Treatment of a clubfoot by the Ponseti method is a special form of cast treatment. [Info]
Orthopedic aids
Insoles, shoes, splints (orthoses), prostheses, walking and standing aids, seating units, wheelchairs, corsets, etc.
Orthopedic aids have multiple functions. Their purpose is to improve or compensate for poor function (sitting, standing, walking), relieve pain (e.g. crutches for foot pain), correct deformities (e.g. spinal deformities / scoliosis) or prevent deterioration (prophylaxis).
Professional experience is necessary to find the right orthopedic aid for a patient. To manufacture it to fulfill the patient's requirements is an art. To adapt it optimally to everyday use is success.
Dr. Diedrichs can have orthopedic aids made from the most advanced and innovative materials by various orthopedic and rehabilitation technicians. If necessary, orthopedic aids can also be custom-made specifically for individual patients. Supplying orthopedic aids to people all over the world in countries where there are no orthopedic and rehabilitation technicians presents a special challenge that we are happy to take up.
Medication (for example botulinum toxin)
A large number of drugs are available for the treatment of movement disorders. It is primarily the responsibility of neuro-pediatricians and neurologists to select the right medication for the patient.
Treatment with botulinum toxin (Botox, Dysport and Xeomin) is also the task of the neuro-orthopedic surgeon. These drugs are injected selectively into specific muscles. It takes special training and long experience to be able to carry out optimal treatment with these drugs. Patients do not become dependent on them and the effect lasts for only a few months. If necessary, the substance can be injected again and the regimen adjusted according to the experience gained from the previous course of treatment.
Dr. med. Volker Diedrichs
Board certified Orthopedic and
Trauma Surgeon
Pediatrics Orthopedics,
Special Orthopedic Surgery,
Manual medicine
Head of Section
Department for Pediatric- and Neuroorthopedics,
Technical Orthopedics
Schön Klinik Rendsburg
Lilienstr. 20-28
D - 24768 Rendsburg
Germany
info@motiondoctor.de
www.schoen-klinik.de/rendsburg
Consultation in Kiel, Hamburg
and Bremen by appointment