Kosmig clinic is a wound competence centre.

Effective, bloodless and practically with no side effects: shock-wave therapy is not only an established practice in the orthopaedic and traumatology treatment fields; sensational treatment success can also be attained in the wound-healing and circulatory disorders domains. Consequently, shock-wave therapy is suitable for the treatment of common and interminable skin anomalies like, varicose ulcers, bedsores, infected wounds and burns.

In a study involving more than 100 patients, over 80% of those treated for skin lesions in Berlin and Vienna were completely healed.

In our efforts to constantly offer our patients the most up-to-date and best possible therapy, we not only administer the standard wound-healing methods but also the high energy shock-wave for wound healing. Shock-wave therapy has proven especially effective in the treatment of interminable and complex conditions.

We principally treat all patients suffering from wound healing disorders. In addition, we are involved in the integrated medical care of chronic wounds. For more information, please see "special promotions".

Nail fungus is a tedious and care intensive disease.

We have a new and side-effect free treatment option which is developed and patented on the basis of shock-waves. This reduces the treatment period to a only few sessions.

Diabetic foot is a general term for foot problems in patients with diabetes mellitus. Diabetes mellitus undermines the organs' functions due to the deterioration of the metabolic quality in the body. On the long run, a very high blood sugar level damages all blood vessels. It is estimated that secondary complications or failures are to be expected after 10 years of poor metabolic condition.

There are two different forms of "diabetic foot" that may develop. The diabetic neuropathy which represents around 70% of all cases and the ischaemic-gangrenous foot which represents 20%-30% of all afflicted patients.

The most recent research has shown that shock-wave therapy achieves favourable results; it stimulate the in growth of blood vessels thereby regenerating them and consequently eliminating the bacteria. The combination of those effects accelerates the healing process. Based on the clinical benefits of shock-wave therapy, it is increasingly administered as a preventive measure against the disease.

Physically speaking, shock waves are nothing more than extremely short, very high energy acoustic pulses. Their use in medicine is nothing new and began successfully in the urology field for the fragmentation of kidney stones.

The first experiences in the orthopaedic field were gathered end of the eighties. Non-healing bone fractures were healed quicker through the administration of shock-waves. A complete rebuilding of the bones in fractures became possible for the very first time without the need of surgery. Where can shock-wave therapy help?

Shoulder calcification

The so-called "Periarthritis calcarea" of the shoulder joint, also often called "PHS" is a very painful inflammation and stiffening of the shoulder joint capsule which is often accompanied or aroused by calcification. Unbearable night-time and movement pains are also typical indications of "PHS", as well as the difficulties involved in holding the arm up sideways.

Achillodynia

Achilles' tendon is our sensitive weak point. It enhances the quick acceleration power and is very much needed in long distance running. The Achilles tendon reacts to biomechanical processes in a highly sensitive and quick manner in the form of inflamed conversion processes. This results in the painful Achilles tendon, "Achillodynia". Like all other tendon inflammations, this can also be effectively treated with shock-waves.

Calcaneal spur

Calcaneal spurs are mostly pointed, bony extractions under the heel bone. The cause remains often unknown, whereby weight and foot malformations frequently play a decisive role. Those afflicted aggrieve the spurs with heavy pains through stepping on the heel, especially during the morning or evening resting phases. The pains are often so intensive that the patients are only able to walk with the help of crutches. Frequently, very similar symptoms are experienced due to a mere inflammation of the tendon or enthesis under the sole of the foot whereby an x-ray shows no traces of calcaneal spurs. These ailments diagnosed as "Fascitis plantaris" can also very well be treated with shock-wave therapy.

Tennis and golf arm

The inflammation of tendons and of tendon-muscle attachments is a common and very painful, mostly chronic periostal irritation of the elbow. This medical condition is often caused by the overstraining of the tendons. Typical of this condition are strong pains that radiate from the elbow down to the hand when grapping objects.

Other fields of application

Over and above the standard range of application, we know of a number of diseases where extracorporeal shock-wave therapy (ESWT) proved valuable whereby a strict, scientific provision of evidence of efficacy could not be conducted until now. Amongst those diseases is Periostitis of the thigh exterior, the so-called "trochanteric bursitis". The administration of shock-wave therapy for diseases relating to local circulatory disorders in the bones has shown highly promising therapeutic effects. Worth mentioning, is the femoral head necrosis (FHN) with the corrosion of the femoral head, as well as the "Osteochondrosis dissecans", a defined corrosion of the bone tissue directly under the cartilaginous coating. This latter mentioned medical condition is mostly predominant amongst young people and is concentrated in the knee and ankle joints. Scientific researche shows that shock-wave therapy offers an alternative treatment to surgery even for such serious diseases. A vast number of operations on the locomotor system can be successfully avoided in this manner.

The appearance of a scar is mostly dependent on the kind and extent of the injury that caused it, as well as the personal tendency to develop scars.

We generally distinguish between three kinds of scars. These include: the hypertrophic cicatrization (scars protruding over the skin surface), keloidal scar (irregular, claw-like growths over the normal skin) and the atrophia scars (depressed scars).

We examine and assess the state of your scar(s) during the first consulation visit and discuss with you the recommended therapy and its process. It may be necessary that several treatment sessions are required in the case of wide-stretching scars. We recommend for particular cases the combination of shock-wave and laser therapy.

Anaesthesia (numbness) is only necessary throughout the treatment of wide-stretching scars. We also administer anaesthetic cremes or local anaesthetic injections for patients who are highly pain-sensitive and undergoing minor scar treatments.

We offer the following cicatrices therapies:

• Acne scar removal (acne crater, acne scars all over the body and/or face)
• Breast scar treatment
• Scar treatment (post-operative scars, burns and other injuries)

The enhancing and healing effects of shock-waves that in turn revitalise the connective tissues are another central concern in the cosmetic field.