Bone, Joint & Muscle Health (Musculoskeletal) Center
Overview
- If one looks at the multitude of different pathologies of the musculoskeletal system and, accordingly, the multitude of possible therapies, it quickly becomes clear that a single discipline alone cannot offer the entire spectrum of modern and comprehensive musculoskeletal care
- Orthopedic, Rheumatology, and Physiotherapy are the central points of contact (Core group).
- Depending on the initial Scar examination, further specialties (Special teams) are consulted for individually tailored diagnostic and treatment
- The Bone, Joint & Muscle Health Center is a national and international reference center for comprehensive musculoskeletal Care, the first in Muscat and Oman and one of the few in the world
- Bord-certified, famous doctors: Neem Hospital has brought together the best talents in the healthcare industry to provide you with superior and world class medical services (→ Link Our Experts)
- “all in one hand”: Neem Hospital is proud to offer all necessary diagnostic and treatment options in Muscat.
Scope of Medical Care
We offer the full range of “state of the art” scar treatment at the highest level
Congenital Malformation & Growth Disorders
Congenital malformations can be genetic or through external influences (e.g. thalidomide / Contergan ™,….). They can range from minimal, barely noticeable changes to the absence of entire limb parts. Inborn malformations can lead to physical (impairment of hand function) and psychological impairments
Growth disorders in children refers to a situation where a child's growth (height and/or weight) falls below the expected range for their age and sex, or where their growth slows significantly. This can be a sign of an underlying health condition, genetic predisposition, or environmental factors affecting growth
A multidisciplinary approach has proven itself for the diagnosis and treatment of congenital hand malformations.
Close cooperation with the children`s Hospital is mandatory.
Bone Metabolism & Osteoporosis
Bone metabolism (Bone remodeling) , is a lifelong process where old bone tissue is broken down (bone resorption) and replaced with new bone tissue (bone absortion).
This process is essential for:
- maintaining bone health, strength, and structural integrity
- calcium, phosphate, and magnesium homeostasis
It involves both bone formation (osteogenesis) and bone resorption (osteolysis), regulated by hormones, nutrients, and other factors (activity,....)
This clinic is run concurrently by a specialist osteoporosis physician and specialist care nurses. It aims to provide state-of-the-art, comprehensive care for patients with osteopenia, osteoporosis and other disorders of bone metabolism.
It is supported by allied health services including dietitians with a special interest in osteoporosis, and osteoporosis exercise classes run by experienced physiotherapists. This clinic operates from the LIFE Centre.
Procedures
Osteoporosis Screening
Screening can help identify osteoporosis before a fracture occurs
Osteoporosis screening typically involves a bone mineral density (BMD) test, to measure bone density at key sites like the hip and spine. DXA is a safe, painless, and noninvasive procedure. Osteoporosis screening is indicated for
- all women > 65 yrs
- Postmenopausal women 50-64 with risk factors
Calcium and Phosphate Hemostasis Screening
Calcium and phosphate homeostasis refers to the body's tightly regulated balance of these two essential minerals. This balance is crucial for various physiological processes, including bone health, nerve function, and muscle contractions.
The body maintains this equilibrium through a complex interplay of hormones, organs, and mechanisms.
Neuro-muscular Disorders
Nerve cells (neurons) send and receive electrical messages to and from the body to help control voluntary muscles. Neuromuscular disorders affect the nerves that control voluntary muscles and the nerves that communicate sensory information back to the brain.
When the neurons become unhealthy or die, communication between the nervous system and muscles breaks down. As a result, muscles weaken and waste away (atrophy)
Neuromuscular disorders can be inherited or caused by a spontaneous gene mutation; some also may be caused by immune system disorders. The most common diseases are:
- Multiple sclerosis
- Myasthenia gravis
- Amyotrophic lateral sclerosis (ALS)
- Charcot-Marie-Tooth disease
Currently there is no cure for neuromuscular disorders. Treating symptoms, delaying disease progression and enhancing quality of life for patients is accomplished with medications, physical therapy, occupational therapy and, when necessary, surgery
A multidisciplinary, multiprofessional approach has proven itself for the diagnosis and treatment of neuromuscular disorders: Close cooperation between Nursing (Prevention), Neurology, Physiotherapy & Rehabilitation, Orthopedics and Neurosurgery is mandatory
Peripheral Nerves & Brachial Plexus
Peripheral nerves can be compared to highly sophisticated cables, that relay information between your brain and the rest of your body.
Peripheral nerves can be damaged in several ways:
- Injury by cut, crush or acute and chronic (Carpal Tunnel syndrome) compression
- Infection (leprosity/Hanson`s disease, …)
- Metabolic Disorders: Diabetes, mucopolysaccharoid, …)
- Medical conditions: Pregnancy, Renal failure (dialysis patients), …)
- autoimmune Diseases (Guillain-Barre syndrome, Lupus, Rheumatoid arthritis and Sjogren's syndrome, ….)
- Intoxications, ……
Peripheral nerves may have motor (movement), sensory (touch) and autonimic functions, which may be impaired to different degrees.
A multidisciplinary, multiprofessional approach has proven itself for the diagnosis and treatment of peripheral nerve disorders: Close cooperation between Neurology, Physiotherapy & Rehabilitation, Hand Surgery, and Anesthesia & Pain Clinic is mandatory
Carpal Tunnel Syndrome (chronic Nerve compression)
Carpal Tunnel Syndrome, which is the entrapment syndrome of the median nerve at the wrist level – is the most common chronic compression syndrome in humans. Nearly 50% of all humans will experience more or less carpal tunnel syndrome during aging.
Acute Nerve Injury
Acute nerve injuries must be treated as soon as possible. Intensive Physiotherapy is necessary in all cases. Nerve regeneration needs up to 1 year
Old nerve lesion
(long standing nerve palsy)
Complete nerve lesions lead to irreversible changes at the muscles (motor function) after 12 to 18 months and nerve receptors (sensory function) after 24 – 36 months. Beyond this timeframe, there is no useful function results to be expected from nerve repair/reconstruction. For these cases secondary reconstructive methods are used.
- Secondary muscle function reconstruction
- Secondary sensory function reconstruction
Painful, swollen joints (Arthritis)
Rheumatism is a broad term often used to describe joint pain. Rheumatism is not a specific type of condition but rather a general descriptor.
Arthritis is often used to refer to any disorder that leads to a painful and swollen Joint.
- Osteoarthritis (degenerative arthritis) results from the breakdown of cartilage in joints (local), leading to pain and stiffness. Osteoarthrosis affects everyone without any exception
- Rheumatoid arthritis, on the other hand, is an autoimmune (systemic) disease where the body's immune system attacks the joints, causing inflammation and pain.
Looking at the multitude of different reasons for joint pain and the corresponding multitude of possible therapies, it quickly becomes clear that a single discipline alone cannot offer the entire spectrum of modern and comprehensive management of painful joints. Close cooperation between Orthopedics/Hands surgery, Rheumatology, Physiotherapy & Rehabilitation , and Anesthesia & Pain Clinic is mandatory. Radiotherapy is an excellent option especially for small joints (hand and foot)
Procedures
Early motion (Physiotherapy)
Physiotherapy is the basis of ant arthritis treatment Early motion therapy involves initiating movement and activity soon after onset of inflammation, injury or surgery, rather than relying solely on immobilization, to promote healing and restore function. This approach helps prevent stiffness, adhesions, and muscle atrophy while promoting proper tissue healing and reducing the risk of complication
Intraarticular Injection
Intra-articular injections, or joint injections, are a common treatment for arthritis that involve injecting medication directly into the affected joint. This targeted approach can help reduce inflammation, pain, and improve joint function All intraarticular injections must be done under sterile conditions.
Low-Dose Radiation Therapy (LDRT)
Low-dose Radiotherapy (LDRT) is a therapeutic tool to treat all inflammatory and degenerative diseases of the joints and soft tissues. LDRT's anti-inflammatory effects involve modulating immune responses, reducing pro-inflammatory cytokines, and inducing apoptosis in inflammatory cells.LDRT has only a localized effect without causing any damage to the surrounding tissues. The treatment is very well tolerated and pain-free for all patients.
Total Joint Replacement (joint prosthesis)
Total joint replacement, also known as arthroplasty, is a surgical procedure to replace damaged or diseased joints with artificial implants. It's commonly used for arthritis, especially in the hip and knee, where it can significantly improve pain, function, and quality of life The damaged joint surfaces are removed, and a prosthesis (artificial joint) made of metal, plastic, or ceramic is implanted. Post-operative physical therapy is crucial for regaining strength, range of motion, and function.
Aging Body
Aging is one of the most important issues in our society, and affects everyone without exception. Speaking of aging, most people think about physical aging, however, aging also affect Mind and Soul
As you get older, the Body shows:
- loss of skin elasticity
- loss of subcutaneous fatty tissue
- loss of volume and/or tension in the muscle: Loss of muscle mass is characteristic of aging and it starts to decline after 25-30 years of age such that by 80 years 40% of muscle mass has been lost. Progressive skeletal muscle wasting (sarcopenia) is the major reason for reduction of body metabolism
- changes in volume and shapeLoss of bone mass (Osteoporosi)s with subsequent bone changes (Microfactures) is the major cause of reduction of body height
This causes the soft tissue envelop to become larger than the content. Wrinkles and sagging skin sacks appear.
The aging process affects all parts of the body.
Procedures
Regular Exercise (Physiotherapy)
Exercise is a promising lifestyle intervention that has shown antiaging effects by extending lifespan and healthspan through decreasing the hallmarks of aging and age-associated inflammation.
Pain
Pain is a (warning) signal in your nervous system that something may be wrong.
Each person feels pain differently, even if the reason for the pain is the same. Mental status plays a important role, too.
There are different reasons for pain, and there are different types of pain.
Doctors will treat different types of pain in different ways. A treatment that is effective against one type of pain may not relieve another.
A multidisciplinary approach has proven itself for the diagnosis and treatment of pain. Close cooperation with Anesthesia and Pain clinic, Mental Wellness & Brain Health center and Physiotherapy & Rehabilitation Center is ,mandatory
Acute Pain Treatment
Pain is one of the biggest concerns patients have who are considering undergoing surgical procedures, and the biggest hinder to adequate postoperative rehabilitation
Pain management relies on multiple techniques and treatments to discover and manage the root cause of a patient’s pain. It aims to provide relief and improve the quality of life for patients with acute and chronic pain conditions. This goal can be achieved by the use of pain medicine (pharmacological methods) and non-pharmacological methods.
- Adequate pain medication starts before surgery: Best pain reducing effect is achieved, if pain medication is started the day before surgery.
- Pain medication must be taken on a regular base. “Taking a pill when it hurts” is an inefficient pain management
- Severe post-operative pain may require narcotics. This kind of pain will usually decrease 2-3 days after surgery or injury. The need for post-operative narcotics longer than this period may mean you need more direct or specific treatment.
- Pain medication may be necessary again, at the beginning of postoperative rehabilitation
Diabetic Foot Syndrome
- The term diabetic foot (diabetic foot syndrome, DFS) describes a complication that can occur with long-term diabetes
- The impairment of blood circulation (diabetic angiopathy) and the feeling (diabetic polyneuropathy) leads to unnoticed pressure points, which can then cause open wounds
- Wounds are not treated early and do not heal quickly, but enlarge. They can also be infected by germs
- A multidisciplinary, multiprofessional approach has proven itself for the diagnosis and treatment of diabetic foot syndrome: Close cooperation between Nursing (Prevention), Endocrinology/Diabetology, Neurology, Angiology/Vascular Surgery, and Hyperbaric Oxygen Therapy is mandatory
Tumor
The term "Tumor" comes from the Latin and refers to an increase in the volume of a tissue (“swelling”) - regardless of how it came about and whether it is benign (good) or malignant (bad).
Tumors can develop in all tissues and all parts of the body.
Both benign and malignant tumors can cause complications at the site of the tumor (local complications). Advanced malignant tumors can also affect the entire body (systemic complications) through settlements (metastases) in lymph nodes and organs
Tumors of any kind need a full hand work-up. In the rare event of a malignant tumor a multidisciplinary, multiprofessional approach has proven itself for the diagnosis and treatment. Cooperation with a Multidisciplinary Tumor Board is mandatory
Trauma
Trauma care is the specialized medical treatment provided to individuals who have suffered severe injuries from accidents, violence, or other traumatic events.
Trauma is a key competence of orthopedic surgery. However if more than the bones are involved, closed cooperation with Plastic and Reconstructive Surgery is beneficial for the patient.
Health Education
“Bone, Joint & Muscle Health begins with awareness”
How is a bone constructed?
What is are the functions of the bones?
How is a joint constructed?
What are the functions of a joint?
How is a muscle constructed?
What are the functions of a muscle?
………..
…….and to know what is typical for you
At the Health Education Center, we are empowering patients, their families and the community to take control of their Body & Soul, by providing important information on
- Wellness
- Health
- Beauty
- Longevity
Neem Health Education Center is dedicated to going beyond traditional education, fostering continuous learning through various platforms.
Our Experts
Our medical team is made up of specialists from several different fields and medical professionals with expertise in breast health care
Updates
| 06. 2025 | Announcing hospital services through targeted Digital Add campaigns |
| 07. 2025 | Open-door day |
| 07. 2025 | Opening of the Diabetes, Endocrine, Metabolic & Liver Health Center at Neem Hospital |
Check-in at Neem Hospital
Neem Hospital has a transparent organizational structure: Although there is a clear top-down organization, we encorage and support every individual employee idea that can contribute in this direction. Our leaders are open to feedback, they take action on feedback, we arrange regular Town Hall sessions, and also an Annual Employee Engagement Survey.
As a campany culture, we strive in areas such as:
- seamless healthcare services
- holistic care of body & soul
- value-based care
- Education
- Prevention
- Care with Technology
At Neem Hospital Hospital, we engage in several engagement activities that support the well-being of our employees and recognize the valuable contributions of the team. To ensure this, we have a comprehensive rewards and recognition program.
We believe in celebrating:
- Respect
- diversity and cultures
- family involvement activities like Movie Time, Festive celebrations with employees and their families
Neem Hospital is the perfect combination of futuristic ideas and Omani traditions, culture and values (“where tradition meets future”)