Microscopic foraminotomy at OrthoCenter in Munich
Microscopic foraminotomy
If the conservative treatment measures in the present narrowing of the nerve exit channel in the region of the cervical spine show no positive effect and the quality of life thereby significantly limited, minimally invasive surgical enlargement of the nerve exit channel (foraminotomy) should be sought.
As a specialist in the field of the foraminotomy you will be attended by PD Dr. med. Berthold and his team during the treatment and rehabilitation!
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.
Microscopic foraminotomy: Diagnosis
The goal of the microscopic decompression of the rear extension of the nerve with the outlet channel resulting from this relieving of the mechanically restricted nerve root. By using a high-resolution three-dimensional surgical microscope the optimum illumination of the surgical field on the one hand maintain, on the other hand scored. The oppressive bony structures can be removed with millimeter precision while maintaining the stability of the spine. This high precision of surgical operation is ensured.

Microscopic foraminotomy: Treatment
At the same time the surgical trauma can be kept extremely low because of the small operating access. Isolated open operations on spinal canal are today thus no longer appropriate.
With this minimally invasive procedure the surrounding structures are protected and reduces the risk of structural injury of nerve tissue to a minimum. Thereby, the operation time is reduced, aswell as the length of hospital stay and convalescence. The surgical procedure is performed under general anesthesia and takes about 60 minutes. Already after a few hours is first started mobilizing with assistance.
Microscopic foraminotomy: Rehabilitation
In the first four weeks after the surgical intervention, we recommend physical indulgence. This includes wearing a specially adapted soft cervical collar, which relieves the neck and supports the healing. Targeted physiotherapy treatment should be needed in the aftermath, if necessary, physical measures in the treatment of muscle tension can be performed concomitantly. This guarantees that you are able to promptly take the usual activities at work and play again. Depending on the physical load, the working capacity is six to eight weeks made after surgical intervention again.
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















