Nerve Diagnostics near Munich
Private Practice for Peripheral Nerve Disorders in Kirchheim-Heimstetten
Do you experience tingling, numbness, pain, or muscle weakness?
We offer a targeted diagnostic approach for symptoms related to peripheral nerve disorders – including pain, numbness, tingling, or muscle weakness. High-resolution nerve ultrasound and modern neurophysiological testing methods are used to assess both the structure and function of the affected nerves.
Please note: This website is intended to provide general medical information for individuals living in Germany or staying here temporarily. It does not offer remote consultations or medical services outside the country.
Understanding Nerve Ultrasound – A Modern Diagnostic Overview
High-resolution ultrasound can be used to assess peripheral nerves and surrounding soft tissues such as muscles, tendons, and scar tissue – without needles or radiation.
The following info boxes provide compact explanations and examples of how this well-tolerated diagnostic technique can be used.*
Insights into Nerve Structure
Peripheral nerves can be visualized using high-frequency ultrasound technology. In many cases, nerve damage is related to structural or localized changes. Detailed imaging can help identify such changes – providing a basis for further diagnostic or therapeutic considerations.*
When Movement Makes the Difference
In dynamic nerve ultrasound, the nerve is examined not only at rest but also during specific movements. This real-time observation can help reveal changes or constrictions that occur under strain and might otherwise remain unnoticed in static imaging methods.*
Visualizing Surrounding Tissue – Finding Clues in the Soft Tissues
Depending on the clinical situation, imaging may help identify potential causes of symptoms. In addition to nerve structures, ultrasound can also assess the surrounding tissues – including muscles, tendons, skin, and bony boundaries.*
Non-Invasive Diagnostics – as a Complement to Nerve Conduction Studies
High-resolution ultrasound offers a non-invasive way to examine peripheral nerves. In many cases, it can be used to complement or guide invasive diagnostic procedures, potentially easing the diagnostic burden on patients.*
Widespread Visualization – From the Neck to the Hand
Peripheral nerves of the arm and hand can be traced over extended lengths using high-resolution ultrasound – sometimes down to the finger joints. Even small lesions along the nerve path may affect signal transmission, similar to a damaged section in an electrical cable.*
Pediatric Ultrasound – Non-Invasive Evaluation Without Needles
In children, certain diagnostic questions can be explored using muscle and nerve ultrasound – without needles, electrical stimuli, or invasive techniques. For younger patients in particular, this may serve as a helpful supplement to other diagnostic methods.*
Muscle Ultrasound – More Insight for Nerve and Muscle Problems
High-resolution ultrasound can assess muscles quickly and gently – without radiation. Changes caused by nerve injuries, muscle damage or tendon tears can often be detected early. This provides a clear picture of which structures are affected and whether the muscles are recovering.*
Sonopalpation – More Than Just an Image
High-resolution ultrasound can assess muscles quickly and gently – without radiation. Changes caused by nerve injuries, muscle damage or tendon tears can often be detected early. This provides a clear picture of which structures are affected and whether the muscles are recovering.*
When Ultrasound Also Measures Firmness
Elastography adds a color map of tissue firmness to high-resolution nerve ultrasound. This can show whether a nerve or surrounding tissue is softer or firmer than usual – a possible sign of pressure, scarring, or other changes. The exam is performed just like a regular ultrasound and is completely painless.*
Supporting EMG Needle Placement with Ultrasound Guidance
Ultrasound can assist in determining the optimal site for electromyography (EMG) – particularly in cases of deep or atrophied muscles, where precise placement of the needle is essential.*
Ultra-High-Resolution Ultrasound – Detailed Imaging of Peripheral Nerves
With modern high-frequency probes, even superficial cutaneous nerves can often be visualised in high detail. Depending on location and tissue, changes such as fascicular pattern alterations, scar tissue, or neuromas may be identified and included in the diagnostic assessment.*
Nerve Imaging After Trauma – Without Radiation or Injections
Following trauma, ultrasound can provide important clues about possible nerve injury – typically without radiation exposure and in a non-invasive manner. It allows early structural assessment, often without the need to wait weeks for functional changes to appear..*
Careful Decision-Making – Between Observation and Surgery
Based on the full range of clinical and diagnostic findings, treatment options can be considered – ranging from conservative monitoring to surgical intervention. Decisions are made on an individual basis and in careful consultation.*
Combining Ultrasound and Nerve Conduction Studies
The combination of nerve ultrasound and neurophysiological measurements may support differentiated diagnostic decisions – for example, when weighing surgical and non-surgical treatment options.*
*The information provided here is intended solely for general education. It does not replace a medical consultation or treatment. Diagnosis and treatment decisions are always made individually during a medical appointment.
Private Practice for Peripheral Nerves – Focused on High-Resolution Nerve Ultrasound
Our neurosurgical practice specializes in the diagnostic evaluation of peripheral nerve disorders. We use high-resolution ultrasound technology and modern neurophysiological procedures to assess nerve structure and function with precision – even in deeper tissue layers.
Modern Diagnostics with High Precision
With many years of experience in diagnosing and evaluating nerve conditions, we aim to provide a well-founded assessment of even complex symptoms. High-resolution nerve ultrasound and neurophysiological testing form the basis for a comprehensive diagnostic evaluation.
Surgical procedures are not performed within the practice. If necessary, referrals are made to qualified and experienced specialists.
Extensive Surgical Experience
As a neurosurgeon with long-standing experience in spinal and peripheral nerve surgery, I can help identify the possible causes of your symptoms and provide clear recommendations for further evaluation or treatment.
Spinal conditions are also considered when clinically relevant. During the consultation, we carefully weigh whether surgical treatment may be appropriate or whether a conservative approach is more suitable.
Your Symptoms Guide the Diagnostic Path
You and your symptoms are at the center of the diagnostic process. All evaluations and recommendations are tailored to the clinical presentation – always discussed within the framework of a personal consultation.
When Standard Examinations Do Not Reveal a Clear Cause of Pain, High-Resolution Ultrasound May Provide Additional Clues
Burning Arm Pain – Could a Nerve Be Involved?
Burning, stabbing, or shooting pain in the arm may be caused by nerve injury.
Small skin nerves can sometimes be affected after surgery, trauma, or inflammation – and may cause severe pain, even when no external signs are visible.*
Pain Only During Movement? Dynamic Ultrasound May Help
Some types of nerve-related pain occur only during specific movements – such as gripping or lifting.
Dynamic ultrasound allows for real-time observation of nerves during motion. This can help detect whether and where a nerve might be compressed or irritated.*
Pain in Carpal Tunnel Syndrome
Carpal tunnel syndrome can cause more than just numbness or tingling – it may also lead to persistent or sharp pain. The discomfort often starts in the hand and can radiate into the forearm or even up to the shoulder. Many people notice that the pain is more intense at night or when holding the hand in certain positions for a longer time.*
When the Ulnar Nerve Shifts – Sudden Pain at the Elbow
Bending the elbow may cause the ulnar nerve to slip out of its natural groove. This may trigger a snapping sensation or sharp pain in the arm or hand. Repetitive slipping can lead to irritation or discomfort over time, and in some cases may affect hand strength or coordination.*
When Pain Is Localized – Diagnostic Injections as a Next Step
If a neuroma (an irritated or injured nerve ending) is suspected, a diagnostic injection of local anesthetic under ultrasound guidance may help clarify the pain source.
If symptoms improve temporarily, this may support the assumption of nerve-related pain at that location.*
Shooting Pain from Light Touch – Could It Be a Neuroma?
Touching a specific point may trigger sharp, electric-like pain – sometimes caused by a neuroma, a sensitized or damaged nerve end. High-resolution ultrasound can help visualize such changes, even if symptoms are limited to a small area. In some cases, this imaging can also show surrounding scar tissue or other structures that may irritate the nerve end.*
Burning or tingling along the inner knee and proximal lower leg?
Irritation or compression of the saphenous nerve can cause burning, tingling, or numbness along the inner knee and lower leg. It may result from surgery, scarring, or external pressure. High-resolution nerve ultrasound allows direct visualization of the nerve and can help clarify the cause of symptoms.*
When tingling, weakness, or pain appear after a leg injury
After an injury or fracture of the lower leg, not only bones and muscles can be affected – sometimes nerves are also involved. This may cause tingling, numbness, pain, or sudden weakness in the foot. Such symptoms should be checked by a doctor to determine the cause.*
Tingling or Burning on the Outer Side of the Foot?
Unusual sensations such as tingling, burning, or numbness along the outer edge of the foot may point to irritation or damage of the sural nerve. This can occur after ankle injuries, surgeries, or pressure on the nerve. Careful diagnostics – including high-resolution imaging – can help clarify the cause.*
Morton’s Neuroma – Burning Pain in the Forefoot
Burning pain between the toes – especially while walking or in tight shoes – may indicate Morton’s neuroma.
A thickened sensory nerve (usually between the 3rd and 4th toe rays) can cause pain or tingling when under pressure. The cause is often visible with targeted ultrasound.*
When a Nerve Sends Constant Faulty Signals – Relief Through Microelectrodes
In certain cases, persistent nerve pain may be caused by faulty signal transmission from a damaged nerve.
Targeted electrical stimulation using a thin electrode – placed near the affected nerve, if necessary under ultrasound guidance – may offer pain relief in selected cases.*
*Note: The information provided here is for general educational purposes only and does not constitute medical advice or treatment. Diagnosis and therapy are always carried out individually as part of a physician–patient consultation.
When Numbness or Tingling Occurs – High-Resolution Ultrasound Can Help Trace Possible Causes.
Carpal Tunnel Syndrome – Numbness and Tingling in the Hand
Tingling or numbness in the hand may be caused by compression of the median nerve at the wrist – a condition known as carpal tunnel syndrome.
This is one of the most common causes of altered sensation in the hand and should be evaluated by a medical professional.*
Numb Hands During Pregnancy?
Many pregnant patients report nighttime tingling or numbness in the hands.
This is often due to temporary compression of the median nerve in the carpal tunnel – frequently associated with fluid retention and hormonal changes during pregnancy.*
Carpal Tunnel Syndrome – When Is Surgery the Right Option?
If carpal tunnel syndrome has already been diagnosed, additional imaging can help assess the extent of nerve compression.
This can support individualized decisions about possible treatment options – whether conservative or surgical.*
“Why Does My Finger Tingle Even Though Everything Seems Normal?”
In some cases, nerve conduction studies show no clear abnormalities, yet symptoms persist.
High-resolution nerve ultrasound may help identify structural changes such as narrowing, displacement, or compression of nerves – changes that may not be measurable with functional testing alone.*
Tingling in the Fingers at Night?
Carpal tunnel syndrome often causes symptoms during the night – including tingling, numbness, or pain in the fingers.
These symptoms can be particularly noticeable in certain hand positions or after repetitive activities.*
Frequent Need to Shake Out Your Hands?
Many patients with carpal tunnel syndrome report the urge to shake their hands at night to relieve numbness or tingling.
This temporary relief may point to pressure on the median nerve and should be clarified with further evaluation.*
Tingling and Numbness in the Ring and Little Finger
In cubital tunnel syndrome (ulnar groove syndrome), the ulnar nerve is compressed or irritated at the inner elbow. Typical signs include tingling, numbness, or a “falling asleep” sensation in the ring and little finger, often worse when the arm is bent for a long time or pressure is applied to the elbow.*
Numbness on the Back of the Hand
In cheiralgia paraesthetica – also called “handcuff neuropathy” – a superficial branch of the radial nerve is irritated or compressed. Typical symptoms include tingling, numbness, or burning on the thumb side of the back of the hand, often caused by tight pressure around the wrist. Nerve ultrasound can help identify the site of compression.*
Numbness When Raising the Arm?
If numbness occurs only in specific positions – for example, when raising the arm – this may indicate compression of the brachial plexus (the nerve network at the shoulder).
Ultrasound allows for dynamic imaging of nerves during movement, which may help in identifying such positional compressions.*
Numbness After Shoulder Injury?
Following a shoulder dislocation or trauma, the brachial plexus or axillary nerve may be affected.
This may cause numbness in the outer shoulder or weakness when lifting the arm. Depending on the location, ultrasound can help identify such changes.*
Numbness in the Arm After a Shoulder Fall
A fall onto the shoulder can injure the brachial plexus – a network of nerves supplying the arm. This may cause numbness, tingling, weakness, or pain in the arm. Symptoms can appear immediately or develop later. A medical examination can determine the cause and extent of the injury.*
Meralgia paraesthetica
– When a sensory nerve is under pressure
Burning, numbness, or tingling on one side of the outer thigh?
These symptoms may be caused by irritation of the lateral femoral cutaneous nerve – a sensory nerve that can become compressed due to anatomical narrowing or external pressure.*
Tingling and Numbness Along the Outer Edge of the Foot?
In sural neuropathy, the sural nerve is irritated or injured – a sensory nerve supplying the outer foot and heel. Typical symptoms include tingling, burning, numbness, or stabbing pain, often following injuries, surgery, or prolonged external pressure.*
Numbness in the Sole of the Foot?
In tarsal tunnel syndrome, the tibial nerve is compressed within the tarsal tunnel behind the inner ankle. This can cause numbness, tingling, or burning in the sole of the foot, often worsening when walking, standing, or with certain foot movements.*
*The information provided here is for general educational purposes only and does not constitute medical advice or treatment. Diagnosis and therapy are always carried out individually as part of a physician–patient consultation.
Fine Motor Changes, Weakness or Sudden Loss of Function in the Arm and Hand – Could a Nerve Be Involved?
Certain daily tasks – such as handling coins, buttoning clothes, or turning a key – may become difficult due to weakness or coordination issues in the hand.
In some cases, these changes are caused by compression or damage to nerves that supply the small muscles of the hand. Depending on the clinical situation, further evaluation may be helpful.*
Coins Slip Through Your Fingers?
Difficulty holding small objects – such as coins, buttons, or keys – may be a sign of weakness in the small muscles of the hand. In carpal tunnel syndrome, compression of the median nerve can particularly affect thumb strength, making gripping, pinching, and precise handling tasks noticeably harder.*
Loss of Strength at the Base of the Thumb?
When the median nerve is compressed at the wrist, it may cause progressive weakness in the thumb’s base muscles. This can lead to problems with gripping, pinching, or holding objects securely, and may also make everyday tasks such as turning keys or opening jars more difficult.*
Trouble with Precise Finger Movements?
Weakness of the small hand muscles – for example due to ulnar nerve damage – can make fine finger control difficult. This may become noticeable during everyday activities such as swiping on a smartphone, typing, or performing other delicate and coordinated tasks.*
Reduced Dexterity and Hand Coordination?
If the small muscles in the hand lose strength – for example due to nerve compression or injury – fine motor skills and grip control may gradually or suddenly be affected. This can interfere with everyday tasks such as fastening buttons, writing, handling tools, or picking up small objects, and may also lead to hand fatigue during longer activities.*
Difficulty Turning a Key – and the Back of the Hand Looks Hollow?
Visible hollowing on the back of the hand, combined with weakness during key-turning or gripping, may suggest chronic damage to the ulnar nerve.
Further examination can help clarify the extent and possible cause of such symptoms.*
Hand Suddenly Drops?
When the radial nerve is compressed – for example during sleep, prolonged leaning on the arm, or due to direct pressure on the upper arm – it can lead to a condition called “wrist drop.” In this situation, the hand cannot be lifted actively, the fingers may also hang down, and the wrist appears limp, often making gripping or holding objects difficult.*
Entire Arm Feels Weak or Uncoordinated?
In neurogenic thoracic outlet syndrome, nerves of the brachial plexus can be compressed between the neck and shoulder. This may lead to weakness, numbness, or reduced coordination in the arm and hand. Symptoms can fluctuate and often require detailed evaluation to identify the underlying cause.*
Problems Lifting Your Arm and Numbness After a Dislocated Shoulder?
The axillary nerve may be involved – high-resolution nerve ultrasound can support targeted evaluation.
After a shoulder dislocation, the axillary nerve, which supplies the deltoid muscle and outer shoulder area, may be stretched or compressed.
Typical symptoms include numbness in the shoulder and difficulty or pain when lifting the arm.*
Weakness and Sensory Changes After Shoulder or Arm Trauma?
Following a severe accident – such as a motorcycle crash or fall – the brachial plexus may be injured. This can result in marked weakness or paralysis affecting the shoulder, arm, and hand. Sensory changes, such as numbness or altered sensation, are also common and can vary in severity depending on the extent of the nerve damage.*
Weakness in Hand Extension Due to Supinator Tunnel Syndrome
IIn supinator tunnel syndrome, the motor branch of the radial nerve is compressed at the elbow. Typical signs include forearm pain and weakness when extending the hand or fingers – often without accompanying sensory disturbances – and in some cases difficulty performing tasks that require sustained grip or finger extension.*
Weakness and Sensory Changes in Pronator Teres Syndrome
In pronator teres syndrome, the median nerve is compressed at the elbow between the two heads of the pronator teres muscle. Nerve ultrasound can help confirm the diagnosis. Typical signs include activity-related pain in the elbow region, tingling in the thumb, index, and middle fingers, and possible weakness when gripping – usually without nighttime symptoms.*
Weakness in Pinch Grip Due to Anterior Interosseous Nerve Syndrome
In anterior interosseous nerve syndrome – also known as Kiloh-Nevin syndrome – a motor branch of the median nerve in the forearm is affected. Typical signs include weakness when performing precise grips with the thumb and index finger, such as picking up small objects, fastening buttons, or writing – without accompanying numbness.*
Weakness of the Hand Muscles After Prolonged Strain
In Loge-de-Guyon syndrome, the ulnar nerve at the wrist can become irritated or compressed due to repeated pressure – for example during long-distance cycling. In addition to tingling or numbness in the little and ring fingers, weakness of the small hand muscles may develop. This can make it more difficult to spread the fingers or perform precise finger movements.*
Supracondylar Humerus Fracture in Children – Watch for Nerve Injuries
A fracture just above the elbow in children can also affect important arm nerves such as the median, radial, or ulnar nerve. Possible signs include numbness, tingling, or weakness in the hand and fingers, which should be promptly evaluated by a physician.*
When Buttoning Up Becomes Difficult – Could It Be Carpal Tunnel Syndrome?
In carpal tunnel syndrome, not only numbness and tingling may occur – progressive weakness can also affect the thumb and finger movements.
Tasks such as buttoning a shirt, tying shoes, or picking up small items may become increasingly difficult or even impossible.
High-resolution nerve ultrasound and complementary tests can assist in the diagnostic work-up.*
*Note: The information provided here is for general education only and does not substitute for individual medical advice. Diagnostics and treatment are carried out in the context of a personal medical consultation.
Fine Motor Changes, Weakness or Sudden Loss of Function in the Leg and Foot – Could a Nerve Be Involved?
Certain daily activities – such as climbing stairs, standing on tiptoe, or keeping balance while walking – may become difficult due to weakness or coordination problems in the foot or leg.
In some cases, these changes are caused by compression or damage to nerves that supply the muscles of the lower limb. Depending on the clinical situation, further evaluation may be helpful.*
Knee injury – Foot feels weak?
After a knee dislocation, nerve injuries can occur alongside ligament or vascular damage. Signs may include tingling, numbness, or weakness when lifting the foot. In some cases, the foot may drop down while walking, leading to stumbling or difficulty climbing stairs. Such symptoms should not be ignored, as they may indicate a nerve injury that benefits from timely medical assessment and targeted diagnostics.*
Foot Drop After Crossing Your Legs?
The peroneal nerve runs close to the skin on the outer side of the knee and is vulnerable to pressure – for example, when legs are crossed for an extended time. Nerve diagnostics, including nerve ultrasound, can help identify the site and extent of the injury. This condition may lead to foot drop or numbness along the outside of the lower leg or top of the foot.*
Sudden Knee Instability?
The femoral nerve controls the muscle responsible for knee extension.
Damage or pressure near the groin – such as after surgery or falls – can cause weakness when climbing stairs or a sudden giving-way of the leg. Nerve imaging may help assess the extent and location of the injury, and numbness in the front thigh may also occur.*
Foot Drags After Kneeling?
Activities that involve prolonged kneeling – such as gardening or certain types of work – can irritate or compress the peroneal nerve at the outer knee.
If foot drop or sensory changes occur afterward, diagnostic tools such as nerve ultrasound, nerve conduction studies, or EMG may help identify a possible nerve-related cause.*
Muscle Weakness After Ankle or Lower Leg Fracture?
After injuries or fractures of the ankle or lower leg, nerves that control foot and toe movements may be damaged. Typical signs include weakness when lifting the foot, difficulty rolling the foot during walking, or an unsteady gait. A targeted medical examination can help identify the affected nerve.*
Numbness and Weakness After Hip Injury
Injuries or surgery in the hip area can affect nerves responsible for both sensation and muscle strength in the leg. Possible consequences include weakness, numbness, or altered sensation in the leg. Symptoms may appear immediately after the event or develop over time.*
Weakness When Pushing Off the Foot
If the tibial nerve is affected – for example in the tarsal tunnel or after an injury – the strength used to push off the foot can be reduced. Those affected often notice unsteadiness when walking or a decrease in forward drive. In some cases, numbness or tingling in the sole of the foot may also occur.*
*Note: The information provided here is for general education only and does not substitute for individual medical advice. Diagnostics and treatment are carried out in the context of a personal medical consultation.