Rheumatology & pain medicine - the best treatment together

Musculoskeletal complaints are very common, often extremely painful and associated with limitations. They can also have many different causes. Sometimes rheumatic complaints indicate a serious systemic illness. At Bethesda Hospital, you will find rheumatology and pain medicine combined in one clinic - so the various specialists can tailor treatment precisely to your needs.

All our specialists have extensive experience in the diagnosis and treatment of rheumatic diseases and pain syndromes. The humanity and professional quality of our staff ensure a trusting and respectful working relationship - with each other and with our patients, who we treat individually and comprehensively.

OUR OFFER - WELL CARED FOR ALL ROUND

We offer you the entire treatment spectrum: depending on the findings, we supplement our specific examinations with targeted procedures for your personalised treatment. All X-ray, CT and MRI examinations as well as special laboratory tests are carried out on site at Bethesda Hospital. We also very often use an interdisciplinary approach and consult with various specialist disciplines, especially in complex cases.

Would you like to find out more about a topic in the field of rheumatology and pain medicine? Do you have specific complaints that you would like to discuss with us? Or would you like a detailed and personalised examination on site to find out the cause of your pain? We are happy to help you in all these cases - here you will find an overview of our services.

Thanks to the wide range of specialised consultation hours in the field of rheumatology and pain medicine, the various health problems of our patients can be treated promptly and efficiently. We are happy to take the time to clarify your complaints and define the best possible treatment for you.

We offer you the following services during our consultation hours:

  • Rheumatism pain consultation: assessment and treatment of pain in the musculoskeletal system (joints, soft tissue, spine)
  • Arthritis/collagenosis: For joint and soft tissue inflammation; immune/inflammatory diseases; Sjögren's syndrome, arthritis, lupus, scleroderma, myositis, vasculitis
  • Fast-track spine: for rapid planning and implementation of X-ray or ultrasound-guided infiltrations for back problems
  • Musculoskeletal sonography: diagnosis and treatment of joints, tendons and muscles using high-resolution ultrasound equipment
  • Osteoporosis / DEXA / bone diseases: Diagnosis and treatment of osteoporosis and other diseases of bone metabolism, if necessary also with the aid of bone density measurement (DEXA)
  • Complex pain syndrome consultation: assessment of chronic pain syndromes that are difficult to treat, including planning of possible inpatient treatment at Bethesda Hospital
  • Infusion therapies: Intravenous treatment with modern medication for arthritis, osteoporosis and other diseases

Do you have any questions? We are happy to help you.

Our specialists have a wide range of modern laboratory and imaging techniques at their disposal, which enable efficient, rapid assessment and initiation of customised treatment. This ensures that you receive targeted and prompt help.

Our services:

  • Ultrasound-guided, precise removal (puncture) of inflammatory fluid from joints and other tissues
  • High-resolution musculoskeletal ultrasound with integrated Power Doppler measurement of tissue perfusion to assess inflammation of the joints or soft tissue
  • Magnetic resonance imaging (MRI) at Bethesda Hospital
  • Computer tomography (CT) at Bethesda Hospital
  • Various conventional X-ray procedures at Bethesda Hospital
  • "Real-time" X-ray fluoroscopy of the spine for the precise administration of medication via infiltration techniques
  • Bone density measurement (DEXA) for the diagnosis and follow-up of osteoporosis
  • Nail fold video capillaroscopy for microscopic "live" assessment of the smallest vessels in circulatory disorders of the hands and feet
  • Viollier laboratory at Bethesda Hospital (internal hospital site)

Do you have any questions? We are happy to help you.

Our team of specialists has experienced experts in the fields of pain therapy, manual medicine, rheumatology and immunology.

All inflammatory and degenerative rheumatic diseases as well as various pain syndromes of the musculoskeletal system with a special focus on the spine are treated in the outpatient centre of the Rheumatology and Pain Medicine Clinic.

A key competence of the Rheumatology and Pain Medicine Clinic is the inpatient treatment of acute and chronic pain syndromes of the back, joints and muscles. Another special area of expertise is the inpatient assessment of inflammatory diseases of the joints and spine.


Therapeutic procedures for inflammatory rheumatic diseases

The treatment of rheumatic-inflammatory diseases is customised for each patient after a detailed discussion and explanation of possible risks. It may be necessary to obtain cost approval from the patient's health insurance company for certain measures.

The following drug therapies are frequently used by our doctors:

  • Medication that is administered orally (as a tablet or powder)
  • Medication administered as an infusion (via the vein) or as an injection under the skin, e.g. biologics such as TNF blockers
  • ultrasound-guided injection of medication into inflamed joints, tendon sheaths and/or bursae, e.g. with crystalline glucocorticoids
  • Topical medication (applied to the skin)

Therapeutic procedures for pain syndromes (most common procedures)

We treat our patients both on an outpatient and inpatient basis.

The key to the targeted medical treatment of pain syndromes is the precise assessment of the condition, together with the patient, and a thorough clinical examination.

Depending on the diagnosis, various medications can be used to treat pain. Our specialists have broad expertise in the use of pain medication and also advise referring doctors on the use of specific drugs.

Based on the clinical examination and diagnostic classification of the condition, we work on an interdisciplinary basis with our physiotherapy, occupational therapy, spinal surgery, neurology and orthopaedics teams.

We plan physiotherapy treatment carefully, as it is often an important key to successful treatment.

Do you have any questions? We are happy to help you.

The inpatient diagnosis and multimodal treatment of pain syndromes is a key competence of our clinic and is particularly suitable for patients with chronic or unexplained musculoskeletal pain.

Read more about our innovative treatment approach in the interview with Head Physician Prof Stephan Gadola.

We are also happy to be your contact for obtaining a further medical opinion and for expert reports - please contact us!

  • Second and third opinions: second or third assessments for all musculoskeletal and rheumatological problems
  • Expert opinions for IV, SUVA, private insurers and courts

Do you have any questions? We are happy to help you.

The musculoskeletal emergency department at Bethesda Hospital is run by specialists from the Rheumatology and Pain Medicine, Internal Medicine and Rehabilitation clinics. Our doctors are available to you around the clock.

If you are not sure whether it is an emergency, simply give us a call - we will clarify together whether you should come to us or whether we can help you over the phone.

Contact the emergency room

We take care of the following emergencies:

  • Treatment for acute back and joint pain
  • Accidents to the knee, shoulder, elbow, hip or foot

Are you not sure whether it really is an emergency? Give us a call.

Waiting time: We normally have short waiting times. However, depending on capacity utilisation, waiting times may occasionally be longer.

Medical staff Management team

Our experienced doctors offer you the most modern medical knowledge in all areas and will accompany you competently and sympathetically during your stay with us.

Extended medical team

Secretariat, outpatient clinic and clinic management

Diseases of the musculoskeletal system

Our specialists have summarised the most common diseases that we treat in our clinics for you. Find out about symptoms, frequency and treatment options here.

We are happy to take time for you - the disease database is in no way intended to replace a personal consultation.

«We are a team of experienced medical specialists, medical practice assistants, nursing staff and physiotherapists and occupational therapists. We offer people with rheumatism and pain disorders the best assessment and treatment.»


Prof. Dr med. Dr phil. nat. Stephan Donat Gadola, Chief Physician Clinic Rheumatology & Pain Medicine

WHAT SETS US APART

You are in good hands with us: At Bethesda Hospital, we have been dealing with the musculoskeletal system for many years - this area, which includes the back, joints, muscles, tendons and inflammatory rheumatic diseases in general, is one of our core competences and we offer you the best treatment in Basel and north-western Switzerland.

With us you will find top-class medicine combined with the personal atmosphere that is typical of us.

Because both rheumatological diseases and clarifications for pain syndromes are very complex, we work closely with the teams in related areas. Together, we work hard for you - so you are always in good hands with us and receive the treatment that is tailored to your condition. At Bethesda, the entire range of rheumatism, back, osteology, joint and pain services comes from a single source and is offered to our patients under one roof.

We offer clear treatment pathways, simplified allocation and clear communication with and among each other. This is possible because we guarantee short paths under one roof and from a single source.

Our experts exchange information on an interdisciplinary basis so that even complex cases can be treated successfully. To this end, our specialists meet regularly for so-called "special consultations". Here, complex, difficult and interdisciplinary clinical pictures are discussed and treatments are planned together.

We endeavour to treat your complaints conservatively whenever possible and, if necessary, with long-term surgery. We take enough time to discuss your individual and holistic treatment with you and are there for you throughout your treatment.

We train - with success.

We traditionally pass on our knowledge and train future experts - with success: we are certified by the Swiss Institute for Continuing Medical Education and Training (SIWF).

What does this mean for you as a patient?

With us, you benefit from experience combined with expertise - and know that you are in the right place for the best treatment.

SIWF certificate 2022

BLOG POSTS ABOUT OUR FIELD OF EXPERTISE

The best interdisciplinary treatment

Because musculoskeletal disorders can be very complex, we work closely with teams in related fields. Together, we work hard for you - so you are always in good hands with us and receive the treatment that is tailored to your condition. We work on an interdisciplinary basis in the following areas:

The Department of Anaesthesiology treats around 5000 patients a year before, during and after surgical procedures. We offer the entire spectrum of general and partial anaesthesia in modern anaesthesiology. Our service for patients is the result of a well-coordinated teamwork of doctors and nursing staff.

To the Clinic for Anaesthesiology

The nutritional counselling service offers its services, such as nutritional therapy, to all clinics and departments at Bethesda Hospital. Consultations for outpatient clients on nutritional issues and clarification of nutritional therapy meals in the restaurant complete the range of services. The nutritional counselling service is available to all interested parties.

More about nutritional counselling

The team of specialists in the hand surgery department, which is run by an attending physician, covers the entire conservative and surgical treatment spectrum for the hand, forearm and elbow.

More about hand surgery

The Department of Neurology specialises in diseases of the peripheral nervous system, the spinal cord and the musculature as well as neurological diseases that manifest themselves through changes in mobility and/or movement sequences. It also specialises in the diagnosis and treatment of (head) pain disorders and seizure disorders (epilepsy).

More about neurology

The Orthopaedics Clinic at Bethesda Hospital, which is run by the University Hospital, looks after a second site at Bethesda Hospital in addition to the main site. Here, orthopaedic patients have access to university medicine in collaboration with Bethesda Hospital.

More about orthopaedics

Physiotherapy is a central part of our focus area "musculoskeletal system" and is one of Bethesda Hospital's key qualifications. With a great deal of experience and empathy, our highly trained team will support you throughout the entire treatment process. We treat and advise you both as an outpatient and inpatient, for injuries, before and after operations and for musculoskeletal disorders.

To physiotherapy

The Clinic for Psychiatry & Psychosomatics is an outpatient clinic that specialises in physical ailments for which no (sufficient) causes can be found. We treat chronic pain and patients with severe physical illnesses that they are unable to cope with (including cancer). We also specialise in problems relating to pregnancy and childbirth, traumatic experiences and sleep disorders.

More about psychiatry & psychosomatics

We offer radiological diagnostics and minimally invasive treatments at the highest level. Our motivation is to offer modern medical equipment in a pleasant environment and friendly atmosphere. During your stay with us, you will be looked after by our team of registration secretaries, medical assistants and medical radiology specialists (MTRA), who will explain the examination procedures to you in detail.

More about radiology

Bethesda Hospital's expertise in the field of rehabilitation ties in with our focus on the musculoskeletal system and thus combines the multi-professional and interdisciplinary management of patient concerns "under one roof" in the sense of a holistic treatment pathway. Where necessary, therapy strategies, rehabilitative strategies and preventive strategies are assessed together with specialists from various medical and paramedical disciplines and reorganised if necessary. Highly developed technologies such as magnetic resonance imaging, bone densitometry and ultrasound are used to support this. We show empathy and stand for co-determination by working in partnership with the patient.

More about rehabilitation

Patients have to be in hospital for treatment or have come here for a happy event such as a birth. During these days or weeks, some thoughts, fears and hopes may be moved. Some things can become questionable and fragile during the days of hospitalisation, the solid ground under your feet can begin to waver. In this situation, we are happy to meet and talk to you.

More about pastoral care

In co-operation with patients, relatives, doctors and nursing staff, the social service helps to find solutions for the forthcoming hospital discharge, aftercare or for problems in the social context. The social service provides assistance with professional or financial worries that may affect the recovery process.

More about social services

Spinal surgery is part of our Spine Centre and the Back, Rheumatism, Pain Centre. The affiliated spinal surgeons have their practices in the hospital. They specialise in the assessment, treatment and surgery of degenerative diseases of the entire spine. They work according to the latest findings and quality requirements, which includes the use of minimally invasive and microsurgical techniques.

More about spinal surgery

Our specialists in the media

Our specialists are regularly interviewed and quoted on specific topics. Take a look at our media centre and discover interesting articles!

Bethesda Hospital Media Centre

FAQs on rheumatism/pain

We have compiled the most frequently asked questions about rheumatism/pain, answered by our medical experts.

Do you have any other questions that are not answered here? Please feel free to contact us - we will be happy to help you.

Large, weight-bearing joints such as hip and knee joints are susceptible to osteoarthritis with advancing age and are often painfully affected. Shoulder pain is also not uncommon, usually caused by inflammation of soft tissue. The small intervertebral joints of the spine also cause back pain in many people
Many people also experience back pain, and pain in the thumb-saddle joint is very common from the age of 50.

Fortunately not! However, if the pain persists for a long time and/or at night, as well as in the case of prolonged joint stiffness in the morning, a specialist assessment should definitely be carried out. In such cases, joint pain could be a symptom of a systemic inflammatory disease, which can damage internal organs as well as the joints.

Such pain is most frequently caused by wear and tear of the joint cartilage (osteoarthritis) or inflammation of the surrounding soft tissue, e.g. bursae. Joint capsule pain is also common, but often unrecognised, in people with congenital joint hyperextensibility (hypermotility)
(hypermotility). Approximately 3% of the population suffers from an inflammatory cause. The most common is metabolic pseudogout or chondrocalcinosis, which is "related" to gout, which is also common. Rheumatoid arthritis, which affects 1% of the population and can lead to disability without treatment, is also not uncommon.

Unfortunately, no. Inflammatory joint diseases can also occur in young people, even children. Inflammatory rheumatism in children and adolescents often progresses aggressively and requires rapid and effective anti-inflammatory therapy. The following applies: A thick and/or overheated joint should always be promptly examined by a specialist, regardless of the patient's age.

Yes, in the case of metabolic joint diseases, large joints such as the shoulder or knee joint can be completely destroyed, so that only the use of a joint prosthesis can help. In large weight-bearing joints, especially the hip joint, an infarction of the joint head, known as head necrosis, can also occur, which also requires prosthetic treatment.

No, this should no longer happen in this day and age. With early diagnosis and treatment of an inflammatory joint disease, the previous quality of life can be restored in most cases. In cases of chronic back pain, we often successfully use targeted infiltration of the small vertebral joints under X-ray control, followed by physiotherapy. Great progress has also been made in joint prosthetics over the last 20 years. It is often the case that patients who have been plagued by severe hip arthrosis and severe pain for years are able to walk again without pain within a very short time after a hip prosthesis has been fitted.

We usually diagnose an inflammatory joint or soft tissue disease on the same day in our outpatient arthritis consultation. In addition to the clinical examination and the laboratory, we have highly sensitive ultrasound equipment at our disposal, which allows us to view the joints and inflammatory processes with millimetre precision. The categorisation of an inflammatory disease sometimes takes a little longer, as we have to wait for laboratory results. However, we usually make the diagnosis within 2-4 weeks, and in most cases we start treatment on the day of the initial consultation.

We then discuss all relevant findings with the patient. Once we have jointly selected the treatment, we inform the patient about the risks and the necessary follow-up checks. We also discuss the physiotherapeutic and physical options, particularly in the case of soft tissue and osteoarthritis pain. Physiotherapy and, for example, the application of heat or water therapy, play a very important role here, and we therefore also discuss this treatment and the course of therapy with our physiotherapists. If severe osteoarthritis is found to be the cause of pain, e.g. in the knee, we utilise the interdisciplinary services available in-house and refer the patient to the Orthopaedics Clinic at Bethesda Hospital on request.

Your advantages at Bethesda Hospital

We provide interdisciplinary excellence in medicine, care and therapy, promote innovation and are at the cutting edge of research and technology. Personalised care in a family atmosphere, our excellent hotel facilities and the quiet location in the park support your recovery.

Ausgezeichnete Pflege und Hotellerie im Bethesda Spital

Excellent hotel business

Interdisciplinary support

Your advantages
Bethesda Spital ist Mitglied bei Swiss Leading Hospitals (SLH)

Multiple certifications

Partner

In the area of rheumatism/pain, we work successfully with the following partners:

University Hospital Basel

To the website

Contact us

We are there for you - by phone and e-mail during office opening hours and around the clock in an emergency.

We are here for you

Monday to Friday 8.00 am to 5.00 pm

We are here for you

We take care of the following emergencies:

  • Treatment for acute back and joint pain
  • Accidents to the knee, shoulder, elbow, hip or foot

Are you not sure whether it really is an emergency? Give us a call.

Waiting time: We normally have short waiting times. However, depending on capacity utilisation, waiting times may occasionally be longer.