Denervation at OrthoCenter Munich
Denervation
As a denervation is referred to a complete or partial interruption of nerve pathways between the institution and the brain. The objectives of denervation are many. In our office we use this minimally invasive pain management procedures to combat chronic back pain. Most commonly affected are the lumbar spine and the sacrum and iliac joint, many also under the name “ISG” or “sacroiliac” known.
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.
Different methods of denervation in Munich
Cause of the complaints are mostly overload reactions of the small vertebral joints (facet joints) or the increased wear that lead to premature osteoarthritis with an inflammatory reaction accompanying.
There are different methods of denervation , we focus on the application of heat. Via radio waves, heat is generated (80-90 ° C for 60-90 seconds), the flow to the nerves, and thereby interrupt the pain-transmitting nerves. This process is called “radio frequency neurotomy” or as “percutaneous radiofrequency denervation”
After local anesthesia, a thin needle is placed at the affected vertebral joint or the nerve to be treated with the aid of fluoroscopy unit. Subsequently, a temperature probe on the opposite hollow needle is introduced and generates heat. About a simultaneous tissue cooling in the electrode region higher power is made possible, thus achieving a high volume tissue treatment with thermal cut through the nerves.
After the injection, the patients remain ambulatory for several hours under observation in our practice areas and can then go back home. This procedure can be done on request under stationary conditions depends certainly on the extent of the planned procedure and the respective health status of the patient.

Your specialist for modern conservative orthopedics 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.
- Focus on non-surgical treatment using modern, outcome-oriented methods for targeted relief of symptoms.
- Modern conservative therapies such as PRP, hyaluronic acid, and stem cell procedures.
- Regenerative medicine to promote natural healing processes, including orthobiology and biological combination therapies.
- Individually tailored treatment plans focused on pain reduction, improved function, and a faster return to everyday life and sports.















