Stress is a burden for many people these days. According to a study by Techniker Krankenkasse (2021), a quarter of Germans suffer from stress. Just under 26% of the German population report that they are often stressed. 38% of respondents experience stress from time to time.


So stress is a constant companion for many people. But why are these figures so high? According to the TK study from 2021, the respondents' working environment is at the top of the list. 47% feel stressed by their job. It should be added that the higher the level of education, the higher the level of stress.


What effects do these stressors have on health?

Normally, everyone has individual resources that can counteract stress. However, if the frequency and duration of stress exceeds your own resources or personal resilience, this can lead to a permanent strain on the body.

Everyone has probably heard of burnout or burnout syndrome. In today's working world, burnout is no longer a rarity. It is already considered a widespread disease.


Differences between burnout, boreout and brownout

But what actually is burnout? What if you yourself don't know whether you have burnout or boreout? Or perhaps a brownout after all?

Burnout

The term burnout comes from the English language and means "being burnt out".

In connection with work, the following signs are typical of burnout:

  • Tiredness and exhaustion
  • Sleep disorders
  • Concentration disorders and memory problems
  • Respiratory disorders
  • Depression, anxiety and fear of failure
  • Physical symptoms such as gastrointestinal complaints, headaches and tinnitus

Boreout

Boreout is the opposite of burnout. Boreout also causes a kind of exhaustion, but not due to too much work, but due to too little work. Boreout makes you feel underchallenged and you try to keep yourself busy.

The following signs can be seen in boreout:

  • Sleep disorders
  • Tiredness and irritability in everyday life
  • Demotivation and listlessness
  • Depression
  • Physical complaints such as stomach problems and headaches, weakened immune system

Brownout

Brownout is a relatively new syndrome. Here we are talking about a drop in tension. This is a gradual process and the person affected loses the enjoyment of their own work. Their own creativity is suppressed and the meaning of their work is no longer seen/recognized.

Causes of burnout and boreout

The perfect balance between challenge and recovery plays an enormously important role in many respects and influences how efficient you are.

Causes of burnout

There are many causes for the development of burnout syndrome. One decisive factor is the attitude towards one's own performance at work and in everyday life. Typically, there is a strong need to live up to and meet one's own high standards, as well as a need for appreciation and recognition. Those affected pay little or no attention to their mental and physical limits.

Boreout causes

Too much rest or boredom reduces resilience. If the mind is not challenged from time to time, it deteriorates. This is because mental challenges improve brain function. Known as "eustress", this positive form of challenge increases performance in the long term.

Mental incentives increase performance

Mental stimuli, such as challenging tasks that may also be stressful, increase performance and resilience in the long term. This releases a whole cocktail of hormones that prepare you for the situation.

If you find yourself in a challenging situation, your breathing and heartbeat speed up and adrenaline and noradrenaline are released. These hormones have a supportive and activating effect in this situation. Increased breathing makes more oxygen available to the brain. Once the challenging situation has been successfully overcome, the body releases dopamine and serotonin, the so-called feelings of happiness.

A lack of hormones can make you feel unhappy and can also have other negative effects.

Unfortunately, burnout and boreout sufferers very rarely experience situations of positive stress.

Counteracting burnout or boreout - but how?

It is not always easy to recognize symptoms or signs of burnout or boreout. Most doctors usually only recognize a connection when the non-specific symptoms occur more frequently. It is therefore important that the life situation of those affected is always considered and taken into account in cases of physical and mental discomfort.

A discussion with superiors and colleagues should definitely be sought if you are experiencing a lot of stress or are frequently bored. However, everyone affected should also take a look for themselves and become aware of what needs to be changed and, if necessary, see how tasks can be modified. Talking to friends, family and acquaintances can also help many people to recognize the problems and act accordingly.

Rest, relaxation and sufficient sleep are important steps towards self-help in cases of emotional exhaustion. This creates the opportunity to achieve inner peace in order to support inner balance.

Regular exercise in the fresh air is very important, giving your thoughts free rein or really working out during sport is a real treat for the mind and body. This releases endorphins, which make you happy.

A balanced and vitamin-rich diet is very important as it helps the body with important metabolic functions and enables the body to cope better with stress. A proper diet is the basis, as it influences and increases resistance, resilience and stress resistance.

However, if a person feels that they are suffering from burnout or boreout, they should definitely seek medical or therapeutic advice.

 

Doctor, sports medicine

Dr. med. H. F. König

Your doctors for sports medicine in
Baden-Baden

Our sports medicine physicians provide comprehensive care aimed at helping athletes maintain their health and performance and prevent injuries. With a holistic approach, we develop individual treatment plans tailored to the needs of each patient. From performance diagnostics to rehabilitation, we use our expertise to help you achieve your sporting goals.

Diabetes mellitus is the umbrella term for various disorders and diseases of the human metabolism. The main characteristic is chronic hyperglycemia, also known as hyperglycemia, which is why diabetes is often referred to as diabetes. However, this cannot be generalized, as it is not always only the carbohydrate metabolism that is disturbed, but the fat and protein metabolism can also be out of balance.

 

Insulin plays a decisive role in the development of diabetes. Insulin is a vital metabolic hormone that controls carbohydrate, fat and protein metabolism. Diabetes is caused by various disorders in the release of insulin from the beta cells of the pancreas. All disorders lead to increased blood sugar levels, as there is a deficiency of the hormone insulin and/or the insulin effect is reduced.

 

From a medical point of view, diabetes is divided into two different forms:
type-1 and type-2 diabetes mellitus.

 

Type 1 diabetes:

  • This form of diabetes is an autoimmune disease in which the insulin-producing cells in the pancreas are destroyed by the body's own defense system.
  • The body no longer produces insulin and there is an absolute insulin deficiency.
  • Usually begins in childhood and adolescence
  • There is currently no cure for the disease and sufferers have to inject insulin throughout their lives and constantly adjust the insulin dose. This can significantly prevent or delay secondary vascular and nerve diseases.

Type 2 diabetes:

  • is the most common form of diabetes - around 90% of those affected have type 2 diabetes. The decisive factor for this form is that the effect of insulin in the body's cells is reduced , which is referred to as insulin resistance.
  • This type of diabetes is extremely multi-layered and complex. It manifests itself in varying degrees of insulin resistance and insulin deficiency.
  • In addition to a hereditary predisposition, obesity and lack of exercise are considered to be the main causes of type 2 diabetes. An unbalanced diet (low in fiber, high in fat and sugar) and smoking also promote the development of type 2 diabetes.
  • At the beginning of treatment for type 2 diabetes, general measures such as consistent and conscious lifestyle changes and a normal body weight are attempted. Only if this is not possible in the long term should medication be used. This is because type 2 diabetes is curable. If all measures are unsuccessful, various oral medications are available. And only if all these measures fail to bring the disease back under control do type 2 diabetics have to inject themselves with insulin.

Recognize symptoms of diabetes in good time

Classic symptoms such as weight loss, noticeable thirst and increased urine flow are observed particularly in younger people with incipient type 1 diabetes.

The symptoms mentioned above are not typical for older people. It therefore makes sense to check the fasting glucose level in the blood as part of check-ups.

People have an increased risk of developing type 2 diabetes:

  • over 45 years
  • overweight (BMI over 27)
  • with high blood pressure
  • with lipometabolic disorders
  • with coronary heart disease or circulatory disorders of the brain
  • who already have a family history of diabetes
  • who smoke

Especially for people who have an increased risk of type 2 diabetes, we recommend regular preventive diagnostics (check-ups) at our practice to rule out diabetes or detect it at an early stage.

7 tips for preventing/preventing type 2 diabetes

A health-conscious lifestyle can reduce the risk of developing type 2 diabetes.

Whether you develop type 2 diabetes or not, your diet, exercise habits and how you deal with stress often play an important and decisive role.

Many habits have often crept in, which is why a lifestyle change is not easy. However, medical findings show that a rethink is worthwhile.

  1. Excess weight: Excess weight is one of the most relevant risk factors. It is therefore extremely important to lose excess weight. An excessively large abdominal circumference can be a sure sign that the internal organs have already accumulated fat. Fatty liver in particular plays a major role in the development of type 2 diabetes.
  2. Exercise: Exercise for at least 30 minutes a day. The exercise should be a little strenuous and preferably sweaty. Try to integrate exercise into your everyday life and start with simple things, such as taking the stairs instead of the elevator. Sports such as Nordic walking, swimming or cycling are easy on the joints and particularly effective. In addition to losing weight, exercise also has positive side effects - you increase your well-being!
  3. Diet: Make sure you eat a varied and balanced diet. Your diet should include plenty of fiber-rich foods such as vegetables, fruit, whole grain products and legumes. Avoid hidden fats (e.g. in sausage, meat and cheese). Instead, stick to a plant-based (vegetarian) diet in which meat and sausage are not eaten every day.
  4. Drinking: Make sure that you drink at least 1.5 - 2 liters of water a day. Avoid soft drinks (fruit juices, cola, lemonade), as these contain a lot of sugar and drive up your blood sugar and insulin levels.
  5. Smoking: Smoking nicotine is a significant risk factor. Quitting smoking reduces the risk of developing type 2 diabetes. Harmful substances such as carbon monoxide have a damaging effect on fatty tissue and the pancreas. As a result, the metabolism is negatively affected by reduced insulin activity.
  6. Sleep: Sufficient sleep is very important, as a lack of sleep and disturbed sleep have a negative effect on blood sugar levels, insulin action and insulin secretion as well as weight.
  7. Relaxation: Blood sugar levels can rise due to stress hormones. It is therefore important to reduce or even completely avoid unnecessary sources of stress. In order to stay healthy, breaks and time-outs that consciously lead you to calm and serenity are extremely important.

It's never too late to take time for prevention! Talk to us, we will be happy to support you.

Doctor, sports medicine

Dr. med. H. F. König

Your doctors for sports medicine in
Baden-Baden

Our sports medicine physicians provide comprehensive care aimed at helping athletes maintain their health and performance and prevent injuries. With a holistic approach, we develop individual treatment plans tailored to the needs of each patient. From performance diagnostics to rehabilitation, we use our expertise to help you achieve your sporting goals.

High blood pressure (hypertension) develops gradually and its effects are often only noticed for years when it puts a strain on the blood vessels. Serious secondary diseases such as stroke, heart attack or kidney damage can occur. However, regular checks can prevent this and the first signs of illness can be treated.

 

High blood pressure is a widespread disease. In Germany alone, almost 44% of the population1 is currently affected. The older people get, the more people suffer from high blood pressure. However, many of those affected have been diagnosed with the disease and are receiving appropriate treatment.

What is high blood pressure?

A measurement is used to determine whether high blood pressure exists. When measuring blood pressure, a distinction is made between two values that are always measured together, e.g. 120/80 mmHg. The first value indicates the pressure in the blood vessels when the heart contracts - the systolic value. The second value measures the pressure in the vessels when the heart muscle relaxes - the diastolic value.

Blood pressure is said to be elevated if the systolic value is above 140, the diastolic value above 90 or if both values are elevated.

Common complaints and what can be done about them

Elevated blood pressure often remains undetected and untreated for a long time, as it is barely noticeable. Only when it is extremely high can it cause symptoms such as dizziness, headaches, palpitations or shortness of breath in some cases.

A medical examination can reveal signs of illness at an early stage and treat them accordingly. Once a year we offer our patients a health check-up once a year to detect early signs and thus minimize risks.

Stroke and heart attack as secondary diseases

Excessively high blood pressure can lead to secondary diseases in the long term, as the heart, for example, suffers as a result. If you experience the following symptoms, you should call 112 immediately:

  • Sudden visual disturbances, numbness or paralysis can be warning signs of a stroke
  • Sudden onset, prolonged severe pain or pressure behind the breastbone can be warning signs of a heart attack

Risk factors for high blood pressure

Blood pressure is regulated in the body as required. Normally, blood pressure is low in relaxed situations, even during sleep. If the muscles need more blood during physical exertion, blood pressure rises. Stress and anxiety can also increase blood pressure.

It is quite normal to have fluctuating blood pressure levels, as they are part of an active life. However, if the pressure is permanently too high, it can damage blood vessels and cause secondary diseases.

A high-salt diet, obesity, too much alcohol and nicotine, too little exercise and stress can all contribute to high blood pressure.

However, sporty, slim and diet-conscious people can also have high blood pressure, as the cause could be a family predisposition. In some cases, medication can also cause high blood pressure.

The causes of high blood pressure must be clarified and treated individually with the doctor.

Basic rules for healthy blood pressure

Some people get their blood pressure under control by doing a few things themselves.

The following basic rules will help you:

  • Healthy, balanced and low-salt diet
  • Regular physical exercise
  • Abstaining from alcohol and nicotine
  • Weight reduction for overweight

If your blood pressure is nevertheless high, it can be treated and lowered with proven medication - in consultation with a doctor.

Please contact us if you suspect that you have high blood pressure. We will check your blood pressure and discuss possible treatment if necessary.

Doctor, sports medicine

Dr. med. H. F. König

Your doctors for sports medicine in
Baden-Baden

Our sports medicine physicians provide comprehensive care aimed at helping athletes maintain their health and performance and prevent injuries. With a holistic approach, we develop individual treatment plans tailored to the needs of each patient. From performance diagnostics to rehabilitation, we use our expertise to help you achieve your sporting goals.

Joint pain can become a real pain. When the musculoskeletal system no longer functions as it should, it significantly restricts quality of life. In this blog post, we explain where your pain comes from and what you can do about it.

What causes joint pain?

Joint pain can be caused by wear and tear or inflamed and injured joints. However, overloading during sport, for example, can also cause joint pain. Known diseases include osteoarthritis, rheumatism, gout and bursitis. To clarify whether you have a serious illness or whether it is just a temporary condition, you should definitely consult a doctor.

Treatment methods and therapies

If you suffer from joint pain, there are a few things you can already do yourself. Exercise regularly and choose an endurance sport that is easy on your joints, such as cycling, swimming or yoga. Don't overdo it and take breaks from time to time so that your body can regenerate. Losing excess weight also helps to reduce the strain on your joints.

You should avoid one-sided strain on your joints. For example, carry backpacks rather than shoulder bags.

Stress can also trigger joint pain. Try to reduce your stress in everyday life and use techniques such as autogenic training or meditation.

There are also some medicinal herbs that can help against joint pain, such as stinging nettle. As a tea, it has a diuretic and anti-inflammatory effect.

However, joint pain should be treated individually depending on the cause. Some diseases require the use of medication or even surgery. However, treatment with acupuncture and homeopathic remedies is also possible.

Joint pain - when to see a doctor?

Some joint pain disappears on its own with sufficient exercise and a good diet. However, if you have certain symptoms, you should definitely consult a doctor. These include fever, reddening of the skin, severe pain and swelling. You should also consult your doctor if your pain lasts longer than three days.

Do you have joint pain and would like to have it checked out? Then please contact our practice and we will be happy to help you.

Video calls at the dining table, answering emails on the couch and sorting documents on the floor - who hasn't been there? Due to the coronavirus pandemic, the home office has become indispensable.

However, not everyone who works from home has an appropriately furnished office with a suitable desk and desk chair to prevent back and neck tension. Instead, the exact opposite is the case and unsuitable workstations lead to increased tension.

We have put together some simple tips for you to combat back pain when working from home.

6 tips for back-friendly working from home

Sitting

Try to move and sit dynamically. We often stay in the same position for too long. Therefore, change your sitting position several times an hour by bending forwards, backwards and sideways. And it's best if you get up every 20 minutes and move around briefly or walk back and forth around the room. This relieves the strain on your muscles, back and spine. Exercise balls or ergonomic chairs can support dynamic sitting.

Phone calls

Try to keep moving while talking on the phone - whether standing or walking, the change of posture loosens the muscles and relaxes the back.

Height of the screen

To prevent tension in the neck, it is advisable to position the screen so that the top line is at eye level. This prevents the upper body from bending too far forward or slouching. A height-adjustable desk can be useful here.

Straight posture

Sitting at the right angle is important for a straight posture. It is therefore important to adjust the desk chair and desk to your height. The following sitting position is ideal: upper and lower legs form a right angle, a forward tilted pelvis is particularly back-friendly. Depending on the desk chair, you can tilt the seat or sit on a wedge cushion.

Ergonomic work aids

Ergonomic work aids such as a headset, ergonomic mice or keyboards help to prevent cramping while working. A height-adjustable desk is also a great advantage.

Breaks

Make sure you take regular breaks and stretch your legs briefly, stretch or take a few steps.

Have back pain treated

If your back problems do not disappear on their own, we can also support you in our practice. We have developed a concept in our practice that is used specifically for back pain patients.

Our concept is based on the following points:

Acute back pain patients

In acute back pain patients, e.g. with a diagnosis of a slipped disc, the first step is to try to reduce the acute back pain by injecting the slipped disc. The injection is a mixture of homeopathic and medicinal pharmaceutical substances.

Accompanying the patient during the acute phase until the pain is reduced. At the same time, a diagnosis is made and a customized training plan is drawn up, which is individually tailored to the patient. For this purpose, the patient is accompanied by our orthopaedic surgeon Mr. Assad on the one hand and by other specialist physiotherapy staff on the other. We work closely with the physiotherapy practices and constantly instruct them until the acute phase is over.

In the post-acute phase (after the acute phase), we work with patients to avoid such pain in the future by developing a plan for the muscular development of the back and monitoring it at regular intervals.

Routine examination or health check-up

We are happy to answer any questions you may have on the subject of backs.

You can reach us by telephone on 07221-973710 or by email at [email protected]

The next long-standing employee we would like to introduce you to is Rosi Simonte. She has been working for Dr. König & Kollegen since 2014 and also answered a few questions for us.

What are your tasks at Dr. König & Kollegen?

I take care of individual patient care and therapy.

What do you need to be able to work in your job?

You need to enjoy your work, be able to put yourself in other people's shoes and want to help people. Personal conversations with patients are the main focus.

How did your training go?

I did a three-year training course in dermatology, which I really enjoyed.

What would you describe as your specialty?

I enjoy working with infusion therapies, individualized medicine and patient care.

Why did you apply to Dr. König & Kollegen back then?

I became aware of the practice through a patient. I remember the saying: "Mrs. Simonte, your good reputation precedes you!"

Which tasks do you enjoy the most?

I prefer to take care of patients individually.

What has been your best experience with Dr. König & Kollegen so far?

I like the joint events.

What are you known for in practice?

That I have an eye for the big picture.

What makes Dr. König & Kollegen special for you?

Working with international guests and different types of patients. You have to love your job!

How do you prefer to spend your free time?

I love shopping and being out and about in nature.

Would you also like to become part of our practice team? We are looking for new employees for our practice locations in Baden-Baden and Karlsruhe!

Contact us