Health: your greatest asset

No, I run a private practice (Wahlarztordination).
This means you pay for the consultation directly and can then submit the invoice to your public health insurance provider for reimbursement at the standard rate.
If you have supplementary private insurance, you can also submit the invoice there for full or partial reimbursement.

If you are unable to attend your appointment, please cancel or reschedule it in good time — ideally at least 24 hours in advance.
Cancellations made later may be subject to a fee.
Please cancel your appointment by phone.

No, but you can complete your physiotherapy with us once it has been approved by your health insurance provider.
You will receive either a collective invoice at the end of your treatment or an invoice after each session. These can then be submitted for reimbursement if applicable.
We take care of obtaining physiotherapy approvals and are happy to submit referrals on your behalf.

Yes, both practice locations are wheelchair accessible.

The first consultation costs €190.
During this comprehensive appointment, I will analyze your symptoms, discuss possible treatment options, and determine the next steps.
If you already have imaging results, please bring them with you.
Should additional diagnostics be required, I will either arrange an appointment for you or provide a referral.

The cost of a follow-up appointment is typically between €120 and €150.

No. The initial consultation costs €190.
Further costs depend on the type of therapy planned.

You can pay the invoice by debit card, credit card, or in cash.
You will receive a payment confirmation that you can submit to your health insurance provider or supplementary insurance for reimbursement.

If you have private health insurance, the costs for surgery are billed directly to your insurance by the hospital.

Prices for self-paying patients are available upon request.

Pain can have many different causes.
During your first consultation, I will perform a thorough examination.
If imaging studies (MRI, CT, or X-ray) are required, you will receive a referral for these.

Possible causes include:

• Muscle tension:
  Frequent and painful muscular tension is diagnosed through a clinical examination, explained in detail, and treated accordingly.
• Spinal canal or nerve canal narrowing:
  Narrowing is detected through clinical examination and imaging (CT or MRI), followed by a tailored treatment plan.
• Herniated disc:
  Diagnosed using clinical assessment and MRI of the spine. Depending on the findings, treatment can be conservative or surgical.
• Spondylolisthesis (vertebral slippage):
  A common and painful condition diagnosed with special flexion and extension X-rays. The degree of slippage is determined and an appropriate therapy plan established.
• Fractures / Osteoporosis:
  Vertebral fractures, often associated with osteoporosis, can cause pain and progressive deformity depending on the type of fracture. Surgical stabilization (vertebroplasty or kyphoplasty) may be indicated.

If neurological problems are suspected, a referral to an experienced neurologist will be arranged.

• Thumb carpometacarpal (CMC) joint arthritis surgery:
  For pain in the thumb base joint with corresponding X-ray findings, surgery may involve implanting a prosthesis or removing the affected bone. The main goal is pain relief within approximately three weeks of rehabilitation.
• Tendon sheath ganglion / dermatofibroma:
  If ganglia or benign tumors appear in the hand area, surgical removal is performed following MRI imaging. A splint may be recommended after surgery.
• Trigger finger / A1 pulley release:
  For a snapping finger or thumb, if prior injections have not provided lasting relief, the affected tendon sheath (A1 pulley) is released under local anesthesia.
• Tendovaginitis de Quervain:
  In cases of inflammation or narrowing of the tendon sheath at the wrist, the first extensor compartment is released to allow the tendons to glide freely again.
• Nerve compression syndromes (elbow and wrist):
  If nerve conduction studies show abnormalities consistent with your symptoms, surgical decompression is performed to release the constricted structures — at the elbow (ulnar nerve entrapment / cubital tunnel syndrome) or at the wrist (carpal tunnel syndrome or Guyon’s canal syndrome).
• Tennis / Golfer’s elbow (epicondylitis):
  If conservative treatments such as shockwave therapy and injections are unsuccessful, surgery according to Wilhelm may be performed. A splint should be worn for about two weeks postoperatively.
• Osteotomies:
  In rare cases of forearm bone malalignment causing wrist pain, corrective surgery (shortening and plating of the affected bone) is performed after precise imaging.

Yes. I perform all listed surgical procedures personally, in collaboration with experienced colleagues.

In most cases, a CT, MRI, and/or X-ray examination is required before surgery.
All additional laboratory tests will be arranged once the surgery date has been scheduled.

I perform surgeries at the following hospitals in Vienna:

• Franziskus Spital (Hartmannspital) – www.franziskusspital.at
• Wiener Privatklinik – www.wiener-privatklinik.com
• Privatklinik Confraternität – www.privatklinik-confraternitaet.at/de/
• Evangelisches Krankenhaus – www.ekhwien.at
• Rudolfinerhaus Privatklinik – www.rudolfinerhaus.at

Other hospitals are available upon request.

If you are already my patient and have a medical emergency or urgent concern, you can reach me by phone or WhatsApp at +43 699 122 42 405.

Yes, you are welcome to send your inquiries by email to ordination@dr-hecking.at.
I will do my best to respond as soon as possible.

If you have an emergency, please contact me by phone at +43 699 122 42 405)