Outpatient Rehab for a Herniated Disc

Your return to mobility: outpatient rehab for a herniated disc

We are by your side – step by step on the way to a better quality of life. With individually adapted rehab protocols we ensure the best possible care for you.

Our service package

The rehabilitation process is divided into three treatment phases that merge smoothly into one another. Each phase pursues specific goals and builds systematically on the progress of the previous phase. All therapeutic measures are tailored individually to the needs, the symptoms and the healing progress of each patient.

Acute phase br(inflammation phase)

Inflammatory and pain mediators are released. Symptoms that may occur: pain, swelling, redness, warmth, functional impairment.

Subacute phasebr (proliferation / repair phase)

The inflammation subsides. New, very thin tissue (type III collagen) is produced, which is subsequently remodelled into stable tissue (type I collagen).

Remodelling phase br(repair / remodelling phase)

In this phase the newly formed tissue is mainly strengthened and functionally adapted through remodelling processes. Type III collagen is restructured into type I collagen.

Your advantages at a glance

Our rehab concept for herniated discs offers you far more than a standard therapy. We place the greatest value on quality, specialisation and personal care – so that you recover in the best and most lasting way possible.

Weekly coordination between doctor and therapist
Your therapy progress is discussed continuously within the interdisciplinary team. This allows us to respond quickly and precisely to your current needs and to adjust your treatment plan dynamically.

Individual treatment protocol
Based on your diagnosis, your symptoms and your goals we develop a therapy plan tailored exactly to you. This way we treat not only the symptoms but the cause – holistically and effectively.

Specialised spine therapists
Our experienced physiotherapists specialise in spinal complaints. With their expertise they guide you purposefully through every phase of rehabilitation.

Priority appointments & appointment guarantee
No long waiting times: as a rehab patient you benefit from priority scheduling with guaranteed therapy times – reliable, plannable and efficient.

1 Acute phase (inflammation phase)

Duration of the therapy phase: 2 weeks

Goal of the measures: Pain reduction

Reducing pain improves the mobility and function of the affected area. Pain reduction also enables the patient to learn and perform exercises that help avoid poor posture.

Frequency

1x orthopaedic initial assessment / diagnostics
3x per week physiotherapy
2x per week red light therapy and electrotherapy
Infusion therapy and infiltration therapy as required

Measures in the acute phase:

Orthopaedics

Infiltration therapy (e.g. local anaesthetics, corticosteroids)
Infusion therapy to reduce pain and inflammation

Physiotherapy

Soft tissue techniques (STT): Soft tissue techniques are manual treatment methods that aim to release tension in muscles and tendons, promote circulation, improve mobility and thus reduce pain. Soft tissue techniques include classic massage, fascia therapy and myofascial trigger point treatment.

Manual therapy (gently dosed / grade I-II): In manual therapy the physiotherapist uses their hands to mobilise and stretch joints, muscles and soft tissue with the aim of promoting mobility and thus relieving pain.

Positioning techniques (e.g. step positioning): Positioning techniques are special positions of the body used to take pressure off certain areas. These techniques are used above all after injuries or with chronic complaints.

Device-based services

Electrotherapy (TENS, interferential): In electrotherapy, electrical impulses are used to stimulate specific parts of the body. The current is conducted via electrodes on the skin to the nerves, muscles or joints in order to relieve pain, relax the muscles and promote healing. Electrotherapy aims to improve the patient’s wellbeing and is not painful. Main effects of TENS: pain relief and promotion of endorphin production. Main effects of interferential current: pain relief, stimulation of circulation, muscle relaxation.

Red light therapy (for muscle relaxation): In red light therapy, infrared rays are applied to the body using a lamp. This radiation penetrates deep into the skin and tissue and leads to local warming. The main effects of this form of heat treatment are: pain relief, promotion of healing and relaxation.

2 Subacute phase (proliferation / repair phase)

Duration of the therapy phase: 6 weeks

Goal of the measures: Pain reduction & restoration of function

The goal of this phase is to relieve acute complaints and gradually restore functions relevant to everyday life. The focus is on pain-relieving measures and gentle mobilisation.

Frequency

1x orthopaedic follow-up check (clinical / radiological if required)
2x per week physiotherapy
2x per week red light therapy and electrotherapy
Shockwave therapy if required, 1x weekly
Infusion therapy and infiltration therapy as required

Measures in the subacute phase:

Physiotherapy

Mobilisation techniques (passive / active-assisted): Targeted, controlled movements are used to improve the mobility of joints and tissue. Mobilisation techniques can be performed independently by the patient as a home programme (active), or they are practised with the therapist during the physiotherapy session (passive, assisted).
Building up everyday functions (e.g. standing up, walking, bending)
Trunk stabilisation & posture training (basic)
Progressive increase in activity depending on pain tolerance
Pain reduction through movement (mobilising exercises)
Introducing and teaching an individual home exercise programme (HEP)

Device-based measures

Electrotherapy (depending on tolerance / need)

Red light therapy if required

Shockwave therapy for accompanying muscular problems (e.g. myofascial): In shockwave therapy, targeted acoustic waves are directed at painful areas of the body and penetrate deep into the tissue (radial SWT 2-3 cm, focused SWT 4 cm). Shockwave therapy promotes healing at cellular level, reduces inflammation and stimulates circulation. Shockwave therapy is frequently used for chronic complaints, tendon inflammation (tennis elbow), calcium deposits (heel spur) or muscular tension. Shockwave therapy must not be used after local cortisone treatment (6 weeks).

3 Remodelling phase (repair / remodelling phase)

Duration of the therapy phase: 12 weeks

Goal of the measures: Functional stabilisation therapy

Targeted exercises are used to increase resilience in order to stabilise the newly formed tissue and to secure function and freedom from pain in the long term.

Frequency

1x orthopaedic follow-up check
1x per week physiotherapy
1x per week red light therapy and electrotherapy

Measures in the remodelling phase:

Physiotherapy

Equipment-based training
Free functional training (body weight, unstable surfaces)
Building up strength and functional mobility
Training in ergonomic principles (work, everyday life, leisure)
Movement analysis (gait pattern, posture, movement chains)
Creating a long-term home programme (written / digital)

Device-based measures

Electrotherapy (depending on tolerance / need)
Red light therapies (if required)
Shockwave therapy for accompanying muscular problems (e.g. myofascial) – if required

What we are proud of: our patients' voices

Our commitment and constant effort to always give our best in treatment and to support our patients exactly where they need it most is confirmed by the many positive reviews.

We are proud that our patients appreciate the value of our work and express this through their positive feedback.