Prof. Citak Videos – Orthopedics understandable (DE/EN)

What you find in the video store

The videos are structured like a good educational discussion in consultation hours: clear, structured and without technical jargon. The aim is to make decisions easier for you – not to anticipate them.

• Symptoms briefly explained: e.g. E.g. shoulder pain, knee pain, tennis elbow, heel pain.
• Conservative therapy components: training, load control, physiotherapy, lifestyle, pain management.
• Diagnosis understandable: When is ultrasound or X-ray sufficient, when does an MRI make sense? How does a posture and gait analysis help?
• Interventions with a sense of proportion: shock waves, targeted injections, acupuncture, neuromodulation – including opportunities, limits and risks.
• Reliable classification of new procedures: What has been proven, what is promising, where is data still missing?

Who are the videos for?

The content is aimed at people with orthopedic complaints, relatives and anyone who wants to prepare well for an appointment - whether in Hamburg or traveling there.

• Patients who want to actively participate in decision-making.
• Athletes who want to better control stress and regeneration.
• Therapists and general practitioners who are looking for a compact classification.
• Those interested in English: selected videos are bilingual (DE/EN) or have subtitles.

Language, subtitles & format (DE/EN)

Most videos are in German. Many contributions offer English subtitles; some content is available in English with German subtitles. We pay attention to clear language, visualizations and a length of usually 2-8 minutes.

• DE/EN: Clearly marked in title or description.
• Low-barrier: smooth image guidance, easy-to-read graphics.
• References: Where appropriate, we refer to guidelines or reviews.
• No promises of salvation: opportunities and limits are openly stated.

Topic overview – frequent video chapters

A selection of recurring topic blocks - ideal for getting started. You can find in-depth articles on some areas in the blog.

• Understanding back pain: warning signs, sensible diagnostics, training instead of rest.
• Shoulder: Impingement, calcified shoulder, frozen shoulder – which is possible conservatively.
• Knee: runner's knee, patellar tendinopathy, osteoarthritis - load management and exercises.
• Elbow & Hand: Tennis elbow, golfer's elbow, tendon irritation.
• Foot: Plantar fasciopathy/heel pain – evidence-based options, including shock wave.
• Diagnostics: Ultrasound in the consultation, when X-ray/MRI? Use of posture and gait analysis.
• Interventions: Shock wave (ESWT), ultrasound targeted injections, acupuncture.
• New approaches: Neuromodulation (Axomera), IHHT – what we currently know and what we don’t.

Conservative orthopedics in focus

Most musculoskeletal problems improve without surgery – with time, targeted exercise and appropriate stress. That is our focus. In the videos we discuss how you can become self-effective.

• Education: Understanding what hurts – and why that’s important.
• Load management: gradual increase instead of all-or-nothing.
• Training therapy: strength, mobility, coordination – dosed and accompanied by a therapist.
• Pain management: Short-term medication if necessary - as low a dose as possible and limited in time.
• Everyday life & sleep: small behavioral adjustments with a big impact.

If training alone is not enough, the videos discuss additional components such as taping, manual techniques or time-limited aids. The goal remains to get you back into active therapy as quickly as possible.

Diagnostics clearly explained

Good diagnostics are targeted: as much as necessary, as little as possible. The videos show how we combine clinical examination, ultrasound and – if the question is clear – imaging.

• Clinic before technology: Your anamnesis and examination are crucial.
• Ultrasound: dynamic at the point of pain, without radiation exposure.
• X-ray: specifically if there is suspicion, e.g. B. on osteoarthritis or fracture.
• MRI: useful if the findings are unclear or symptoms are resistant to therapy - not routine.
• Posture and gait analysis: 4D back and gait analyzes can uncover patterns that trigger complaints.

Regenerative & interventional procedures – soberly classified

In addition to training, procedures such as shock waves, acupuncture, neuromodulation or injection treatments can help in selected cases. Indications, realistic expectations and risks are presented transparently in the videos.

• Shock wave therapy (ESWT): Studies show some good and some moderate evidence for plantar fasciopathy, lateral epicondylitis and calcific shoulder. Correct indication and serious dosage are crucial.
• Acupuncture (TCM): Can relieve chronic pain. Effects are individual; it does not replace active therapy.
• Neuromodulation (Axomera): The aim is to modulate pain signals. So far, there are mainly empirical values ​​and early studies - the evidence is developing.
• IHHT: Interval hypoxia hyperoxia training is metabolic training. In orthopedics it can be used as a flanking component; robust long-term data are still limited.
• Targeted injections: e.g. B. in activated osteoarthritis or irritant synovitis - after weighing up the benefits and risks, preferably image-supported.

Important: No procedure replaces active, cause-oriented rehabilitation. We make decisions together – based on your goals, the findings and the available evidence.

How to use the videos sensibly

1. Start with the complaint video that comes closest to your situation.
2. Write down questions, ambiguities and goals that are important to you.
3. Additionally, watch the clips on diagnostics and training.
4. Consider whether conservative measures have been exhausted before considering interventions.
5. If necessary, arrange an appointment - ideally with your notes - for personal clarification.

Your orthopedic contact in Hamburg

Do you want to apply content from a video to your situation? During our consultation hours in Hamburg, we examine findings, goals and options together - evidence-based and individually.

• Practice address: Dorotheenstraße 48, 22301 Hamburg.
• Appointments online (Doctolib) or by email – see contact buttons below.
• Easily accessible from Winterhude, Uhlenhorst, Eppendorf, Altona and the entire metropolitan region.

Video highlights and in-depth blog posts

You will find in-depth content on several video topics in the blog - from diagnostics to therapy classification. A selection:

• Shock wave (ESWT) – background, indications and process: see Storz Medical ESWT – Focused Shock Wave (DE/EN).
• Posture and gait analysis – what does 4D technology show? see Diers measuring systems – 4D analysis for back & gait (DE/EN).
• Neuromodulation for pain – approach and data: see Axomera – Neuromodulation for pain (DE/EN).
• Metabolic training as an additional component: see IHHT – interval hypoxia-hyperoxia training (DE/EN).
• Acupuncture in orthopedics – realistic expectations: see TCM acupuncture in orthopedics (DE/EN).
• Media classifications: RTL report: Shock wave & memory - classification (DE/EN) and IMAGE: 6-quadrant method for back pain (DE/EN).
• Service: Orthopedist Hamburg Altona – The 5 most important selection criteria.

Transparency, Evidence & Limits

Videos do not replace an examination or individual therapy planning. They are intended to help clarify questions and understand options. We avoid promises of salvation and name uncertainties. Where data is limited, we say so.

• Evidence-oriented: guidelines and systematic reviews are the benchmark.
• Individuality: Age, activity level, comorbidities and goals determine the therapy.
• Safety first: Warning signs such as paralysis, fever, pain at rest at night, recent accident - please seek medical advice promptly.

The 5 tips at a glance

1. Symptoms briefly explained: e.g. E.g. shoulder pain, knee pain, tennis elbow, heel pain.
2. Conservative therapy components: training, load control, physiotherapy, lifestyle, pain management.
3. Diagnosis understandable: When is ultrasound or X-ray sufficient, when does an MRI make sense? How does a posture and gait analysis help?
4. Interventions with a sense of proportion: shock waves, targeted injections, acupuncture, neuromodulation – including opportunities, limits and risks.
5. Reliable classification of new procedures: What has been proven, what is promising, where is data still missing?

Information does not replace an individual examination. If there are any warning signs, please seek medical advice.