Sports medicine and rheumatology

• Injuries to and strain on the locomotor system
• Muscle cramps and muscular dysfunctions
• Preventive tests to avoid disorders (e.g. gait analysis)

• Optimisation of mental and physical performance

• Specific analysis, advice and training regarding endurance and strength, and functional training
• Testing of physical resilience after surgery or illness

• Sports advice and support for extreme endurance athletes/adventure sports enthusiasts
• Long-term sports medical support and advice for individual athletes (career planning) and teams
• Nutritional advice
• Nutritional advice for athletes
• Mental training
• Orthomolecular medicine, initial consultation
• Training advice and planning from qualified Swiss Olympic trainer
• Training advice and planning from sports physiotherapist
• Further medical-psychological assessment on request

• Check-ups and performance diagnostics for athletes on all levels
• Con-Trex® test
  The Con-Trex® is a machine used to measure isokinetic strength (constant speed) and to measure the strength of the knee joint (left/right, flexor/extensor comparison) following an injury or with arthritis. This test can be used to identify muscle imbalances.
• Lactate treshold test
  The lactate threshold test involves measuring lactate concentration in the blood, heart rate and sense of exertion during a stress phase. These values can be used to determine the exact pulse range (intensity) within which training should be completed.
• Lactate treshold test with cardiopulmonary exercise testing
  Respiratory parameters are measured in addition to the values of the lactate threshold test.
• Magglingen core strength test
  The Magglingen core strength test is a three-part test of core strength endurance. Core strength is important in almost all sporting disciplines, and in preventing back pain and misloading.
• Explosive strength measurement
  The explosive strength of the lower extremities is measured by means of four different jumps (Quattro) on the strength measurement plate. Determining explosive strength is important in all sporting disciplines in which speed and jumping ability play a role.

Medical examinations

• Analysis of stress level
  Recovery capacity and sleep quality with heart rate variability meas-urement over 24 hours.
• Exertion asthma test
  A defined stress test on a treadmill or exercise bike is used to trig-ger an athlete’s breathing complaint. Following this provocation test, lung function is measured according to a standardised proto-col in order to identify any stress-induced constriction of the bron-chi.
• Plethysmography
  This examination is used in addition to the parameters measured in the lung function test (spirometry) to measure the volume of air that remains in the lungs following complete exhalation. Airway re-sistances are also determined, and measurements are carried out to evaluate the gas exchange in the lungs.
• Lung function test (spirometry)
  The spirometry is a basic test to evaluate lung function. A simple spirometry involves measuring the maximum number of litres of air that can be breathed out, and how many of this volume in the first second. The maximum breath flow on breathing in and out is also measured.
• Methacholine challenge test
  The patient inhales a defined quantity of an irritant that will lead to the constriction of the bronchi in the event of their oversensitivity. The test is important when it comes to diagnosing and assessing the progress of bronchial asthma.

Medical Check-ups

• Exercise ECG
  An exercise ECG involves recording electrical heart activity under increasing exertion on an exercise bike, with blood pressure also being measured at each exertion level. If training advice is also required, this test protocol can also include lactate measurements.
• Body Composition (Body fat measurement)
  Body composition is an essential part of any good nutrition and health consultation. Weight itself is only half of the picture – what is important is to know the exact fat and muscle mass.
• Running and gait analysis
  These tests will make it possible to determine various causes of problems associated with overload. A change of shoe and/or use of optimal insoles can help to minimise these complaints.
• Resting ECG
  Suction electrodes applied to the chest are used to record cardiac electrical activity. These curves can be used to identify heart disease.
• 7-site skinfold measurement
  A special calliper is used to measure the skinfold thickness at seven sites of the body. The proportion of body fat and muscle is calculat-ed on the basis of gender, age, weight and total skinfolds. This is an accurate and easily reproducible measurement in terms of fat and muscle mass, and is used primarily in elite sport.

• rheumatoid arthritis
• psoriatic arthritis
• spondyloarthropathies (including Bechterew’s disease, reactive arthritis)
• collagenoses (including SLE, scleroderma, Sjögren’s disease, mixed collagenoses)
• polymyalgia rheumatica
• vasculitides (including vascular and small-vessel vasculitis)
• metabolic arthropathies (gout, pseudogout)
• lyme disease
• fibromyalgia / soft tissue rheumatism
• degenerative spinal and joint diseases

• joint pain with or without swelling
• muscle pain
• tendon insertion pain
• fever syndromes
• raynaud syndrome
• increased inflammatory markers
• skin alterations
• back and whole-body pain

• Comprehensive medical history
• upper abdominal sonography
  
• joint ultrasound diagnostics with colour Doppler/power Doppler analysis
• diagnostic punctures with joint/synovial analysis
• laboratory tests in cooperation with advanced X-ray and modern cross-sectional imaging diagnostics (CT and MRI)
• as well as bone density measurement in cooperation with Radiology Südost and joint consultative discussions

• Initiation of guideline-oriented conservative local and systemic drug therapy
• performance of infusions (biologics) and injections
• sonographically guided joint punctures and injection therapies
• spinal infiltrations
• vaccinations and vaccination advice
• taking into account immunomodulatory rheumatism therapy with interaction with the body’s immune system

• Nutritional advice taking into account the individual history for therapy support
• osteological diagnostics and therapy
• guideline-oriented initiation and monitoring of physical measures including consultative discussions
• organisation and implementation of full-body pain therapy using the Elosan cabin as an effective electrophysical measure for the treatment of acute/especially chronic pain as an ideal complement to interdisciplinary multimodal treatment concepts