Institute for Regenerative Movement Medicine

Regenerative movement medicine is aimed at the structures that move and stabilize us. Their healing capacity differs depending on the tissue - this shapes diagnostics and therapy.

• Bones: very well supplied with blood, high healing tendency; reacts to stress (Wolff's law).
• Articular cartilage: slippery surface, low cell count and blood circulation; limited self-healing.
• Tendons and ligaments: strong collagen tissues, heal slowly; respond to measured trains with conversion.
• Muscles: well supplied with blood, usually good regeneration; Scarring possible with larger tears.
• Fascia: connective tissue network; influence power transmission and pain perception.
• Nerves and vessels: modulate pain and blood flow; important for chronic complaints.

Therapy here does not mean “repairing like a machine”, but rather setting controlled stimuli: dosing the load, controlling inflammatory processes, stimulating tissue and correcting incorrect control.

Regenerative movement medicine includes measures that promote the body's own regeneration processes. These include conservative basic components (exercise therapy, load management, nutrition, sleep) and - when appropriate - orthobiological procedures such as platelet-rich plasma (PRP), needle-assisted tendon stimulation or extracorporeal shock wave therapy (ESWT).

• Evidence-based: We are guided by guidelines and studies - the quality of the evidence varies depending on the procedure and diagnosis.
• Appropriate for indication: No “one-size-fits-all”. First exhaust conservative options, then add to them if necessary.
• Transparent: opportunities and limitations are discussed in advance; there are no promises of healing.

We treat a wide range of musculoskeletal complaints - from hobby to competitive sports, from everyday office life to age-related osteoarthritis.

• Tendinopathies: Achilles tendon, patellar tendon, tennis/golfer's elbow, gluteal tendons, plantar fascia.
• Early to moderate osteoarthritis: knee, hip, shoulder, thumb saddle joint – with a focus on symptom relief and functional gain.
• Cartilage and overload damage: retropatellar complaints, condral lesions, bone marrow edema syndrome (BME) in cooperation.
• Spine: facet joint-related pain, myofascial discomfort, functional instability.
• Muscle fiber tears and strains: return-to-sport planning and recurrence prevention.
• Fatigue reactions: shin splints, stress reactions of the bone - with load management and monitoring.

• Careful diagnostics: anamnesis, functional and gait analysis, ultrasound; MRI/X-ray if necessary.
• Education and goal definition: realistic expectations, timelines and measurement criteria (e.g. pain, function, activity).
• Load management: adjustment of volume, intensity, technique; Workplace and everyday coaching.
• Physiotherapy and training: progressive, exercise-supported stimulation (eccentricity/isometrics/heavy-slow resistance).
• Pain and inflammation modulation: cooling/warm stimuli, short-term medication after benefit-risk assessment.
• Complementary procedures: ESWT (shock wave) for suitable tendinopathies/plantar fasciitis; Manual therapy and neuro-modulation depending on the findings.
• Progress monitoring: objective tests, standardized scores, adjustment of the plan.

Many complaints can be stabilized or significantly improved with a consistent conservative program. Only when the basis is correct and relevant restrictions still exist do we examine regenerative supplements.

Regenerative measures – when indicated correctly – can reduce pain, improve function and enable training progress. They do not replace basic therapy and are not useful in all cases.

• PRP/autologous blood (platelet-rich plasma): preparation of the body's own blood, injection e.g. B. in tendinopathy or early knee arthrosis. Evidence: moderate to heterogeneous depending on indication; The aim is to relieve symptoms, not to “rebuild cartilage”.
• Ultrasound-assisted tendon stimulation (e.g. dry needling/pecking): Microstimulation of degenerative tendon areas to initiate healing - combined with a rehabilitation plan.
• Extracorporeal shock wave (ESWT): mechanical stimulus for tissue activation; Well proven for plantar fasciitis and calcific shoulder, useful for other tendinopathies depending on the course.
• Hyaluronic acid injections: viscoelastic support for osteoarthritis; not regenerative in the narrow sense, but can influence lubrication and pain sensitivity.
• Orthobiological combination strategies: selective and case-related; we avoid parallel multiple injections without an evidence base.

Safety and transparency have priority: We explain the benefits, limitations, potential side effects (e.g. temporary irritating pain, bruising, rarely infection) and alternatives. The cost coverage varies - many procedures are self-pay services (IGeL).

A good indication determines success. We combine clinical expertise with modern technology.

• Functional diagnostics: movement and strength tests, stress profiles, return-to-activity criteria.
• Imaging: high-resolution ultrasound for tendons/joints; If necessary, MRI/X-ray (cooperation).
• Ultrasound-guided interventions: more precise placement, lower wastage.
• Progress measurement: pain scales, activity trackers, standardized questionnaires.

Regeneration is teamwork. Depending on the findings, we work closely with our departments and partners to ensure a consistent, everyday treatment plan.

• Sports orthopedics: load control, return to sport, prevention of recurrences.
• Physiotherapy: individualized rehabilitation plans, progression logic and technical coaching.
• Orthobiology: Selection and implementation of orthobiological procedures according to indication.
• Neuroorthopedics and Atlas Back Center: for complex spine and coupling problems.
• TCM: complementary procedures (e.g. acupuncture) as accompanying pain modulation, if desired.

• Appointment: online via Doctolib or by email. Location: Dorotheenstraße 48, 22301 Hamburg.
• Initial appointment: anamnesis, examination, if necessary ultrasound and functional screening.
• Therapy planning: Discussion of the step-by-step plan including home exercises and milestones.
• Implementation: Physiotherapy/training, if necessary ESWT or PRP - always with progress monitoring.
• Follow-up: re-evaluation after 4-8 weeks; Adjustment of load and goal setting.
• Long-term care: relapse prevention, technology and everyday tips, prevention check.

Please bring any existing findings/images and a current medication list with you. After injections, intensive exercise should be avoided for 24-48 hours; The coordinated rehabilitation plan then follows.

Regeneration has an effect when it is embedded in a healthy everyday life. Small adjustments often have big effects.

• Progressive increase in load instead of sudden peaks; Schedule breaks specifically.
• Strength as an “orthosis from within”: stimulation for tendons, bones and cartilage 2-3 times a week.
• Sleep and stress management: important factors for pain perception and healing.
• Nutrition: sufficient protein, anti-inflammatory patterns; Reduce alcohol and nicotine.
• Technology and equipment check: footwear, running technique, workplace ergonomics.

Despite consistent conservative and, if necessary, regenerative therapy, surgery may be the better option in individual cases - for example in the case of mechanical blockages, larger tears or advanced instability.

• Indication after stage failure and clear diagnosis.
• Second opinion desired: we advise with an open mind.
• Seamless preparation and postoperative rehabilitation planning in collaboration with our partners.