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Air Born<br />

Stuntwoman’s Promising<br />

Career Saved by MalleoTrain S<br />

Innovative treatment of<br />

hip pain<br />

Hip orthosis SofTec Coxa as part of<br />

post-operative treatment plan Page 24<br />

“Appreciation for an underestimated<br />

specialist fi eld”<br />

Ratschow Memorial Medal for<br />

Prof. Waldemar L. Olszewski Page 31<br />

Issue <strong>2012</strong> | 2<br />

magazine<br />

<strong>international</strong><br />

Stabilization, movement<br />

and healing<br />

An interview about<br />

winter sport injuries Page 32


INSOLES<br />

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Motion is Life: www.bauerfeind.com


Pictures: <strong>Bauerfeind</strong><br />

Dear readers,<br />

When it comes to sport , the summer of <strong>2012</strong><br />

had everything! First there was the European<br />

Football Championship, then the Olympic<br />

Games and fi nally the Paralympic Games.<br />

<strong>Bauerfeind</strong> was on hand at these two major<br />

events in London to provide support as an<br />

exclusive supplier of medical care, in the<br />

“Supports and orthoses” category, to all the<br />

athletes involved. Our products were used on<br />

more than 1,100 occasions at the Olympic and<br />

Paralympic Games – which I think is an impressive<br />

statistic! We<br />

take a brief look back<br />

at the involvement of<br />

our orthopedic service<br />

team at the Games on<br />

page 18f.<br />

Having the right<br />

medical aid is<br />

important for enabling<br />

athletes to keep up their sporting activities,<br />

as the young lady in our cover picture<br />

certainly discovered. From page 28 you can<br />

read about how stuntwoman Tally Rodin has a<br />

<strong>Bauerfeind</strong> support to thank for being able to<br />

continue her career.<br />

The medical focus of this <strong>Bauerfeind</strong> <strong>life</strong><br />

magazine is on the indication of osteoarthritis<br />

– a widespread condition, but one that is<br />

by no means associated only with old age.<br />

“With our supports, orthoses,<br />

medical compression stockings<br />

and orthopedic orthoses, we aim<br />

to boost patients’ well-being and<br />

enhance their quality of <strong>life</strong>!”<br />

Although the vast majority of osteoarthritis<br />

patients are elderly, it is also astonishing to<br />

fi nd just how many young people are affected<br />

by it. In our focus feature (from page 12), two<br />

physicians – one from Germany and one from<br />

Brazil – discuss various aspects of the broad<br />

topic of osteoarthritis.<br />

For this <strong>issue</strong> of <strong>Bauerfeind</strong> <strong>life</strong>, we have also<br />

once again talked to health professionals<br />

and therapists from all over the world about<br />

medical and thera-<br />

peutic problems and<br />

the use of <strong>Bauerfeind</strong><br />

products: from the<br />

use of the multifunctional<br />

orthosis SofTec<br />

Coxa for stabilizing<br />

hip joints in the USA<br />

right through to<br />

lymphedema treat-<br />

ment in Australia.<br />

Our products may be used in a wide variety<br />

of areas of application and in all sorts of<br />

places, but we always have one objective in<br />

mind: to maintain and restore health. With<br />

our supports, orthoses, medical compression<br />

stockings and orthopedic orthoses, we aim to<br />

boost patients’ well-being and enhance their<br />

quality of <strong>life</strong>!<br />

EDITORIAL<br />

Our “Made in Germany” products are highly<br />

rated all over the world, as demonstrated by<br />

the success of our 22 or more subsidiaries and<br />

numerous distributors across the globe. There<br />

is one subsidiary I would particularly like to<br />

mention to highlight the outstanding work of<br />

our <strong>international</strong> team: <strong>Bauerfeind</strong> Benelux,<br />

which celebrated its 25th anniversary this<br />

year (p. 21).<br />

With warm regards,<br />

Prof. Hans B. <strong>Bauerfeind</strong><br />

<strong>life</strong> magazine <strong>2012</strong>/2 3


CONTENTS<br />

Osteoarthritis: Deadly mictrotrauma – page 12<br />

IMPRINT:<br />

<strong>Bauerfeind</strong> <strong>life</strong> Magazine<br />

International Edition<br />

Printed on chlorine-free paper<br />

Editor:<br />

<strong>Bauerfeind</strong> AG<br />

Triebeser Strasse 16<br />

07937 Zeulenroda-Triebes, Germany<br />

Tel. +49(0)36628-66-1000<br />

info@bauerfeind.com<br />

www.bauerfeind.com<br />

Responsible:<br />

Simone Gebler, Christian Grimm<br />

Publisher and editorial offi ce:<br />

mk publishing GmbH<br />

Döllgaststrasse 7–9<br />

86199 Augsburg, Germany<br />

Tel. +49(0)821-34457-0<br />

info@mkpublishing.de<br />

www.mkpublishing.de<br />

4 <strong>life</strong> magazine <strong>2012</strong>/2<br />

Focus page 12<br />

Osteoarthritis: a widespread condition<br />

Biomechanical , biochemical and genetic<br />

factors all play a role in primary<br />

(age-related) osteoarthritis. Until now, less<br />

attention has been paid to microtraumas in<br />

the development of secondary osteoarthritis,<br />

especially in the knee and ankle.<br />

Title image<br />

Tally Rodin – model , acrobatic ic<br />

dancer, gymnast , stuntwoman. n.<br />

She had a micro tear in the<br />

tibialis posterior tendon of<br />

her right ankle. A <strong>Bauerfeind</strong> d<br />

brace helped to save her<br />

career.<br />

Pictures: Lee Cherry (Title), Werbefotografi e Weiss, Stefan Durstewitz, Nick Greenway, headshot-soho.co.uk, fotolia.com/Mary Durden


“We have a face” – page 26<br />

The foot as an interface – page 22 Diving: Another world– page 36<br />

3 Editorial<br />

4 Imprint<br />

8 News<br />

39 Service<br />

Moments page 6<br />

A successful “Tour of Europe”<br />

Focus page 12<br />

12 Osteoarthritis<br />

Deadly microtrauma<br />

16 Higienópolis Health Center, São Paulo<br />

Looking good on the beach –<br />

and staying healthier too<br />

Medical page 18<br />

18 London <strong>2012</strong><br />

Making a strong impression<br />

20 PD Dr. med. Bernd Wolfarth<br />

Health comes fi rst<br />

21 25 years of <strong>Bauerfeind</strong> Benelux<br />

On the way to gold<br />

22 Science and practice<br />

The foot as an interface<br />

CONTENTS<br />

Innovative treatment of hip pain – page 24<br />

24 SofTec Coxa<br />

Innovative treatment of hip pain<br />

26 AVE Orthopedische Klinieken, Huizen<br />

“We have a face”<br />

28 Stuntwoman Tally Rodin<br />

Air Born<br />

31 Recognition for Prof. Waldemar L.<br />

Olszewski<br />

“Appreciation for an underestimated<br />

specialist fi eld”<br />

32 Winter sport injuries<br />

Stabilization, movement and healing<br />

34 Lymphedema treatment in Australia<br />

“Treatment from an early stage is<br />

essential”<br />

In Motion page 36<br />

36 The outdoor <strong>life</strong> – diving<br />

Another world<br />

<strong>life</strong> magazine <strong>2012</strong>/2 5


MOMENTS<br />

Picture: Jens Blatter Spendentour<br />

6 <strong>life</strong> magazine <strong>2012</strong>/2<br />

A successful “Tour of Europe”<br />

Mission accomplished! On August 1, the participants of the <strong>2012</strong> Jens Blatter fundraising marathon<br />

reached their fi nal destination on the Allalinhorn mountain, 4,027 meters above sea level. The 60<br />

cyclists and their support teams had traveled almost 5,000 kilometers across the continent to get there,<br />

passing through Switzerland, Germany, the Netherlands, Belgium, France and Italy in just 17 days on<br />

their “Tour of Europe”. During the tour, the participants also stopped by the Bio-Seehotel Zeulenroda –<br />

a company in the <strong>Bauerfeind</strong> Group. Together with <strong>Bauerfeind</strong> AG, the hotel donated EUR 1,000 to the<br />

charity campaign. By the end of August , the total donations raised amounted to 150,000 Swiss francs.<br />

The money raised by the fundraising tour will go toward the Eduplex children’s aid project in Pretoria,<br />

which works to integrate children with hearing impairments into everyday school <strong>life</strong>.<br />

For further information please visit: www.jensblatter.ch.<br />


MOMENTS<br />

<strong>life</strong> magazine <strong>2012</strong>/2 7


NEWS<br />

“Motion Laboratory” in Moscow<br />

First <strong>Bauerfeind</strong> store opened in Russia<br />

“Dobry vecher” was the Russian greeting used by Thomas <strong>Bauerfeind</strong>,<br />

Member of the <strong>Bauerfeind</strong> Executive Board, as he welcomed the 40<br />

or more guests invited to the grand opening of the new <strong>Bauerfeind</strong><br />

store in Moscow. The company’s fi rst retail outlet in Russia was offi<br />

cially opened on April 12, <strong>2012</strong>, under the name “Motion Laboratory”,<br />

and with a distinctive store format that is regarded as an innovative<br />

feature in the Russian retail industry. With the opening of the<br />

Moscow store, <strong>Bauerfeind</strong> is extending its sales network in Eastern<br />

Europe. The “Motion Laboratory” is located right on the popular<br />

“Prospekt Mira” shopping street and offers customers in Russia’s<br />

capital city a new kind of retail concept. Athletes and patients can<br />

come to the store, which covers 120 square meters, to receive advice<br />

on how medical aids from <strong>Bauerfeind</strong> can be used in the prevention,<br />

London <strong>2012</strong><br />

A resounding <strong>international</strong> success<br />

London <strong>2012</strong> proved to be a successful premiere: for the fi rst time in history,<br />

the Olympic and Paralympic Games were planned and supervised by a single<br />

organizing committee. Both events met with a positive response all over the<br />

world. <strong>Bauerfeind</strong> AG from Zeulenroda, Germany, was in London for the Games<br />

as an exclusive supplier in the “Braces” category (supports and orthoses).<br />

Products provided by the Thuringian medical aid manufacturer were used on<br />

more than 700 occasions throughout the Olympics (see page 18). <strong>Bauerfeind</strong>’s<br />

supplier contract with the London <strong>2012</strong> organizing committee (LOCOG) also<br />

applied to the Paralympic Games, where <strong>Bauerfeind</strong> provided on-site medical<br />

support for the 4,400 or so Paralympic athletes from 164 countries taking<br />

part. From August 29 to September 9, a team of six <strong>Bauerfeind</strong> employees from<br />

the United Kingdom and Germany worked in shifts at the polyclinic in the<br />

main Olympic Village in Stratford. <strong>Bauerfeind</strong> supports for elbows and wrists,<br />

as well as supports for the back and knees, were in particularly high demand.<br />

The <strong>Bauerfeind</strong> team was called upon to provide aid almost 350 times during<br />

the Paralympics. For more information, see www.bauerfeind.com.<br />

†<br />

8 <strong>life</strong> magazine <strong>2012</strong>/2<br />

Ulf Harzmann, International<br />

Sales Manager <strong>Bauerfeind</strong> AG,<br />

together with Sergey Shaitov,<br />

CEO of Nikamed, and Member<br />

of the Executive Board Thomas<br />

<strong>Bauerfeind</strong> (left to right) cut<br />

the ribbon to mark the opening<br />

of the store.<br />

treatment and rehabilitation of injuries.There is huge demand in<br />

Russia for high-quality medical products, which is why <strong>Bauerfeind</strong>,<br />

as a leading manufacturer of medical aids, started working with<br />

Nikamed back in January 2011. Nikamed, which acts as an exclusive<br />

sales partner, is the leading company in the Russian orthopedics<br />

market and, just like <strong>Bauerfeind</strong>, it sets great store by the outstanding<br />

quality of the products it offers. Russian customers demand<br />

exceptional quality too – especially since, with no reimbursement<br />

system in Russia, they have to pay for the full costs of their medical<br />

aids themselves.<br />

<strong>Bauerfeind</strong> AG is already planning to set up more stores in Russia:<br />

additional outlets with exclusive sales partners are due to open in<br />

Moscow and St. Petersburg in 2013.<br />

†<br />

Fascinating the world: the London Olympic Summer Games <strong>2012</strong>.<br />

<strong>Bauerfeind</strong> provided supports at the Olympics and, for the fi rst<br />

time, at the Paralympic Games with its own team of orthotists.<br />

Pictures: <strong>Bauerfeind</strong>, Carlos Senkyr


VIII Meeting of the FVL<br />

Intensive scientifi c exchange<br />

From September 5 to 7, <strong>2012</strong>, more than 300 participants from<br />

Latin America, the USA and Europe gathered at the VIII Meeting<br />

of the Latin American Venous Forum (FVL) in Viña del Mar, Chile.<br />

“Our aim for this congress is to provide a training opportunity for<br />

specialists and to encourage the exchange of knowledge regarding<br />

the treatment of venous and lymphatic diseases. This will provide<br />

specialists with effective ‘working tools’ that they can use for the<br />

benefi t of their patients,” explained vascular surgeon Dr. Alvaro<br />

Orrego, President of the VIII FVL Meeting. <strong>Bauerfeind</strong>, one of the<br />

three diamond sponsors of the event , had its own exhibition stand,<br />

where it not only presented its range of compression stockings, but<br />

also carried out live measurements using Bodytronic 300 (Image<br />

3D) with the help of its local partner Artevascular. For further<br />

information please visit www.fvl.cl.<br />

†<br />

GenuTrain P3 with individually adjustable corrective strap<br />

GenuTrain P3<br />

25th Austrian Women’s Run<br />

A win for the <strong>Bauerfeind</strong> team<br />

A new record was set in Vienna<br />

on June 3, <strong>2012</strong>: exactly 30,052<br />

participants from 66 countries<br />

lined up at the start of the 25th<br />

Austrian Women’s Run, preparing<br />

to run laps around the Prater<br />

park in Vienna. The Women’s Run<br />

therefore continues to attract more<br />

participants than any other race<br />

of its kind in Europe. <strong>Bauerfeind</strong><br />

Austria was represented by various<br />

teams at the event , with physicians,<br />

physiotherapists and employees of<br />

Members of the <strong>Bauerfeind</strong> team.<br />

<strong>Bauerfeind</strong> was present at the VIII FVL Meeting with its<br />

own exhibition stand.<br />

The GenuTrain P3 knee support has been<br />

revised and is now available with an<br />

individually adjustable corrective strap.<br />

Together with the two integral pads, the<br />

corrective strap holds the kneecap in a<br />

central position and protects it against<br />

lateral drifting to the outside. The new<br />

strap enables you to better adjust the<br />

support to your kneecap’s individual<br />

size. Its corrective tensile force can thus<br />

be matched to the indication in question<br />

and the loading situation. This provides<br />

optimal relief for the kneecap and<br />

guides it securely during movement. †<br />

NEWS<br />

our various sales partners among<br />

those involved. A total of 35 runners<br />

and walkers entered the race – all<br />

equipped with VenoTrain sports<br />

compression stockings. And the<br />

<strong>Bauerfeind</strong> sportswomen proved<br />

pretty fast , fi nishing fi rst in the<br />

5 km run and third over the 10 km<br />

distance, ensuring that two of the<br />

company’s teams claimed a place on<br />

the podium. For more information<br />

on the <strong>international</strong> race, visit www.<br />

oesterreichischer-frauenlauf.at. †<br />

<strong>life</strong> magazine <strong>2012</strong>/2 9


NEWS<br />

VenoTrain micro<br />

New standard color “honey”<br />

The standard color range for the VenoTrain<br />

micro is being brightened up in response to<br />

customer demand. The gray-brown “walnut”<br />

is being replaced by the golden “honey”<br />

tone, which falls between the two beige<br />

shades “cream” and “caramel” in the color<br />

spectrum. The popular compression stocking<br />

range therefore offers an equal selection<br />

of light and dark shades. All versions of<br />

the VenoTrain micro have been available in<br />

“honey” since July.<br />

†<br />

Medica <strong>2012</strong><br />

10 <strong>life</strong> magazine <strong>2012</strong>/2<br />

<strong>Bauerfeind</strong>’s most popular<br />

compression stocking is the<br />

VenoTrain micro.<br />

cream<br />

honey<br />

caramel<br />

<strong>Bauerfeind</strong> at the world’s largest medical trade fair<br />

MEDICA will once again be welcoming visitors to Düsseldorf from November<br />

14 to 17, <strong>2012</strong>. The event is expected to attract some 4,500 exhibitors from<br />

at least 60 countries. <strong>Bauerfeind</strong> will naturally be among those making an<br />

appearance at the world’s largest and leading medical trade fair, once again<br />

with its own exhibition stand. At Stand 4K50 in Hall 4, the company will<br />

focus on presenting its latest new developments and advancements, such as<br />

the high-grade ErgoPad weightfl ex synthetic orthosis, the new generation of<br />

the GenuTrain P3, an active knee support for improving patellar tracking, the<br />

CaligaLoc ankle support , or the design edition of the VenoTrain micro. Further<br />

information about the trade fair is available at www.medica.de.<br />

†<br />

Now available as an individual stocking<br />

VenoTrain soft<br />

If a medical prescription allows for one compression stocking only, for<br />

example in the case of thrombosis prophylaxis following surgery on one<br />

leg, medical retailers can now offer patients individual VenoTrain soft<br />

compression stockings. The VenoTrain soft individual stocking is available<br />

in the color “natural” and in compression classes 1 and 2, and it can<br />

be supplied in all standard sizes as a knee- or thigh-high stocking with<br />

closed or open toes. This comfortable compression stocking impresses<br />

with its reliable medical effectiveness and the benefi cial micromassage<br />

effect it produces while it is worn. With its “natural”-colored, dye-free<br />

fi nish, it is also ideal for patients with sensitive skin types and is particularly<br />

recommended for post-operative use.<br />

†<br />

The VenoTrain soft individual stocking is available in Ccl 1 and 2.<br />

The MEDICA: a magnet for visitors.<br />

Pictures: <strong>Bauerfeind</strong>, Messe Düsseldorf/Constanze Tillmann


Triathlon de Paris<br />

Expo-Village near the Eiffel Tower<br />

The <strong>Bauerfeind</strong> exhibition stand was near the Eiffel Tower. The stand team advised participants and visitors with great dedication.<br />

The “Garmin Triathlon de Paris” took place in the French capital on<br />

July 7 and 8, <strong>2012</strong>. Over 4,500 athletes competed against one another<br />

in the swimming, cycling and running disciplines. First of all , the<br />

triathletes took part in a qualifying competition for the French “D1”<br />

club championships on July 7. As the “Garmin Triathlon de Paris” is<br />

designed as a public event rather than as a contest exclusively for<br />

elite athletes, even amateur triathletes had the chance to join in the<br />

1,500-meter swim, 40-kilometer cycle ride and 10-kilometer run on<br />

July 8. <strong>Bauerfeind</strong> was also present at this great event , setting up<br />

its own exhibition stand by the Eiffel Tower. The <strong>Bauerfeind</strong> team<br />

was supported by its partner “A.C.O.M.M santé”, which supplies<br />

<strong>Bauerfeind</strong> products in the Paris region. Many interested competitors<br />

and spectators took advantage of the opportunity to seek<br />

advice from the team at the stand about products such as the<br />

GenuTrain knee support , the LordoLoc stabilizing orthosis for the<br />

lumbar spine or the VenoTrain sport compression stockings.<br />

†<br />

ErgoPad weightfl ex<br />

The X factor<br />

<strong>Bauerfeind</strong> has developed a new injection molding system<br />

for manufacturing synthetic foot orthoses by combining two<br />

types of plastic in a single orthotic core. With three different<br />

degrees of fi rmness, the asymmetric “weightfl ex-X” in the core<br />

supports the wearer with a variable supporting force depending<br />

on the individual condition of the foot , therapeutic goals<br />

and body weight. Thanks to their fl exibility in the forefoot<br />

and heel areas, the foot orthoses can easily be worn in shoes<br />

with higher heels.<br />

ErgoPad weightfl ex, the new orthopedic foot orthosis from<br />

<strong>Bauerfeind</strong>, is based on the spiral-dynamic principle of<br />

natural movement. The “weightfl ex-X” integrated into the<br />

orthotic core directs forces from the outside inward via two<br />

pivot points, thus supporting the torsional ability of the feet<br />

and optimizing the wearer’s gait pattern. Side pieces facing<br />

each other act as countersupports. Moderate longitudinal<br />

and transversal arch supports raise and stabilize the feet and<br />

reduce non-physiological loads.<br />

†<br />

The foot orthosis can easily be adapted to fi t any heel gradient.<br />

NEWS<br />

<strong>life</strong> magazine <strong>2012</strong>/2 11


FOCUS<br />

12 <strong>life</strong> magazine <strong>2012</strong>/2<br />

Osteoarthritis<br />

Deadly microtrauma<br />

The role played in the development of<br />

secondary osteoarthritis by very small<br />

trauma-related defects of the articular<br />

cartilage is often underestimated. This is<br />

the view of Professor Dieter Kohn, Director<br />

of the orthopedic clinic and polyclinic<br />

at the Saarland University Hospital.<br />

Basically, a constant series of microinjuries<br />

can develop into full-blown osteoarthritis.<br />

Fast action is required with<br />

regard to treatment. >>>


FOCUS<br />

Picture: Werbefotografi e Weiss<br />

<strong>life</strong> magazine <strong>2012</strong>/2 13


FOCUS<br />

Prof. Dieter Kohn, Director of the orthopedic clinic and polyclinic at the Saarland University Hospital , Germany, talking to <strong>life</strong> magazine.<br />

>>> Out of 1,000 patients undergoing a knee<br />

arthroscopy, some 600 were found to have hyaline<br />

cartilage damage. Almost half of these<br />

defects were caused by osteoarthritis (Hjelle,<br />

K. et al.; see references). Joints bearing the<br />

weight of the body are at particular risk. This<br />

is especially true of the knee. Between six<br />

and eight million people in Germany have<br />

osteoarthritis of the knee. Almost half of<br />

those aged over 45 and almost all of those<br />

aged over 75 have knee symptoms associated<br />

with osteoarthritis. A typical example of a<br />

common condition. The pressing question<br />

still remains unanswered, however. Why is<br />

osteoarthritis such a huge problem? Why do<br />

14 <strong>life</strong> magazine <strong>2012</strong>/2<br />

cartilage defects (in adults) not just regenerate?<br />

Could it have something to do with the<br />

fact that cartilage has no blood supply? Does<br />

the synovial fl uid, the liquid in the joints,<br />

prevent regeneration? Does another, completely<br />

unrelated factor play a decisive role? Despite<br />

a plethora of studies, including attempts<br />

to multiply cartilage cells under laboratory<br />

conditions, there is no currently no prospect<br />

of a cause-based therapy to combat loss of<br />

joint cartilage.<br />

Five million steps leave their mark<br />

As if all this were not enough. “Why do we<br />

keep seeing osteoarthritis of the collarbone<br />

and sternum,” wonders Professor Kohn, an<br />

orthopedic specialist , “even though there<br />

aren’t any weight-bearing joints in these<br />

areas at all?” The physician, whose list of<br />

publications on osteoarthritis runs to several<br />

pages, is reluctant to waste his breath<br />

on this: “We simply don’t know.” But do our<br />

genes have anything to do with it? There<br />

are some families where even elderly members<br />

develop no signs of osteoarthritis. With<br />

other families, by contrast , many members<br />

fi nd themselves affected by joint disease.<br />

Even the diagnostics in this area are beset<br />

with uncertainty. “Osteoarthritis can be<br />

identifi ed objectively on the basis of X-ray<br />

Pictures: Werbefotografi e Weiss, <strong>Bauerfeind</strong>


or MRI fi ndings,” explains the physician,<br />

“but the fi ndings are not always associated<br />

with symptoms. And vice versa!”<br />

Although the extremely varied clinical<br />

picture associated with osteoarthritis raises<br />

many questions, there are a few hard facts<br />

as well: we each walk around fi ve million<br />

steps every year, reckons the orthopedic<br />

specialist. There can be no doubt that this<br />

involves some wear and tear. The picture<br />

is far less obvious for another causative<br />

factor, although Professor Kohn believes its<br />

effects can be serious: “We tend to underestimate<br />

the many small instances of trauma.<br />

Think about footballers, not the top players,<br />

but those who play and train for fi ve hours<br />

a week and always tend to pick up knocks.”<br />

The typical scenarios involve strains and<br />

sprains. “It’s frightening how many cases I<br />

see of men between 40 and 55 with severe<br />

osteoarthritis of the knee, despite being in<br />

good physical condition through sports-related<br />

training. They all tend to have played<br />

a lot of sport during that physically active<br />

period between the ages of 15 and 30.”<br />

Prevention – the earlier the better<br />

“If only I’d known...” is the reaction of many<br />

an (amateur) athlete when diagnosed with<br />

osteoarthritis. “I would advise any young<br />

athlete with what they believe to be a sprain,<br />

bruising, or strain injury to see a specialist.<br />

And I would advise my colleagues to take<br />

these seriously.” Professor Kohn has been<br />

“in the knee business”, as he calls it , since<br />

1982. He knows what he is talking about: “If<br />

patients are experiencing chronic symptoms<br />

and an MRI following a ‘nothing injury’<br />

shows visible signs of damage, there will<br />

defi nitely be consequences. But the consequences,<br />

which may not necessarily involve<br />

surgery, cannot be left to chance. They must<br />

allow the injury to heal and adjust their<br />

activity levels accordingly. There’s no point<br />

getting people fi t again, by only dealing with<br />

the warning pain while ignoring the lesion<br />

and the stress involved. This would inevitably<br />

mean progression from the preliminary<br />

stages, through a period of wear, to eventual<br />

osteoarthritis.”<br />

With the knee, matters are complicated by<br />

the high risk of injury to ligaments. “You<br />

often hear the term ‘isolated rupture of the<br />

anterior cruciate ligament’ in this context ,<br />

but this is misleading,” explains the expert<br />

with some frustration. “The forces which<br />

cause a ligament to tear are invariably suffi<br />

cient to cause bony avulsions or cartilage<br />

damage as well , no matter how small they<br />

are. It’s nonsense to talk about an ‘isolated’<br />

rupture,” he affi rms. By implication, talk of<br />

“isolated” treatment seems out of place too,<br />

since the predominant type of dysfunction<br />

is now instability. The orthopedic specialist<br />

uses biomechanics to highlight the hidden<br />

risk of osteoarthritis associated with<br />

instability: “If the knee loses a key ligament ,<br />

the kinematics are completely out of kilter.<br />

The stress on the cartilage increases with<br />

every movement. Shearing forces cause tiny<br />

new traumas to the cartilage with every step<br />

that is taken. We need to eliminate these by<br />

restoring stability. The quicker the better.”<br />

Orthoses can do a lot of good in such cases.<br />

Professor Kohn cites the SofTec Genu knee<br />

FOCUS<br />

orthosis as a case in point. He particularly<br />

tends to use this for medial ligament tears.<br />

“My experiences of this have only been<br />

positive,” he points out. “As movement is<br />

guided by the orthosis splints at the side, it<br />

becomes possible to stabilize the joint.”<br />

The problem: osteoarthritis reveals<br />

few early symptoms<br />

It is absolutely critical to take early measures<br />

to counter osteoarthritis of the knee. Professor<br />

Kohn is quite clear about this, from both<br />

the physician’s and the patient’s perspective.<br />

Instability or excessive strain, lack of<br />

exercise or poor diet – all these factors need<br />

to be remedied. The trouble is that osteoarthritis<br />

does not tend to hurt during the early<br />

stages. This makes education all the more<br />

important. Osteoarthritis is synonymous with<br />

extensive, poorly defi ned cartilage defects.<br />

Once the articular cartilage has been completely<br />

lost , the only remaining treatment<br />

option in many cases is resurfacing with<br />

an endoprosthesis. “We need to remember,<br />

however, that we still have a range of options<br />

before we get to this stage,” emphasizes<br />

Professor Kohn. For example, reconstructive<br />

surgical procedures like repositioning operations<br />

can improve joint function and thereby<br />

delay the need to implant an endoprosthesis<br />

for resurfacing purposes. “Foot orthoses<br />

also provide an effective means of relieving<br />

the stress on parts of joints,” says Professor<br />

Kohn. “Before I decide that a joint prosthesis<br />

is called for, I always check whether all options<br />

for keeping the natural joint have been<br />

exhausted.”<br />

†<br />

SofTec Genu: Multifunctional orthosis for<br />

stabilization of the knee.<br />

References:<br />

Hjelle, K., Solheim, E., Strand, T., Muri, R., Brittberg,<br />

M.: Articular cartilage defects in 1,000 knee arthroscopies.<br />

Arthroscopy 2002; 18: 730-734.<br />

<strong>life</strong> magazine <strong>2012</strong>/2 15


FOCUS<br />

Higienópolis Health Center, São Paulo<br />

Looking good on the beach –<br />

and staying healthier too<br />

Giant rainforests, heavenly coasts – Brazil is nature’s paradise, and it is increasingly<br />

becoming a haven for sports enthusiasts too. The country is currently experiencing a real<br />

fi tness boom, and health centers, which offer orthopedic care as well as medical aids, fi t<br />

well into this exercise scheme. The treatments provided by Prof. Wagner Castropil also<br />

follow an integrative concept.<br />

More and more Brazilians want to take up<br />

sports. With some of the world’s greatest<br />

sporting events, such as the 2014 Football<br />

World Cup and the 2016 Olympic Games, due<br />

to be held on home soil , Brazil’s distinctive<br />

enthusiasm for sport may give rise to more<br />

work for people in medical professions, such<br />

as the São Paulo-based orthopedic specialist<br />

Prof. Wagner Castropil , for example. The<br />

specialist in sports medicine and his twenty<br />

colleagues at the VITA clinic, the largest private<br />

orthopedic clinic in the city, treat around<br />

5,000 patients per month. Prof. Castropil himself<br />

performs around 150 shoulder operations<br />

and 200 knee operations each year, albeit in<br />

cooperating hospitals rather than at the VITA<br />

clinic. “People often just used to run once<br />

around the block, but now they want to run<br />

a marathon,” he says, describing the problem<br />

of overambition, which can lead to injuries.<br />

“Or they want to look good running along the<br />

beach.” The physician believes that it is not<br />

16 <strong>life</strong> magazine <strong>2012</strong>/2<br />

just the latest fi tness boom that is responsible<br />

for the steep increase in patient numbers,<br />

but also the clinic’s favorable location in<br />

terms of transport links – a decisive factor<br />

in a city known for its constant traffi c jams.<br />

In the land of the Sugarloaf mountain and<br />

the Copacabana, the sea has a great deal of<br />

attractive appeal. The same is true of health<br />

centers in favorable locations. São Paulo is<br />

notorious for its constant traffi c jams. “It is<br />

important for our patients to be able to get<br />

to us quickly and easily,” says the physician.<br />

The Higienópolis Health Center, which houses<br />

the VITA clinic, is on the outskirts of the huge<br />

metropolis of São Paulo, the third largest city<br />

in the world.<br />

Pain – the great inhibitor<br />

Prof. Castropil treats patients of all ages,<br />

including many people suffering from osteoarthritis<br />

and even former Olympic judokas.<br />

He describes how 50- to 55-year-old patients<br />

Prof. Wagner Castropil checks whether the GenuTrain P3 fi ts correctly on his patient.<br />

with varying degrees of osteoarthritis often<br />

come to him. One thing is of absolute<br />

importance to the physician when dealing<br />

with his knee patients: breaking through the<br />

pain barrier or, as he calls it , the “continuous<br />

inhibition refl ex”! “It is important to<br />

understand,” he explains, “that pain hinders<br />

everything. Happiness, motivation, quality of<br />

<strong>life</strong>. And, above all else, movement. The body<br />

cries out with every step: Stop, it hurts!” To<br />

silence the great inhibitor, Prof. Castropil<br />

prescribes many of his osteoarthritic patients<br />

the GenuTrain A3 knee support. The<br />

3 As in the name stand for “Anti”, “Arthros”<br />

and “Algos” (“against joint pain”). As a rule,<br />

the physician prescribes the active support<br />

to patients in the early to advanced stages<br />

of osteoarthritis. “We encourage them to<br />

put the support on immediately after they<br />

get up, and to wear it for two to four weeks,”<br />

he recommends. He sees pain reduction and<br />

strengthening of the muscles – particularly<br />

the quadriceps – as the decisive factors.<br />

This, he believes, prevents the “specter of<br />

atrophy” from arising. “The result is that<br />

patients often do not want to take off the<br />

support at all any more after four weeks.”<br />

This is understandable, if you consider that<br />

the corresponding knee scores (IKDC) have<br />

signifi cantly improved, as demonstrated by<br />

Prof. Castropil’s tests.<br />

“Envelope of functions”<br />

For minor osteoarthritis at stage 1, as well as<br />

for knee complaints resulting from overstraining<br />

or instability, Prof. Castropil prefers<br />

to recommend the GenuTrain P3 (“Permanent Paulo Sao<br />

Patella Protection”) active support to his<br />

patients – to improve the guidance of the Store<br />

patella. He stresses that it fi ts excellently<br />

into the “envelope of functions” concept. <strong>Bauerfeind</strong><br />

This approach to treatment originally comes<br />

from the USA. The “envelope of functions” Pictures:


Prof. Wagner Castropil , specialist in sports medicine, performs around 150 shoulder and 200 knee operations each year.<br />

is based on taking a holistic view of the<br />

joints, which form seamlessly functioning<br />

units in their “protective envelopes”. Under<br />

physiological stress, the accompanying ligaments,<br />

tendons, muscles, cartilage and bones<br />

perform their tasks without any problems.<br />

External disruptions can, to a certain extent ,<br />

be self-regulated within the “envelope”.<br />

However, serious injuries, such as a torn<br />

cruciate ligament , stop the “envelope of<br />

functions” working properly. In the healing<br />

phase, all efforts must be made to restore<br />

this functionality to its former state.<br />

Two fl oors down: <strong>Bauerfeind</strong><br />

“There are several options available to me for<br />

trying to restore the status quo,” says Prof.<br />

Castropil. “Depending on the specifi c case,<br />

I can treat the cartilage with glucosamine,<br />

inject hyaluronic acid into the joint , and I<br />

can also prescribe the GenuTrain P3 to help<br />

re-establish the ‘envelope of functions’.” He<br />

prescribes the GenuTrain P3 for use during<br />

physical activities only. Luckily for Prof.<br />

Castropil’s patients in traffi c-riddled São<br />

Paulo, to get their GenuTrain A3 or GenuTrain<br />

P3, they simply have to take the escalator<br />

two fl oors down. This is because the only<br />

<strong>Bauerfeind</strong> store currently set up in the<br />

whole of South America is located directly<br />

For further information please visit:<br />

www.vita-org.br<br />

FOCUS<br />

beneath the VITA clinic. The store was<br />

opened at the end of March <strong>2012</strong>. Housed<br />

in a shopping arcade, the store covers over<br />

50 square meters and sells supports and<br />

orthoses, medical compression stockings and<br />

orthopedic insoles. The Higienópolis Health<br />

Center also houses other medical facilities,<br />

such as a cardiology outpatient clinic, a<br />

nutritional advice center, and dentistry and<br />

physiotherapy practices. However, patients<br />

still have some way to go to reach a certain<br />

famous beach from here.<br />

†<br />

<strong>life</strong> magazine <strong>2012</strong>/2 17


MEDICAL<br />

Colombian triple jumper Caterine<br />

Ibarguen attracted some curious<br />

glances as she jumped her way<br />

to a silver medal wearing a MyoTrain<br />

thigh support.<br />

18 <strong>life</strong> magazine <strong>2012</strong>/2<br />

Pictures: picture alliance/Kerim Okten, <strong>Bauerfeind</strong>


Summer Olympic Games London <strong>2012</strong><br />

Making a strong impression<br />

It was the event of the summer: the Olympic Games in London. With its very own team of<br />

orthotists, <strong>Bauerfeind</strong> AG was on hand to provide medical care for all 10,500 athletes from<br />

204 nations competing at the Games. Its supports, orthoses, medical compression stockings<br />

and orthopedic orthoses came to the aid of athletes on more than 700 occasions.<br />

These are moments we will never forget: the<br />

stunning success of Usain Bolt , the jubilation<br />

in the Olympic stadium as heptathlete Jessica<br />

Linda Stahl ,<br />

javelin thrower,<br />

bronze medal at<br />

London <strong>2012</strong>.<br />

“To be able to win a medal<br />

at the Olympic Games,<br />

everything has to be just<br />

right – including the<br />

medical care. <strong>Bauerfeind</strong><br />

provided me with very<br />

reliable support.”<br />

Ennis completed her lap of honor, or the<br />

thrilling fi nal of the men’s beach volleyball<br />

competition. The athletes in London were<br />

provided with the best conditions to deliver<br />

top sporting performance – including a sophisticated<br />

medical care system. <strong>Bauerfeind</strong><br />

was involved in the Games once again in <strong>2012</strong><br />

as a partner of the Olympic organizing committee:<br />

the company supplied products to the<br />

three polyclinics in Stratford (main Olympic<br />

Village), Eton Dorney (Olympic Village for the<br />

rowing and canoeing events) and Weymouth<br />

Portland (Olympic Village for the sailing competitions),<br />

as well as to all 35 event venues.<br />

From July 16 to August 12, a total of eight<br />

<strong>Bauerfeind</strong> employees from the UK, Germany<br />

and the Netherlands worked in shifts at the<br />

polyclinic in the main Olympic Village in<br />

Stratford. With two orthotists on duty per day,<br />

the <strong>Bauerfeind</strong> team was on hand from 7.00<br />

am to 11.00 pm. The polyclinic was open to<br />

all 16,000 or so people staying in the Olympic<br />

Village in Stratford, with athletes from all over<br />

the world coming along every day in search<br />

of medical advice. Some of them also needed<br />

<strong>Bauerfeind</strong> products, either because they<br />

had injured themselves, an old problem had<br />

fl ared up again or they were showing various<br />

signs of overstraining. A variety of supports<br />

and orthoses from the <strong>Bauerfeind</strong> product<br />

range for the feet , knees, hips, spinal column,<br />

shoulders, hands, and elbows were supplied<br />

for this purpose, as well as medical compression<br />

stockings and orthopedic orthoses.<br />

Hemke van<br />

der Zwaag,<br />

orthotist (CPO),<br />

<strong>Bauerfeind</strong> Benelux.<br />

“I was impressed by the<br />

team spirit and the<br />

positive atmosphere<br />

in the polyclinic. The<br />

athletes and staff at<br />

the polyclinic were very<br />

enthusiastic about<br />

our services and our<br />

fantastic products. It<br />

was an honor to be part<br />

of it all!”<br />

“There were so many<br />

incredibly gratifying<br />

moments. When athletes<br />

came back, for example,<br />

to tell us that a product<br />

had worked and helped<br />

them to get back up<br />

and running. It’s a<br />

great feeling to get<br />

such positive feedback<br />

from the athletes. We<br />

didn’t have a single<br />

complaint!”<br />

MEDICAL<br />

<strong>Bauerfeind</strong>: an “exclusive supplier”<br />

For this year’s summer games, the London<br />

Organising Committee of the Olympic<br />

Games and Paralympic Games (LOCOG)<br />

invited tenders in a number of different<br />

Dirk Schwager,<br />

orthotist (CPO),<br />

<strong>Bauerfeind</strong> Germany.<br />

categories. <strong>Bauerfeind</strong> participated in the<br />

tendering process for the “braces” category,<br />

along with 15 other companies from<br />

around the world. “We were delighted to be<br />

awarded the contract ,” said Chief Executive<br />

Offi cer Prof. Hans B. <strong>Bauerfeind</strong>, “The<br />

decisive factor that set <strong>Bauerfeind</strong>’s >>><br />

<strong>life</strong> magazine <strong>2012</strong>/2 19


MEDICAL<br />

>>> bid apart from the rest was the<br />

outstanding quality of our supports and<br />

orthoses. This is further proof that our<br />

“Made in Germany” products are highly<br />

rated at an <strong>international</strong> level.”<br />

Working hand in hand<br />

In order to provide athletes with the help<br />

they needed, the <strong>Bauerfeind</strong> team worked<br />

hand in hand with colleagues from other<br />

departments, such as orthopedists. Once a<br />

diagnosis had been made, the <strong>Bauerfeind</strong> orthotists<br />

used this as a basis for selecting the<br />

right product , assessed what size of product<br />

was required, and explained to the athletes<br />

how the product works and how they should<br />

put it on. The products, such as orthoses, were<br />

also individually adjusted to fi t if required.<br />

Supports, orthoses, medical compression<br />

stockings and orthopedic orthoses were supplied<br />

to athletes on more than 700 occasions<br />

in total.<br />

Interview<br />

Health is the top priority<br />

Interview with Dr. Bernd Wolfarth, Chief Physician for the German Olympic team.<br />

You have already been involved in fi ve Olympic<br />

Games. What was it like for you in London?<br />

PD Dr. Wolfarth: There is always something<br />

particularly special about the Olympic<br />

Games. It was certainly rather easier for us<br />

to work in London than in Beijing, purely<br />

because there was no language barrier. In<br />

Beijing, we Europeans also had to cope with<br />

the time difference, a different food culture<br />

20 <strong>life</strong> magazine <strong>2012</strong>/2<br />

Priv.-Doz. Dr. med.<br />

Bernd Wolfarth.<br />

Elizabeth Crane,<br />

Managing Director<br />

<strong>Bauerfeind</strong> UK.<br />

“Customers in the UK now<br />

know that <strong>Bauerfeind</strong> is not<br />

a small family company but<br />

an <strong>international</strong> brand with<br />

a vast amount of experience<br />

and expertise in medical<br />

products.”<br />

and a different climate. The equipment at the<br />

polyclinic in the Olympic Village once again<br />

left virtually nothing to be desired, and our<br />

cooperation with the <strong>Bauerfeind</strong> team on<br />

orthopedic care was excellent. <strong>Bauerfeind</strong><br />

has also been involved in the polyclinics<br />

since the Winter Olympics in Vancouver –<br />

which is an ideal situation for us. Whenever<br />

we needed anything, we could get hold of<br />

just the right product via the short offi cial<br />

channels.<br />

What were the most common medical<br />

problems?<br />

PD Dr. Wolfarth: Infections, as expected.<br />

It is important to differentiate between<br />

injuries, because there are a lot of simple<br />

problems that can be treated directly by<br />

physiotherapists and be brought under<br />

<strong>Bauerfeind</strong> products in the spotlight<br />

While the orthopedic support provided to athletes<br />

was generally not visible to spectators,<br />

the Colombian triple jumper Caterine Ibarguen<br />

attracted some curious glances as she jumped<br />

her way to a silver medal wearing a MyoTrain<br />

thigh support. The LumboTrain sported by<br />

javelin thrower Linda Stahl , another medalist ,<br />

could also be seen by observant spectators as<br />

it showed through her top. “Supports for the<br />

ankle, knee and back were in particularly high<br />

demand,” said Lars Birnbaum, Head of Sport<br />

Marketing at <strong>Bauerfeind</strong>. To make sure there<br />

would be enough to go round, some 200 extra<br />

products in various sizes were shipped in from<br />

the company’s headquarters in Zeulenroda.<br />

“We had more than 10,000 products here in<br />

total , but in the last few days we naturally did<br />

not want to have to turn any injured athletes<br />

away because the size they needed was not in<br />

stock. We managed to handle this perfectly,”<br />

Lars Birnbaum added.<br />

†<br />

control. Minor muscular injuries are the<br />

most common. Fortunately, we rarely see any<br />

serious injuries.<br />

What goes through your mind when you have<br />

to decide, from a medical perspective, how fi t<br />

an athlete is to compete?<br />

PD Dr. Wolfarth: That is always a diffi cult<br />

decision, especially in the case of athletes<br />

involved in sports that only receive any<br />

public attention perhaps once every four<br />

years, at the Olympics. If an athlete is<br />

working toward that one particular moment ,<br />

and then an infection or a muscular injury<br />

puts him out of action, it’s a personal tragedy<br />

that affects you, too – there’s no question<br />

about it. However, when it comes to making<br />

decisions about an athlete’s fi tness for sport<br />

or competition, the athlete’s health is always<br />

our top priority!<br />

†<br />

Pictures: headshot-soho.co.uk, <strong>Bauerfeind</strong>, <strong>Bauerfeind</strong> Benelux/Ridderhof


25 years of <strong>Bauerfeind</strong> Benelux<br />

On the way to gold<br />

On September 7, <strong>2012</strong>, <strong>Bauerfeind</strong> Benelux welcomed guests to a symposium and<br />

gala evening to celebrate a very special occasion: the company’s 25th – or “silver” –<br />

anniversary. Guests came from all over the world to attend the event in Haarlem.<br />

Prof. Hans B. <strong>Bauerfeind</strong> (left) came to celebrate the 25th anniversary with Bram Dieleman. Welcoming the guests of the jubilee.<br />

After the Austrian, US, Swiss and French<br />

companies, Benelux was the fi fth subsidiary<br />

established abroad by <strong>Bauerfeind</strong> AG in the<br />

1980s. When Bram Dieleman took over the<br />

management of the company on August<br />

1, 1987, there were just fi ve <strong>Bauerfeind</strong><br />

orthopedic products and one variety of compression<br />

stockings available in the Benelux<br />

region. Now the entire product range is on<br />

offer and the company is leading the orthopedics<br />

and phlebology market in Benelux.<br />

Manager, motivator and initiator<br />

Bram Dieleman leads the 35-strong team<br />

of employees at <strong>Bauerfeind</strong> Benelux with<br />

plenty of dedication and commitment.<br />

“He is a manager, motivator and initiator<br />

all rolled into one,” said Prof. Hans B.<br />

<strong>Bauerfeind</strong>, full of praise in his speech at<br />

the event. He also refl ected on the rapid<br />

growth enjoyed by <strong>Bauerfeind</strong> Benelux,<br />

which has led to a few relocations over the<br />

past 25 years! The subsidiary was initially<br />

based in Tegelen, near Venlo, before setting<br />

up offi ce in Haarlem. By 1993, these<br />

premises once again proved too cramped, so<br />

<strong>Bauerfeind</strong> constructed its very own, larger<br />

building in Holland for the fi rst time. “It<br />

was very daunting, as in 1994 – soon after<br />

we moved in – the reimbursement for the<br />

GenuTrain knee support was abolished,”<br />

recalls Prof. <strong>Bauerfeind</strong>, “Yet in spite of the<br />

diffi cult market conditions, the company<br />

was still able to pay the mortgage and<br />

<strong>Bauerfeind</strong> Benelux continued to grow.”<br />

The company had grown out of its premises<br />

again by 2003, so it moved into its current<br />

offi ces located just 400 meters away.<br />

The <strong>Bauerfeind</strong> offi ce in Haarlem.<br />

A chance to mingle after the symposium.<br />

Sparkling atmosphere at the gala evening.<br />

MEDICAL<br />

Reliable partner<br />

An enthusiastic skater, cyclist , skier and<br />

golfer, Bram Dieleman likes to draw comparisons<br />

between the company and elite<br />

athletes: they are always trying to raise the<br />

bar a little higher. But they can’t do this<br />

alone. Success always depends on having<br />

support , a good team and reliable partners.<br />

To thank its partners, in particular, for their<br />

good cooperation, <strong>Bauerfeind</strong> Benelux invited<br />

them to a symposium entitled “On the<br />

way to gold” on September 7. The theme of<br />

the event was the future of healthcare and<br />

medical supply. The guest speakers included<br />

Prof. C. Niek van Dijk (AMC Amsterdam),<br />

Prof. H. A. Martino Neumann (Erasmus<br />

Medical Center, Rotterdam), Johan de Wit<br />

(CVZ), Prof. Dr. Jan Willem Velthuijsen<br />

(PriceWaterhouseCoopers), Jan Schutrups<br />

(Schutrups, Exloo) and Prof. Hans B.<br />

<strong>Bauerfeind</strong>. The audience came from all<br />

over the world to gather in Haarlem, where<br />

they enjoyed the sincere Dutch hospitality<br />

and the glamorous atmosphere of the<br />

event , which was held in a large marquee.<br />

The anniversary celebrations fi nished on<br />

a successful note, with music, acrobatic<br />

performances and plenty of interesting<br />

conversation.<br />

†<br />

<strong>life</strong> magazine <strong>2012</strong>/2 21


MEDICAL<br />

Science and practice<br />

The foot as an interface<br />

‘I would like the term shin splints to be banned – there should be a law against it!’<br />

Daily Mail , 1.6.<strong>2012</strong>. Marathon man, Dr. Nat Padhiar has a dislike of the term shin<br />

splints and passion for exercise induced leg pain (EILP) in sport.<br />

He is extremely proud, though not of himself<br />

even though he has very good reason to be:<br />

Consultant Podiatric Surgeon at the Royal<br />

Hospital London, Fellow of the Faculty of<br />

Podiatric Surgery at the College of Podiatrists,<br />

Honorary Reader in the Centre<br />

for Sports and Exercise Medicine (CSEM),<br />

William Harvey Research Institute, Queen<br />

Mary, University of London and Clinical Lead<br />

for Podiatry at The London <strong>2012</strong> Olympic &<br />

Paralympic Games, the list is endless. But it<br />

is his children, rather than himself, who is<br />

the source of his pride – his son Ciaran aged<br />

15 years recently won his school’s annual<br />

Golf tournament. His proud father smiles<br />

and says, “Sport is very important in our<br />

family, it is important not only for health<br />

and fi tness, but also for things like team<br />

spirit , leadership and discipline” and Dr. Nat<br />

Padhiar should know. He has completed 34<br />

marathons and over 150 half marathons with<br />

two of the marathons on Mount Everest –<br />

from Gorak Shep (5164m) which is very near<br />

to Base Camp (5364m) to Namche Bazaar<br />

(3750m). “I have been running my whole<br />

<strong>life</strong>.” Tennis and cricket are among his other<br />

passions. And as a member of a medical<br />

team, he has also provided support at the<br />

World Student Games, Commonwealth Games,<br />

Island Games (Guernsey), Everest Marathon,<br />

Mongolia Sunrise to Sunset Marathon, London<br />

Marathon and London Triathlon.<br />

Shin splints – a dinosaur term<br />

Where do you start? “With the leg, of course!”<br />

Dr. Nat Padhiar has devoted the last 20 years<br />

of his career to researching different causes<br />

of EILP in sport and has completed a PhD<br />

investigating various aspects of Chronic<br />

Exertional Compartment Syndrome (CECS).<br />

Dr. Padhiar clarifi es in his interview with<br />

<strong>Bauerfeind</strong> <strong>life</strong> that shin splints is an umbrella<br />

term describing a number of conditions<br />

that cause EILP that can be associated with<br />

more than 35 different conditions. Each of<br />

these conditions requires a detailed history<br />

www.headshot-soho.co.uk<br />

and objective investigations to make a specifi<br />

c diagnosis in order to provide appropriate Dr. Nat Padhiar, Consultant Podiatric Surgeon at the Royal Hospital London.<br />

Pictures:<br />

22 <strong>life</strong> magazine <strong>2012</strong>/2


and effective treatment. As an expert in the<br />

fi eld based at his private clinic which he has<br />

named after his mentor and friend, The John<br />

King Centre for Leg Pain at BMI London Independent<br />

Hospital , he estimates that the use<br />

of the term shin splints is resulting in half of<br />

EILP cases being misdiagnosed.<br />

Science and practice<br />

Evidence-based practice: audit and research<br />

are an important and integral part of his<br />

practice. As a Reader in CSEM, Dr. Padhiar<br />

has supervised well over 200 research<br />

projects, published numerous papers, coauthored<br />

a chapter in a book and has a foot<br />

condition named after him, Crisp-Padhiar<br />

Syndrome. One of his current research<br />

projects is a prospective study looking at<br />

the effectiveness of Prolotherapy in Medial<br />

Tibial Stress Syndrome in combination with<br />

<strong>Bauerfeind</strong> VenoTrain compression stockings,<br />

where he explains ‘Prof Hargen’s study has<br />

shown that compression improves microcirculation<br />

and thus aids healing’.<br />

Breaking the vicious cycle<br />

Changing the subject to foot and ankle<br />

injuries in sport and the sort of conditions<br />

he is likely to encounter at the forthcoming<br />

London <strong>2012</strong> Olympic & Paralympic Games,<br />

he explains fi rstly the biomechanics of<br />

the foot and how it affects the lower limb<br />

kinetic chain. “The foot is the interface<br />

between the ground and the body. ‘Normal’<br />

relationships between body segments are<br />

a pre-requisite for ‘normal’ function. Any<br />

signifi cant deviation in position, structure<br />

or function may lead to abnormal compensation.<br />

This is change in position, structure of<br />

a part as a consequence of abnormality. This<br />

usually leads to mistiming of joint motion<br />

in the gait cycle, misalignment of joint , altered<br />

angle of muscle function and reduced<br />

capacity to withstand forces acting on that<br />

part. He gives an example, “An overpronated<br />

foot , for example, could be one of the causes<br />

of patella-femoral knee pain.”<br />

His approach to management appears to<br />

be quite simple, “Make a diagnosis (good<br />

history), defi ne the severity of the problem<br />

(imaging and investigations), reduce the<br />

pathology and pain (oral medication, injections<br />

& surgery), strengthen and stabilize<br />

(foot orthoses, braces & physiotherapy),<br />

reduce the pre-disposing factors for long<br />

term benefi t & prevention (core stability<br />

etc.) and rehabilitation back to sport”.<br />

Dynamic, just like <strong>life</strong> itself<br />

The fact that , for Dr. Padhiar, the foot or the<br />

lower extremity also forms the interface be-<br />

tween science and practice is demonstrated<br />

by him as he examines Kerrie-Ann Craddock,<br />

the rugby player from London Saracens RFC<br />

who suffers from chronic exertional compartment<br />

syndrome of the lower leg. Using a<br />

16g cannula, Dr. Padhiar inserts a Rorabeck<br />

catheter linked to a pressure transducer<br />

into the affected compartments to measure<br />

For further information<br />

MEDICAL<br />

the intra-compartment pressure both at<br />

rest and during exercise. He stresses the<br />

importance of collecting dynamic data with<br />

pressure tracing which allows for objective<br />

and meaningful evaluation of the results. He<br />

is very critical of the static systems widely<br />

Kerrie-Ann Craddock (right) suffers from chronic compartment syndrome in her lower leg.<br />

Using a cannula, Dr. Padhiar inserts a sensor into the t<strong>issue</strong> to measure the local pressure.<br />

used in Sports Medicine. Dr. Padhiar is again<br />

very proud of his Dynamic Intra-compartment<br />

Pressure testing system in The John<br />

King Centre which he partly developed himself<br />

with the help of a bright physicist , Tahir<br />

Mahmood. “It works just like <strong>life</strong> itself – and<br />

like <strong>Bauerfeind</strong> with its active orthoses,” he<br />

says with a smile: “dynamically.”<br />

†<br />

about Dr. Nat Padhiar and the BMI London Independent Hospital:<br />

www.londonsportscare.co.uk<br />

www.bmihealthcare.co.uk/lih<br />

<strong>life</strong> magazine <strong>2012</strong>/2 23


MEDICAL<br />

SofTec Coxa<br />

Innovative treatment of hip pain<br />

With the number of hip arthroscopies projected to double by 2013*, it is important that<br />

orthopedic surgeons employ post-operative treatment plans that increase patient compliance.<br />

Orthopedic surgeon Dr. Allston Stubbs evaluates approximately 1,500 patients per<br />

year and performs arthroscopic hip surgery on an average of 24 patients per month. Using<br />

<strong>Bauerfeind</strong>’s active hip orthosis SofTec Coxa as part of his post-operative treatment plan,<br />

he fi nds higher patient compliance and satisfaction.<br />

How common is sports-related hip pain?<br />

Dr. Stubbs: Sports-related hip pain is a<br />

common problem affecting a variety of ages<br />

and ability levels. The true prevalence is<br />

not known, but in my clinic our average age<br />

is about 30 years old, with women being<br />

slightly more affected than men.<br />

How has the treatment of hip pain changed in<br />

the last 15 years?<br />

Dr. Stubbs: Over the last 15 years, the<br />

treatment of hip pain has changed relative<br />

to a better understanding of the causes of<br />

hip pain and diagnostic tools. Also, a better<br />

awareness by medical providers and athletic<br />

trainers improved diagnostic capabilities.<br />

Highly-informed patients, utilizing tools now<br />

commonly found on the internet , are better<br />

able to direct their health care professionals<br />

to proper hip pain diagnosis and treatment.<br />

What common indications related to hip pain<br />

do you see on a regular basis at your clinic?<br />

Dr. Stubbs: My clinic primarily evaluates and<br />

treats patients with sports medicine-related<br />

hip conditions. It may be as self-limiting as<br />

a muscle strain or more involved, such as a<br />

cartilage tear. We do see hip arthritis as well ,<br />

but along a spectrum of the earliest stages<br />

to more progressed arthritis. Athletes with<br />

common cases of cartilage tears, such as<br />

femoroacetabular impingement , are evaluated<br />

and counseled on treatment options and<br />

their return to sport.<br />

Who is your typical patient?<br />

Dr. Stubbs: Our typical patient is active<br />

and passionate about <strong>life</strong>. Most patients are<br />

athletic in some capacity for fi tness, as the<br />

weekend warrior, and collegiate and professional<br />

athletes. Men and women are both<br />

affected. Our age range is typically 12 to 70<br />

years of age.<br />

24 <strong>life</strong> magazine <strong>2012</strong>/2<br />

Dr. Stubbs – Clinical study<br />

Dr. Allston Stubbs is Medical Director of<br />

Hip Arthroscopy for Wake Forest Baptist<br />

Health and Wake Forest University School<br />

of Medicine, and assistant professor in the<br />

Sports Medicine Program of the Department<br />

of Orthopaedic Surgery at Wake<br />

Forest University in Winston-Salem, North<br />

Carolina. An expert in hip arthroscopy,<br />

he has published orthopedic research,<br />

created instructional videos and lectured<br />

at conferences within the United States<br />

and abroad. As an active researcher,<br />

Dr. Stubbs is currently working with<br />

<strong>Bauerfeind</strong> on a clinical study involving<br />

the biomechanics of hip bracing. Results<br />

of the two-year-study are expected the<br />

summer of 2013. Understanding the<br />

biomechanical function of sports hip<br />

orthoses and its implicit effect on therapeutic<br />

post-operative recovery can help<br />

in improving the overall outcomes following<br />

hip arthroscopy procedures.<br />

How do you utilize <strong>Bauerfeind</strong> active orthoses<br />

as part of your protocols?<br />

Dr. Stubbs: We use the SofTec Coxa hip brace<br />

as a primarily post-operative orthosis. This<br />

<strong>Bauerfeind</strong> brace assists our patients by providing<br />

controlled range of motion, lumbopelvic<br />

support and lateral impact protection in<br />

the event of a collision or fall.<br />

You have tried other products. What makes the<br />

<strong>Bauerfeind</strong> product different , and why did you<br />

select its use over the others?<br />

Dr. Stubbs: We were having problems with<br />

patient compliance with the other hip supports<br />

we were using. We found that patient<br />

satisfaction and compliance was higher using<br />

the SofTec Coxa. Its ease of use, appropriate<br />

fi tting, comfort , and being a four-season<br />

brace gave the patient confi dence.<br />

What features and benefi ts are most important<br />

in use of the SofTec Coxa?<br />

Dr. Stubbs: We value patient satisfaction the<br />

most in our use of the SofTec Coxa hip brace.<br />

We feel the basis of high patient satisfaction<br />

relies on a brace that is well made of high<br />

quality materials, provides a “customized”<br />

feel and effectively transitions the patient<br />

“The design of the SofTec Coxa<br />

allows each patient to feel as<br />

if they have a personalized orthosis.”<br />

(Dr. Allston Stubbs)<br />

from the immediate post-operative period to<br />

the return to full activity.<br />

How does the design of the SofTec Coxa allow<br />

you to enhance patient treatment?<br />

Dr. Stubbs: The design of the SofTec Coxa<br />

allows each patient to feel as if they have a<br />

personalized orthosis. Most importantly, the<br />

fi t of the brace can be adjusted throughout<br />

Pictures: Nick Greenway


Orthopedic surgeon Dr. Allston Stubbs explains to his patient how to use the SofTec Coxa.<br />

the post-operative period. Further, the range<br />

of motion of the brace can be adapted to<br />

the patient’s needs and requirements. These<br />

qualities ensure a high patient compliance<br />

rate over the course of treatment.<br />

Most hip braces on the market are used for an<br />

average of 10 days. How long do your patients<br />

wear the SofTec Coxa for?<br />

Dr. Stubbs: The majority of our patients use<br />

the brace for six weeks. We encourage patients<br />

to use it whenever they fi nd it appropriate as<br />

they return to their favorite activities.<br />

Where do you see the future of arthroscopic<br />

hip treatment , and where do you see the role<br />

of active orthoses such as the SofTec Coxa in<br />

the future?<br />

Dr. Stubbs: Arthroscopic hip treatment<br />

continues to evolve as one treatment option<br />

for patients with hip pain. Orthoses such<br />

as the SofTec Coxa will continue to evolve<br />

with the advent of new techniques and<br />

For further information please contact:<br />

<strong>Bauerfeind</strong> USA (address, page 39)<br />

MEDICAL<br />

procedures. The SofTec Coxa is a valuable<br />

addition to our patient treatment program,<br />

and we’re excited to use it. Our patients are<br />

very pleased as well.<br />

†<br />

* The Journal of the American Academy of Orthopaedic<br />

Surgeons, June <strong>2012</strong>, Volume 6, Number 6.<br />

<strong>life</strong> magazine <strong>2012</strong>/2 25


MEDICAL<br />

AVE Orthopedische Klinieken, Huizen, the Netherlands<br />

“We have a face”<br />

Independent treatment centers are a specialty of the Netherlands. Their focus is on providing<br />

immediate and effi cient care for patients. With orthopedic problems in particular, the centers<br />

are able to make use of the advantages they have over public hospitals and private clinics.<br />

If you are visiting Arno van Lieshout at his<br />

place of work, you will be met with a surprising<br />

sight: no automatic doors, no long corridors,<br />

no stethoscope in his jacket pocket.<br />

The physician greets visitors in the very<br />

place where he welcomes his patients: at a<br />

large wooden desk in a well-lit offi ce. An examination<br />

couch, medical posters and a knee<br />

prosthesis are the only things that remind<br />

visitors they are in a hospital. This is deliberate.<br />

“We don’t have a hospital atmosphere,”<br />

says the orthopedic surgeon. “The patients<br />

like it that way. And so do we.”<br />

Arno van Lieshout works together with three<br />

other orthopedic specialists at the AVE<br />

Orthopedische Klinieken (AVE Orthopedic<br />

Clinics) – a so-called ‘ZBC’. The acronym<br />

stands for ‘Zelfstandig Behandel Centrum’ –<br />

an independent treatment center, which are<br />

common in the Netherlands. These centers<br />

started to appear in the 1980s. Alongside<br />

the public hospitals and private clinics,<br />

they form an important pillar of the Dutch<br />

healthcare system. There are now around 200<br />

of these small , independent clinics spread<br />

all over the country. Thanks to their fl exible<br />

structures, in most cases the ZBCs are able<br />

to treat patients more quickly and more effectively<br />

than larger hospitals. Even just the<br />

partnership of two specialists can constitute<br />

The knee orthosis SecuTec Genu.<br />

26 <strong>life</strong> magazine <strong>2012</strong>/2<br />

a ZBC. They are not private clinics, however.<br />

Just like other medical service providers,<br />

they are recognized by hospitals. Typically<br />

for an independent treatment center, facilities<br />

such as operating theaters are rented, or<br />

x-ray examinations are bought in and used<br />

for providing their own services.<br />

cated hip operations in ASA III patients are<br />

well taken care of by the hospitals, but we<br />

can complete a knee arthroscopy in healthy<br />

patients within fi fteen minutes. That saves<br />

both time and money.”<br />

But money is not everything, and the physician<br />

knows that too. “We are approachable,<br />

people can come to us,” he says. “They can<br />

call us, send us an e-mail or come in and see<br />

us. We have a face!”<br />

Anonymity in hospitals, the resulting unpopularity,<br />

immense cost increases – all of these<br />

factors were reasons for founding the ZBCs.<br />

Effi ciency, high quality and fl exibility is the<br />

motto here. Direct partnerships and costsaving<br />

collaborations are designed to help<br />

both the system and the patients equally. For<br />

example, AVE Orthopedische Klinieken work<br />

closely with regional hospitals and also with<br />

local medical supply retailers and physiotherapists.<br />

Patients don’t want to feel ill<br />

The AVE Orthopedische Klinieken, with their<br />

headquarters in Huizen, have several sites<br />

in the Netherlands. The one in Almere is<br />

an important branch. Situated around 20<br />

kilometers east of the gates of Amsterdam is<br />

a city with symbolic signifi cance: Almere is<br />

the fastest-growing city in the Netherlands.<br />

“Where you are now sitting was under water<br />

30 years ago,” Arno van Lieshout explains. In<br />

a huge land reclamation project , the ground<br />

on which Almere stands today was reclaimed<br />

from the Zuiderzeethe neighboring Lake<br />

Ijseel. According to the physician, the city’s<br />

200,000, predominantly young inhabitants Coherence of resources<br />

appreciate new structures – even in the Working collaboratively, it is important to<br />

healthcare system. “We often see young Arno van Lieshout and his colleages that<br />

sportsmen and women who have injured support is provided in the places where it<br />

themselves,” he says, describing his main cli- is needed most. That may be on site at a<br />

entele. “They don’t feel ill and don’t want to rented hospital bed or on AVE premises.<br />

be treated as people who are ill. They come The same applies where medical products<br />

to us because it is our job to solve problems are concerned: “With active supports and<br />

– and to solve them as quickly as possible.” knee orthoses, I can rely on the team at<br />

People often come to AVE for a second <strong>Bauerfeind</strong>,” says the physician. Admittedly<br />

opinion. And in many cases, the patient he needs the medical aid itself – such as the<br />

then stays with the AVE. “Just this morning SecuTec Genu knee orthosis, used to provide<br />

a patient came to me after a tibia correc- security following the fi tting of artifi cial<br />

tion to ask when would be the best time to cruciate ligaments – more than its bearer.<br />

remove the plate,” says Arno van Lieshout , But there is personal contact involved, for<br />

describing a particular case. “He had lost example with Edwin Mosterd, Sales Manager<br />

confi dence in the other physicians after they of <strong>Bauerfeind</strong> Netherlands, who symbolizes<br />

had damaged a nerve during the operation. all AVE activities: immediate, quick, and<br />

Now we will continue his treatment.” effective. And there is another medical aid in<br />

the <strong>Bauerfeind</strong> range that is ideal here. The<br />

An “approachable” physician<br />

GenuTrain, for example, the active support<br />

Continuing treatment that others are unwill- for the knee, fulfi lls the requirements that<br />

ing or unable to carry out is one thing, but the orthopedic clinic demands of itself:<br />

working with colleagues from the hospitals is “The support provides security in cases of<br />

another – and it is much more common. “It knee instability,” says Arno van Lieshout.<br />

is never the case that we can do everything “Security – that is exactly what we aim to<br />

better,” the physician concedes. “Compli- provide at AVE.”<br />

†<br />

Pictures: Stefan Durstewitz, <strong>Bauerfeind</strong>


Orthopedic specialist Arno<br />

van Lieshout works at the<br />

AVE Orthopedische Klinieken,<br />

Huizen.<br />

For further information please visit:<br />

MEDICAL<br />

www.ave-orthopedischeklinieken.nl<br />

See page 39 for contact information for <strong>Bauerfeind</strong> Benelux.<br />

<strong>life</strong> magazine <strong>2012</strong>/2 27


MEDICAL<br />

Picture: private<br />

28 <strong>life</strong> magazine <strong>2012</strong>/2<br />

Stuntwoman’s Promising Career Saved by MalleoTrain S<br />

Air Born<br />

Tally Rodin – model , acrobatic dancer, gymnast , stuntwoman<br />

– is not your typical teen. At 18 she has already planned<br />

her professional career, one that includes moving from<br />

Stouffville, Ontario, to Hollywood, California, to become a top<br />

notch stuntwoman. It is an unusual profession to be sure,<br />

but one that seems to suit the ambitious and multi-talented<br />

athlete. “Doing stunts is exhilarating,” said Tally. “It all feels<br />

very natural to me.” A <strong>Bauerfeind</strong> brace helped to save her<br />

career. >>>


MEDICAL<br />

Tally Rodin doing a handstand during a contemporary solo.<br />

<strong>life</strong> magazine <strong>2012</strong>/2 29


MEDICAL<br />

MalleoTrain S: Active support for greater ankle stability and security during physical activity.<br />

>>> Already an accomplished professional<br />

with gigs in her portfolio like dancing,<br />

modeling and performing as a stuntwoman<br />

in a Sunny D TV and internet commercial ,<br />

Tally’s love of the art of movement began<br />

at a very early age. “I didn’t want to be<br />

left behind when my seven-year-old sister<br />

Samantha took dance lessons, so when I was<br />

two, I asked my parents to sign me up. But<br />

it wasn’t until I turned two and a half that<br />

I was fi nally old enough to begin lessons,”<br />

said Tally. She was unstoppable from that<br />

moment on.<br />

Dance and gymnastics soon became a<br />

routine part of her after-school day, and as<br />

a teen, she spent from 3 to 10 pm every day<br />

in the gym and studio. Her accomplishments<br />

out of the studio, including amateur and professional<br />

dance, acting, martial arts, stunts<br />

and modeling for fi lm, television and stage<br />

productions, led to her becoming something<br />

of a celebrity in her community.<br />

Ankle injury<br />

But Tally’s hard work all came crashing down<br />

two years ago. “I was practicing around<br />

my home on the grass when I landed a full<br />

back layout with 360 spin. I landed too<br />

far forward and felt and heard a snap or<br />

For further information please visit:<br />

www.tallyrodin.com<br />

30 <strong>life</strong> magazine <strong>2012</strong>/2<br />

pop. I collapsed to the ground. Right away<br />

I couldn’t walk. I thought , ‘Oh, my God,<br />

my foot’s broken.’ I was only 16 and had<br />

already started my career by teaching dance,<br />

gymnastics, and being a stunt person. I was<br />

devastated,” she recalled.<br />

Tally had a micro tear in the tibialis posterior<br />

Tally Rodin, dancer and stunt woman from<br />

Canada.<br />

tendon of her right ankle. It was her fi rst<br />

injury. As fate would have it , just a week<br />

later she had a trip booked to Los Angeles to<br />

participate in an intensive dance workshop.<br />

Once she could walk, though still in pain, she<br />

went straight to the studio and took out al-<br />

“It fi ts perfectly and worked<br />

unlike any other product I<br />

previously tried.”<br />

(Tally Rodin)<br />

most everything that involved her right foot.<br />

At the competition, she froze her ankle with<br />

a gel and competed on it. She admitted it<br />

was the worst decision she ever made.<br />

“I then bought the cheap braces you get at<br />

a pharmacy, wore those in LA and just sat<br />

out when my ankle was in too much pain<br />

to handle. Other than that , I was using the<br />

R.I.C.E. technique (Rest , Ice, Compression,<br />

Elevation) as much as possible,” she said.<br />

“The MalleoTrain S was my <strong>life</strong> saver”<br />

But her ankle wasn’t healing. Tally’s father,<br />

Harley, went online to fi nd a brace that could<br />

support his daughter’s ankle and help it<br />

heal. He discovered the <strong>Bauerfeind</strong> website<br />

and the MalleoTrain S compression brace. A<br />

local podiatrist confi rmed that the support it<br />

provided was just what Tally needed.<br />

“After using the product , I was very happy. It<br />

gave me a lot of relief, and every time it was<br />

on I stopped worrying about re-injuring my<br />

ankle,” said Tally.<br />

It has been two long years since her injury,<br />

but Tally is recovering. Along with wearing<br />

the MalleoTrain S, undergoing physiotherapy<br />

and one PRP injection (Platelet Rich<br />

Plasma), her professional days are looking<br />

brighter. She was back into her full training<br />

schedule at the end of July.<br />

“I thought my acrobatic dancing and professional<br />

stunt work career was over,” said Tally.<br />

“The MalleoTrain S* was my <strong>life</strong> saver because<br />

it provided the ankle support I needed<br />

to continue my extensive training program,<br />

and it allowed my ankle to heal. It fi ts perfectly<br />

and worked unlike any other product<br />

I previously tried. I’m looking forward to<br />

returning to my peak performance level , and<br />

I have incredible respect for the MalleoTrain<br />

S for saving my career.”<br />

†<br />

* <strong>Bauerfeind</strong> worked with Tally Rodin to produce a neutralcolored<br />

MalleoTrain S especially for her that she could wear<br />

in competition. The company is now further developing this<br />

version for use by athletes who participate in martial arts,<br />

dance and gymnastics.<br />

Picture: Lee Cherry, <strong>Bauerfeind</strong>, Wolfgang Maxwitat


Recognition for Prof. Waldemar L. Olszewski<br />

“Appreciation for an underestimated<br />

specialist fi eld”<br />

Prof. Waldemar L. Olszewski is to be awarded the Ratschow Memorial Medal for his <strong>life</strong>’s work,<br />

at the annual conference of the Deutsche Gesellschaft für Phlebologie (German Society of<br />

Phlebology) on September 21, <strong>2012</strong>. With his work over the decades, Prof. Olszewski has made<br />

a a signifi cant contribution to the fi eld of lymphology.<br />

The particular interest Prof. Waldemar L. Olszewski<br />

has shown in the human lymph system<br />

and everything connected with it dates back<br />

to the start of his medical studies. “The textbooks<br />

contained plenty of information about<br />

the circulation of the blood, but nothing<br />

about what goes on in the interstitial space,”<br />

recalls Prof. Olszewski, who is currently a<br />

professor at the Medical Research Center of<br />

the Polish Academy of Sciences in Warsaw.<br />

“What happens there? How does the intercellular<br />

fl uid from t<strong>issue</strong> fi nd its way back into<br />

the circulatory system, and what are the forces<br />

driving this fl uid? These questions bothered<br />

me. Not to mention the unresolved questions<br />

about the chemistry of lymph. This is how I<br />

later became concerned with disorders of the<br />

lymphatic system, particularly lymphedemas.”<br />

Basic research<br />

Over the following decades, the physiology<br />

and surgery of the lymphatic system<br />

became one of Prof. Olszewski’s main areas<br />

of scientifi c and clinical interest. Numerous<br />

groundbreaking discoveries in lymphology<br />

can be traced back to him. For example, he<br />

made the discovery that the human lymph<br />

system is subject to spontaneous, rhythmic<br />

contractions. Prof. Olszewski also developed<br />

the procedure for lymphovenous anastomosis<br />

and conducted research into the chemistry<br />

of human lymph, as well as into the hydraulic<br />

contractility of subcutaneous t<strong>issue</strong>.<br />

Even the policy of administering low-dose<br />

penicillin over long periods, now practiced<br />

with great success in a number of Asian<br />

countries, to help prevent chronic derma-<br />

The Ratschow<br />

Memorial Medal<br />

MEDICAL<br />

The Curatorium Internationalis<br />

Angiologiae has<br />

awarded the Ratschow<br />

Commemorative Medal<br />

every year since 1969. The<br />

medal recognizes particularly<br />

deserving scientists<br />

from the fi eld of vascular<br />

medicine and associated<br />

disciplines for their <strong>life</strong>’s<br />

work. For many years<br />

<strong>Bauerfeind</strong> AG has been a<br />

patron of the foundation<br />

awarding the medal.<br />

Dr. Hans-Jürgen Thomä,<br />

<strong>Bauerfeind</strong>, Prof. Dr. Dr. h.c.<br />

Kurt-Udo Tiedjen, award<br />

winner Prof. Dr. Waldemar<br />

L. Olszewski and Prof. Dr.<br />

Eberhard Rabe (f. l. t. r.).<br />

titis and lymphangitis was inspired by him<br />

and his work on the bacteriology of human<br />

lymph.<br />

“Lymphological research is actually more of<br />

a hobby of mine, albeit one I am really enthusiastic<br />

about ,” explains Prof. Olszewski,<br />

in spite of these various successes. “Vascular<br />

surgery is my bread and butter.”<br />

And on this point he voices his fundamental<br />

criticism: “The world of academic science<br />

has totally underestimated the fi eld of<br />

lymphology. This is gradually starting to<br />

change. As such, I feel that being recognized<br />

with the Ratschow Medal is not just<br />

a great personal honor, but also shows<br />

signifi cant appreciation of a specialist fi eld<br />

that has often failed to get the recognition<br />

it deserves.”<br />

†<br />

<strong>life</strong> magazine <strong>2012</strong>/2 31


MEDICAL<br />

Winter sport injuries<br />

Stabilization, movement and healing<br />

Fast , faster, fastest. In skiing, continuously enhanced materials, well-prepared slopes<br />

and artifi cial snow all help fulfi ll this need for speed. These factors may not bring injury<br />

statistics down to zero, but medical treatment options have also been developed further.<br />

<strong>Bauerfeind</strong> <strong>life</strong> discussed this topic with Dr. Gerhard Oberthaler, a trauma surgeon and<br />

team physician for the Austrian Ski Association.<br />

You provide support for the players in the Red<br />

Bull Salzburg ice hockey team, along with<br />

Ludwig Paischer, a successful <strong>international</strong><br />

judoka, and the athletes of the Austrian Ski<br />

Association. What are the particular challenges<br />

facing a team physician when it comes<br />

to winter sports?<br />

Dr. Gerhard Oberthaler.<br />

Dr. Gerhard Oberthaler: Naturally, I have<br />

to be able to ski safely myself, so I can get<br />

medical supplies to injured skiers on diffi cult<br />

and icy slopes quickly and safely.<br />

Are there fundamental differences between<br />

the injuries suffered by novice skiers and<br />

professionals?<br />

Dr. Gerhard Oberthaler: You might assume<br />

that professional athletes ski faster and are<br />

more willing to take risks, meaning that they<br />

are more likely to suffer more serious injuries<br />

than amateur skiers. However, amateurs<br />

often misjudge their own abilities, which can<br />

result in accidents both on- and off-piste.<br />

Better slope preparation and the use of<br />

artifi cial snow also encourage faster skiing,<br />

32 <strong>life</strong> magazine <strong>2012</strong>/2<br />

thus increasing the chance of accidents at<br />

higher speeds.<br />

So what are the most common winter sport<br />

injuries?<br />

Dr. Gerhard Oberthaler: Trivial injuries<br />

like sprains, bruises, torn muscle fi bers or<br />

sprains are the most notable ones. Naturally,<br />

we also see serious injuries to joints and<br />

ligaments or even broken bones. The higher<br />

the speed at which the accident or collision<br />

takes place, the more likely it is that serious<br />

injuries will occur, such as fractures in the<br />

thighs, spine and hips.<br />

Are there different types of injuries in Alpine<br />

skiing and snowboarding?<br />

Dr. Gerhard Oberthaler: Yes, completely different.<br />

Alpine skiers are more likely to injure<br />

their knees or shins, while snowboarders’<br />

vulnerable points are their wrists and arms.<br />

This also explains why, in terms of statistics,<br />

knee injuries are the most common injuries<br />

in winter sports, but injuries to hands and<br />

arms combined occur almost as frequently.<br />

Is it possible to identify a trend in this regard<br />

over the years?<br />

Dr. Gerhard Oberthaler: With the changes<br />

to equipment and technical possibilities,<br />

there has also been a shift in terms of injuries.<br />

Take ski boots, for example: previously,<br />

the leverage forces acting on the edge of the<br />

ski boots often led to fractures in the tibia,<br />

particularly what are known as boot-top<br />

fractures. Over the years, ski boots have been<br />

cut higher and higher to transfer the force<br />

more effectively to the ski. This has shifted<br />

injuries upward, from the lower leg toward<br />

the knee. Too much pressure on the skier<br />

during skiing can therefore cause tears in<br />

the cruciate ligaments, even without a fall.<br />

Has your work as a trauma surgeon also<br />

changed?<br />

Dr. Gerhard Oberthaler: Medicine has naturally<br />

developed enormously over the past<br />

20 years. We now have more refi ned surgical<br />

technology and better, that is to say more<br />

conservative, medical aids and therapies<br />

at our disposal. Today, many operations are<br />

performed as non-invasively as possible by


means of keyhole surgery. In terms of the<br />

knee, for example, arthroscopic surgery can<br />

be performed on a meniscus or cruciate<br />

ligament injury. Previously, far more injuries<br />

were treated using plaster casts, a method<br />

which brought with it a number of disadvantages.<br />

With the use of metal implants, i.e.<br />

screws, plates, etc., we can achieve faster<br />

rehabilitation.<br />

What does this mean in concrete terms?<br />

Dr. Gerhard Oberthaler: Let’s take the<br />

“classic” hand injury, skier’s thumb, as an example.<br />

This is a tear in the fi rst metacarpophalangeal<br />

joint , and surgery is unavoidable<br />

in this case. Previously, the patient would<br />

have been given a plaster cast , which would<br />

have been very restrictive in terms of daily<br />

<strong>life</strong>. It would be fi ve weeks at the earliest<br />

before rehabilitation could begin, after the<br />

plaster cast was removed. Today, by contrast ,<br />

patients’ symptoms can be completely eradicated<br />

after just fi ve weeks. This is partly due<br />

to the use of stabilizing orthoses.<br />

Could you explain how they are used in more<br />

detail?<br />

Dr. Gerhard Oberthaler: Metal or bioresorbable<br />

implants now ensure that joints<br />

are stabilized directly after an operation,<br />

MEDICAL<br />

with orthoses providing additional support.<br />

Although using a thumb orthosis such<br />

as RhizoLoc reduces mobility in the fi rst<br />

metacarpophalangeal joint , it speeds up the<br />

healing process. The reason for this is that<br />

the movement of the joint can be controlled,<br />

which has a positive effect on the metabolism,<br />

improving the blood supply to the joint<br />

so that it can regain its functionality more<br />

easily. Orthoses are also extremely useful<br />

for treating strains and supporting muscles.<br />

Patients enjoy a better quality of everyday<br />

<strong>life</strong> right from the start as, in contrast to<br />

a plaster cast , orthoses can be temporarily<br />

removed for washing.<br />

†<br />

Snowboarders’ vulnerable points<br />

are their wrists and arms.<br />

Pictures: private, f1online/Imagebroker RM<br />

<strong>life</strong> magazine <strong>2012</strong>/2 33


MEDICAL<br />

Lymphedema treatment in Australia<br />

“ Treatment from an early stage<br />

is essential”<br />

The ALA (Australasian Lymphology Association) is the peak professional body promoting best<br />

practice in the management , research and education of lymphoedema and works towards<br />

increasing public awareness of the condition throughout Australia and New Zealand.<br />

Penelope Sanderson, Manager of the Mercy Health Lymphoedema Clinic in Melbourne, Victoria, with one of her young patients.<br />

“Australia is a very large country geographically,<br />

with only 22 million people, and the<br />

healthcare system is governed individually<br />

by each of the seven states and territories.<br />

There are differences for people accessing<br />

lymphedema treatment and fi nancial support<br />

in each state,” explains Penelope Sanderson,<br />

who has served as President of the association<br />

over the past two years.<br />

The ALA was established in 2000, after a<br />

<strong>Bauerfeind</strong><br />

ALA is working toward a number of initia-<br />

thorough preparation phase, to ensure that tives designed to boost training, manage-<br />

Pictures:<br />

34 <strong>life</strong> magazine <strong>2012</strong>/2<br />

lymphology gains the important status it deserves<br />

and the recognition it requires across<br />

Australia. <strong>Bauerfeind</strong> supports the work of<br />

the ALA as a Corporate Member..<br />

Extensive campaigning<br />

As the leading association of all professionals<br />

involved in the fi eld of lymphology<br />

throughout Australia and New Zealand, the<br />

ment and research in this area. Two years<br />

ago, for example, the ALA introduced the<br />

National Lymphoedema Practitioners Register<br />

(NLPR), a publicly accessible website<br />

register of lymphedema practitioners who<br />

have been accredited in accordance with<br />

the requirements of the ALA. “This is an<br />

important step toward building a network<br />

of therapists,” Penelope Sanderson is keen<br />

to stress, “which enables both patients and<br />

healthcare professionals to get in touch with


the experts who are qualifi ed to deal with<br />

their requirements.” The ALA also has a key<br />

role to play in raising public awareness of<br />

the crucial importance of diagnosing and<br />

treating lymphedema at an early stage. “This<br />

was part of our highly successful inaugural<br />

Lymphoedema Awareness Campaign in <strong>2012</strong>,<br />

which received extensive coverage in the<br />

media – both on television and in the local<br />

and national press – as well as on our own<br />

Facebook page,” says Penelope Sanderson.<br />

“The essential points were to provide the<br />

public with information about the fi rst<br />

warning signs of lymphedema and about how<br />

important it is to start treatment early, to<br />

prevent the condition from progressing.”<br />

Lymphatic compression<br />

treatment in Australia<br />

<strong>Bauerfeind</strong> has been established in the<br />

Australian market for almost fi ve years<br />

and in this time has worked closely<br />

with the LCGP. The VenoTrain curafl ow<br />

product range has been widely used and<br />

been approved to provide patients with<br />

high-quality custom-made lymphatic<br />

treatment. The strong, fi nely meshed knit<br />

of these garments combines excellent<br />

elasticity with optimally controlled surface<br />

pressure. Thanks to its high microfi<br />

ber content , latex-free materials and<br />

special comfort zones, VenoTrain curafl ow<br />

sets new standards in patient-friendly<br />

lymphatic therapy.<br />

Financial support program<br />

For those affected by lymphedema, however,<br />

early treatment by lymphedema practitioners<br />

is only the fi rst step. In the next stage, as<br />

part of their therapy, they may also need to to fulfi ll certain criteria. They must be shown<br />

wear compression products that they can rely to exert controlled pressure in accordance<br />

on. Due to the nature of their design, these with the RAL quality assurance standards, for<br />

compression products only have a limited example. Their quality also has to be verifi ed<br />

serviceable <strong>life</strong>, which means that they must in accordance with the Oeko-Tex Standard<br />

be replaced every six months on average. 100 or an equivalent standard. Lymphedema<br />

Penelope Sanderson, who is Manager of the patients who reside permanently in the state<br />

Mercy Health Lymphoedema Clinic in Mel- of Victoria and receive a pension or only a<br />

bourne, Victoria, heads up a multidisciplinary low income are eligible for fi nancial support<br />

team specializing in treating lymphedema from the program. Depending on a number of<br />

patients. “Here at the Mercy Health Lymph- factors, the LCGP covers part of the costs of<br />

oedema Clinic, we often found that , while the compression products.<br />

patients were certainly willing to undergo<br />

treatment , they could not afford the costs of Children as lymphatic patients<br />

compression products on a long-term basis,” In her work, Penelope Sanderson focuses<br />

says Penelope. “ Together with our patients particular attention on lymphological<br />

and the Lymphoedema Association of Victo- treatment for children. “In recent years,<br />

ria (consumer group) we lobbied the govern- more and more children and young people<br />

ment to set up a fund to fi nance the costs have come to us with lymphatic problems.<br />

of compression products for lymphedema In numerical terms, they still don’t make up<br />

treatment. We had to apply a bit of pressure a large proportion of our patients, but these<br />

before the government eventually decided,<br />

after the completion of a pilot scheme, to<br />

provide long-term fi nancing for such a fund.<br />

The result is the Lymphoedema Compression<br />

Garment Program (LCGP) set up to address<br />

the <strong>issue</strong>s for patients on low incomes to<br />

receive fi nancial assistance for compression<br />

stockings.”<br />

It is important that the funding is used to<br />

promote effective and targeted therapy.<br />

Products endorsed by the LCGP therefore have<br />

VenoTrain curafl ow<br />

For further information please visit:<br />

www.lymphology.asn.au (ALA website)<br />

www.nlpr.asn.au (NLPR website)<br />

MAS Medical , the exclusive <strong>Bauerfeind</strong> distributor:<br />

www.bauerfeind.com.au<br />

MEDICAL<br />

young people have to undergo treatment for<br />

the rest of their lives,” she says, outlining<br />

the situation. “That’s why it is important<br />

for treatment to begin at an early stage,<br />

and for the children and their families to<br />

be provided with training and support in<br />

“ It is important that the funding<br />

is used to promote effective and<br />

targeted therapy.” (Penelope Sanderson)<br />

handling compression products. Those<br />

affected are often completely overwhelmed<br />

at fi rst when they fi nd out that this is a<br />

chronic condition. Here at the clinic, we<br />

provide psychological support , as well as<br />

advising families on how to deal with a<br />

healthcare system that is sometimes far<br />

from straightforward.”<br />

†<br />

<strong>life</strong> magazine <strong>2012</strong>/2 35


IN MOTION<br />

Picture: Corbis/Darryl Leniuk<br />

36 <strong>life</strong> magazine <strong>2012</strong>/2<br />

Pictures: <strong>Bauerfeind</strong>


The outdoor <strong>life</strong> – diving<br />

Another world<br />

It is like anything else: you need to look under the<br />

surface to see how things really are. This is particularly<br />

true of diving. Anyone penetrating the surface of the<br />

sea fi nds they are diving into another world.<br />

The ritual is always the same: the fi nal check, turning on the oxygen valve,<br />

donning the diving goggles, putting the mouthpiece in place. The leap<br />

from the boat into the sea is liking traveling through time to enter a whole<br />

new world, a world which cannot even be described properly when standing<br />

on the boat. The world beneath the sea is a self-enclosed habitat. We, the<br />

divers, are merely guests in this world full of color, fi sh, and <strong>life</strong>. >>><br />

IN MOTION<br />

<strong>life</strong> magazine <strong>2012</strong>/2 37


IN MOTION<br />

Are the oxygen reserves and pressure readings in the green? The diver uses special hand signals to give the OK.<br />

>>> The seas around the Earth offer countless<br />

sites for diving, and every diver can fi nd<br />

something to enjoy under the water. Some<br />

like the brightly colored coral and its bizarre<br />

shapes or the comical clownfi sh in the poisonous<br />

anemones. Others like the different<br />

kinds of sharks, the mantas, and barracudas.<br />

There are also those who like the hollows,<br />

grottos, and underwater labyrinths, while<br />

others get their kicks by exploring old shipwrecks.<br />

Wreck diving is one of the greatest<br />

fascinations for sports divers. It gives divers<br />

the chance to really indulge their appetite<br />

for adventure and discovery. It is impossible<br />

to describe the feeling of diving down to a<br />

wreck, when that initial hazy image becomes<br />

ever more detailed and clearer the closer you<br />

approach.<br />

Wrecks at sea always have their own special<br />

story to tell: the story of their <strong>life</strong>, their<br />

destruction, and their watery burial. Rather<br />

more controversial , although genuinely<br />

thrilling, is cage diving with white sharks,<br />

which mainly takes place off South Africa<br />

and South Australia. These gigantic sharks<br />

with their cold eyes and huge teeth send a<br />

shiver down the spine, even in the warmest<br />

of water. The more varied a diver’s ambitions<br />

For further information:<br />

Various diving associations offer open-water diving courses. Most<br />

diving sport associations have the relevant authorization. The openwater<br />

diving training and certifi cation provided by PADI (Professional<br />

Association of Diving Instructors, www.padi.com) is recognized by<br />

scuba drivers around the world. PADI is also the world’s biggest member<br />

organization for sports diving. Professional PADI members make up the<br />

majority of sports divers around the world and <strong>issue</strong> more than 900,000<br />

certifi cates every year.<br />

38 <strong>life</strong> magazine <strong>2012</strong>/2<br />

are, the more varied their list of favorite<br />

diving spots will be.<br />

Selected diving hot spots<br />

A very interesting diving area, which is also<br />

close to Europe, is the Red Sea. Egypt is an<br />

ideal base from which to access the many<br />

reefs and wrecks, as well as being an affordable<br />

holiday destination with a very good<br />

tourism infrastructure in the holiday regions.<br />

There is a resort to suit practically all pockets<br />

and more diving bases than you could wish<br />

for.<br />

Even little Bonaire has almost 100 diving<br />

sites, many of which can be accessed from<br />

land. Bonaire is something of a dream island<br />

for diving fanatics. Located in the southern<br />

part of the Caribbean just 80 kilometers north<br />

of Venezuela, the island forms part of the<br />

Dutch Caribbean (formerly the Dutch Antilles),<br />

along with Aruba and Curaçao. Seen from<br />

above, Bonaire looks like a giant boomerang<br />

drifting on the sea. During September and<br />

October, the “coral spawning” is the kind of<br />

event to attract divers who like the sport for<br />

its contact with the living, natural world.<br />

Set in the Indian Ocean to the south west of<br />

India, the Maldives offer some tremendous<br />

sites of natural beauty with their living reefs.<br />

The annual average temperature for the<br />

Maldives is around 28 degrees. The temperature<br />

never drops below 25 degrees and water<br />

temperatures remain constant at 28 degrees.<br />

In other words, a little piece of paradise.<br />

Far more lively than the Maldives is the<br />

Divers’ paradise: the Maldives.<br />

world’s largest and best-known diving hot<br />

spot , the Great Barrier Reef off the east coast<br />

of Australia, which at over 2,000 kilometers<br />

long offers countless areas for diving. More<br />

than two million diving and snorkeling fans<br />

slide into the clear water of the Great Barrier<br />

Reef every year to enjoy the colorful coral and<br />

the limitless variety of fi sh.<br />

Getting started is easy<br />

Those new to diving are best advised to<br />

complete their diving training at a local diving<br />

school. Anyone wishing to start a diving<br />

course during a foreign holiday, however,<br />

would do well if possible to try and fi nd a diving<br />

course which teaches the basics in their<br />

own language, since some knowledge of the<br />

theory could literally save their lives. Providing<br />

you stick to the rules you have learned,<br />

diving should be more fascinating than<br />

dangerous. Arrogance and overconfi dence are<br />

what make it dangerous.<br />

†<br />

Pictures: Fotolia/JonMilnes/traveller


Adresses:<br />

<strong>Bauerfeind</strong> worldwide<br />

<strong>Bauerfeind</strong> AG<br />

Triebeser Strasse 16<br />

07937 Zeulenroda-Triebes<br />

Germany<br />

Phone +49 (0) 36628-66-10 00<br />

Fax +49 (0) 36628-66-19 99<br />

E-mail info@bauerfeind.com<br />

Austria<br />

<strong>Bauerfeind</strong> Ges.m.b.H.<br />

Hainburger Strasse 33<br />

A-1030 Vienna<br />

Phone +43 (0) 800 44 30 130<br />

Fax +43 (0) 800 44 30 131<br />

E-mail info@bauerfeind.at<br />

Benelux<br />

<strong>Bauerfeind</strong> Benelux B.V.<br />

Waarderveldweg 1<br />

NL-2031 BK Haarlem<br />

Netherlands<br />

Phone +31 (0) 23 531 94 27<br />

Fax +31 (0) 23 532 19 70<br />

E-mail info@bauerfeind.nl<br />

www.bauerfeind.nl<br />

Belgium<br />

Phone +32 (0) 2 527 40 60<br />

Fax +32 (0) 2 502 94 10<br />

E-mail info@bauerfeind.be<br />

www.bauerfeind.be<br />

Bosnia and Herzegovina<br />

<strong>Bauerfeind</strong> d.o.o.<br />

Midžić Mahala 133<br />

BA-77000 Bihać<br />

Phone +387 (0) 37 313 198<br />

Fax +387 (0) 37 319 074<br />

E-mail bauerfeind@bosnia.ba<br />

<strong>Bauerfeind</strong> d.o.o.<br />

Ul. Nikole Pašića 34<br />

BA-78000 Banja Luka<br />

Phone +387 (0) 51 327 720<br />

Fax +387 (0) 51 327 721<br />

E-mail banjaluka@bauerfeind.ba<br />

<strong>Bauerfeind</strong> – Mostar d.o.o.<br />

Kralja Tvrtka 24<br />

BA-88000 Mostar<br />

Phone +387 (0) 36 334 277<br />

Fax +387 (0) 36 334 276<br />

Croatia<br />

<strong>Bauerfeind</strong> d.o.o.<br />

Goleška 20<br />

HR-10020 Zagreb<br />

Phone +385 (0) 1 65 42 855<br />

Fax +385 (0) 1 65 42 860<br />

E-mail info@bauerfeind.hr<br />

France<br />

<strong>Bauerfeind</strong> France S.A.R.L.<br />

B.P. 50258<br />

F-95957 Roissy CDG Cedex<br />

Phone +33 (0) 1 48 63 28 96<br />

Fax +33 (0) 1 48 63 29 63<br />

E-mail info@bauerfeind.fr<br />

Italy<br />

<strong>Bauerfeind</strong> GmbH & Co.<br />

Filiale Italiana<br />

Via Po 9<br />

I-20871 Vimercate (MB)<br />

Phone +39 039 6 08 12 52<br />

Fax +39 039 6 08 26 68<br />

E-mail info@bauerfeind.it<br />

Nordic<br />

<strong>Bauerfeind</strong> Nordic AB<br />

Roslagsgatan 24<br />

SE-113 55 Stockholm<br />

Phone +46 (0) 774-100 020<br />

Fax +46 (0) 774-100 021<br />

E-mail info@bauerfeind.se<br />

Republic of Macedonia<br />

<strong>Bauerfeind</strong> Dooel Skopje<br />

50 Divizija 24 a<br />

MK-1000 Skopje<br />

Phone +389 (0) 2 3179 002<br />

Fax +389 (0) 2 3179 004<br />

E-mail info@bauerfeind.mk<br />

Serbia<br />

<strong>Bauerfeind</strong> d.o.o.<br />

Miloja Djaka 6<br />

CS-11000 Beograd<br />

Phone +381 (0) 11 26 65 999<br />

Fax +381 (0) 11 26 69 745<br />

E-mail info@bauerfeind.co.yu<br />

Singapore<br />

<strong>Bauerfeind</strong> Singapore Pte Ltd.<br />

Blk 41 Cambridge Road<br />

#01-21 Singapore 210041<br />

Phone +65 6396 3497<br />

Fax +65 6295 5062<br />

E-mail info@bauerfeind.com.sg<br />

Slovenia<br />

<strong>Bauerfeind</strong> d.o.o.<br />

Cvetkova 25<br />

SI–1000 Ljubljana<br />

Phone +386(0) 1 4272 941<br />

Fax +386(0) 1 4272 951<br />

E-mail info@bauerfeind.si<br />

Spain<br />

<strong>Bauerfeind</strong> Ibérica, S.A.<br />

Historiador Diago 13<br />

E-46007 Valencia<br />

Phone +34 96 385 66 33<br />

Fax +34 96 385 66 99<br />

E-mail info@bauerfeind.es<br />

Switzerland<br />

<strong>Bauerfeind</strong> AG<br />

Vorderi Böde 5<br />

CH-5452 Oberrohrdorf<br />

Phone +41 (0) 56 485 82 42<br />

Fax +41 (0) 56 485 82 59<br />

E-mail info@bauerfeind.ch<br />

United Arab Emirates<br />

<strong>Bauerfeind</strong> Middle East FZ-LLC<br />

Dubai Healthcare City<br />

P.O. Box 505116, UAE-Dubai<br />

Phone +971 4 4335 685<br />

Fax +971 4 4370 344<br />

E-mail info@bauerfeind.ae<br />

United Kingdom<br />

<strong>Bauerfeind</strong> UK<br />

Phyllis House<br />

229 Bristol Road<br />

GB-Birmingham B5 7UB<br />

Phone +44 (0) 121 446 53 53<br />

Fax +44 (0) 121 446 54 54<br />

E-mail info@bauerfeind.co.uk<br />

USA<br />

<strong>Bauerfeind</strong> USA, Inc.<br />

3005 Chastain Meadows Parkway<br />

Suite 700<br />

Marietta, GA 30066<br />

Phone 1 800 423 34 05<br />

Phone (770) 429 83 30<br />

Fax (770) 429 84 77<br />

E-mail info@bauerfeindusa.com<br />

SERVICE<br />

<strong>life</strong> magazine <strong>2012</strong>/2 39


MEDICAL COMPRESSION STOCKINGS<br />

Motion is Life: www.bauerfeind.com<br />

� —— Vena poplitea<br />

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medical compression stockings:<br />

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