Cerebral palsy treatment in Germany

Cerebral palsy is a movement disorder, or a disorder in posture or muscle tone that results from an injury or an abnormal development of brain mostly before birth. The symptoms and signs can be noticed during infancy or the preschool days. Generally, cerebral palsy results in impaired movement that is associated with extreme reflexes or a sense of rigidity in the trunk and limbs, involuntary movements, abnormal posture, unsteadiness while walking or a combination of two or more of these features. Cerebral palsy can variously affect functional abilities of an individual to a great extent.

People suffering from this condition also suffer from problems related to abnormalities in brain development like hearing and vision problems, intellectual disabilities and even seizures. Persons suffering from such conditions will have to undergo a broad spectrum of treatment procedures to help improve their functional abilities.

Signs and symptoms of cerebral palsy like spasticity and weakness in muscles and coordination problems could lead to other complications during childhood or later during adulthood.
  • The severe tightening of muscles can lead to a condition called as Contracture that inhibits growth of bones, bends bones, causes deformities like dislocation of joints.
  • A problem with feeding and swallowing often leads to malnutrition.
  • Daily challenges and social isolation can push the patient into a state of depression.
  • The poorly developed organs system and stress can cause premature aging.
  • A condition called post-impairment syndrome can occur due to continuous stress exerted on the body to perform everyday functions.
  • Too much pressure on the joints, abnormal alignment and muscle spasticity can result in the degeneration of bones (Osteoarthritis).

Tests and Diagnosis for Cerebral Palsy:


If you notice your child showing signs and symptoms of cerebral palsy, your pediatrician can help you assess the situation by ordering a series of tests and diagnosis for cerebral palsy.

Brain scans using technologies like brain-imaging can be helpful in revealing areas with an abnormal development or damage in the brain. The tests include:
  • MRI
  • MRI is done using magnetic field and radio waves. This is usually the preferred imaging test and takes about an hour to be done. This painless test is performed by administering a mild sedative to the child.
  • Cranial Ultrasound
  • High-frequency sound waves are used to obtain a brain imaging. This is gives the primary assessment of the brain and the test is inexpensive and quick as well.
  • CT scan
  • This is done using a specialized X-ray technology that gives cross-sectional images of the brain. This test is painless and takes about 20 minutes.
  • EEG
  • This is conducted for the child who is suffering from seizures. This examines the possibility of epilepsy which is common in patients with cerebral palsy.
  • Lab tests
  • Blood tests are also done to examine the possibilities of metabolic problems, genetic disorders or any blood-clotting disorders that could lead to stroke.
  • Additional tests
  • Additional tests for vision impairment, impairment in hearing and speech, mental retardation or intellectual disabilities and for other delays in development will also be done if the child shows positive signs of cerebral palsy in the initial tests.

Treatments for Cerebral Palsy:


Children and grown-ups require a long term treatment from more than one type of medical specialists. The specialist team can include a pediatrician, a psychiatrist, a pediatric neurologist, an orthopedist, a developmental and an occupational therapist, mental health provider, social worker and a special education teacher.

Medications that help lessen the stiffness of muscles are administered to overcome functional disabilities, recover from pain and also help manage complications associated with spasticity. The expert German doctors can assess the patents condition after due examination and opt for an appropriate medication program for the patient under their treatment. Specific medications are administered for different types of conditions like isolated spasticity and generalized spasticity.

Apart from medications, there are facilities to provide some non-drug therapies like physical, occupational and speech therapies.

Surgical procedures like orthopedic surgery performed to lessen the muscle stiffness and correct abnormalities in bones will help improve mobility in patients suffering from cerebral palsy. Treatments like cutting off the nerves that serve the spastic muscles help in reducing the pain and relax the muscles, but this may cause numbness.

Early diagnosis and an expert care is the key factor in fighting against this dreaded disease. Excellent medical facilities for treatment of cerebral palsy in Germany can help the patient undergo a high-quality treatment and recover well. German doctors have always been the pioneers in various medical specialties. With continuous research and innovations in the field of pediatric cerebral palsy, German doctors at a German University hospital recently created a major breakthrough by using blood from the autologous cord that contained stem cells in treating a two and a half year old boy to recover from speech and movement disabilities.

With our extensive database and years of expertise services in the field of medical and health care administration, we can always help you select the best available facilities for treatment of cerebral palsy in Germany.

Diabetes treatment in Germany

Depending on the type of diabetes one has, administering insulin, oral medications and monitoring of blood sugar level will play a major role in your diabetes treatment. However, practices like adhering to a healthy diet plan, maintaining proper weight and blood sugar monitoring is the key in managing diabetes.

Treatment for type1 diabetes hovers around insulin injections or the using an insulin pump, regular blood sugar checkups and carbohydrate counting. Treatment for type2 diabetes involves blood sugar monitoring, insulin, diabetes medications or both. Before the discovery of insulin in 1921, type1 diabetes was a lethal disease. Most of the patients would die within few years of its onset. However, things have changed very much now.

The treatment for diabetes becomes very much important as a diabetic has higher risks of developing a cardiovascular disease. It is important that cholesterol and blood sugar levels are assessed at regular intervals. Healthy diet, physical activities, controlling your weight and administration of oral medications can help you attain a good cardiovascular health. Diabetic people who smoke regularly are advised to quit smoking to help themselves fight the cardiovascular risks.

A healthcare professional can help a diabetic to learn manage and monitor his/her diabetes. If a diabetic woman is pregnant, she must seek the assistance of an obstetrician who is also specialized in diabetic treatment. Some pediatricians are specialized in providing medical assistance for infants of diabetic mothers.

The main objectives of diabetes management are to keep blood pressure, blood sugar and cholesterol at normal levels so that they do not affect or deteriorate your health further. Blood sugar level has to be maintained at optimum levels. Low blood sugar level will lead to hypoglycemia that could affect a patient badly. Similarly, high blood sugar level leads to hyperglycemia.

Surgical Treatments:


Apart from insulin, oral and other medications, treatments available for type1 diabetes include a pancreas transplant. Once the islet transplant is successful, you don’t need to continue with an insulin therapy. However, not all such transplants are successful and you will need anti-immune or immune-suppressing drugs to avoid organ rejection. The side-effects of these drugs are more serious than the diabetes itself. Hence these treatment procedures are opted with patients who have uncontrollable diabetes and those who are already suffering from serious complications due to diabetes.

Diabetic people with type2 diabetes and a body mass index that exceeds 35 may benefit from a procedure called as Bariatric Surgery. This is a gastric bypass surgery and patients undergoing this procedure have shown significant improvements in their blood glucose levels. However, even this type of surgical procedure is not free from some long-term risks.

Signs of Trouble with Diabetes:


There are so many factors that affect blood sugar level in your body. All of the below mentioned conditions need your special care as a negligence would lead to serious consequences like coma, seizures, etc.:
  • Hyperglycemia or high blood sugar:
  • Factors like taking in too much of food, being sick, lowering the intake of diabetic medication, or not taking a medication in between can cause an increase in blood sugar level. This would lead to frequent urination and thirst, blurred vision, dry mouth, nausea and fatigue. Adjust your medication as per your meal plan to help control your blood sugar level within recommended levels.
  • Diabetic Ketoacidosis:
  • When there is a shortage of energy in your body, the starved cells begin to breakdown stored fat. This results in the production of toxic acids known as ketones in your body. The breakdown of stored fats is indicated by an excess ketone level in your urine. Loss of appetite, vomiting, weakness, stomach pain, fever, and the smell of acetone while you breathe - are some of the general indications. This is more common in people with type1 diabetes. You should consult your doctor right away and seek emergency medical assistance.
  • Hypersmolar Syndrome:
  • This is a life-threatening situation in which a patient’s blood glucose level would exceed over 600mg/dL. Symptoms like dry mouth, severe thirst, confusion, drowsiness, vision loss, fever and hallucinations are seen. The blood would become thick and syrupy; type2 diabetic patients can suffer from these conditions in extreme circumstances. Seeking immediate medical help is an absolute necessity.
  • Hypoglycemia or low blood sugar:
  • Factors like skipping a meal more often and engaging in more than normal physical activities are the main reasons for this condition. However, this condition is also the result of receiving a higher dose of insulin or insulin promoting medications. Symptoms like sweating, shakiness, hunger, weakness, blurred vision, headache, dizziness, heart palpitations, slurred speech, irritability, drowsiness, fainting, confusion and seizures are seen. This condition can be treated by administering quickly absorbable carbohydrates like glucose tablets and fruit juices.
Type1 and type2 diabetes are chronic conditions and hence need a prolonged medical attention along with proper awareness and maintenance program. There are some potentially reversible conditions like prediabetes (where the blood sugar is higher than normal, but not too high to be considered as having diabetes) and gestational diabetes (that occurs during pregnancy and may be resolved once the baby is delivered).

Why choose Germany for diabetic treatment? Excellent and high-quality medical care services can be sought in Germany for severe cases like advanced complications with gestational diabetes, type1 and type2 diabetes, diabetic foot ulcers, physical disorders like depression, eating disorders and anxiety, repeated hypoglycemia, follow-up treatment after a severe metabolic breakdown, a strong insulin resistance and such other cases.

German doctors have adequate expertise and experience in providing healthcare assistance to people those who have hard-to-control levels of blood sugar. The comprehensive treatment of diabetes in Germany includes not just insulin and other medication therapies but providing proper education and interactions about managing diabetes throughout. With a team approach and an eye for adapting to innovations in the field, German doctors have carved out optimal treatment methods for curing and caring for diabetes. With ample experience and expertise, we will help you find the best available medical service centers for your treatment of diabetes in Germany.

Epilepsy treatment in Germany

Epilepsy is a neurological disorder that disturbs the nerve cell activity in brain, this leads to seizures during which the patient experiences sensations and symptoms including abnormal behavior and conscious loss.

The seizure symptoms could vary greatly, some would just stare blankly for a while and some others would twitch their legs and arms repeatedly. However, you cannot be considered having epilepsy for experiencing a solitary seizure. A minimum of two unprovoked seizures are usually required for someone to undergo a diagnosis for epilepsy.

Even minor seizures require treatment as they can pose serious threats during activities like swimming or driving. Treatment for reducing frequency and seizure intensity includes medications and in some cases surgery as well. Some children with epilepsy are seen outgrowing this condition with age.

Symptoms:


Seizures due to epilepsy can affect any of processes that are coordinated by brain. A seizure can show symptoms like:
  • A staring spell
  • Temporary confusion
  • Unmanageable twitchy movements in legs and arms
  • Conscious loss
  • Psychic symptoms
The symptoms may vary as per the seizure type; hence, a person with one particular seizure type experience similar symptoms with each episode.

Seizures are generally categorized as focal and generalized, on the basis of how an abnormal brain activity is initiated.
  • Focal seizures:
  • Focal or partial seizures are triggered by an abnormal activity in brain from only one particular area. Simple and dyscognitive seizures are the two types of focal seizures.
  • Generalized seizures:
  • These seizures involve all the areas in brain. There are six varieties of generalized seizures. They are absence seizures, tonic seizures, clonic seizures, myoclonic seizures, atonic seizures and tonic-clonic seizures.
One should seek immediate medical assistance in case:
  • The seizure occurs for over five minutes
  • Consciousness or breathing doesn’t return even after the seizure stops
  • Another seizure follows the first one immediately
  • Of high fever
  • You are pregnant
  • You are diabetic
  • You experience heat exhaustion
  • You receive injuries while under a seizure
In case you have a first seizure, you must seek out medical advice at the earliest. Tests and diagnosis - With high-quality facilities for epilepsy diagnosis, the following tests and diagnostic procedures can be done in Germany. Some of them are just general tests and some other help to assess the actual location in brain that causes seizures and also check with the abnormal activities of brain.
  • Neurological examination
  • Blood tests
  • EEG
  • CT scan
  • MRI scan
  • fMRI scan
  • PET scans
  • SPECT test
  • Neuropsychological tests

Treatments:


Treatment for epilepsy generally begins with medication therapy. If medications fail to treat the condition, doctors resort to surgical procedures or some other of the available treatments.
  • Medications:
  • Your doctor will choose the right medication and an apt dosage after assessing the patients, condition, age, seizure intensity and frequency, and such other factors. Most of the symptoms of epilepsy can be cured by medications known as anti-epileptic medications. For some others, there will be a decrease in intensity and frequency of epileptic seizures. Even after disappearance of seizure symptoms, epilepsy patients must continue taking medications until such time their doctors feel it is appropriate to stop the medication. Medications administered to treat epilepsy may show some side-effects. Your doctor will help you to sort out the problems with side-effects of such medications.

  • Surgery:
  • Surgery for treating epilepsy seizures can only be done after assessing the particular small area in brain and only after it is made sure that the area doesn’t affect vital functions such as speech, vision, hearing, language or motor functions. In surgical procedures, the doctor removes that well-defined area that triggers seizures.

    If the spot that causes seizures cannot be removed, the surgeons will go for a procedure called multiple subpial transections, where multiple cuts designed to avoid the spread of seizures to other parts in brain are done. Even after surgery, medications of lower dosages will be administered to prevent seizures. However, surgical procedures have their own limitations including loss of cognitive abilities in patients to a certain extent.

  • Non-drug therapies:
  • Treatment of epilepsy in Germany also includes the following non-drug therapies:

    1. Therapies like vagus nerve stimulation are known to reduce epilepsy seizures from 20 to 40%. Patients undergoing this procedure can go well with lower doses of medication for treating seizures.

    2. A strict and medically supervised Ketogenic diet (a diet high in fats and low in carbohydrates) can help children suffering from epilepsy to cut down symptoms. After a certain period, children can stop this diet and become free of seizures.

    3. Researchers are also studying the use of stereotactic radio-surgery as a potential treatment for certain types of epilepsy.
For treatment of epilepsy in Germany, prices include hospitalization and AED costs as the two major and direct factors. Conditions like active epilepsy, higher frequency in seizures and syndromes associated with focal epilepsy need higher medications and incur more costs as well. Seizure remission treatments of epilepsy in Germany cost you lower indirect costs.

With continuous presence in the field of providing medical assistance for expats visiting Germany, we have gained a greater expertise in helping you find the best available treatment of epilepsy in Germany.

Gynecology in Germany

A woman undergoes profound physical as well as psychological phases through her life, beginning from her first menstruation to the point of her menopause and beyond that. Doctors in Germany care for women at every stage, the gynecological health services in Germany includes medical screenings, providing treatments for gynecological surgeries, oncology, reconstruction services, supporting healthy pregnancy, diagnosis and treatment of uterine cancer, helping for an easy menopause transition, etc.

The general gynecological treatment in Germany includes the following treatment facilities:
  • Colposcopy Clinic
  • Gynecology Cancer Clinic
  • Abnormal Uterine Bleeding Clinic
  • Young Women’s clinic
  • Preventive Medicine Services
  • Pelvic Pain services
  • Reproductive Medicine and Family Planning
Medical gynecology practices in Germany are designed to address specific problems related to women’s health throughout their adulthood. German obstetrics provide specialized and compassionate care for a range of issues including:
  • Contraception
  • Endometriosis
  • Infertility
  • Irregularities in menstruation
  • General Pap and pelvic tests
  • Vaginitis
  • Pelvic pain

Gynecologic surgery in Germany:


Experts in gynecologic surgeons in Germany manage both cancerous and noncancerous conditions. The facilities include:
  • Continence Clinic
  • Breast Cancer Clinic
  • Gynecologic Oncology
  • Urogynecology and Pelvic Reconstructive Surgery
  • Minimally Invasive Gynecologic Surgery
  • LEEP Surgical Procedures
  • CO2 Laser Treatment Procedures
  • Diagnostic hysteroscopy
  • Diagnostic laparoscopy
  • Endometrial ablation
  • Operative Hysterectomy, including hysteroscopic sterilization, removal of polyps, fibroids and uterine septa
  • Operative Laparoscopy
  • Vulvar Vestbulectomy

Obstetrics:


Specialist doctors with Obstetrics and qualified nurse midwives offer expert, compassionate and personalized care for women during, before and after pregnancy. Neonatologists, pediatricians, specialists with fetal and maternal medicine, reproductive medicine, medical genetics, surgery, and allied fields work in close coordination to offer you the best care you will need.

Perinatal education is also offered for families to help prepare for child birth. These classes offer information on various issues like labor preparation, breast-feeding, grand parenting and related issues. If there is any detection that affects your pregnancy or child’s development during gestation, you are recommended for an initial pre-conception appointment in Germany. During your first appointment, you can have a thorough report on your medical history and risk assessment followed by educational sessions from specialized and trained nurses. An appropriate follow-up schedule and laboratory testing are also arranged. Specialists in maternal and fetal medicine offer healthcare services for women with high-risk pregnancies and such other genetic complications.

Reproductive Endocrinology and Infertility:


Treatments in this section include managing complex problems related to infertility, amenorrhea, recurrent loss of pregnancy, fertility preservation, endometriosis, etc. German doctors in this field are experts and approach with an integrated diagnosis and treatment plan that includes extensive counseling. Services offered in fertility preservation include:
  • Freezing unfertilized eggs
  • Freezing fertilized ovum
  • Freezing ovarian tissue and transplanting it after cancer treatment
  • Freezing sperms before or just after chemotherapy
Specialized doctors in Germany deliver gynecologic surgeries to maintain or optimize your fertility potential to its maximum limit. Complications like uterine fibroids, uterine polyps, endometriosis, adhesions and abnormalities of the fallopian tubes or of the uterus are treated using minimally invasive techniques. Gynecological treatment in Germany also includes outpatient services like reversal of tubal ligations using microsurgery and fertility optimization care for women who are to undergo a uterus removal. Services with respect to reproductive medicine and family planning, treating hormonal dysfunctions, natural and artificial procedures of reproduction ICSI and IVF are also provided in Germany.

Operative gynecology services in Germany: This category includes an integrated approach with regard to diagnosis and treatment of benign as well as malignant forms of cancers. Expert treatments for mammary tumors, ovarian tumors, cervical changes, uterine cancer, uterine reduction, and infertility and incontinence problems are also provided. There services are carried out on a range of operative procedures that range from microsurgeries to major abdominal surgical procedures.

Innovative medical and advanced surgical procedures are employed in treating patients with
  • Cervical cancer
  • Uterine cancer
  • Ovarian cancer
  • Vulvar cancer
  • Vaginal cancer
Innovative treatment facilities for these conditions in Germany include:
  • Advanced laparoscopic surgical procedures
  • Robotic surgery
  • IORT
  • Intraoperative chemotherapy
  • Genetic counseling
Inflammatory breast cancer treatments in Germany: Treatment for inflammatory breast cancer begins with chemotherapy, and then followed by surgery, radiation therapy and other additional treatments. For patients showing sensitivity for hormone therapy, doctors in Germany may recommend hormone therapy as well. Targeted therapies are employed to kill cancerous cells by identifying their vulnerabilities. Such therapies can also be done in combination with chemotherapy and also used before and after surgery.

With sophisticated and a wide range of gynecological treatment opportunities, Germany is certainly one of the best and safest places for receiving advanced and innovative gynecological treatments. We have been in the field of providing medical assistance services to our valued customers since years. With our vast experience and impeccable expertise, we will always be able to help you in arranging to receive the best available medical care services for gynecology in Germany.

Infertility treatment in Germany

Statistics reveal that one in every seven couples in Germany face problems related to infertility. Statistics collected from many developed countries also reveal that the fertility rate is showing a trend of downward movement. Infertility is a health problem that could affect bothers the partners. The reasons behind this could be manifold, such as age, lifestyle, organic causes, occupational and mental factors, environment, etc. If infertility is detected in one of the partners, the other may also have to receive a physical treatment or receive counseling in most of the cases.

Treatment for infertility: Treatment is based on factors like, your age, partner’s age, the period of your suffering with infertility, and even your personal preferences. Many of the cases with infertility can be corrected, but some cannot. Women diagnosed for infertility can become pregnant by the use of a suitable assisted reproductive procedure. However, infertility treatment is marked by significant commitment with physical, psychological, financial and time factors.

For men:


In general, infertility treatment for men involves a casual treatment for sexual problems like lack of healthy sperms. Treatments include:
  • Medical or behavioral approach:
  • Factors like premature ejaculation, impotency, can be addressed using one or the combination of both these approaches.
  • Hormones, surgery or assisted reproductive procedures:
  • A reduced healthy sperm count in men can be corrected by a surgery or by administering hormones. If there are no signs of correction, assisted reproductive procedures can also be employed.
  • Sperm retrieval:
  • Problems with ejaculation, like the blocking of the sperm duct can be corrected using surgical procedures, vibratory or electric stimulation can also be employed to retrieve sperm count in men who have suffered from spinal cord injuries.

For women:


One or two of the following therapies can be employed to cure infertility in women.
  • Using fertility drugs to stimulate fertility:
  • Women with infertility problems like ovulation disorders can benefit from this treatment. Fertility medications to induce or regulate ovulation are administered to patients depending on their problem.
  • Intrauterine insemination:
  • The procedure popularly known as IUI employs placing of pre-collected and concentrated sperms directly into the woman’s uterus around the time of release of eggs from the ovary. The timing of this procedure can be made to coordinate with a patient’s normal cycle with the help of fertility medications.
  • Fertility restoration by surgery:
  • Problems with uterus such as uterine septum, endometrial polyps or scar tissue within the uterus are treated using hysteroscopic surgery.
Assisted reproductive procedures are helpful in women where infertility cannot be corrected by any of the above mentioned therapies. These procedures popularly known as ART have higher chances of pregnancy with most of the couples where sperm and egg are handled. An ART team in Germany comprises of expert physicians, embryologists, psychologists, nurses, lab technicians, and allied health care professionals who work in close coordination to help couples having infertility problems.

IVF or In vitro fertilization is the most common assisted reproductive procedure. This involves stimulation and retrieval of multiple eggs from the woman and fertilization with man’s sperm in lab conditions. Following fertilization, the embryos are implanted in the uterus after three-five days.

Thousands of childbirths take place in Germany using ART. However, the success rates with this technique are much lower once a woman attains the age of 35. Other techniques used in an IVF cycle include:

  • ICSI or Intracytoplasmic Sperm Injection:
  • In this procedure only one healthy sperm is directly injected into a mature egg. ICSI procedure is helpful in treating problems like a reduced sperm quality, reduced sperm count or earlier failures in fertilization with IVF cycles.
  • Assisted hatching:
  • This procedure involves assisting the embryo implantation on the uterus lining by hatching or removing its outer cover.
  • Donor sperms or eggs:
  • Most of the ART procedures are done with the woman’s eggs with her own partner’s sperms. In cases, with severe problems eggs or sperms from an anonymous or a known donor is employed for ART procedures.
  • Gestational carrier:
  • In women with a non-functional uterus or for whom pregnancy poses major health risks can choose to undergo an IVF by using a gestational carrier. The couple’s embryo is carefully placed in the carrier’s uterus to induce pregnancy. This is also called as surrogacy.
As with most other treatments, infertility treatments also have their own complications. Complications include multiple pregnancies, OHSS, birth defects, premature birth, bleeding, infection, lower birth weight, etc. However, with constant research and studies with multiple clinical trials in Germany come in handy to reduce or manage these complications to a certain extent. It is observed that these complications can be reduced as far as couples resort to infertility correction procedures rather than IVF alone.

Germany, being a world leader in medical health care facilities has achieved several breakthroughs and innovations in the field of infertility treatment. With our commitment to help expats visiting Germany for medical assistance, we will always be able to choose the best from a number of high-quality facilities for infertility treatment in Germany.

Leukemia treatment in Germany

Leukemia is a cancer that is formed in tissues that produce blood; these include bone marrow and the lymphatic system.

Various forms of leukemia exist. Some of them show up in children, while some other forms are more prevalent in adults. Leukemia generally begins in the white blood cells. White blood cells are an integral part of body’s immune system. They are produced in an orderly fashion as per the requirements in a healthy body. But in leukemia patients, bone marrows produce these cells erratically and they don’t function effectively. Leukemia treatments vary greatly depending on the forms of leukemia and such other factors. However, various strategies and resources have been developed in treatment of leukemia in Germany.

Tests and diagnosis for leukemia:


Expert German doctors may detect chronic leukemia with a routine blood sample analysis even before the symptoms appear. In case you have symptoms and signs of leukemia, the doctor will recommend you to undergo these diagnostic exams:
  • Physical exam
  • Blood tests
  • Bone marrow test

Treatment of leukemia in Germany:


Treatments for leukemia in Germany are based on the intensity or stages of leukemia, your overall health condition, your age, the form of leukemia and upon the test results whether the disease has spread to other body parts. The treatments available in Germany for treating leukemia include:
  • Chemotherapy:
  • Chemotherapy is the main form of leukemia treatment. Drugs are used in this procedure to destroy leukemia cells. Based on the form of leukemia you have, you may be administered with a single drug or with a combination of drugs. The drugs used in the procedure can be pills or even intravenous.
  • Biological therapy:
  • In this procedure, drugs that enhance your immune system to help your body fight leukemia cells are administered. Drugs such as Alemtuzumab are used as artificial antibodies in patients suffering from chronic leukemia. These drugs bind themselves with leukemia cells and trigger the antibodies to destroy them. This medication can be used where conventional chemotherapy does not deliver desired results. Biological therapy can also be used to treat cases with acute leukemia. However, this procedure can be continued as long as these drugs are tolerated by your body.
  • Targeted therapy:
  • Drugs like imatinib and werden are capable of restricting a protein action in leukemia cells. This helps in controlling the disease. Such drugs that attack explicit vulnerabilities of leukemia cells can be used in controlling and curing leukemia. Drugs used in targeted therapy affect only the growth of leukemia cells; but they do not interfere with the natural growth of healthy cells. After years of research, drugs that are well tolerated by human body have been developed and used in curing leukemia.
  • Radiation therapy:
  • Radiation therapy employs high-energy radiations and X-rays in treating leukemia. These radiations are targeted to specific regions where leukemia cells are located and destroy them. X-rays can be transmitted through the whole of your body if leukemia cells are not confined to any particular area in your body. Radiation therapy is often used before implementing a stem cell transplant.
  • Stem cell transplant:
  • In this procedure, the diseased bone marrow is replaced with a healthy one. Before beginning with this therapy, you will have to undergo a series of chemotherapies or radiation therapies so that the diseased bone marrow is destroyed completely. Following this, you will have an infusion of stem cells that form blood and help rebuilding a lost bone marrow. The stem cells for transplant can be obtained from a donor or can be extracted from any other healthy potion in your body. The procedure of a stem cell transplant is much similar to a bone marrow transplant.
    This method of treatment is mostly employed on patients with acute leukemia and where patients fail to respond to other conventional therapies. Stem cell transplants are effective in treating cases of leukemia relapse or where the risks of a relapse are relatively high. The major drawback of this treatment is the occurrence of hypersensitivity reactions, which are triggered when the transplanted cells begin fighting with the healthy organs at the recipient site.
In all of the above cases, the aim of treatment for blood cancer is to destroy leukemia cells completely and avoid a roll back. In most cases leukemia involves the whole body; thus, chemotherapy is often a treatment choice over other forms. To obtain a maximum effect, doctors may provide leukemia treatment with a combination of cytotoxic drugs that help inhibit further spreading of leukemia cells. Radiation therapy can also be an effective in destroying leukemia cells.

Germany, with its excellent medical care facilities for cancer treatment and highly-qualified group of medical professionals with an expertise in treating cancer patients with the help of latest technological advancements and treatment innovations is a safe place for receiving cancer treatment. With our vast experience and an excellent knowledge in the field of providing medical assistance to expats, we will always be able to help you select a viable medical care for treatment of leukemia in Germany.

Rehabilitation in Germany

Germany is the front runner in delivering excellent medical care facilities through the most recent innovations and sophisticated procedures. Germany is not just renowned for expert treatment facilities but also for a pleasant and comfortable stay that the rehabilitation centers provide. Excellent and high-class facilities for rehabilitation in Germany ensure a comprehensive restoration of health and your abilities. Apart from the comfortable and relaxing stay in German rehabilitation centers, the expats can receive support services from a qualified interpreter. Their cultural needs such as home television, newspaper, etc. are met with care. The personal needs like preparation of special meals and its supply to their premises are also done with due care. Persons escorting patients also receive a special care.

Rehabilitation centers in Germany are well tuned to meet patients need following an operation or during a recovery from an injury or sickness. Scientific studies have very clearly indicated that a stay in rehabilitation centers always present beneficial effects for patients. German rehabilitation facility centers aim at rehabilitating a patient in all the aspects- physically, mentally and psychologically and assist them in re-establishing a positive link with their domestic, social and professional life at an earliest possible time; in a smoothest possible way.

Rehabilitation following an orthopedic treatment:


Orthopedic treatments like spinal surgery, vascular surgery, and trauma surgery and pain therapies for inpatients need a proper rehabilitation to restore your health and abilities back to normal. Correct rehabilitation connected with your hospital stay ensures a successful treatment. Movement therapists in rehabilitation programs will help you regain your lost abilities and functions as quickly as you would expect.

Comprehensive pain therapy:


Chronic problems like back pains, disorders of the autonomous nervous system and the peripheral joints, etc. need a special pain therapy approach. In such cases the pain cannot be subdued just by an organ oriented therapy. The treatment has to be multipronged, an integrated pain therapy that answers bio-psycho-socio aspects of chronic pain is very much essential. A follow-up rehabilitation program after an inpatient pain therapy is of utmost importance so that patients experience a final relief from their suffering of chronic pain.

Rehabilitation after surgical interventions for rheumatism and inflammatory rheumatic joint diseases:


Cases of ankylosing spondylitis and chronic polyarthritis can pose significant difficulties to the normal functioning of the joints. Rehabilitation in Germany often includes special treatment by qualified medical professionals in the field of internal-rheumatology and orthopedics. Intensive rehabilitation measures are available following surgery procedures for rheumatism and even after conventional therapies.

Rehabilitation programs for patients with vascular diseases:


Vascular diseases are becoming a common phenomenon in industrialized countries. Rehabilitation programs are tailor made specifically to suit individual circumstances to help patients live an independent life following a treatment. Individual follow-up treatments following a vascular operation or treatment of a peripheral arterial disease would help restore full functionality and prepare the patient to readjust with the normal life. Vascular surgeries like bypass or a surgical removal of calcite deposits in the artery lining, rehabilitation measures are even more helpful as the patients are usually found to have been suffering from a considerable disruption in their motor functioning and experience limitations while walking chronically.

In some other cases where a vascular operation has been done to heal severe wounds, an additional rehabilitation is required to make sure that wound healing is done effectively. In cases of amputation of limbs, personal and intensive rehabilitation is done on an individual basis to aid in matching the prosthesis and also in prosthesis training. There are expert and well-equipped rehabilitation centers in Germany that can accommodate patients directly from the vascular surgery units, just after the completion of surgical procedures and even while when the treatment is underway. “Early Rehabilitation” programs are also available n German rehabilitation centers to ensure that wound healing and a general rehabilitation is done effectively. Intensive exercise techniques and acute hospital therapies are conducted in these rehab centers in close coordination with vascular surgery procedures.

Rehabilitation programs for patients with vascular diseases:


Rehabilitation for outpatients and partial inpatients: There are specialist rehab centers in Germany that help outpatients and partial inpatients perform intensive exercises as part of rehabilitation programs. Patients who undergo arthroscopic joint surgery and sports orthopedic surgery require such short term rehabilitation programs. After ensuring adequate mobility, eligible patients who had undergone rotator cuff reconstruction of the shoulder or a cruciate ligament surgery can be admitted to such rehab centers. The rehab treatment is dispersed throughout the day with irregular breaks and a possible inclusion of a midday meal. The patients are discharged in the evening and can spend their night at home. IRENA activities are also performed in these rehab clinics.

Inpatient medical cures and treatments: Inpatient treatments of the degenerative and inflammatory diseases of the musculoskeletal system are required to prevent or treat rheumatologic and orthopedic disorders. These rehab programs help patients to maintain a long-time efficiency and resilience at work and with social environment as well. Along with typical rehabs for orthopedic and rheumatic disorders, rehab clinics in Germany are well versed in carrying our certified inpatient treatments for gynecological and urological disorders.

We can organize a stay in one of the best German rehabilitation centers after your medical treatment.

Tuberculosis treatment in Germany

Mycobacterium tuberculosis is the causative bacterial agent for tuberculosis. This bacterium primarily attacks the lungs, but can also affect other body organs such as brain, spine and kidneys. If tuberculosis is not treated in time it can turn fatal.

Tuberculosis sets in two stages: the preliminary stage known as latent TB infection, wherein the individuals are infected with the bacteria but are not sick and do not experience any symptoms as the bacteria are not active. The second stage consists of active TB disease, wherein the individuals showcase the symptoms and fall sick due to multiplication of bacteria inside the body.

Treatment of tuberculosis requires a full course of antibiotic regime and the dosage and duration of the drugs would depend on the age and health of the individuals. Usually the full antibiotic course needs to be taken for at least 6 – 9 months.

Treatment for latent Tuberculosis:


Treatment of latent TB infection is aimed at complete removal of bacteria from the body so that it does not get active and cause TB infection. Treating latent TB infection is not difficult and does not require longer antibiotic regime. Any one of the following medications can be given for treatment:
  • Isoniazid (INH)
  • Rifampin (RIF)
  • Rifapentine (RPT)
Individuals with low immunity are at a higher risk of entering the active stage of tuberculosis infection. Efforts should be channelized for early initiation as well as completion of full antibiotic course for such individuals.

Treatment of tuberculosis infection:


For treatment of active tuberculosis infection, a combination of drugs needs to be administered. FDA has approved a total of 10 drugs for treating tuberculosis infection. Of those 10 drugs, the following 4 antibiotics are considered as the first line of treatment. The following medications are given either in combination or in single doses.
  • Isoniazid
  • Rifampin
  • Ethambutol
  • Pyrazinamide
Earlier, streptomycin was included in the list of antibiotics for treating tuberculosis, but now it is excluded due to its high resistance among the population at large.

The first treatment regime needs to be carried out for 2 months then followed by the following phase that lasts for 7 – 9 months. The following is a list of drugs that are used for second line of treatment:
  • Amikacin
  • Capreomycin
  • Ciprofloxacin
  • Ethionamide
  • Closerin
  • Terizidone
These drugs are classified as second line of drugs possibly because they are less effective compared to their counterparts. There is a strong possibility that these drugs may not always be available in the developing countries.

Recent research studies have suggested that a shorter duration of treatment of 3 months can be more effective in treating tuberculosis infection. This can be achieved with combination of medications and this shorter regime with combination of drugs will also help prevent the latent tuberculosis from entering the active phase. This has many advantages to its credit. The medications are less likely to cause any side effects when taken for shorter duration and individuals are also less likely to miss out on any doses.

The treatment regime explained above is broad spectrum and is fairly applicable to all individuals with tuberculosis infection. However, certain modifications need to be made in the treatment schedule and dosage for pregnant, lactating, HIV infected and children. Several studies are doing the rounds that suggest that taking Vitamin D supplements along with the above medications would increase the efficacy of treatment. However, further clinical trials and research needs to be done to test the effectiveness of vitamin D in treatment of tuberculosis.

It needs to be very well understood by individuals that completion of the antibiotic treatment is necessary. After few weeks of treatment, the individuals are no more contagious and they should start feeling better. However, feeling better and not being contagious does in no way imply that the bacteria are not present in the body. It only means that the bacteria are not active any longer, though it is still present in the body and quite capable of causing further infections. The moment the medications are stopped the bacteria slowly restore their normal activity and begin showing its effect. Skipping doses can also cause the bacteria to become resistant to the antibiotic drugs that could lead to tuberculosis of a more dangerous variety.

In order to keep a constant watch or monitor the doses of tuberculosis medications, a program known as DOT – (Directly Observed Therapy) has been formulated. In this program, a health care worker keeps a check on the medications and administers them on regular basis to the individuals.

Side effects of medications:


Medications administered for tuberculosis can be toxic to the liver. They can cause several side effects that can get serious if ignored. It is therefore advised, that the individuals report to their doctor immediately if the following signs and symptoms are noticed:
  • Loss of appetite
  • Nausea and vomiting
  • Dark yellow colored urine
  • Yellow coloration of the skin as in jaundice
  • Fever that can last for 2 or more days and with no known cause
Germany is in the forefront for providing effective treatment to many fatal diseases including tuberculosis. If you are considering receiving treatment for tuberculosis in Germany, we can certainly help you in choosing the best available German medical care facility for your condition.