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Primary care

As a primary care practice, we are the first point of contact for your health. Whether acute symptoms, chronic illnesses, sick notes or preventive health care. If necessary, we refer you to specialists we trust. Sick notes, wound care or surgery preparation and follow-up - we take care of you from start to finish.

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Corona (COVID-19)

As general practitioners, we are here for you during this difficult time. We test, vaccinate and look after your long-term health in relation to Corona.

Important: Please let us know on the phone or when booking online if you are showing symptoms. In this case, we do not ask you to come directly to the practice - we will contact you after booking the appointment with further information.

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Treatment of chronic patients

As general practitioners, we see ourselves as long-term companions in dealing with chronic diseases. In combination with disease management programs (DMP), we will find the best therapy and solution approach for you.

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Precaution & check-ups

Prevention is the best medicine. We support you in avoiding the occurrence of future illnesses or in detecting and treating them as early as possible. This way you can assess where you stand in terms of health.

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Do you need a medical certificate? We can provide you with medical certificates for the following occasions:

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Laboratory, vitamins & Co

You don't always have to be sick to see your doctor - quite the opposite! In addition to treating acute symptoms, we offer a wide range of additional services to ensure that you feel healthy and well in the long term.  

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Other symptoms

Not all complaints are directly attributable to an underlying disease. We follow a holistic medical approach and take care that we find the best solution for your health complaints together.

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Other symptoms

Musculoskeletal problems

Musculoskeletal problems

What all belongs to the musculoskeletal system? 

Your body's musculoskeletal system includes all the structures that keep you standing upright and moving. This includes the bones, joints, ligaments and tendons as well as the muscle and fascia system. 

What are the possible causes of complaints?

Complaints of the musculoskeletal system can have very different causes:

Back pain

Apart from specific diseases or injuries, most people suffer from rather unspecific symptoms. Often it is incorrect posture or incorrect loads that cause the typical symptoms in the back. In most cases you don't need to worry, because back pain usually disappears after a few days, at the latest after two weeks.

However, back pain in particular can come up again and again. The pain is not limited to one age group. It also occurs in young people and can increase with age. The 30 to 50 age group is particularly likely to experience attacks of pain. The proportion of women suffering from back pain is significantly higher than that of men of the same age in every age group. Especially in the case of chronic back pain, women are affected much more frequently.

Joint pain 

Is it arthrosis, rheumatism or perhaps gout? Or maybe it's just bursitis? Joint pain can have many different causes and occurs in different locations. It can affect only a single joint or several joints, only small joints (such as on the fingers) or large joints (such as the hip joint). They can occur acutely or chronically. Sometimes they occur only at rest (rest pain) or at night (night pain).

Overall, joint pain is a common occurrence, it is estimated that almost half of all people suffer from joint pain after the age of 45. If you have limited mobility of the painful joint, fever, reddened skin over the painful joint or a very swollen joint, a visit to us is definitely recommended. 

Muscle pain 

You have around 650 muscles that are distributed throughout your body and perform a wide variety of functions. If these are overused, muscle pain will occur. Sport is also a common cause of muscle pain. This can be harmless muscle soreness or strains or bruises as a result of sports accidents. This type of pain subsides relatively quickly. However, if muscle pain occurs without there being any tension or sports injury, the cause can also be an illness.

Statics and postural defects

The system "spine" has a dynamic structure to respond flexibly to movement and vibration. Your normal construction has four curvatures when viewed from the side. Even slight deviations from your normal statics can have serious consequences and trigger complaints. 

One of the main causes of posture problems is bad posture. If you have done hard physical work for years or sit for hours on end, for example at work, this promotes bad posture. Your spine and the associated muscles are permanently loaded on one side. This sometimes leads to a relieving posture and your muscles become tense.

In the long run, this can unbalance the entire muscular support of the spine: Strong muscle bundles form at tense points, while the muscle mass on the opposite side continues to decrease. This strengthens and aggravates the poor posture, resulting in postural damage that can no longer be compensated for.


Pain and crunching are typical signs of joint wear and tear, also known as osteoarthritis. If the symptoms become more severe, they can severely limit your mobility. Osteoarthritis can occur in any joint, but is most common in the knee, hip or spine. Joint wear and tear usually affects older people. Sometimes arthrosis develops in middle age. If the symptoms are severe and chronic, joint replacement may be necessary.


The term "rheumatism" covers many different diseases of the musculoskeletal system, which are often associated with pain and restricted movement. The entire musculoskeletal system, but also internal organs or the entire body can be affected. The exact cause of inflammatory rheumatic diseases is usually unknown. Rheumatism can occur at any age. 


Gout usually develops over several years. The phase in which an elevated uric acid level develops in the blood but without symptoms is called "asymptomatic hyperuricemia". Over time, sharp-edged uric acid crystals can be deposited, especially in the joints and kidneys, and cause inflammation.


In osteoporosis, the mass, quality and strength of bones are reduced and their fragility is increased. Osteoporosis can occur in both women and men of any age, but its incidence increases in older people. Osteoporosis is a gradual disease and usually causes symptoms only in advanced stages. The first signs may be a decrease in height or back pain. 

What can I do if I have complaints?

If you have frequent complaints in the area of the musculoskeletal system, a medical consultation is advisable. Make an appointment directly at one of our Avi Medical practices. With the help of a detailed anamnesis and a physical examination, we will look for the cause together and work out an individual therapy. 

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