Spine & hand/finger

Medical treatments

Diagnostics / assessmentPain therapySpine surgeryHand surgeryPostoperative care / rehabilitation

Diagnostics / assessment

The first step toward recovery

… is a clear identification of the underlying cause of your symptoms through thorough clinical examination and imaging studies. For spine conditions, this includes X-ray, CT (computed tomography), and MRI (magnetic resonance imaging).
For hand conditions, clinical examination may be supplemented by nerve conduction studies, X-ray, MRI, or CT.

Conservative pain therapy

Effective pain relief without surgery

  • Physiotherapy: A referral is issued, and a suitable therapy team is recommended.
  • Medication: Establishment of an effective pain management plan.
  • Ultrasound-guided infiltration: Targeted nerve infiltration near its spinal origin, performed under ultrasound control.
  • CT-guided infiltration: Nerve infiltration performed under CT guidance near the spinal exit point.

Spine surgery

Pain relief through surgical intervention

Based on imaging and a comprehensive assessment of all findings, an individualized treatment plan is created together with the patient. If surgery is indicated, the procedure and all details are explained in the practice before the operation, with sufficient time to answer and document all questions.
The operation date and required preoperative tests are communicated by our staff by phone.
After surgery, patients are visited regularly, mobilized by physiotherapists, and the discharge date is determined together.
The hospital stay typically lasts 2–5 days.
Suture removal takes place 10–14 days after surgery at Dr. Hecking’s practice.

Hand surgery

Recovery through surgical treatment

Following the initial consultation and careful diagnosis, an appropriate therapy is chosen — which may include surgical intervention. All procedures are explained in detail, and Dr. Hecking takes the time to answer every question thoroughly.

Typical conditions treated include:

  • Thumb carpometacarpal arthritis (Rhizarthrosis surgery)
  • Tendon sheath ganglion / dermatofibroma
  • Trigger finger (A1 pulley release)
  • Tendon sheath inflammation and constriction (de Quervain’s disease)
  • Nerve compression syndromes (elbow and wrist)
  • Tennis / Golfer’s elbow
  • Osteotomies

Postoperative care / rehabilitation

Spine & hand

After surgery, follow-up care includes postoperative visits by the surgeon, early mobilization by physiotherapists, and individualized adjustment of pain therapy.
Suture removal takes place 10–14 days postoperatively in the practice.
The inpatient hospital stay usually lasts 3–7 days.

A follow-up clinical examination is recommended three weeks after surgery.

Rehabilitation planning begins before the operation, and approval is requested from the health insurance provider if deemed necessary.

The optimal start of rehabilitation is:

  • 3 weeks after surgery for most procedures
  • 3 months after stabilizing spinal surgery
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