Infiltration at OrthoCenter in Munich

YOU ARE HERE Home » Conservative » Infiltration

Infiltration

This pain therapy treatment to the small vertebral joints, which are named because of their anatomical arrangement also “facet joints”, we recommend in most cases when the physical pain and drug therapy has produced no effective improvement in back pain.

Your advantages at OrthoCenter Munich

  • International Excellence in Orthopaedics: Treatment of patients from around the world with multilingual care and the highest international standards.
  • Scientifically Leading Expertise: Over one hundred scientific publications and international research ensure evidence-based medicine at the highest level.
  • Modern Conservative and Minimally Invasive Therapies: Regenerative medicine such as PRP, hyaluronic acid or stem cell therapy combined with precise arthroscopic surgery.
  • Specialisation in Shoulder, Knee, Elbow and Ankle: Individual diagnostics and treatment for all relevant joint conditions and injuries.
  • High-Level Sports Orthopaedics: Modern treatment concepts and structured return-to-sport strategies for recreational and professional athletes.
  • Premium Private Practice with Personal Care: Short pathways, direct communication with your physician and individual, high-quality support throughout the entire course of treatment.

Nerve Roots

Cause of the complaints are in the majority of acute disc herniation and/or wear caused by narrowing of the spinal canal or nerve exit points, which harassed and irritated nerve roots. With the help of thin needles, the drugs are injected with the aid of fluoroscopy or CT’s device to the affected nerve root. Used here are local anesthetics and, if necessary, anti-inflammatory drugs. This inflammation of the oppressed nerve root is combated and alleviated the symptoms. After the injection, the patients remain ambulatory for 30 minutes under observation in our practice areas and can then go back home. Often multiple treatments are necessary to reduce the discomfort in its entirety lasting. In many cases, using this kind of infiltration an operation can be avoided. After completion the infiltration physiotherapy treatment measures should continue to build up the core muscles and thus to support the spine permanently.

Spezielle Wirbelsäulentherapie im OrthoCenter

Vertebral joints (facet infiltration)

Cause of the complaints are mostly overload reactions of the small vertebral joints or their increased wear, which lead to premature osteoarthritis with an inflammatory reaction accompanying. With the help of thin needles, the drugs are injected with the aid of fluoroscopy or CT’s device to the affected spinal joints. Here are used local anesthetics (local anesthetic) and, if necessary, anti-inflammatory drugs (corticosteroids). This inflammation is fought in the osteoarthritic changes in spinal joints, thereby reducing pain. After the injection, the patients remain ambulatory for 30 minutes under observation in our practice areas and can then go back home. Often multiple treatments are necessary to reduce the discomfort in its entirety lasting. After completion the infiltration physiotherapy treatment measures should continue to build up the core muscles and thus to support the spine permanently.

Nerve Canal (epidural)

Cause of the complaints are in the majority of acute disc herniation and/or wear caused by narrowing of the spinal canal or nerve exit points, which harassed and irritated nerve roots. Using a thin needle, the drugs under sterile conditions in the amount of the affected lumbar spine segment or over the deepest point of entry of the vertebral canal at the level of the sacrum (Hiatus sakralis) are injected into the spinal canal. Used here are local anesthetics (local anesthetic) and, if necessary, anti-inflammatory drugs. The correct needle position is monitored by fluoroscopy unit. This inflammation of the oppressed nerve structures is fought and symptom relief occurs already after a few minutes. After the injection, the patients remain ambulatory for 30 minutes under observation in our center and can then go back home. In some cases, a repeat of this infiltration is reasonable and necessary to reduce persistently after a few days the complaints in their entirety. In many cases, can hereby be avoided, an operation. After completion the infiltration physiotherapy treatment measures should continue to build up the core muscles and thus to support the spine permanently.

Your spine specialist in Munich

PD Dr. med. Daniel P. Berthold

  • Board-certified specialist in orthopedics and trauma surgery with international training at TUM, LMU, and the University of Connecticut.
  • Over 100 scientific publications and award-winning research.
  • Modern conservative therapies such as PRP, hyaluronic acid, and stem cell procedures.
  • Precise minimally invasive surgery and individualized, evidence-based treatment planning
  • Expertise in diagnosing and non-surgical treatment of disc problems, facet joint osteoarthritis, and SI joint disorders
  • Performing targeted injections such as facet, SI joint, and periradicular injections to reduce pain and improve function
  • Individualized surgery-avoidance strategies, second opinions, and evidence-based treatment planning for acute and chronic back pain

OUR MEMBERSHIPS

Our orthopaedic specialists are members of the following societies and organisations. The aim of these societies is an optimal networking and knowledge transfer- so we always stay up to date.

Societies & Organizations

OUR MEMBERSHIPS

Our orthopaedic specialists are members of the following societies and organisations. The aim of these societies is an optimal networking and knowledge transfer- so we always stay up to date.

Posted on Google Google
Lisa Sulzgruber profile picture
Lisa Sulzgruber
4 November 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Best orthopedist ever, super caring and they take their time, especially the assistants are super friendly and lovely, thank you!

(Translated by Google, see original)
Posted on Google Google
SAStefan profile picture
SAStefan
19 October 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I feel very well cared for, both medically and personally, by Dr. Daniel P. Berthold, and receive excellent advice from him. The practice's assistants round off the positive impression with their friendly manner and competent support.

(Translated by Google, see original)
Posted on Google Google
Pinar Akyürek-Röscheisen profile picture
Pinar Akyürek-Röscheisen
7 September 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Great practice, great doctor. I'm seeing Dr. Berthold for a knee injury. He's competent, empathetic, and leaves no questions unanswered. He patiently explains everything and the treatment plan, and he involves me, the patient, in the treatment. The receptionists are also very friendly and helpful, and the practice is modern and welcoming. Highly recommended!

(Translated by Google, see original)
Posted on Google Google
Dustin G profile picture
Dustin G
4 August 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I can highly recommend the OrthoCenter! The entire team is exceptionally friendly, professional, and extremely well-organized. From the moment you enter the practice, you feel welcome and in good hands. I would especially like to commend Dr. Berthold. He takes his time, explains all treatment steps clearly, and addresses questions and concerns with great sensitivity. His expertise and calm, friendly manner immediately instilled confidence in me. The modern practice, short waiting times, and outstanding care further reinforced my positive impression. Many thanks to the entire team for the excellent treatment!

(Translated by Google, see original)
Posted on Google Google
Vincent Echterhoff profile picture
Vincent Echterhoff
30 June 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
Highly competent consultation! The focus on non-surgical solutions (when not necessary) is particularly noteworthy. Furthermore, the extremely modern and precise analyses lead to very accurate and detailed diagnoses.

(Translated by Google, see original)
Posted on Google Google
rofl rolf profile picture
rofl rolf
29 May 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I can wholeheartedly recommend the OrthoCenter on Maximilianstrasse. From the moment you arrive, you're greeted by an exceptionally friendly and attentive team. The excellently structured process is particularly impressive: waiting times are minimal, the entire organization runs absolutely smoothly and professionally – you can tell that the processes are perfectly coordinated. The professional expertise of the entire team is absolutely top-notch. They take their time, listen carefully, and the advice is extremely thorough, transparent, and goal-oriented. I felt I was in the best possible hands, both medically and personally, at all times. Many thanks to the entire team for this first-class care! A true asset to Munich.

(Translated by Google, see original)
Posted on Google Google
Alan Wöhler profile picture
Alan Wöhler
18 May 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
A very nice practice with very friendly staff. Robin Kosche, Sama, and Cansu, in particular, were very competent and helpful!

(Translated by Google, see original)
Posted on Google Google
Philipp Glonner profile picture
Philipp Glonner
9 April 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
+2
Extremely friendly and competent staff and doctors! Highly professional!

(Translated by Google, see original)
Posted on Google Google
Ines Hinterland profile picture
Ines Hinterland
30 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
I can highly recommend the OrthoCenter in Munich. The receptionists are reliably reachable by phone, and when I visit the practice in person, they are always friendly and very helpful. Even spontaneous MRIs can be arranged for the same day in no time. Dr. Berthold himself is a level-headed and competent doctor who doesn't push me toward a particular treatment approach but instead presents me with all possible treatment options. At my first appointment, he immediately understood my circumstances and treated my condition accordingly. Since then, I have been pain-free and overjoyed to be able to live my daily life as I wish again. Recently, I had to return to the OrthoCenter for treatment due to an injury, and once again, Dr. Berthold found the right solution for me. I am impressed with the entire team and gladly make the long journey. Thank you.

(Translated by Google, see original)
Posted on Google Google
Moritz Korb profile picture
Moritz Korb
11 March 2026
Google star 1Google star 2Google star 3Google star 4Google star 5Trustindex verifies that the original source of the review is Google.
The orthopedist you dream of. State-of-the-art and impressive equipment, competent, and, most importantly, genuinely interested! I had the impression that Dr. Berthold truly wanted to find and treat the cause of my problems. He's also very personable and pleasantly relaxed. Highly recommended.

(Translated by Google, see original)
Verified by Trustindex
Trustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more