{"id":2522,"date":"2020-04-23T11:27:17","date_gmt":"2020-04-23T09:27:17","guid":{"rendered":"http:\/\/164.90.167.145\/?page_id=2522"},"modified":"2025-09-30T11:47:23","modified_gmt":"2025-09-30T09:47:23","slug":"faq","status":"publish","type":"page","link":"https:\/\/sportambulatorium.wien\/en\/faq\/","title":{"rendered":"FAQ"},"content":{"rendered":"<div id=\"cs-content\" class=\"cs-content\"><div class=\"x-section e2522-1 m1y2-0 m1y2-1 subpage-header\"><div class=\"x-bg\" aria-hidden=\"true\"><div class=\"x-bg-layer-lower-image\" style=\" background-image: url(http:\/\/sportambulatorium.wien\/wp-content\/uploads\/2019\/07\/kontakt-hero-new.jpg); background-repeat: no-repeat; background-position: top; background-size: cover;\"><\/div><\/div><div class=\"x-container max width e2522-2 m1y2-4\"><div class=\"x-column x-sm x-1-1 e2522-3 m1y2-5 m1y2-6\"><div class=\"x-text x-text-headline e2522-4 m1y2-8 m1y2-9 m1y2-a hero-headline\"><div class=\"x-text-content\"><div class=\"x-text-content-text\"><h1 class=\"x-text-content-text-primary\">FAQ<\/h1><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"x-section e2522-5 m1y2-0 m1y2-2\"><div class=\"x-row x-container max width e2522-6 m1y2-h\"><div class=\"x-row-inner\"><div class=\"x-col e2522-7 m1y2-i\"><div class=\"x-text x-text-headline e2522-8 m1y2-8 m1y2-a m1y2-b m1y2-c m1y2-d\"><div class=\"x-text-content\"><div class=\"x-text-content-text\"><h2 class=\"x-text-content-text-primary\">FAQ - Frequently Asked Questions<\/h2><\/div><\/div><\/div><div class=\"x-text e2522-9 m1y2-j m1y2-k\"><p>Questions? You can reach the Sportambulatorium Wien team by phone during business hours. In acute emergencies, our team is available around the clock. Below, we have summarized the answers to many frequently asked questions.<\/p><\/div><div class=\"x-text e2522-10 m1y2-j m1y2-k index\"><h4>FAQs<\/h4><br>\n<span>\n<a style=\"color: #2d3775; text-decoration: underline\"  href=\"#knie\">1. Knee<\/a><br>\n<a style=\"color: #2d3775; text-decoration: underline\"  href=\"#schulter\">2. Shoulder<\/a><br>\n<a style=\"color: #2d3775; text-decoration: underline\"  href=\"#allgemein\">3. General\n<\/a><\/span><\/div><div id=\"knie\" class=\"x-text x-text-headline e2522-11 m1y2-8 m1y2-a m1y2-c m1y2-e m1y2-f\"><div class=\"x-text-content\"><div class=\"x-text-content-text\"><h4 class=\"x-text-content-text-primary\">Knee:<\/h4><\/div><\/div><\/div><div class=\"x-acc e2522-12 m1y2-m\" role=\"tablist\" id=\"x-acc-e2522-12\"><div class=\"e2522-13 x-acc-item\"><button id=\"tab-e2522-13\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-13\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-13\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">Can a torn ACL be sutured?  <\/span><\/span><\/button><div id=\"panel-e2522-13\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-13\" data-x-toggleable=\"e2522-13\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><p>The cruciate ligament cannot be sewn back together. When it is torn in the middle, the blood supply to the cruciate ligament is cut off, which prevents healing. In about 20-30% of cases, however, the cruciate ligament tears at the very top, where it attaches to the thigh bone. If the entire end section is preserved, the cruciate ligament can be re-anchored at its attachment point - for example, with special dowel pins. This process is called reinsertion. It is important that the surgeon also makes a few small holes in front of, above, and behind the cruciate ligament, which stimulates healing as the stem cells are released from the bone.\n<\/p>\n<p>\nIf the cruciate ligament is torn in the middle, unfortunately it must be replaced. For this purpose, the patient\u2019s own tendons (e.g., from the inner thigh) are used to create a new cruciate ligament. The best and gentlest way to perform this surgery is by using an all-inside technique.\n<\/p>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-14 x-acc-item\"><button id=\"tab-e2522-14\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-14\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-14\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">Do I have to have surgery immediately if I tear my ACL?<\/span><\/span><\/button><div id=\"panel-e2522-14\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-14\" data-x-toggleable=\"e2522-14\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\">CG: No. The ideal time is within 48 hours - but in cases when the knee is not exceptionally swollen or overheated, it is safe to operate 7-10 days after the ligament tear. Cold compresses, and possibly anti-inflammatory medication, are simple methods that can usually extend the surgical window.\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-15 x-acc-item\"><button id=\"tab-e2522-15\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-15\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-15\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">Does a torn ACL require surgery? Is surgery always needed for an ACL injury?<\/span><\/span><\/button><div id=\"panel-e2522-15\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-15\" data-x-toggleable=\"e2522-15\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\">The cruciate ligament does not always require surgery. Physiotherapy can often be sufficient for people who mainly cycle, swim, or don\u2019t engage in any sports at all. If the knee joint does become unstable at some point (which happens in about 10% of cases), it is still possible to operate later. However, the situation is different with ball players, runners, and hikers. Many are able to stabilize the knee for a long period of time through their excellent musculature, and rarely or never experience instability - but all major studies show that athletes who play stop-and-go sports (e.g., ball sports), or who run or hike, have a significantly higher rate of early-onset arthritis if they choose not to have surgery. And it\u2019s a shame, of course, to see a 40-year-old who needs a new knee joint because they didn\u2019t have surgery for the torn cruciate ligament when they were young.\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-16 x-acc-item\"><button id=\"tab-e2522-16\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-16\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-16\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">Does a meniscus tear have to be operated on?<\/span><\/span><\/button><div id=\"panel-e2522-16\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-16\" data-x-toggleable=\"e2522-16\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\">It depends on exactly how the meniscus is torn. Horizontal tears do not need surgery. Flap or radial tears should always be surgically repaired (which can be done with minimal invasion using arthroscopic keyhole surgery), as these kinds of tears can lead to cartilage damage and osteoarthritis if left untreated.\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-17 x-acc-item\"><button id=\"tab-e2522-17\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-17\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-17\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">Does knee pain and possible cartilage damage always need to be diagnosed and treated?<\/span><\/span><\/button><div id=\"panel-e2522-17\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-17\" data-x-toggleable=\"e2522-17\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\">The cause of such complaints is often cartilage damage behind the kneecap, which is definitely something that should be looked into. And since only very severe cartilage damage can be diagnosed by X-ray, a 3-Tesla MRI should be used for assessment. This specialized kind of MRI makes even minor cartilage damage clearly visible. Mild cartilage damage can be effectively treated using a combination of physical therapy and cartilage medication, available as powders and tablets. Different forms of therapy are available to treat more severe cartilage damage, ranging from autologous blood transfusions to stem cell therapy to surgery. This is best decided on a case by case basis.\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-18 x-acc-item\"><button id=\"tab-e2522-18\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-18\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-18\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">Does treatment with Iloprost make sense for bone marrow lesions?\n<\/span><\/span><\/button><div id=\"panel-e2522-18\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-18\" data-x-toggleable=\"e2522-18\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\">Iloprost is a prostaglandin medication that dilates blood vessels to stimulate blood flow. It is used to treat bone marrow lesions, also known as bone marrow edema. It can be particularly useful if the lesions are caused by Ahlback\u2019s disease, a bone circulatory disorder that can lead to necrosis and destruction of the bone.\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-19 x-acc-item\"><button id=\"tab-e2522-19\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-19\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-19\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">What is a Baker\u2019s cyst?<\/span><\/span><\/button><div id=\"panel-e2522-19\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-19\" data-x-toggleable=\"e2522-19\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><p>\nThis is a cystic protrusion (like a small sac) of the joint capsule that pushes behind the knee joint into the hollow of the knee. The Baker\u2019s cyst, also called a popliteal cyst, takes its name from English surgeon M. W. Baker, who first described it.\n<\/p>\n<p>\nBaker\u2019s cysts mostly arise as the result of chronic meniscus or cartilage damage, but can also occur in conjunction with chronic rheumatic knee disease.\n<\/p>\n<p>\nThe cysts usually occur in the hollow of the knee, which is where connective tissue is at its weakest.\n<\/p>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-20 x-acc-item\"><button id=\"tab-e2522-20\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-20\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-20\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">What is plica syndrome?<\/span><\/span><\/button><div id=\"panel-e2522-20\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-20\" data-x-toggleable=\"e2522-20\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><p>\nAs with all joints, the knee joint is covered by a thin, smooth layer of skin. This so-called synovial membrane produces articular fluid, which prevents friction in the joint and supplies the joint cartilage with nutrients. During embryonic development, the synovial membrane forms a barrier that divides the knee joint into two separate areas. (This is a holdover from the time when life emerged from the oceans and began moving on all fours. Horses, for example, still have two-part knee joints).  Normally, this membrane diminishes entirely by the end of a child\u2019s development, thus allowing for greater freedom of movement in the knee.  However, in about 50\u201370% of adults, a small fold of tissue\u2014called a plica\u2014remains. This is usually located behind, above, or inside (medial) the kneecap.\n<\/p>\n<p>\n Many people who have a plica have no problems at all, however, if the plica is more prominent, it can become irritated. Above all, overstraining of the knee joint can lead to plica irritation and thus to plica syndrome. Demanding activities in which the knee is repeatedly flexed and then extended again (such as running, cycling, and exercising on \"steppers\") are the most frequent causes. The plica itself, as well as the tissue around it, swells and becomes painful. The thickening then rubs on the cartilage inside the knee joint and can damage the joint cartilage or cause joint inflammation (arthritis) if exertion is continued.\n<\/p>\n<p>\nThe most common symptoms of plica syndrome are:\n<ul>\n<li>Pain on exertion, mostly on the medial or posterior side of the patella<\/li>\n<li>\"Creaking\" or \"popping\" of the joint in a specific position while flexing it<\/li>\n<li>A \"blocking\" sensation during extension movements<\/li>\n<li>Stiffness in the joint after sitting for long periods<\/li>\n<li>In some cases, the thickened plica can also be felt under the skin, or swelling of the entire knee joint occurs.<\/li>\n<\/ul>\n\n<p>\n<strong>Treatment:<\/strong><br>\nNon-surgical therapy and treatment of the inflammatory irritation can be carried out in a first step. Rest is crucial here, in combination with treatment with anti-inflammatory medication. Cooling with ice is also helpful and can alleviate pain and swelling. The problem with plica syndrome in athletic patients, however, is that symptoms often do not improve, as inflammation has altered and hardened the edge of the plica, causing it to continue rubbing on the cartilage and destroying it. An operation (arthroscopy) should therefore be considered early on for athletic patients. The operation removes the plica and symptoms generally improve after a very short time\u2014unless significant cartilage damage has already occurred. It should be made clear to the patient prior to operation that they may still have pain after the operation (due to cartilage damage).\n<\/p>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style>\n<\/div><\/div><\/div><\/div><div class=\"x-content-area e2522-21 m1y2-n\"><div style=\"background: #fafafa; padding: 16px 32px; margin: 32px 0;\">\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style>\n<\/div><\/div><div id=\"schulter\" class=\"x-text x-text-headline e2522-22 m1y2-8 m1y2-a m1y2-b m1y2-c m1y2-f\"><div class=\"x-text-content\"><div class=\"x-text-content-text\"><h4 class=\"x-text-content-text-primary\">Shoulder:<\/h4><\/div><\/div><\/div><div class=\"x-acc e2522-23 m1y2-m\" role=\"tablist\" id=\"x-acc-e2522-23\"><div class=\"e2522-24 x-acc-item\"><button id=\"tab-e2522-24\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-24\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-24\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">What is shoulder impingement?\n<\/span><\/span><\/button><div id=\"panel-e2522-24\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-24\" data-x-toggleable=\"e2522-24\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><p>\nIf one looks at the bone canal (subacromial space) through which the rotator cuff runs, one can well imagine that stress could cause tendon damage. Like a climbing rope that begins to fray when pulled over a sharp edge, our tendons can also suffer minor injuries as part of normal movement. This is usually the case when the acromion has a steeper downwards angle, something that is genetically determined, or when degeneration has caused the acromion to narrow the subacromial space.\n<\/p>\n<p> \nOur bodies try to heal these damaged fibers (for more, see: healing phases), which is typically associated with swelling and pain during phase one, the inflammation phase. This swelling causes the already narrow bony channel to become even tighter. The consequence of this is a kind of pinching of the soft muscle tissue (impingement), which causes pain when rotating the arm in and out, when lifting the arm, and particularly when lying on the affected shoulder at night. A shoulder impingement is sometimes also called Impingement Syndrome. Painful inflammation of the shoulder bursa is a common complaint associated with the syndrome. In most cases, such symptoms can be effectively treated with anti-inflammatory drugs and physical therapy. In some chronic cases, the bursa can become calcified (Bursitis calcarea), which can lead to persistent pain. This generally responds very well to shock wave therapy (ESWT) in conjunction with physical therapy. In unresponsive situations, an analgesic infusion and a small dose of cortisone can often be helpful (however, this should not be done more than 2-3 times). If none of these therapeutic measures provide healing or relief (or if the acromion is severely restricted), Dr. G\u00e4bler recommends arthroscopic surgery to mill the acromion, which creates space and clears out any calcium deposits.\n<\/p>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-25 x-acc-item\"><button id=\"tab-e2522-25\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-25\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-25\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">Does a shoulder dislocation need to be diagnosed?<\/span><\/span><\/button><div id=\"panel-e2522-25\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-25\" data-x-toggleable=\"e2522-25\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\">A dislocated shoulder should generally be looked at using an MRI arthrogram - i.e., an MRI conducted after injecting the joint with a solution. The anterior joint lip is often torn off in a shoulder dislocation, which means a high risk of the shoulder dislocating again (often with only minimal movement). However, in addition to often intense pain, any dislocation results in cartilage damage and thus osteoarthritis. Therefore, it is important to rule out this kind of injury (and of course any accompanying injury).\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-26 x-acc-item\"><button id=\"tab-e2522-26\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-26\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-26\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">Does a shoulder dislocation require surgery?<\/span><\/span><\/button><div id=\"panel-e2522-26\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-26\" data-x-toggleable=\"e2522-26\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><p>\nIf an MRI shows that the labrum was torn off during dislocation, it should be surgically reattached especially if the patient is young and athletic. This can almost always be done arthroscopically, with minimal invasiveness.\n<\/p>\n<p>\nOlder and less physically active patients can be treated with more conservative methods (non-surgically), such as intensive physical therapy with special attention to the centering of the joint.\n<\/p>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-27 x-acc-item\"><button id=\"tab-e2522-27\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-27\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-27\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">What is a Tossy III injury?<\/span><\/span><\/button><div id=\"panel-e2522-27\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-27\" data-x-toggleable=\"e2522-27\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\">A Tossy III injury is a complete dislocation of the AC joint (acromioclavicular joint) with all stabilizing ligaments torn. This injury requires surgical intervention.\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-28 x-acc-item\"><button id=\"tab-e2522-28\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-28\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-28\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">Does a Tossy III injury require surgery?<\/span><\/span><\/button><div id=\"panel-e2522-28\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-28\" data-x-toggleable=\"e2522-28\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\">With this kind of AC joint dislocation, all of the anchoring ligaments to hold the collarbone in the correct position are torn. Dr. G\u00e4bler does recommends surgery for athletic patients in cases like this. The operation sews the torn ligaments back together, and the collarbone is anchored into the underlying bone with special sutures that function similarly to a pulley (AS Tight Rope System). This allows recovering patients to shorten the phase of immobilization and start training again very quickly. \n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-29 x-acc-item\"><button id=\"tab-e2522-29\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-29\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-29\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">What is rotator cuff injury?<\/span><\/span><\/button><div id=\"panel-e2522-29\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-29\" data-x-toggleable=\"e2522-29\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><p>\nInside the shoulder joint is a muscle group consisting of four muscles - the subscapularis, supraspinatus, infraspinatus, and teres minor - which envelop the head of the humerus from above like a cap. These muscles not only stabilize the shoulder joint, they also lift and turn the arm for rotational movement. Together, the four muscles are called the \u201crotator cuff\u201d. An acute injury can cause the rotator cuff to tear, also called a rotator cuff lesion. Much more common, however, is the increasing wear and tear caused by impingement syndrome. This affects the supraspinatus tendon (the tendon of the supraspinatus muscle) most frequently.\n<\/p>\n<p>\nWith rotator cuff injuries, patients typically experience pain when lifting the arm, and often also a significant loss of strength. In some cases, it is no longer possible to even lift the arm.\n<\/p>\n<p>\nIn younger patients, rotator cuff injuries should be treated surgically. In most cases, the tear can be sutured using minimally invasive arthroscopy. This type of surgery leaves only three to four scars a few millimeters in size. For some larger or older injuries, it is not possible to use this method, and a skin incision about three centimeters in length may be required. Patients should be aware that, despite the operation, pain will usually persist for another 8-12 weeks - and intensive postoperative physical therapy is also required.\n<\/p>\n<p>\nIn older patients, a 3-to-6-month course of physical therapy can be tried first. However, since today\u2019s surgical methods generally deliver very good results, an operation should not be postponed when patients complain of persistent pain and aggravating movement restrictions despite physiotherapy.\n<\/p>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><\/div><div class=\"x-content-area e2522-30 m1y2-n\"><div style=\"background: #fafafa; padding: 16px 32px; margin: 32px 0 \"><div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><div id=\"allgemein\" class=\"x-text x-text-headline e2522-31 m1y2-8 m1y2-a m1y2-b m1y2-c m1y2-f\"><div class=\"x-text-content\"><div class=\"x-text-content-text\"><h4 class=\"x-text-content-text-primary\">General:<\/h4><\/div><\/div><\/div><div class=\"x-acc e2522-32 m1y2-m\" role=\"tablist\" id=\"x-acc-e2522-32\"><div class=\"e2522-33 x-acc-item\"><button id=\"tab-e2522-33\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-33\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-33\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">What is an arthroscopy?<\/span><\/span><\/button><div id=\"panel-e2522-33\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-33\" data-x-toggleable=\"e2522-33\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><p>An arthroscopy (also called arthroscopic or keyhole surgery) is a minimally invasive surgical procedure in which a narrow tube (4 mm diameter) is inserted into the joint being examined.\n<\/p>\n<p>\nThe images from inside the joint are transmitted via the endoscope to a video camera and one or more monitors. This enables the surgeon, and sometimes also the patient, to view the operation directly on the screen. For joint irrigation, a small cannula is usually inserted into the knee or other joint being operated on. Other instruments can be inserted through an additional small opening. The procedure can take between 20 and 60 minutes (longer for cruciate ligament operations) and is performed under general or regional anesthesia (e.g., an epidural).\n<\/p>\n<p>\nArthroscopy is used with particular frequency to operate on knee and shoulder joints. However, as surgical experience grows, the technique is increasingly being used for smaller and tighter joints such as the hip, hand, ankle, finger, elbow, and even the temporomandibular joint (jaw).\n<\/p>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-34 x-acc-item\"><button id=\"tab-e2522-34\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-34\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-34\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">What is shock wave therapy? <\/span><\/span><\/button><div id=\"panel-e2522-34\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-34\" data-x-toggleable=\"e2522-34\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><p>\nAlso referred to as extracorporeal shockwave therapy (ESWT), this method uses high-energy acoustic waves to target and treat tendon attachment issues and muscle and bone conditions, and is largely free of complications. Shockwave therapy uses sound pulses focused deep within the body at the root cause of the pain, where they are most effective.\n<\/p>\n<p>\nESWT stimulates cell metabolism by activating mitochondria and releasing growth factors that accelerate the healing process of painful conditions such as tendon damage.\n<\/p>\n<p>\nThe sound waves also cause the formation of new blood vessels (angiogenesis and vasculogenesis), which improves circulation and stimulates the body\u2019s self-healing mechanisms, making it possible for damaged or degenerated tissue to regenerate and heal.\n<\/p>\n<p>\nIt is also thought that shock wave therapy can cause stem cells to migrate and \u201ccome home\u201d.\n<\/p>\n<p>\nIn the case of calcium deposits, such as calcific tendonitis of the shoulder, it is possible to directly shatter the deposit. This causes it to break down into small parts that are easily metabolized by the body.\n<\/p>\n<p>\nESWT also has a direct impact on pain transmission: First, the cell walls of the pain receptors are affected, causing them to transmit fewer negative impulses. Second, ESWT causes sensory overload in affected tissues and nerves, reducing their ability to transmit pain. In particular, chronic pain can be alleviated in the long term using this method.\n<\/p>\n<p>\nUsing ESWT, extremely rapid and sustainable improvements can be achieved without radiation.\n<\/p>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-35 x-acc-item\"><button id=\"tab-e2522-35\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-35\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-35\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">Ideal applications for ESWT:<\/span><\/span><\/button><div id=\"panel-e2522-35\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-35\" data-x-toggleable=\"e2522-35\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><ul>\n<li>All types of tendon inflammation<\/li>\n<li>All types of tendonitis (non-inflammatory painful degeneration of the tendons), i.e., the Achilles tendon<\/li>\n<li> Tennis elbow \/ golf elbow<\/li>\n<li>Trochanteric pain syndrome (hip)<\/li>\n<li>Tendinitis calcarea (calcification in the tendon anchor area of the shoulder) and frozen shoulder <\/li>Sehnenansatzbereich der Schulter) und frozen shoulder<\/li>\n<li>Plantar fasciitis \/ heel spurs<\/li>\n<li>Fascia therapy<\/li>\n<li>Old cicatrized muscle injuries<\/li>\n<li>Fresh muscle injuries (low intensity and focused)<\/li>\n<li>Skeletal muscle pain<\/li>\n<li>Patellar tip syndrome and Morbus Schlatter disease (MOB) <\/li>\n<li>OCD in adults (degeneration of the cartilage bone area, usually in the knee or ankle joint)<\/li>\n<li>Pseudarthrosis in small bones<\/li>\n<li>Shin splints<\/li>\n<li>Tension of the neck and back muscles, persistent tension of the large muscles (upper arm, forearm, pelvic region, thigh, lower leg)\n<\/li>\n<\/ul>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-36 x-acc-item\"><button id=\"tab-e2522-36\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-36\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-36\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">How does shockwave therapy work?<\/span><\/span><\/button><div id=\"panel-e2522-36\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-36\" data-x-toggleable=\"e2522-36\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><p>\nFirst, your physician will discuss the cause of your condition with you and explain why shockwave therapy would be effective in your situation. Possible complications such as superficial bruising, swelling, etc. are also discussed, and a consent form must be signed.\n<\/p>\n<p>\nIn most cases, three (in rare cases up to five) shockwave treatments are necessary. During treatment, a topical gel is first applied to the area to allow the shockwaves to penetrate into the body and target the problem area with no energy loss. The treatment itself takes five to ten minutes, during which time the doctor will explain each step of the process.\n<\/p>\n<p>\nESWT has a very high success rate when combined with an accurate diagnosis. However, no therapy has a 100% guarantee of success, and the degree of effectiveness also depends on the severity and prior duration of symptoms.\n<\/p>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><div class=\"e2522-37 x-acc-item\"><button id=\"tab-e2522-37\" class=\"x-acc-header\" role=\"tab\" type=\"button\" aria-selected=\"false\" aria-expanded=\"false\" aria-controls=\"panel-e2522-37\" data-x-toggle=\"collapse\" data-x-toggleable=\"e2522-37\"><span class=\"x-acc-header-content\"><span class=\"x-acc-header-indicator\">&#x25b8;<\/span><span class=\"x-acc-header-text\">What is a heel spur?<\/span><\/span><\/button><div id=\"panel-e2522-37\" role=\"tabpanel\" aria-hidden=\"true\" aria-labelledby=\"tab-e2522-37\" data-x-toggleable=\"e2522-37\" data-x-toggle-collapse=\"1\" class=\"x-collapsed\"><div class=\"x-acc-content\"><p>\nA heel spur is a thorn-like bone development on the underside of the heel at the base of the highly strained aponeurosis at the sole of the foot (the plantar fascia). The plantar fascia is a thick connective tissue that supports the arch of the foot to bear both left and transverse loads. When it becomes inflamed due to ongoing overexertion, the typical symptom is stabbing pain on the inside and\/or underside of the heel, more intense in the morning and when just getting started.\n<\/p>\n<p>\nThe heel spur symptoms do not always indicate true ossificationv - instead, the pain is often caused by chronic inflammation that also includes the bursa of the heel bone.\n<\/p>\n<p>\nA calcaneal spur, visible by X-ray, only occurs in about 10% of the population. Most people, however, experience no symptoms. The trigger for the symptoms of heel spurs is inflammation of the plantar aponeurosis (plantar fasciitis). This is caused by prolonged overstressing of the foot and tendons due to excessive pressure and tension on the aponeurosis at the sole of the foot beneath the heel bone. Repeated micro-tears of the tendon and chronic inflammation of the surrounding tissue occur at these overstressed areas, causing calcium deposits to develop. (As with a bone fracture, the body deposits calcium to heal the tears in the tendon and provide stability.) And just like that: a bone spur. \n<\/p>\n<p>\nThis explanation is supported by the fact that this type of heel pain is found in overweight individuals as well as in very active people and professional athletes. Patients with flat or splayed feet or high arches have a greater tendency to experience heel pain.\n<\/p>\n\n<div class=\"post-cta-section\">\r\n  <div class=\"cta-text\">\r\n    <h3>More questions?<\/h3>\r\n    <p class=\"desktop-only\">Our experts are happy to help you<\/p>\r\n    <p class=\"mobile-only\">Just give us a call!<\/p>\r\n  <\/div>\r\n  <div class=\"cta-button\">\r\n    <div class=\"btn-bg Ocean\">\r\n      <div class=\"btn-group\">\r\n        <div class=\"btn Debris blue\">\r\n          <a href=\"https:\/\/sportambulatorium.wien\/en\/kontakt\/\" class=\"desktop-only\">\r\n            <button style=\"outline: none;\">\r\n              Contact<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n          <a href=\"tel:+43 1 402 1000\" class=\"mobile-only\" onclick=\"trackMobileButton()\">\r\n            <button style=\"outline: none;\">\r\n              Call now<span class=\"one\"><\/span>\r\n            <\/button>\r\n          <\/a>\r\n        <\/div>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/div>\r\n\r\n<script>\r\nfunction trackMobileButton(){\r\n  console.log('track');\r\n  gtag('event', 'click', {\r\n    'event_category': 'CTA',\r\n    'event_label': 'Mobile Call Now'\r\n  });\r\n  console.log('track2');\r\n}\r\n\r\n<\/script>\r\n\r\n<style>\r\n\t.desktop-only, .mobile-only {\r\n\t\tcolor: black;\r\n\t}\r\n<\/style><\/div><\/div><\/div><\/div><div class=\"x-content-area e2522-38 m1y2-n\"><script type=\"application\/ld+json\">\n    {\n      \"@context\": \"https:\/\/schema.org\",\n      \"@type\": \"FAQPage\",\n      \"mainEntity\": [{\n        \"@type\": \"Question\",\n        \"name\": \"Kann man Kreuzbandriss wieder n\u00e4hen?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Das Kreuzband kann man nicht mehr zusammenn\u00e4hen, denn wenn es in der Mitte gerissen ist, dann ist die Durchblutung des Kreuzbandes unterbrochen und es kann nicht mehr heilen. In ca 20-30% der F\u00e4lle reisst das Kreuzband allerdings ganz oben, dort wo es am Oberschenkelknochen ansetzt. Wenn der komplette Stumpf erhalten ist, kann man das Kreuzband, zB mit speziellen D\u00fcbelbolzen, wieder an seinem anatomischen Ansatzbereich verankern - dies wird als Reinsertion bezeichnet. Wichtig ist, dass der Operateur dann noch ein paar kleine Bohrungen vor, ober und hinter dem Kreuzband macht, damit durch das Aussprossen von Stammzellen aus dem Knochen, die Einheilung des Kreuzbandes gef\u00f6rdert wird. Wenn das Kreuzband aber in der Mitte gerissen ist, dann ist es leider kaputt und muss ersetzt werden. Dazu verwendet man k\u00f6rpereigene Sehnen (zB von der Oberschenkelinnenseite), die als neues Kreuzband eingesetzt werden. Am besten und schonendsten wird diese OP in einer all-inside Technik durchgef\u00fchrt.\"\n        }\n      }, {\n        \"@type\": \"Question\",\n        \"name\": \"Muss ich mich sofort im n\u00e4chstgelegenen Krankenhaus operieren lassen, wenn das Kreuzband gerissen ist?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"CG: Nein, der optimale Zeitpunkt liegt zwar innerhalb von 48 Stunden - wenn das Knie aber nicht massiv geschwollen und \u00fcberw\u00e4rmt ist, hat man problemlos 7 - 10 Tage Zeit um sich das Kreuzband operieren zu lassen - meist reichen kalte Umschl\u00e4ge, ev. auch entz\u00fcndungshemmende Medikamente, um den Zeitraum mit einfachen Mitteln zu verl\u00e4ngern\"\n        }\n      }, {\n        \"@type\": \"Question\",\n        \"name\": \"Muss ein gerissenen Kreuzband operiert werden? Ist eine Operation bei Kreuzband Verletzung immer erforderlich?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Es stimmt, dass das Kreuzband nicht unbedingt operiert werden muss. Wenn jemand vor allem am Rad sitzt, oder schwimmt - oder gar keinen Sport macht, dann reicht Physiotherapie in den meisten F\u00e4llen. Sollte das Kniegelenk doch irgendwann mal instabil werden (das passiert in ca 10% der F\u00e4lle), dann kann man es immer noch operieren. Anders sieht das bei den Ballsportlern aus - es stimmt zwar, dass viele mit ihrer guten Muskulatur das Knie lange soweit stabilisieren k\u00f6nnen, dass sie keine oder nur selten Instabilit\u00e4tsattacken haben - aber alle gro\u00dfen Studien zeigen, dass Sportler, die Stop-and-Go Sportarten betreiben (zB Ballsport), oder Laufen, oder Bergwandern - eine signifikant h\u00f6here fr\u00fchzeitige Arthroserate haben, wenn sie sich nicht operieren lassen. Und das ist nat\u00fcrlich schade, wenn man dann 40-j\u00e4hrige sieht, die ein neues Kniegelenk brauchen, weil sie sich in der Jugend das kaputte Kreuzband nicht operieren liessen.\"\n        }\n      }, {\n        \"@type\": \"Question\",\n        \"name\": \"Kann eine Stammzellentherapie  bei Knorpelsch\u00e4den helfen?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Stammzellen werden seit Jahren im Rahmen von Knorpelverletzungen oder -abn\u00fctzungen wissenschaftlich erforscht und stehen nun auch klinisch zur Verf\u00fcgung. Neueste Studien zeigen, dass der Einsatz spezieller (mesenchymaler) Stammzellen aus dem Bauchfettgewebe die Arthrose- und Knorpel-Therapie entscheidend unterst\u00fctzt. So wurde in diesen Studien eine signifikante Schmerzreduktion bei deutlich gestiegener Lebensqualit\u00e4t sowie eine entscheidende Zunahme der Knorpeldicke nach Stammzelltherapie festgestellt. Gelenksprothesen, vor allem am Kniegelenk, k\u00f6nnen durch die Stammzellentherapie oft signifikant hinausgez\u00f6gert, in manchen F\u00e4llen sogar komplett vermieden werden. Ob eine Stammzellentherapie bei Ihnen sinnvoll ist, kann nach einer speziellen MRI Untersuchung und klinischen Begutachtung in einem ausf\u00fchrlichen Aufkl\u00e4rungsgespr\u00e4ch beurteilt werden.\"\n        }\n      }, {\n        \"@type\": \"Question\",\n        \"name\": \"Muss ein Meniskusriss operiert werden?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\":\"Das h\u00e4ngt davon ab, wie der Meniskus gerissen ist. Sogenannte horizontale Risse m\u00fcssen nicht operiert werden. Lappenf\u00f6rmige oder radi\u00e4re Risse sollte man auf alle F\u00e4lle chirurgisch sanieren (das man kann minimal-invasiv mit einer Arthroskopie in Schl\u00fcssellochtechnik machen), da diese Risse unversorgt zu Knorpelsch\u00e4den und damit Arthrose f\u00fchren k\u00f6nnen.\"}\n        },\n{\n        \"@type\": \"Question\",\n        \"name\": \"M\u00fcssen Knieschmerzen und fragliche Knorpelsch\u00e4den abgekl\u00e4rt und behandelt werden?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"H\u00e4ufig ist die Ursache dieser Beschwerden ein Knorpelschaden, oft hinter der Kniescheibe. Das geh\u00f6rt auf alle F\u00e4lle abgekl\u00e4rt. Und da man am R\u00f6ntgen Knorpelsch\u00e4den erst diagnostizieren kann, wenn sie massiv sind, sollte unbedingt ein 3 Tesla MRI zur Knorpeldiagnostik gemacht werden. Mit diesem speziellen MRI sind auch kleinere Knorpelsch\u00e4den gut zu erkennen. Leichte Knorpelsch\u00e4den kann man gut mit einer Kombination aus Physiotherapie und Knorpelpr\u00e4paraten behandeln, die es in Form von Pulvern und Tabletten gibt. Bei schwereren Knorpelsch\u00e4den gibt es unterschiedliche Therapieformen, von Eigenbluttherapie, \u00fcber Stammzellen, bis hin zur Operation \u2013 dies sollte am besten von einem\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Ist bei einem Knochenmark\u00f6dem eine Iloemdintherapie sinnvoll?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Ilomedin ist ein Prostaglandinpr\u00e4parat, das die Knochendurchblutung f\u00f6rdert und zur Behandlung von Knochenmark\u00f6demen (KM\u00d6) eingesetzt. Dies ist besonders dann sinnvoll, wenn die Ursache f\u00fcr das KM\u00d6 ein M. Ahlb\u00e4ck ist, eine Knochendurchblutungsst\u00f6rung, die zum Absterben des Knochens f\u00fchren kann\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Was ist eine Bakerzyste?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Dabei handelt es sich um eine zystische (=blasige) Aussackung der Gelenkskapsel des Kniegelenkes in die Kniekehle hineine. Die Bakerzyste hat ihren Namen vom englischen Chirurgen M.W. Baker, der diese Zyste erstamls beschrieb. Bakerzysten treten meistens als Folge chronischer Meniskus- bzw. Knorpelsch\u00e4den auf, k\u00f6nnen aber auch im Rahmen chronisch-rheumatischer Knieerkrankungen (chronische Polyarthritis) auftreten. Meist tritt die Bakerzyste in der Kniekehle auf, da die bindegewebigen Strukturen dort am schw\u00e4chsten ausgebildet sind.\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Was ist ein Plicasyndrom?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"<p>Wie alle Gelenke, wird auch das Kniegelenk von einer d\u00fcnnen, glatten Haut ausgekleidet. Diese so genannte Synovialhaut produziert die Gelenksfl\u00fcssigkeit,  welche die Reibung im Gelenk vermindert und die Gelenksknorpel mit N\u00e4hrstoffen versorgt.In der Embryonalentwicklung bildet diese Synovialhaut eine Membran, die das Kniegelenk in zwei separate Bereiche unterteilt (dies kommt noch aus der Zeit als wir das Meer verlassen und uns auf allen vieren bewegt haben. Pferde z.B. haben immer noch ein zweigeteiltes Kniegelenk). Normalerweise bildet sich diese Membran am Ende der Kindesentwicklung zugunsten einer gr\u00f6\u00dferen Bewegungsfreiheit im Kniegelenk vollst\u00e4ndig zur\u00fcck. Bei etwa 50 \u2013 70 % der Erwachsenen bleibt jedoch eine kleinere oder gr\u00f6\u00dfere Falte, eine sog. Plica, bestehen. Diese befindet sich meist innenseitig (=medial) der Kniescheibe.<\/p><p>Viele Menschen mit einer Plica haben keinerlei Probleme. Ist die Plica jedoch prominenter, kann es zu Irritationen kommen. Vor allem \u00dcberbeanspruchung  des Kniegelenks f\u00fchrt zu einer Reizung der Plica und damit zum sogenannten Plicasyndrom. Belastende Aktivit\u00e4ten, bei denen das Knie wiederholt gebeugt und dann wieder gestreckt wird (wie etwa Laufen, Radfahren, oder \u00dcbungen auf so genannten \u201eSteppern\u201c) sind die h\u00e4ufigsten Ursachen.Die Plica selbst, aber auch das Gewebe rundherum schwillt dabei an und wird schmerzhaft. Diese Verdickung reibt dann am Knorpel innerhalb des Kniegelenks und kann, bei fortlaufender Belastung, zu einem Schaden des Gelenksknorpels oder zu einer Gelenksentz\u00fcndung (=Arthritis) f\u00fchren.<\/p>\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Was ist Impingement der Schulter?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Betrachtet man den kn\u00f6chernen Kanal (=Subacromialraum), durch den die Rotatorenmanschette verl\u00e4uft, kann man sich gut vorstellen, da\u00df bei Belastung eine Sch\u00e4digung der Sehne nicht ausbleibt. So wie eine Schnur beim Bergsteigen ausfasert, wenn sie stets \u00fcber eine scharfe Kante gezogen wird, k\u00f6nnen auch die Sehnen im Rahmen der Bewegungen kleine Verletzungen erleiden. Meistens ist dies der Fall wenn das Schulterdach genetisch bedingt steiler nach unten gerichtet ist, oder wenn der Subacromialraum  durch degenerative Ver\u00e4nderungen des Schulterdaches eingeengt wird. Der K\u00f6rper versucht diese gesch\u00e4digten Fasern zu heilen (s. auch Heilungsphasen), was typischerweise im ersten Stadium, der Entz\u00fcndungsphase, mit einer Schwellung und Schmerz einhergeht. Durch die Schwellung wiederum wird der sowieso enge kn\u00f6cherne Kanal noch enger f\u00fcr die Muskulatur. Die Folge davon ist eine Art Einklemmung der Muskulatur (=Impingement) mit Schmerzen beim Ein- und Ausw\u00e4rtsdrehen des Armes, beim Heben des Armes und vor allem beim n\u00e4chtlichen Liegen auf der betroffenen Schulter.  Dies wird als Impingement-Syndrom bezeichnet. Oft kommt es im Rahmen dieser Beschwerden zum Auftreten einer schmerzhaften Entz\u00fcndung des Schleimbeutels in der Schulter. In den meisten F\u00e4llen k\u00f6nnen diese Beschwerden mittels entz\u00fcndungshemmenden Medikamenten und Physiotherapie zum Abklingen gebracht werden. In chronischen F\u00e4llen verkalkt dieser Schleimbeutel (Bursitis calcarea). Dies kann zu anhaltenden Schmerzen f\u00fchren \u2013 hier ist in den meisten F\u00e4llen die Therapie mittels Stosswelle (ESWT) in Kombination mit Physiotherapie erfolgreich. In therapieresistenten F\u00e4llen hilft oft die zus\u00e4tzliche Infiltration mit einem Schmerzmittel und etwas Cortison (das sollte aber nicht \u00f6fter als 2-3x durchgef\u00fchrt werden). Sind alle diese Therapiema\u00dfnahmen nicht erfolgreich (bzw. ist das Schulterdach massiv eingeengt) empfehle ich die Operation (Arthroskopie, Abfr\u00e4sen des Schulterdachs zur Platzgewinnung und und Ausr\u00e4umen des Kalkdepots).\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Muss Schulterluxation diagnostisch abgekl\u00e4rt werden?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Prinzipiell sollte das auf alle F\u00e4lle mittels Arthro-MRI, also einem Kontrastmittel-MRI, abgekl\u00e4rt werden. Denn sehr h\u00e4ufig ist bei einer Schulterluxation die vordere Gelenklippe abgerissen, sodass eine hohe Gefahr besteht, dass die Schulter (dann oft bei einer Minimal-Bewegung) wieder luxiert. Jede Luxation f\u00fchrt aber \u2013 neben den oft massiven Schmerzen - zu Knorpelzerst\u00f6rungen und damit in weiterer Folge zur Arthrose. Daher muss diese Verletzung (aber nat\u00fcrlich auch andere Begleitverletzungen) ausgeschlossen werden.\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Muss Schulterluxation operiert werden?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Wenn sich im MRI zeigt, dass das Labrum (Gelenklippe) bei der Luxation abgerissen ist, sollte vor allem bei jungen sportlichen Patienten die operative Refixation erfolgen. Diese kann nahezu immer minimal-invasiv arthroskopisch erfolgen. Mit zunehmendem Alter und reduzierter sportlicher und k\u00f6rperlicher Aktivit\u00e4t sind die Patienten eher konservativ (=nicht-operativ) zu behandeln. Das bedeutet intensive physikal. Therapie unter besonderer Ber\u00fccksichtigung von gelenkszentrierenden Ma\u00dfnahmen.\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Was ist eine Tossy III Verletzung?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Darunter versteht man eine vollst\u00e4ndige Luxation des AC Gelenkes (=Schulter-Eckgelenk) mit Zerreissung aller stabilisierenden Bandstrukturen - diese Verletzung sollte operiert werden\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Muss eine Tossy III Verletzung operiert werden?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Bei so einer AC-Gelenksluxation sind alle B\u00e4nder zerrissen, die das Schl\u00fcsselbein in der richtigen Position verankern. Bei sportlichen Patienten empfehle ich die Operation. Dabei werden die kaputten B\u00e4nder gen\u00e4ht - und zus\u00e4tzlich wird das Schl\u00fcsselbein mit speziellen N\u00e4hten, die wie ein Flaschenzugsystem funktionieren (AS Tight Rope System), in dem darunterliegenden Knochen verankert. Dadurch kann man sehr rasch auf eine Ruhigstellung verzichten und fr\u00fchzeitig wieder mit dem Training beginnen.\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Was ist Verletzung der Rotatorenmanschette?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Innerhalb des Schultergelenkes gibt es eine Muskelgruppe bestehend aus vier Muskeln: Musculus subscapularis, M. supraspinatus, M. infraspinatus und M. teres minor, die den Oberarmkopf von oben wie eine Kappe umschlie\u00dfen. Die Funktion dieser Muskeln ist es einerseits das Schultergelenk zu stabilisieren, andererseits den Arm zu heben und zu drehen, also zu rotieren. Deshalb werden diese Muskeln, entsprechend ihrer Funktion, zu einer Gruppe zusammengefasst und als \u201eRotatorenmanschette\u201c bezeichnet. Zu einem Einriss der Rotatorenmanschette (Rotatorenmanschettenl\u00e4sion) kann es infolge einer akuten Verletzung kommen. Wesentlich h\u00e4ufiger ist aber der zunehmenden Verschlei\u00df und die Abn\u00fctzung im Rahmen eines Impingement-Syndroms. Am h\u00e4ufigsten ist hierbei die Supraspinatussehne (also die Sehne des Musculus supraspinatus) betroffen. Typisch f\u00fcr die Rotatorenmanschettenverletzung sind Schmerzen beim Heben des Armes, meist auch verbunden mit einem deutlichen Kraftverlust. Unter Umst\u00e4nden kann der Arm gar nicht abgehoben werden. Bei j\u00fcngeren Patienten sollte eine Verletzung der Rotatorenmanschette operativ behandelt werden. In den meisten F\u00e4llen l\u00e4sst sich der Riss in der Rotatorenmanschette im Rahmen einer Arthroskopie minimal-invasiv verschliessen. Das bedeutet es bleiben nur drei bis vier wenige Millimeter grosse Narben zur\u00fcck. Bei gr\u00f6\u00dferen bzw. \u00e4lteren Verletzungen ist dies eventuell nicht m\u00f6glich, und es ist ein ca. drei Zentimeter langer Hautschnitt erforderlich. Wichtig ist bei der Patientenaufkl\u00e4runmg, dass trotz Operation meist noch f\u00fcr acht bis zw\u00f6lf Wochen Schmerzen bestehen \u2013 und eine intensive postoperative physikalische Therapie erforderlich ist. Bei \u00e4lteren Patienten kann prim\u00e4r ein drei bis sechs monatiger konservativer Behandlungsversuch mit Physiotherapie versucht werden. Da aber mit den heutigen Operationsmethoden im allgemeinen sehr gute Resultate erzielt werden, sollte bei \u00e4lteren Patienten die trotz Physiotherapie \u00fcber anhaltende Schmerzen und eine st\u00f6rende Bewegungseinschr\u00e4nkung klagen, eine Operation nicht allzu lange hinausgeschoben werden.\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Was ist eine Arthroskopie?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Die Arthroskopie ist eine Gelenkspiegelung, dabei wird eine Optik mit angeschlossenem Lichtfaserkabel \u00fcber ein d\u00fcnnes Rohr (Durchmesser 4mm) in das zu untersuchende Gelenk eingebracht. Die Bilder aus dem Gelenkinneren werden \u00fcber die Optik auf eine Videokamera und auf einen oder mehrere Monitore \u00fcbertragen. Damit kann der Operateur, eventuell auch der Patient, die Operation direkt am Bildschirm verfolgen. Zur Gelenkssp\u00fclung wird dann meistens eine kleine Kan\u00fcle z.B. innen am Knie eingebracht. Durch eine weitere kleine \u00d6ffnung k\u00f6nnen ein Tasth\u00e4kchen und andere Instrumente eingef\u00fchrt werden. Der Eingriff kann zwischen 20 und 60 Minuten (bei Kreuzbandoperationen auch l\u00e4nger) dauern und wird in Vollnarkose oder in Regional-An\u00e4sthesie (z.B. Kreuzstich) durchgef\u00fchrt. Arthroskopisch operiert werden vor allem Knie- und Schultergelenk. Mit zunehmender Erfahrung werden inzwischen auch vermehrt die kleineren, bzw. engeren Gelenke wie H\u00fcft-, Hand-, Sprung-, Finger-, Ellbogen- und sogar das Kiefergelenk arthroskopiert.\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Was ist Stosswellentherapie?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Auch als extrakorporale Sto\u00dfwellentherapie (ESWT) bezeichnet, beruht dieses Verfahren auf hochenergetischen Druckwellen, mit deren Hilfe vor allem Sehnenansatz-Beschwerden, aber auch Probleme der Muskeln und der Knochen gezielt \u2013 und weitgehend komplikationslos - behandelt werden k\u00f6nnen. Bei der Sto\u00dfwellentherapie werden Schallwellen erzeugt, die in der Tiefe des K\u00f6rpers (dort wo die Schmerzursache liegt) geb\u00fcndelt (=fokussiert) werden, und dort ihr Wirkungsmaximum entfalten. Durch die Sto\u00dfwellentherapie (ESWT) kommt es zu einer Anregung des Zellstoffwechsels (durch Aktivierung der Mitochondrien) und einer Aussch\u00fcttung von Wachstumsfaktoren, die den Heilungsvorgang zB. bei Sehnenansatzproblemen beschleunigen. Weiters kommt es zur Entstehung neuer Blutgef\u00e4\u00dfe (Angio- und Vaskulogenese), wodurch die Durchblutung und Selbstheilung des K\u00f6rpers unterst\u00fctzt wird. Gesch\u00e4digtes und degeneriertes Gewebe kann durch die ESWT regenerieren und ausheilen. Es wird auch postuliert, dass es durch die Stosswellentherapie zur Migration und \u201ehoming\u201c von Stammzellen kommen. Bei Kalkdepots, wie zB der Kalkschulter, kann der Kalk direkt zertr\u00fcmmert werden. Dadurch zerf\u00e4llt er in kleine Einzelteile und wird vom K\u00f6rper leichter abgebaut Au\u00dferdem haben die Sto\u00dfwellen einen unmittelbaren Einfluss auf die Schmerzweiterleitung: Erstens werden die Zellw\u00e4nde der Schmerzfasern angegriffen und die Schmerzfasern leiten deshalb negative Impulse in verringertem Ausma\u00df weiter. Zweitens sind das betroffene Gewebe und die sich darin befindenden Nerven im Rahmen der ESWT einer Reiz\u00fcberflutung ausgesetzt, und k\u00f6nnen dadurch nur relativ reduziert Schmerzimpulse weiterleiten. Damit k\u00f6nnen besonders chronische Schmerzen langfristig gelindert werden. Der Vorteil der ESWT liegt darin, dass ohne jegliche Strahlung oft sehr rasche und nachhaltige Therapieerfolge erzielt werden\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Wie l\u00e4uft die Sto\u00dfwellentherapie ab?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Prim\u00e4r bespricht der Arzt mit Ihnen die Ursache Ihrer Beschwerden und erl\u00e4utert warum die Sto\u00dfwellentherapie bei Ihnen sinnvoll w\u00e4re. Es werden auch m\u00f6gliche Komplikationen, wie oberfl\u00e4chliche Bluterg\u00fcsse oder Schwellungen etc. besprochen. Eine Einwilligungserkl\u00e4rung sollte unterschrieben werden. Meistens sind dann drei (in seltenen F\u00e4llen bis zu f\u00fcnf) Behandlungen mit der Sto\u00dfwelle erforderlich. Dabei wird ein spezielles Hautgel aufgetragen, damit die Sto\u00dfwellen ohne Energieverlust in den K\u00f6rper eindringen und an der Problemstelle ihre Wirkung entfalten k\u00f6nnen. Die Behandlung selbst dauert jeweils f\u00fcnf bis zehn Minuten, wobei der Arzt w\u00e4hrend der Behandlung erkl\u00e4rt, was er gerade macht. Die ESWT hat bei korrekter Indikationsstellung eine sehr hohe Erfolgswahrscheinlichkeit \u2013 aber nat\u00fcrlich kann ein Therapieerfolg nie mit 100% garantiert werden und h\u00e4ngt auch ab von der Massivit\u00e4t und der Dauer der Beschwerden.\"\n        }\n      },\n{\n        \"@type\": \"Question\",\n        \"name\": \"Was ist ein Fersensporn?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"Dabei handelt es sich um eine dornartige Knochenver\u00e4nderung an der Unterseite des Fersenbeins am Ansatz der \u00fcberbeanspruchten Sehnenplatte der Fu\u00dfsohle (Plantaraponeurose). Die Plantaraponeurose ist eine Sehnenplatte, die das Fu\u00dfgew\u00f6lbe bei Links- wie Querbelastung st\u00fctzt. Ist sie durch eine st\u00e4ndige \u00dcberbelastung entz\u00fcndet, entstehen vor allem auf der Innen- und\/oder an der Unterseite der Ferse die typischen Beschwerden: stechende Schmerzen, die vor allem morgens und beim Anlaufen st\u00e4rker sind. Das bedeutet, dass bei der Symptomatik des Fersensporn nicht immer eine richtige Verkn\u00f6cherung bestehen muss \u2013 sondern die Schmerzen durch eine chronische Entz\u00fcndung verursacht werden, die auch den Schleimbeutel am Fersenbein mit einbezieht. Ein \u2013 am R\u00f6ntgenbild sichtbarer Fersensporn - tritt bei rund zehn Prozent der Bev\u00f6lkerung auf. Die meisten Menschen haben jedoch keine Beschwerden. Ausl\u00f6ser der Beschwerden beim Symptomkomplex des Fersensporns ist eine Entz\u00fcndung der Plantaraponeurose (=Plantarfasziitis) durch eine l\u00e4nger dauernde \u00dcberbelastung des Fusses und der Sehnen durch zu viel Druck und Zug an der Sehnenplatte der Fu\u00dfsohle, der Unterseite des Fersenbeins. An den \u00fcberbeanspruchten Stellen kommt es zu wiederholten Mikrorissen der Sehne und einer chronischen Entz\u00fcndung des umliegenden Gewebes und in der Folge zu Kalkablagerungen (wie bei einem Knochenbruch lagert der K\u00f6rper Kalk ab, um die Risse der Sehne zu heilen und eine gewisse Stabilit\u00e4t zu erzielen) \u2013 ein Knochensporn entsteht. F\u00fcr diese Erkl\u00e4rung spricht auch die Tatsache, dass Fersenschmerzen sowohl beim \u00dcbergewichtigen, als auch beim sehr aktiven Menschen bzw. Sportler entstehen k\u00f6nnen. Patienten mit Senk \/ Spreizfuss und aber auch mit Hohlfuss neigen zu Fersenschmerzen.\"\n        }\n      }]\n    }\n    <\/script><\/div><\/div><\/div><\/div><\/div><div class=\"x-section e2522-39 m1y2-0 m1y2-3 contact-cta\"><div class=\"x-bg\" aria-hidden=\"true\"><div class=\"x-bg-layer-lower-image\"><\/div><\/div><div class=\"x-container marginless-columns e2522-40 m1y2-4\"><div class=\"x-column x-sm x-1-2 e2522-41 m1y2-5 m1y2-6\"><div class=\"x-bg\" aria-hidden=\"true\"><div class=\"x-bg-layer-lower-image\" style=\" background-image: url(http:\/\/sportambulatorium.wien\/wp-content\/uploads\/2019\/06\/ordi2-bg.jpg); background-repeat: no-repeat; background-position: 0 30%; background-size: cover;\"><\/div><\/div>&nbsp;<\/div><div class=\"x-column x-sm x-1-2 e2522-42 m1y2-5 m1y2-7 contact-cta-mask\"><div class=\"x-text x-text-headline e2522-43 m1y2-8 m1y2-9 m1y2-g\"><div class=\"x-text-content\"><div class=\"x-text-content-text\"><h5 class=\"x-text-content-text-primary\">WE ARE HERE TO HELP YOU<\/h5><\/div><\/div><\/div><div class=\"x-text e2522-44 m1y2-k m1y2-l\"><p>Our team of experts is always available to support you. 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