The diagnostic focus is kinetic-positional magnetic resonance imaging of the spine and large joints.
Our examination spectrum in detail
In the area of the lumbar spine:
In the case of recurrent or persistent lumbar spine pain with or without radicular symptoms as an initial examination or if previous diagnostic measures have not been successful with regard to the causal diagnosis.
Possible causes that can only be detected with upright MRI without additional examinations include, in particular:
- Detection / exclusion of segmental instability (especially microinstabilities) in the case of degenerative changes, or in the case of a condition following trauma.
- In case of known retro- or anterolisthesis in the context of degenerative (pseudospondylolisthesis) or isthmic spondylolisthesis (spondylolisthesis vera) to exclude/quantify sliding instability.
- To diagnose the pathomechanism and extent of spinal stenosis especially in multisegmental spinal stenosis with determination of the location of the highest constriction in different positions.
- Position-dependent neuroforaminal narrowing due to supine occult neuroforaminal narrowing.
- In “Failed Back Surgery Syndrome” (FBSS) to demonstrate the causative pathomechanism under stress.
- Furthermore, examinations of the spine are possible in the case of pronounced scoliosis and kyphosis. The angles can be calculated accurately under load.
- Examinations of the bony pelvis including the os sacrum and sacroiliac joints.
In the area of the thoracic spine:
In the case of persistent spinal pain if previous diagnostic measures have not been successful with regard to the causal diagnosis:
- Detection / exclusion of segmental instability in the case of degenerative changes, or in the case of a condition after trauma.
- Furthermore, examinations of the spine are possible in the case of pronounced scoliosis and kyphosis. The angles can be calculated accurately under weight load.
In the area of the cervical spine:
For chronic or recurrent pain as an initial examination or when previous diagnostic measures have been unsuccessful with regard to the causative diagnosis.
- To detect / exclude degenerative changes.
- To prove or rule out segmental multimobility (also called segmental collapse or angular instability).
- In case of known retro- or anterolisthesis to exclude a sliding instability or to prove a listhesis under load.
- In the presence of disc protrusion and pain that does not correlate with the extent of the disc protrusion.
- For position-dependent radicular symptoms.
- In multisegmental spinal stenosis to determine the location of the highest constriction in different positions.
- In case of unclear myelopathy to exclude / prove compression of the myelon.
- If syringohydromyelia is unclear to exclude Chiari I.
Joints:
MRI examinations of joints such as the shoulder joint, knee joint, hip joint, ankle joint, elbow joint, wrist joint and feet.
Especially also examinations of the weight-bearing joints such as the knee joint and the hip joint in standing position under the natural weight load.
Comparative images in the supine position are also possible.
Functional images of the knee and hip joint are possible in various positions.
Magnetic resonance imaging of the head:
Examinations of the cranium, as well as the cervicooccipital junction for almost all neuroradiological issues, including arterial vascular imaging.
Magnetic resonance imaging in the area of the small pelvis:
e.g. examinations of the organs of the small pelvis.