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Center of Excellence

Centers dedicated to the diagnosis and treatment of back pain.

Prof. Dr. Citak Back Center

Revolutionary back medicine at the Back Center. Innovative treatment concepts for effective relief.

Individual pain therapy

Back pain has various causes and affects many people.

Causes of back pain:

A comprehensive overview

Back pain is a widespread issue that can affect people of all ages. The causes vary greatly, ranging from simple muscle tension to serious medical conditions. Below is an overview of the most common causes and possible preventive measures.

1. Muscle tension and strains

Muscle tension and strains are one of the most common causes of back pain. They can arise from various factors, including:

  • Poor posture: Prolonged sitting or working in a poor posture can lead to tension.
  • Sudden movements: Unfamiliar or abrupt movements can overstretch muscles.
  • Overexertion: Lifting heavy objects or excessive physical activity without proper technique can cause pain.

2. Herniated discs

The intervertebral discs act as shock absorbers between the vertebrae of the spine. A herniated disc occurs when one of these discs bulges and presses on surrounding nerves. This can lead to:

  • Severe pain
  • Numbness
  • Lead to neurological deficits.

3. Osteoarthritis

Osteoarthritis, a degenerative joint disease, can also affect the small spinal joints. This often leads to:

  • Stiffness
  • Lower back pain

Osteoarthritis occurs more frequently in older people but can also affect younger individuals.

4. Osteoporosis

Osteoporosis leads to a loss of bone density and increases the risk of fractures. It often affects the vertebrae and can trigger chronic back pain.

5. Poor posture and overweight

Poor posture or excess weight places additional strain on the spine. Chronic overuse can lead to long-term discomfort.

6. Inflammatory conditions

Chronic inflammations such as ankylosing spondylitis (Bechterew’s disease) can also cause back pain. These conditions are often genetic and require specialized medical care.

Advanced diagnostics

Modern imaging is essential for precise diagnostics. Technologies like the NewTom 7G DVT provide high-resolution 3D scans, enabling a detailed examination of the spine. This is particularly helpful in complex cases to identify the exact cause of pain.

Innovative treatment methods

When are back interventions appropriate?

Back interventions can be considered when conservative treatments, such as physiotherapy or pain medication, do not provide sufficient relief. Possible indications include:

  • Therapy-resistant pain
  • Neurological deficits, e.g., paralysis or numbness
  • Structural problems such as herniated discs or spinal canal stenosis

Laser Navigation Robotic System by Atlas

The Atlas laser navigation robotic system enables precise, image-guided procedures. This technology:

  • Reduces treatment time
  • Minimizes radiation exposure
  • Allows exact injections of medications such as ACP (Autologous Conditioned Plasma) or PRP (Platelet-Rich Plasma)

ACP (Autologous Conditioned Plasma)

ACP is derived from the patient’s own blood and contains:

  • Growth factors that promote healing
  • Minimal risk of side effects, since it is made from the patient’s own material

ACP is particularly suitable as an alternative to cortisone, for example in patients with high blood pressure or diabetes.

Periradicular Therapy (PRT)

PRT is a minimally invasive method in which medications are applied directly to the nerve root to relieve pain and inflammation. Combined with ACP, it can support tissue regeneration.

Prevention and Treatment

The following measures can help prevent back pain:

  • Ergonomic workplace design: Good posture at work reduces the risk of tension.
  • Regular exercise: Targeted exercises strengthen the back muscles.
  • Proper lifting: Heavy objects should be lifted using the legs.

For persistent or severe pain, a doctor should be consulted to determine the exact cause and develop an individual treatment plan.


Back pain is a complex issue. However, with the right knowledge and tailored measures, many complaints can be alleviated and quality of life improved.

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