Servcies

Our medical Services at a Glance

Preventative care Heart Thyroid Veins Arteries Liver Infectious diseases Family doctor Covid-19 test Covid-19 vaccination Post Covid syndrome Chronic diseases Acupuncture TCM Neck pain Nutrition

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Preventative Care

Check-ups are a practical examination that we recommend is undergone every 1, 2 or 3 years depending on your age, personal risk, desire for prevention, early detection of diseases, and risk stratification. Talk to us!

Typically, a check-up would look as follows: At the beginning, we will take stock and discuss your medical history in detail to understand the potential reasons for current complaints as well as risks such as a lack of exercise, a poor diet, smoking, etc.

In this context, your family’s medical history (for example, if there is a history of colon cancer or heart attacks) is also essential. Additionally, your vaccination status is also checked. This is followed by a thorough physical examination and an ultrasound examination of the abdomen and thyroid gland. Then our assistants will write out an ECG and check your lung function. The last step is a comprehensive blood sample and urine collection, and if necessary, any required vaccinations are followed up.

These examinations are performed one right after the other, so you will usually spend only an hour in our medical practice, 45 minutes of which will be with Dr. Brommer or Dr. Joghetaei.

A detailed discussion of the results will take place approximately a week later, lasting at least 30 minutes, in which we show you individual risk profiles, discuss appropriate countermeasures of a medicinal nature or behavioral changes and determine the control intervals to be aimed for. In addition, further preventive examinations - such as a colonoscopy or gastroscopy - will be suggested if necessary.

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HEART

our range of cardiological services

ECG Resistant high blood pressure Pacemaker/defibrillator checks HIS bundle stimulation Holter ECG The Blood Pressure Pacemaker ("Barostimulator") The wireless or leadless pacemaker Pacemaker Exercise – The Treadmill Test Cardiac ultrasound The defibrillator Cardiac catheterization Ambulatory blood pressure monitoring Stress-Echo The subcutaneous defibrillator Transradial access

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ECG

An ECG shows us whether your heart is beating just fine, too fast or too slow at a given moment. Sometimes there are also signs of cardiac ischemia. These may then need to be clarified immediately by more detailed examinations.

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Resistant high blood pressure

Do you have high blood pressure? Are you already taking at least 3-4 different tablets for it - but your blood pressure remains too high? Then make an appointment for clarification and treatment; the sooner, the better as high blood pressure is the number one cause of stroke. Special tests can pinpoint causes of high blood pressure and treat them, so there may be no or less medication to take. And if this medicine does not help and the target blood pressure of 130/80 mmHg is not reached, supplementary measures can be evaluated, such as the so-called blood pressure pacemaker.

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Pacemaker/defibrillator checks

Pacemakers and defibrillators must be checked regularly for proper functioning and readjusted to the needs of your heart. With the generator’s life expending, timely battery replacements must be performed. Checks are done in our office. Exchanging the generator takes place at the Barmherzige Brüder Hospital in Munich.

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HIS bundle stimulation

Using a unique technique (HIS bundle stimulation), we can support the heart, not artificially as before, but physiologically, i.e., naturally by using the heart's own conduction pathways (HIS bundle). This ensures that no cardiac insufficiency will develop as a result of the permanent stimulation of the pacemaker outside natural conduction pathways. Pacemaker therapy using HIS bundle stimulation is an exquisite and gentle method that is only offered at very few centers worldwide. In a detailed discussion, Dr. Joghetaei will explain to you whether this method is suitable for you. In this case, he can then insert the pacemaker at the Barmherzige Brüder Hospital in Munich. With conventional pacemakers, which support the heart in a non-natural way, heart weakness develops in about 10-20% of cases due to the permanent stimulation of the heart in the right chamber. The symptoms (shortness of breath, fluids in the lungs, or legs) are the same as other cases of congestive heart failure (e.g., after a severe heart attack or after an inflammation of the heart muscle). The difference is that heart failure caused by the pacemaker is much easier to treat, and may easily lead to complete normalization of cardiac function. This can be achieved, for example, by converting the existing pacemaker to HIS bundle stimulation.

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Holter ECG

Do you sometimes feel your heart skipping a beat, beating irregularly or beating too fast or slow? A Holter ECG may help us find out the exact cause of your sensations. If your symptoms are very sporadic, longer recordings may sometimes be necessary to catch and eventually treat these episodes.

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The Blood Pressure Pacemaker ("Barostimulator")

Despite taking several blood pressure medications, some patients still have blood pressure values that are far too high and thus run the risk of suffering complications such as a stroke. When all reasonable attempts at mediation have been exhausted, the use of the so-called blood pressure pacemaker may be considered. Through years of experience, we can help you lower your blood pressure very effectively with the help of the barostimulator and blood pressure medications. In some instances, we are even able to reduce the number of medicines. In a detailed consultation, we will be happy to explain how this system works, how the procedure is performed and what reasonable expectations of this intervention may be. If desired, we can also contact patients who have already had such a system implanted. In this way, you will be able to learn how it is possible to live with the blood pressure pacemaker.

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The wireless or leadless pacemaker

As small as a vitamin tablet, the wireless pacemaker functions like its conventional predecessors but does so without any wires (also called leads), with comparable longevity. Besides, the foreign body in the heart is much smaller, and thus the infection and complication rate is much lower than with conventional pacemakers. In addition, there is a major aesthetic advantage: it is not visible from the outside.

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Pacemaker

Your heart might beat too slowly for very different reasons and the body receive too little blood and oxygen; as a result, you might experience symptoms such as dizziness or even lose consciousness for a brief time. Like a modern computer, the pacemaker continuously monitors the heart. If your heartbeat falls below a specific limit, which we determine together, the pacemaker steps in and delivers impulses: it makes sure your heart won’t be too slow and you will experience no symptoms. The pacemaker is inserted through a procedure under local anesthesia, which usually takes 30-45 minutes. In a detailed consultation, we will explain whether your symptoms can be treated by a pacemaker and, if so, which pacemaker is best suited for you. This procedure is performed by Dr. Joghetaei at the Barmherzige Brüder Hospital in Munich.

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Exercise – The Treadmill Test

This examination is indicative of how your heart adapts to physical stress. It may show signs of ischemia. However, compared to the stress echocardiography, it is less sensitive for detecting ischemic issue.

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Cardiac ultrasound

A heart ultrasound (also called heart echo) provides essential information about the strength and power of the heart muscle ("Do I have a cardiac insufficiency?") in a very gentle way. Disorders of the heart muscle can often be detected in time and treated appropriately. We can examine the function of all heart valves in the heart echo.

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The defibrillator

We know that a failing heart is at risk of developing cardiac arrhythmias. This is dangerous because, during these episodes, cardiac output drops to a minimum or even fails completely. The brain and the rest of the body are not supplied with sufficient blood. Left untreated, this condition would lead to what is known as sudden cardiac death. The defibrillator continuously monitors the heart: should these dangerous arrhythmias occur, the defibrillator will treat them: first gently, and if this is unsuccessful, the organ will be restored to its normal rhythm by an electric shock, leading the heart to reset, so that the brain and the rest of the body are resupplied with blood. In this way, the device can prevent what is known as sudden cardiac death. The conventional defibrillator usually consists of a battery inserted under the collarbone and a wire (called a lead). It connects the heart and the defibrillator and thus enables exchange of information. This procedure is performed under local anesthesia and is performed by Dr. Joghetaei at the Barmherzige Brüder Hospital in Munich.

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Cardiac catheterization

Do you experience a burning sensation or pressure behind the breastbone, jaw area or arms? Do these complaints occur more frequently under physical or mental stress? This may be due to an ischemic heart muscle (caused by blocked vessels, also known as arteriosclerosis). The extent of arteriosclerosis in the coronary vessels can be determined in the cath lab. We know that "arbitrary stenting" of narrowed vessels does not reduce the future rate of heart attacks, strokes or the development of heart failure. By measuring blood pressure above and below the narrowed area of the vessel, we can tell which stenoses will have the most benefit from dilatation. We combine imaging (vascular imaging) with physiology. Then, a treatment plan will be established with you: diet, exercise, and medication can often have a very favorable effect on the course of this chronic disease. In case the above measures are insufficient to alleviate your symptoms (such as angina pectoris) the narrowed segment may be dilated by a balloon followed by placing a stent to further stabilize the vessel. However, there are also non-invasive methods to detect ischemia of the heart. These are computer tomography of the coronary vessels (coronary CT) or stress echocardiography. In a detailed discussion about the advantages and disadvantages of the respective methods, we can decide which one to choose in your specific case.

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Ambulatory blood pressure monitoring

This allows us to measure your blood pressure several times during the day and night over 24 hours, under your usual everyday conditions. In this way, we can tell you very accurately whether your blood pressure is well controlled. If necessary, adjustments to your blood pressure medications can be made to meet the goals. A very modern way of long-term blood pressure measurement does not require the arm cuff: instead, using a finger clip, blood pressure, oxygen saturation in the blood and your heart rhythm can be determined continuously. For example, we can use the course of oxygen saturation in the blood to infer any breathing pauses during sleep ("sleep apnea") and send the suspected cases for more detailed examination.

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Stress-Echo

This is an ultrasound examination of the heart under stress (called "stress echo"): Do you suffer from a burning sensation behind the sternum, in the jaw or the arms upon physical or mental exertion? If so, it may indicate your heart muscle is not receiving an adequate amount of blood as a result of a blocked vessel (also known as ischemia). A stress echo simulates such a strain under standardized conditions. Through treadmill testing we are able to expose the cardiovascular system to a test: If there is a relevant blockage of a major coronary vessel, the corresponding area of the heart muscle will no longer work properly, which may be seen during s concomitant ultrasound exam.

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The subcutaneous defibrillator

The subcutaneous defibrillator protects the heart just as safely as a conventional defibrillator, but without touching it. The subcutaneous defibrillator protects against sudden cardiac death just as safely as the traditional device. Its advantage, however, is that both the battery and the lead are placed under the skin. In case an infection ever manifests itself on this foreign body, it will not be propagated to the heart because it is only placed under the skin and is very easy to remove. In a detailed discussion with Dr. Joghetaei, you can determine whether the subcutaneous defibrillator is suitable for you.

<< Overview Heart <

Transradial access

If a cardiac catheterization examination is indicated, access to your heart will be obtained by a small puncture on your wrist. We thereby significantly reduce access-related complications such as bleeding. Another significant advantage is immediate mobility after the procedure. By further developing the access route (so-called distal access), we can reduce the occlusion rate of the puncture site as compared to the conventional puncture site (so-called proximal access at the wrist). This technique is still relatively new in Germany. Dr. Joghetaei is one of the pioneers of this method nationwide and is co-author of recent studies:

Schenke K, Viertel A, Joghetaei N, Prog R, Matthiesen T, Ohm S, Dill T, Bott-Flügel L, Grönefeld G. Distal Transradial Access for Coronary Angiography and Interventions in Everyday Practice: Data From the TRIANGLE Registry (TwitteR Initiated registry for coronary ANgiography in Germany via distaL radial accEss). Cardiol Ther. 2021 Apr 5. doi: 10.1007/s40119-021-00218-6. Epub ahead of print. PMID: 33821448.

Coronary Angiography and intErventions Via Distal vs. Proximal aCcess (CORRECT Radial) ClinicalTrials.gov Identifier: NCT04194606

The goal is to obtain an accurate picture of the blood flow to the heart muscle as gently as possible and, if necessary, to be able to offer the best treatment in the same session.

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Thyroid

Thyroid diseases are common in Germany. It is estimated that almost 20 million people in Germany, an iodine-deficient area, have thyroid problems. Pathological changes or malfunctions can be easily detected with a short medical history, physical examination, ultrasound examination and a few laboratory values, and then treated if necessary. Come to us for a thyroid examination!

Thyroid diseases are widespread, although malignant changes are fortunately sporadic overall. Due to the iodine deficiency prevailing in Germany, enlargements of the thyroid gland (goiter with or without nodules) are the most common abnormalities found. By using an ultrasound, pathological changes can be quickly visualized, and a relatively good statement about the nature (benign or malignant) of the findings can be made. In particular, the use of elastography - a special ultrasound procedure that has been available in our practice for several years - often makes it possible to distinguish benign from malignant nodules. The elasticity or "tissue hardness" of a nodule is determined, whereby in malignant changes, the cells are packed more densely, and these, therefore, appear harder. In this way, it is often possible to avoid the otherwise necessary tissue sampling by puncture in cases of suspected thyroid carcinoma.

For nodes larger than one centimeter, further clarification should be made about whether the nodes produce hormones (warm and hot nodes) or not (cold nodes).

This examination (thyroid scintigraphy) is performed in a nuclear medicine clinic to which we refer our patients if necessary.

The function of the thyroid gland can be easily determined by thyroid levels. In particular, hypofunctions triggered by thyroid antibodies (autoimmune thyroiditis) of the Hashimoto type - presumably due to selenium deficiency - have increased sharply in recent years.

In this disease, it is essential to find the right time to start hormone replacement therapy, which is usually necessary long-term, by asking precisely about subjective complaints. In our practice, we treat several hundred Hashimoto's patients each year and have a great deal of experience with this clinical picture. Hyperthyroidism is rarer and can be caused either by hot nodules or autoimmune processes (Graves' disease).

Thyroid surgery is rarely required. If it is, then only due to nodules which are suspected to be cancerous, severe enlargement leading to mechanical problems with swallowing or breathing, or hyperfunction that cannot be treated with medication.

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Veins

Acute pain conditions in the legs can also be caused, among other things, by deep vein thrombosis, the cause of which can be, for example, a long flight or car journey, immobilization or an injury. In principle, any deep thrombosis can lead to pulmonary embolism and thus also to death.

This requires a rapid diagnosis and the necessary treatment. For this reason, all patients referred from another practice with the suspicion of deep vein thrombosis or who come directly to us with this question will receive an examination appointment with us on the very same day.

Thromboses are almost always treated on an outpatient basis with compression bandages and stockings and medication to “thin” the blood; while a pulmonary embolism always requires emergency hospitalization.

More prominent varicose veins should be removed surgically (with extraction or with intravascular closure measures, for example, with heat probes) to prevent complications such as lower leg ulcers ("open legs") in the long term.

We work closely with several experienced vein surgeons, for whom we create a map of the changes to be operated on using our ultrasound. We can also refer you to non-surgical dermatologists for localized treatments of minor changes.

We only perform diagnostics in our practice and do not perform any treatment of vein disorders. Therefore, we consider our objectivity for such surgery recommendations as guaranteed.

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Arteries

The arteries are the highways and more minor roads through which nutrients and oxygen are transported to the organs (arteries). Due to certain risk factors, with increasing age, there are more or less severe deposits in the vessel walls of the arteries.

These are primarily age, smoking, hypertension, diabetes mellitus (diabetes), hypercholesterolemia and a family history of atherosclerosis.

Furthermore, several additional influencing variables, such as diet, sport and obesity can have a positive or negative effect on the development of vascular calcification.

It would appear that certain risk factors favor certain arterial supply areas. Smoking, for example, favors the legs (smoker's leg) and the heart, while high pressure favors the heart and brain.

With the help of ultrasound technology, it is possible to quickly obtain an image of any vascular changes. This is entirely painless and without X-rays, be it the leg arteries or the carotid artery. Particularly in the area of the throat, extremely high resolution values in the range of 0.1(!) millimeters can be achieved sonographically due to the short distances between artery and transducer.

This is a perfect way of estimating how severe age-related or wear-related changes in the vascular system already are. For example, a 30 percent narrowing of the carotid artery in an 80-year-old would be considered quite normal for the patient's age, whereas in a 40-year-old, this would be a cause for great concern.

Such findings then also help us a great deal in assessing the need for drug therapy, for example, in the case of slightly elevated cholesterol levels.

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Liver

Elevated liver function tests and their clarification are an increasing problem in everyday medical practice. Subtle diagnostics are required to distinguish between severe, sometimes life-threatening, conditions and less serious ones.

One challenge is to avoid cost-intensive overdiagnosis and, on the other hand, not to overlook any disease that requires treatment despite only slightly elevated values. Many questions can already be narrowed down by the exact anamnesis (medical history); here, above all, medications, toxins, and food supplements that are considered harmless are essential.

Important information is provided by ultrasound examination of the upper abdominal organs, which can detect gallstones, tumors or a fatty liver.

In our practice, in addition to the standard ultrasound image, we also have elastography, which allows us to determine the density or stiffness of liver tissue.

In most cases, this examination makes it possible to determine the severity of tissue changes in the sense of liver fibrosis or cirrhosis without removing a tissue sample, as was previously necessary.

In addition to the simple liver function tests, there are, of course, a large number of particular laboratory values that are best used as part of a staged diagnosis, starting initially with the more common liver diseases. Nowadays, a liver biopsy/tissue sample is only very rarely required, especially for rare subtypes of autoimmune hepatitis (liver inflammation triggered by antibodies), which we usually have performed under clinical supervision on a semi-stationary basis.

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Infectious Diseases

You've been feeling kind of sick for weeks, maybe have higher temperatures, but all without being able to tell what is causing it. You ask yourself: Is this dangerous? What's next? What can I do to get well again?

Unclear fever states or weight loss without an identifiable cause represent a diagnostic challenge. Here, too, a detailed medical history, a thorough physical examination and a detailed laboratory test are indispensable. These symptoms can conceal serious diseases, which should, of course, be diagnosed as early as possible - be they tumorous, infectious or autoimmune processes.

During our training in hospital, we were often confronted with these questions. Due to our rich professional experience and the extensive technical equipment in our practice, we are best placed to clarify such questions - on an outpatient basis too.

We can also decide on whether antibiotics will be necessary within a few minutes via our emergency laboratory in our practice.

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Family doctor

Who is my first point of contact for all medical issues? Who can tell me if my problem is severe or not and if it needs further clarification?

A large part of our daily work consists of providing comprehensive primary care to our patients with any and all major and minor health issues that develop.

Many of our patients have come to our practice by word of mouth. Others have stayed in our care after a specialist examination. However, we do not poach patients from other doctors but have an excellent working relationship with many primary care physicians.

However, due to our claim of taking a lot of time for you, we are currently only accepting privately insured patients new to primary care.

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COVID19 Test

If you need a Covid-19 swab test for a trip, hospital admission or similar, we will be happy to perform it in our office if no infection is currently suspected.

If you do have symptoms, we ask you to visit our practice only after a negative test result, as we do not have a separate treatment room for infected patients. You can have a swab test done, for example, at the practice of Dr. Frühwein, which operates a swab test center in the courtyard of the Luitpoldblock (drfruehwein.de).

Even after having overcome a corona infection, it can leave damage primarily on the lungs or the heart muscle (myocarditis). If you fear such a complication - especially if shortness of breath persists - please make an appointment for an examination.

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COVID19 Vaccination

Fortunately, all practice staff, both physicians and other clinic staff, have already been vaccinated twice against Covid 19, so there is virtually no risk of infection from us.

Due to our good scheduling and minimal waiting times, you will also not be exposed to high-risk contact situations when visiting our practice. The shortage of vaccines has now given way to a surplus. Only Biotech is vaccinated, in exceptional cases, if someone needs a short-term one-time vaccination, sometimes Johnson. Since we still have to coordinate 6 vaccinations from one vial at a time, please call or email our front desk if you would like a vaccination. You can expect to receive a vaccination appointment within a week.

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Post-COVID Syndrome

According to the RKI, 600 000 of approximately 920 000 confirmed COVID-19 cases were confirmed as recovered in November 2020. [1] Nevertheless, about 40% of hospitalized patients require longer-term medical support.

Despite having overcome COVID-19, many patients continue to complain of symptoms. However, these are not necessarily related to a severe presentation of the disease and the course of the required treatement, especially in the fatigue syndrome described above.

In mild disease, 10% are probably affected for longer than 4 weeks, but more specific courses are too little known. [2]

A third stage concerns the even later phase, which occurs weeks to months after a disease. This clinical picture is called "Long COVID" or "long hauler" for patients who "carry something around for a long time." "Chronic covid-19 syndrome" is used to describe the condition of continued symptoms even after 12 weeks. [3]

Common symptoms include fever, cough, fatigue, muscle weakness, sleep problems, dyspnea, headache, diarrhea, nausea, vomiting, hair loss, depression, cardiac function problems (rhythm and blood pressure), and memory problems. Disturbances to your sense of smell and taste also persist for longer than 8 weeks in 10% of sufferers.

These listed symptoms are an indication for treatment with acupuncture and Chinese phytotherapy. The therapy has been traditionally known for a long time to regenerate and maintain mental and physical health in the long term. Depending on the Chinese diagnosis, persisting heteropathies caused by the toxic viral agent are eliminated. The straightness of the vital functions - the orthopathy - is supported and harmonized by a healthy energetic flow.

LITERATURE

1. RKI - Situation report from 22.11.20202
2. RKI - Coronavirus/Coronavirus profile/long covid3
3. Mahase E: Covid-19: What do we know about "long covid"?

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Chronic Diseases

Most diseases are chronic.

Nowadays, as a result of the long lives we tend to live, chronic diseases frequently develop, such as high blood pressure, high cholesterol levels or diabetes. A significant focus of our work is to treat these well so that avoidable consequences and late damages will not occur.

When it comes to the resulting issues of long-term drug therapy, we attach great importance to addressing your individual sensitivities and wishes. Moreover, we involve you in decisions about your treatement by discussing the advantages (improved prognosis) and any disadvantages (potential side effects) of the treatment in detail.

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Acupuncture

In Chinese medicine, the regular flow of directed life energy "Qi" is always in the foreground. With fine acupuncture needles, one can act on the desired energy flow and thereby dissolve pain-causing blockages.

Facial Rejuvenation Akupunktur - Facial Acupuncture

With the help of acupuncture needles, acupuncture points are used to revitalize and treat wrinkles in the facial area. Aesthetic facial acupuncture has been gaining a significant amount of attention in recent times, and thanks to the safety of acupuncture, it is versatile.

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TCM

Western diagnostics and Chinese therapy harmoniously combined.

Traditional Chinese therapy is suitable for the following indications:

Pain

Headaches (migraine, tension headache), facial pain (trigeminal neuralgia, zoster), back pain (neck, chest, lumbar), nerve pain, toothache, fibromyalgia syndrome, phantom limb pain, polyneuropathy.

Musculoskeletal system

Osteoarthritis, joint pain (knee, hip, etc.), rheumatic diseases, joint inflammation, back pain (cervical, spine, lumbar), tennis/golf elbow, shoulder-arm syndrome.

Neurology/Vegetative

Facial paresis, dizziness, post-stroke treatment, multiple sclerosis, Parkinson's disease, shingles, spasticity, sleep disorders, exhaustion, fatigue, stress, nervousness.

Airways

Hay fever, asthma, bronchitis, colds, susceptibility to infections, sinusitis, middle ear/ tonsillitis.

Cardiovascular

High blood pressure, arrhythmias, heart disease.

Gynecology

Menstrual cramps, period pain, discharge, childbearing, pregnancy discomfort, fetal malposition, childbirth relief, menopausal symptoms.

Children

Allergies, neurodermatitis, infections, asthma, bedwetting, ear infections.

Allergies

Hay fever, food intolerances, skin diseases.

Skin

Neurodermatitis, rash/eczema, psoriasis, itching, allergy, inflammation (acne, boils, ulcers).

Metabolic diseases / hormones

Appetite suppression in obesity, hypothyroidism / hyperthyroidism, Hashimoto's disease.

Cosmetics

Facial acupuncture can treat signs of aging such as wrinkles (forehead, eyes, mouth), puffiness and sagging cheeks, dark coloration, and dry skin on the face.

Medicinal herbs

A variety of Chinese herbs are available in addition to acupuncture. These herbs can be taken as a decoction, powder, tablets or drops. They complement and reinforce acupuncture and can be used for very many medical conditions.

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Neck Pain

44 muscles are involved in the neck to support the head in its rotational movement and keeping it neutral.

In many pain patients, the deep neck muscles are weakened because we unilaterally overload the cervical spine when looking at the screen or cell phone, so 12 to 27 kg press on our cervical spine depending on the head downward tilt. (Dr. Kenneth Hansraj New York) With a typical head bend of 45 degrees for cell phone users, 20kg tug at the neck.

The constant head tilt and unhealthy posture constrict all the structures, causing numbness, tingling and pulling all the way to the arm and hand.

An accident-related whiplash injury or a fall can also lead to chronic pain in the neck and head area (migraine) even if the injury was a long time ago. The neuronal control of the muscles shifts, coordination suffers and balance can be impaired. This poor posture can continue throughout the spine to the lumbar, pelvic, and sacroiliac joints.

Here, Chinese medicine with the body and ear acupuncture, the indicative manual examination of the atlanto-occipital joint, and various herbs offer an effective supplement to relieve pain and restore the energetic flow in the body. Even if there is a lot of emotional pressure on the shoulders, TCM can very effectively re-harmonize the stressful influence on the flow of “Qi” in the body.

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Nutrition - Dietetics

Western diagnostics and Chinese therapy harmoniously combined.

Many medicinal herbs have long been known from nutrition and can be used prophylactically or therapeutically. After making a Chinese diagnosis, suitable foods are recommended for treatment.

From the earliest times, people were aware of the importance of a balanced diet for well-being. Thus, the energetic effect of food can have a corrective therapeutic impact on the flow of "Qi".

Dr. med. Martin Brommer

Dr. med. Nader Joghetaei

Dr. med. Sabine Brommer

COMPETENCE REDEFINED

TREATMENT CONCEPT AND PROMISE

FURTHER EDUCATION

The Team

We look forward to seeing You!

Reception

Reception

From the moment you enter the clinic, you will be made to feel comfortable as you are welcomed by our friendly team.

Waiting area

Waiting area

Our patients wait directly in front of the consulting rooms. The waiting time is usually less than a few minutes.

Feel good

Feel good

Loving details ensure that your stay in our practice is as pleasant as possible.

We takeour Time

>We take our Time

The most important part of your visit is devoted to the consultation: only by listening carefully, can we identify the medical problem and jointly agree on the course of action.

Comprehensivelysupervised

Comprehensively supervised

We want to provide you with complete and all-around care. You will, therefore, rarely need referrals to specialists. However, if necessary, we work hand-in-hand with our network of specialists from all fields.

Progressive

Progressive

Our medical equipment is state-of-the-art. In addition to ECG, stress and strain ECG, pulmonary function devices and regular laboratory analysis, we work with the latest ultrasound equipment.

Trust

Trust

Our competent practice team has remained the same for many years. We are proud of this. Good cooperation and well-rehearsed working procedures ensure a consistently high standard of quality.

Servcies

Our medical Services at a Glance

Preventative Care

HEART

our range of cardiological services

ECG

Resistant high blood pressure

Pacemaker/defibrillator checks

HIS bundle stimulation

Holter ECG

The Blood Pressure Pacemaker ("Barostimulator")

The wireless or leadless pacemaker

Pacemaker

Exercise – The Treadmill Test

Cardiac ultrasound

The defibrillator

Cardiac catheterization

Ambulatory blood pressure monitoring

Stress-Echo

The subcutaneous defibrillator

Transradial access

Thyroid

Veins

Arteries

Liver

Infectious Diseases

Family doctor

COVID19 Test

COVID19 Vaccination

Post-COVID Syndrome

Chronic Diseases

Acupuncture

TCM

Neck Pain

Nutrition - Dietetics

Updates

News and information about our practice

POST COVID SYNDROME

NECK PAIN

APPOINTMENT / OFFICE HOURS

AS FLEXIBLE AS YOUR LIFE

We take
our Time

Comprehensively
supervised