How to organise spine treatment in Germany: which methods clinics use, how the remote review of your images works, how long the trip takes and what determines the price.
Why patients choose Germany
- Specialists (Facharzt) complete several years of specialty training after medical school.
- Conservative treatment before surgery is the standard in the national clinical guideline on back pain, except in emergencies.
- Accessible diagnostics: MRI, CT, functional X-rays, neurophysiology.
- Convenient travel: direct flights to many German cities.
Common reasons to come
Herniated disc, spinal stenosis, spondylolisthesis, facet joint syndrome, pain after spine surgery, scoliosis.
Treatment methods
- Conservative: exercise therapy, multimodal programmes, medication.
- Injections: perineural and epidural injections, facet joint blocks, radiofrequency denervation.
- Surgery: microdiscectomy, endoscopic procedures, decompression, stabilisation.
- PRP and cell products are used by some clinics, but their effectiveness in disc disease has been studied little; this is discussed individually with the physician.
How to organise treatment
- You send your MRI (ideally in DICOM format), the report and medical summaries.
- We review the documents and send a request to several partner clinics.
- The coordinator replies within 24 hours; the clinic physician’s preliminary opinion follows in 1–3 working days. Each clinic quotes its own conditions and price.
- You choose a clinic; if needed, the clinic issues a visa invitation.
- In Germany: in-person consultation, further tests if needed, and treatment.
- Follow-up and rehabilitation partly remotely after you return home.
How long you need to stay
A few days are usually enough for examination and an outpatient procedure. After surgery, you need time for the hospital stay and observation — roughly 1–2 weeks in Germany. The clinic gives the exact timeline.
Cost
Prices differ between clinics, which is why we request offers from several at once. Approximate ranges are on the treatment cost page. If you have international health insurance, check the cover in advance.
What to bring
- MRI on a disc or in the cloud; the clinic may ask for a recent scan, usually not older than 6 months.
- Medical summaries and reports, ideally in English or German.
- A list of the medicines you take.
- Passport, visa (if required) and insurance policy.
- Comfortable clothes and shoes.
Why Munich
The RegenPAS office is in Munich. The city has many specialised orthopaedic and neurosurgical practices, and its airport has direct flights from many countries. Contact a coordinator.
Who it is not suitable for and possible risks
Contraindications
- Active infection — at the injection site or systemic, with fever.
- Active cancer or ongoing chemotherapy.
- Blood clotting disorders or a low platelet count. Anticoagulants are discussed with the physician.
- Pregnancy and breastfeeding — the procedure is usually postponed.
- A corticosteroid injection into the same area in recent weeks.
- Urgent surgery, not injections, is needed if there is progressive leg weakness, numbness in the groin area or bladder dysfunction.
Possible risks
- Pain and swelling at the injection site for 1–3 days.
- Bruising where blood or fat tissue is taken.
- Rarely, infection. The procedure is therefore performed under sterile conditions with ultrasound or X-ray guidance.
- The effect may be absent or smaller than expected.
- Injections into the intervertebral disc carry a rare risk of disc inflammation (discitis).
If any of these apply to you, mention it in your request. The coordinator will check with the clinic physician whether treatment is possible. Contact a coordinator.
Scientific evidence
Studies of regenerative methods show mixed results. Clinic physicians rely on research including the following:
- Lurie JD et al. Surgical versus nonoperative treatment for lumbar disc herniation: eight-year results for the spine patient outcomes research trial. Spine (Phila Pa 1976), 2014.
- Tuakli-Wosornu YA et al. Lumbar Intradiskal Platelet-Rich Plasma (PRP) Injections: A Prospective, Double-Blind, Randomized Controlled Study. PM R, 2016.
Next steps: Treatment methods · Treatment cost · How treatment in Germany is organised
Frequently Asked Questions
RegenPAS is a patient service centre in Munich, not a clinic. We review your images and symptoms and send a request to several partner clinics at once. Clinics that can accept you send their own conditions and price; prices differ between clinics, and you choose the option that suits you. The coordinator replies within 24 hours, and a clinic physician’s preliminary opinion follows in 1–3 business days. We then arrange the appointment, visa invitation, interpreter, transfers and accommodation. Treatment decisions are made by the clinic physician. Contact a coordinator.
Your MRI (or CT, X-ray) report and the images if you have them, plus a short description of your symptoms and previous treatment. Send them via the form on the website — the assessment is free and without obligation: the coordinator replies within 24 hours, and the clinic physician’s preliminary opinion follows in 1–3 business days.
Clinic and method matching — free of charge
Describe your case and attach your MRI report. We will identify clinics that use the relevant methods and forward your request to them. No obligation; we reply within 24 hours.
Send a request
