Orthopedics · Spinal Medicine · Berlin-Mitte
Center for Spinal Medicine & Orthopedics in Berlin-Mitte
Your spinal specialist in Berlin-Mitte: individual therapy concepts for back and joints — in most cases completely without surgery.
Treatment Focus Areas
When are you in the right place with us?
We treat the most common diseases of the spine and large joints — targeted instead of generalized.
Back Pain & Herniated Disc
Is your back hurting, or does the pain radiate into your leg? We clarify whether a herniated disc is the cause — in the cervical or lumbar spine.
Sciatica & Lumbago
Sudden sharp pain in the lower back or radiating sciatica? With targeted pain therapy, we help quickly — even at short notice.
Shoulder Pain
Rotator cuff, calcific tendinitis, or bursitis: We find the cause and treat it with joint-preserving methods.
Knee & Hip Pain (Osteoarthritis)
Wear and tear is not fate. Modern injection and therapy procedures can alleviate symptoms and improve mobility.
Tennis Elbow & Golfer’s Elbow
We treat overloaded tendons in the elbow with a stepped concept — from shockwave therapy to autologous blood therapy.
Treatment Pathway
Our philosophy
Conservative first — surgery only when absolutely necessary
Many patients come to us worried that only surgery will help. The good news: for the majority of back and joint conditions, this is not the case.
1 · Precise Diagnostics
The process begins with a thorough clinical examination. We carefully re-evaluate existing MRI and X-ray images — because not every finding on the image explains your pain.
2 · Targeted Conservative Therapy
Depending on the findings, we combine targeted spinal injections (periradicular therapy, PRT), shockwave therapy, medicinal pain therapy, and sensorimotor insoles.
3 · Modern Regenerative Procedures
For osteoarthritis and tendon diseases, we rely on PRP/ACP autologous blood therapy and hyaluronic acid therapy — procedures that can dampen inflammation and support healing processes.
And if surgery is necessary? Then we will tell you openly and, if desired, coordinate the referral to experienced surgical partners. This honesty is the core of our work.
Treatment Procedures
Overview of our treatment procedures
Your Specialist
Your Specialist for Spinal Medicine
Marilena Constantinidou-Rens, specialist in orthopedics and trauma surgery with a focus on spinal medicine, leads our orthopedic center. She brings many years of experience in conservative and interventional spinal therapy and takes the necessary time for each diagnosis.
My goal is not the quick injection, but the correct diagnosis. Those who understand where their pain comes from can treat it sustainably — mostly without surgery.
Trust
Reviews you can verify yourself
Instead of selected quotes, we show you our reviews where only real patients review — on Google, viewable by yourself at any time.
Bring existing findings — we will independently re-evaluate them and don’t pressure you into anything.
Before each treatment, you will receive a clear cost plan according to GOÄ — without hidden items.
We only recommend an intervention if it truly helps — and we say so openly if it doesn’t.
Your first appointment
Your first appointment with us
Initial consultation
We listen: your complaints, your medical history, your previous treatments.
Examination
Clinical examination and re-evaluation of existing imaging. Feel free to bring MRI/X-rays.
Treatment Plan
Clear assessment and stepped treatment proposal — with all alternatives.
Costs & Reimbursement
Billing is done according to the German Schedule of Fees for Physicians (GOÄ). Private health insurance companies and Beihilfe usually reimburse the costs. Self-payers receive a transparent cost plan before treatment begins — without hidden items.
Frequently Asked Questions
Frequently Asked Questions about Orthopedics at VenaZiel
Can a herniated disc be treated without surgery?
In most cases, yes. The vast majority of herniated discs resolve within a few weeks with consistent conservative therapy. For this, we combine targeted injections at the nerve root (PRT) with pain and movement therapy. We only recommend surgery in cases of persistent paralysis or bladder/bowel dysfunction — but then without delay.
What is PRP/autologous blood therapy and when is it useful?
In PRP or ACP therapy, we prepare a concentrate of your body’s own growth factors from a small amount of your own blood and inject it specifically into the affected joint or tendon. This is particularly useful for early-stage osteoarthritis and chronic tendon irritations such as tennis elbow — as a gentle alternative or supplement to cortisone.
Does my private health insurance cover the treatment?
Billing is done according to the German Schedule of Fees for Physicians (GOÄ). Private health insurance companies and Beihilfe usually reimburse the costs. The exact scope depends on your tariff — self-payers receive a transparent cost plan before treatment begins.
How quickly can I get an appointment?
Short-term. We deliberately keep timely appointments available for initial consultations; acute complaints such as lumbago are scheduled preferentially. The fastest way to book is online via Doctolib.
What distinguishes conservative from surgical spinal medicine?
Conservative spinal medicine treats without intervention on the bone or disc — with injections, pain and movement therapy, and regenerative procedures. The goal is to alleviate symptoms and restore mobility before considering surgery. We specialize in this approach.
Do you also treat acute cases like lumbago?
Yes. Especially for acute lumbago or sciatica, targeted pain therapy often helps quickly. Contact us by phone or book online — we prioritize acute cases.
Locations
How to find us — in Berlin-Mitte
You can reach our orthopedic consultation at two central locations in Berlin-Mitte — both within walking distance of the U-Bahn and S-Bahn.
Book Now
Book online quickly and easily — without waiting on the phone. Appointments also on Saturdays.