Rheumatology in Berlin

Rheumatology is a branch of medicine that focuses on the diagnosis and therapy of conditions that affect joints, bones, tendons, ligaments, and muscles, including those known as rheumatic diseases, or autoimmune conditions. Physicians who have had special training in rheumatology are called rheumatologists. Some of the conditions that rheumatologists diagnose and treat include:

Chronic back pain, Lupus, Inflammatory arthritis of the hips, knee, or shoulders, Rheumatoid arthritis, Tendinitis, Osteoporosis, Psoriatic arthritis, Osteoarthritis, Giant cell arteritis, Bursitis, Scleroderma, Behcet’s disease, Polymyalgia rheumatic, Paget’s disease, Polymyositis, Dermatomyositis, Ankylosing spondylitis, Gout, Reiter’s syndrome, Sjogren’s syndrome, Reactive arthropathies, Sarcoidosis, Idiopathic juvenile arthritis.

While rheumatologists diagnose and treat rheumatic diseases, they do not perform surgery. They perform examinations and procedures that help them diagnose, manage, and treat rheumatic conditions. These include:

• Complete physical exams.
• Lab tests, which usually involve taking samples of joint fluid, urine, or blood to check for anti-cyclic citrullinated peptides (anti-CCP) antibodies, synovial fluid, rheumatoid factor, erythrocyte sedimentation rate (ESR), and C-reactive protein.
• Imaging tests, such as X-rays, CT scans, MRIs, bone density scans (DXA), or ultrasounds.
• Lumbar punctures.
• Joint aspiration.
• Synovial biopsy.
• Joint injections.
• Bursal injections.
• Hyaluronic acid injections.

How Long Should I Stay in Berlin?

Rheumatology procedures are usually performed on an outpatient basis, meaning you should be able to leave the hospital or clinic on the same day. Depending on your condition and the type of procedure you will have, you may also be allowed to travel home immediately after. However, it is generally recommended that you stay for 2 to 7 days as you may need to attend a follow-up appointment to discuss the test results with your rheumatologist (if you undergo a diagnostic test) or to monitor your condition.

What's the Expected Recovery Time?

The recovery time depends on your specific condition. After the rheumatology procedure itself, you may not need any downtime, although you will need to take it easy for at least two days after some procedures, such as a lumbar puncture. If your condition causes painful symptoms, your rheumatologist will also recommend that you rest until the pain and discomfort subsides. Make sure to discuss your recovery timeline, including when you can return to work and perform strenuous activities.

What Aftercare is Required?

Your rheumatologist will likely prescribe you medications. It is important that you take the medications as directed. You may also be suggested to see undergo physical therapy or occupational therapy. Physical therapists will teach you exercises that can help you move your joints and improve their strength, while occupational therapists can teach you how to ease the strains on your joints when performing your day-to-day activities. Lifestyle changes are important as well, such as maintaining a healthy weight and staying active. Since most rheumatic diseases are long-term diseases, you probably will need regular checkups.

What's the Success Rate?

With cutting-edge technology, continuous research, and a better understanding of the joints, bones, tendons, ligaments, and muscles, rheumatology procedures are now more accurate and safer. The procedures are also highly successful, giving patients higher satisfaction rates and improvement in their quality of life. 

Are there Alternatives?

The alternatives depend on your specific condition. It is best that you talk to your general physician first, who will be able to refer you to the relevant specialist. If you require surgery, for instance, you need joint replacement surgery, your rheumatologist will refer you to an orthopedic surgeon.

Rheumatology in and around Berlin

About Berlin

Berlin is the capital and the largest city of Germany and with over 3.7 million inhabitants; it is the second-most populous city of the European Union after London. It is an alpha city of culture, politics, media, and science. The metropolitan city is also a popular tourist destination, thanks to its rich history, vibrant culture, lively parties, delightful food, and incredible architecture.  

Today, Berlin is one of the most popular destinations for medical tourism. The number of medical tourists coming to the city increases each year. Most of them travel from Poland, the Netherlands, France, and the Middle East. Some of the more popular treatments are oncology, cardiology, dentistry, and even tummy tuck. Although the cost is considerably higher than the neighboring countries such as Hungary, medical tourists still come for high-quality treatment with cutting-edge technology. Thousands of medical tourists prefer Berlin for the following reason:

• A patient-focused health-care system with a wide range of treatment.
• Qualified doctors, surgeons, nurses, and other medical practitioners. 
• Hospitals equipped with modern technology.
• Higher quality treatments, care, and services.
• Attractive destination and environment, perfect for rejuvenating and recovery.

Popular Areas in Berlin

As a famous tourist destination, Berlin has numerous attractions to see and many things to do. Whether you want to indulge in its culture, eat its food, or have a non-stop party, there will always be something for you.

• Museum Island (Museumsinsel) is a UNESCO World Heritage Site. It is a unique group of five world-renowned museums and it is the perfect place for those who love history and culture. From Ancient Egyptians, Roman Antiquity, the civilizations of the ancient Greek, Christian, and Islamic arts, to 19th Century European Art is available to see in the museums. 
• Brandenburg Gate is Berlin’s most famous landmark. This 18th-century neoclassical monument used to symbolize divided Germany during the cold war since the Berlin Wall shut off access to the gate for both East and West Germans. Now, it has turned into a symbol of unity.
• Berlin Wall Memorial is located in the middle of the city where East and West were once divided. The memorial extends along 1.4 kilometers of the former border strip and contains the last piece of the Berlin Wall. The historical remnants and traces of borders are preserved on display so visitors can see and learn more about the history behind it. 
• Berlin Cathedral (Berliner Dom) is the biggest church building in Berlin. The architecture and interior will leave visitors in awe. The architect, Julius Raschdorff, used the style of the Italian High Renaissance and Baroque elements. The interior is magnificent with marble columns and golden ornaments in abundance.
• Glass Dome of the Reichstag is an architectural masterpiece constructed on top of the rebuilt Reichstag building. The rooftop terrace and dome offer an outstanding view of the parliamentary and government district as well as Berlin’s skyline. There is also a restaurant on the rooftop.

Weather and Climate in Berlin 

Just like the rest of Germany, Berlin enjoys four distinct seasons, making it a year-round destination for tourists. Spring starts around March and ends in May. This season is characterized by the arrival of cherry blossoms and the increase of the temperature. The temperature is around 4.3 °C in early March and will get as warm as 19.4 °C in May.

Summer runs from June to August with an average temperature of 24 °C but can get as high as 30 °C in the hottest days. This season is the peak of tourism because people can enjoy outdoor activities, so prices can be a lot higher than usual.

The months of September and November are Autumn. The weather in this season is similar to summer, which is warm and pleasant. However, the temperature can drop significantly in late November. Tourists usually visit the city during autumn for the Oktoberfest.

Winter in the city can be freezing, cloudy, and wet. The temperature can plummet to -10 °C on the coldest days. The city is generally very festive during this season, thanks to the Christmas spirit. 

Getting Around in Berlin

Berlin has two main airports: Berlin Tegel Airport and Berlin Schönefeld Airport. The main international airport is the Berlin Tegel Airport located in the northwest. The airport serves domestic flights to other cities in Germany and international flights to almost every major city around the globe. Berlin Schönefeld Airport is the secondary airport that mainly serves budget airlines such as EasyJet and Ryanair. It is also an international airport that operates domestic and international flights. To get to the city center from both airport, bus, train, taxi or car are available. 

To get around Berlin, there are various transportation modes to choose from. The main means of transport in the capital is the U-Bahn system, which comprises 9 metro lines and 173 stations. During peak hours, trains run every two to five minutes and every ten minutes in the evening and on Sundays. Along with the U-Bahn, the S-Bahn system is also one of the main means of transport. It has 15 lines serving 166 stations and has a longer average distance between station than the U-Bahn. 

Tourists can also ride the tram and the tram lines mostly operate in the eastern neighborhoods since the tram lines in the former West Berlin were replaced by bus and U-Bahn. The tram lines operate 24 hours a day in some areas. 

The bus in Berlin has around 151 lines running every 10 minutes for 24 hours. The buses also replace metro trains during closing hours. Taxis can be found easily enough around the city, with more than 7,000 taxicabs. The taxis can be identified by the beige or ivory color. The base fare is 3.90 EUR and tourists can hail the taxis from the street, by phone, or via an app. Other transportation such as Ferry, car sharing, and e-scooter is also available.

Tourist Visas in Berlin

The citizens of Australia, Canada, Israel, Japan, New Zealand, Poland, the United States, and Switzerland can enter and stay in Berlin for up to 90 days. Since Germany is a member of the European Union, citizens from other European Union countries do not need to obtain a visa to enter. Citizens of other countries need a Schengen Visa. It is advisable to always check the requirements for Germany Visa Application before applying.

Additional Information

1. Local Currency: The official currency is the euro (EUR). 1 USD is equivalent to 0.81 EUR.
2. Money & Payments: Tourists can find ATMs almost everywhere within the city. Although credit card acceptance is growing, remember that cash is king in the city. Therefore, it is best to always carry some cash. Note that it is considered rude to leave a tip on the table. You should tell the server the total amount you want to pay. For a good restaurant service, a 10% tip is acceptable. For taxis, tourists can tip 10%, rounding to a full euro.
3. Local Language: German is the official language. Most people in the city will speak English, in hotels, restaurants, and shops.
4. Local Culture and Religion: Over 60% of Berlin’s population has no religious affiliation, while 30% identified as Christian.
5. Public Holidays: As most of German, Berlin celebrates major Christian religious holidays such as Easter and Christmas.