Dr. Jens Rüther, specialist in orthopaedics, chirotherapy, sports medicine, orthopaedic pain therapy, basic psychosomatic care, accident physician with BG treatment approval, partial radiology, outpatient surgery
A special focus is "periradicular therapy" (PRT), in which open Computer tomography supported and guided by laser beam.
In periradicular therapy, a targeted injection is performed on the pathologically protruding part of the intervertebral disc (herniated disc) and close to the nerve root, where a proven combination of drugs with a local anesthetic (anesthetic to block the pain-conducting nerve fibers) and a corticosteroid (to inhibit inflammation and reduce swelling of the inflammatory swollen nerve root) is applied. In this open computed tomography procedure, precision is ensured by an additional laser beam control. The image-controlled, precise injection causes a direct inhibition of the pain-conducting nerve fibres, thus avoiding pain chronification.
Through the further administration of decongestant drugs, the pressure on the nerve root and the displacement of this inflammatory swollen nerve root are treated so successfully that a high percentage of the otherwise necessary surgical measures become unnecessary.
Further advantages of computer tomography-assisted periradicular therapy in our Hamburg practice:
- low-risk minimally invasive treatment procedure
- largely painless injection technique
- high success rate, especially with patients who have been difficult to help until now and who continue to suffer from nerve rootorthopaedic and physiotherapy as well as surgery, continue to suffer from nerve root irritation symptoms in the neck and lumbar region.
- no risk of scarring as after surgery
- no longer hospital stays in the context of follow-up healing procedures - shorter work absence times
If necessary, this low-risk therapy can be repeated at any time.

Setting the injection with laser beam control

Comparison of CT imaging before and after injection