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Department of conservative orthopaedics

Dr. med. Axel Ruetz

About the department

The department of conservative orthopaedics at Academic Hospital Koblenz-Montabaur treats orthopaedic and neuro-orthopaedic diseases with so-called non-surgical, traditional procedures on the musculoskeletal system. The department includes a unique Polio Centre. Academic Hospital Koblenz-Montabaur is the only hospital in Germany with a department for people suffering from polio. Polio is a multidisciplinary problem, so close cooperation between the different medical specialities of neurology, orthopaedics, pain therapy and pulmonology is essential. Doctors have all the necessary modern equipment for fast and accurate diagnosis and treatment. The department ranks among the top German medical facilities specialising in chronic pain treatment, according to Focus magazine.

The main focus is the patients with polio and post-polio syndrome and in case of pathological conditions after complications. The department offers experience in inpatient care and a treatment concept specially designed for post-polio patients. Treatment is carried out following international standards combined with physiotherapy, manual therapy and chronic pain therapy.

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Treatment and diagnostic focus of the department


  • Polio 
  • Arthrosis of large joints and spine
  • Spinal scoliosis
  • Ligament, capsule and tendon inflammation
  • Consequences of falls
  • Consequences of osteoporosis
  • Pasty swelling of extremities
  • Other pathological conditions

Diagnostic procedures: 

  • Anamnesis (disease’s history) 
  • Physical examination 
  • Laboratory and biochemical analysis 
  • Checking stool or throat for poliovirus
  • X-ray 
  • Computed tomography 
  • Magnetic resonance imaging 
  • Ultrasound examination


  • Drug therapy 
  • Polio vaccination
  • Physiotherapy and functional training after a performance test
  • Breathing aid after lung function diagnostics under stress and during sleep
  • Joint replacement surgery with certain implants
  • A heating pad for muscle aches and spasms
  • Pain therapy with specific drugs for confirmed polio complications
  • Manual therapy and massage 
  • Other treatment procedures
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