The answer to (almost) all your questions!

On this page you will find answers to the most frequently asked questions about Cortoclinics per category.

If you still have questions after reading this information, you can contact the secretariat via telephone number: 0031 (0)495 – 749443

Frequently Asked Questions

General questions

Your first appointment at the outpatient clinic can be scheduled within a week.

Cortoclinics is happy to help you find and arrange a rehabilitation clinic. Call or email us, or indicate during your outpatient visit that you want to use a rehabilitation clinic after your operation.Contact

Yes, the precision provided by the Mako robotic arm allows for more accurate implant placement, which can result in less postoperative pain, a faster recovery, and better long-term joint function.

Not everyone is automatically eligible for surgery with the Mako robotic arm. Your orthopedic surgeon will conduct a thorough evaluation to determine whether this technology is the best option for your specific situation.

Surgery with the Mako robotic arm offers several benefits, including greater accuracy in implant placement, a reduced risk of complications, less postoperative pain, and a quicker recovery.

No, once the decision for surgery is made, we immediately schedule an appointment.

You can recover at home, but you will need to arrange for help. The first period after the operation, you will not be mobile enough to be alone in the house. Is it difficult to arrange help at home? Then a rehabilitation clinic is an option. Cortoclinics will be happy to show you the way.

Placing the prosthesis takes about an hour. After that, you will stay at the Cortoclinics clinic for 1 night. The next morning, you can go home.

Hip Osteoarthritis

Yes, physical therapy is important for a quick recovery. The physical therapist will prescribe specific exercises to improve hip function and build muscle strength.

Treatments for hip osteoarthritis may include painkillers, anti-inflammatories, physical therapy, weight loss, injections (such as corticosteroids or hyaluronic acid), and in severe cases, hip replacement surgery.

As with any surgery, there are risks such as infection, blood clots, nerve damage, hip dislocation (hip out of the socket), or problems with the prosthesis. However, these risks are carefully minimized by the doctor.

The risk of hip osteoarthritis can be reduced by eating a healthy diet, maintaining a healthy weight, exercising regularly, avoiding injuries, and not putting excessive strain on the hips.These answers may vary based on a patient’s individual situation, so it is always important to seek personal advice from a physician.

Light to moderate activities such as swimming, cycling or walking can often be performed without much difficulty, but strenuous activities such as running or jumping can worsen symptoms. It is important to consult a doctor or physiotherapist for individual advice.

Surgery, such as a hip replacement, is an option when other treatments (medication, physical therapy) are not effective and the pain or limitations seriously affect daily functioning.There are three crucial aspects to consider when considering a prosthesis. First, the quality of life is no longer optimal, despite all non-surgical treatments that have been tried. Second, physical examination reveals mechanical abnormalities in the joint. Finally, bone-on-bone contact is visible on the X-ray. The best results are achieved when all of these aspects are present together.

Treatments for hip osteoarthritis may include painkillers, anti-inflammatories, physical therapy, weight loss, injections (such as corticosteroids or hyaluronic acid), and in severe cases, hip replacement surgery.

Heupartrose kan niet volledig worden genezen, omdat het kraakbeen niet kan herstellen. De behandeling richt zich op het verminderen van de symptomen, het verbeteren van de mobiliteit en het behouden van de kwaliteit van leven. 

Hip osteoarthritis is usually diagnosed through a physical exam, x-rays, and sometimes MRI scans, where the doctor looks at the cartilage and bone structure in the hip joint.

Hip osteoarthritis can be caused by aging, overloading of the joint, hereditary factors, obesity, previous injuries or abnormal development of the joint.

Knee Osteoarthritis

Physical therapy can help improve muscle strength around the knee, maintain mobility, and relieve pain. Exercises focus on strengthening the muscles that support the knee and improving flexibility, stability, and mobility.

Diagnosis is usually made based on symptoms and physical examination. Imaging such as x-rays or MRI scans can show the extent of cartilage damage and help in making the diagnosis.

Yes, losing weight if you are overweight is an important way to reduce stress on your knees and prevent further damage. Lowering your body weight can reduce pain and improve function.

Light to moderate exercise is often helpful in keeping the knee strong and flexible. Activities such as swimming, cycling and walking can be beneficial. It is important to avoid overloading the knee, so high impact activities such as running or jumping can make problems worse.

Treatment options include pain relief (medication), physical therapy, weight control, injections of corticosteroids or hyaluronic acid, and in severe cases, a knee replacement (artificial knee).

Knee osteoarthritis cannot be completely cured because the cartilage cannot grow back. Treatment is aimed at relieving symptoms, improving mobility and preventing further damage.

Symptoms include pain in the knee, especially with movement or weight bearing, stiffness, swelling, difficulty bending or straightening the knee, and sometimes the feeling of a "cracking" sound in the knee.

The main causes of knee osteoarthritis are aging, genetic predisposition, being overweight, previous knee injuries, overuse due to intense physical activities or incorrect body alignment. It can also occur without a clear cause, especially as we get older.

Knee osteoarthritis is a degenerative joint disease where the cartilage in the knee joint gradually breaks down. This leads to pain, stiffness, swelling, and reduced mobility in the knee.

A knee replacement is usually recommended when other treatments, such as physical therapy, medications or injections, are not effective in relieving pain or improving mobility. It is often the solution when osteoarthritis or a knee injury are interfering with the normal function of the knee.

Insurance & Reimbursement

You transfer the reimbursed amount + any deductible withheld to Infomedics, stating the invoice number.If the deductible is zero, you transfer the amount reimbursed by your health insurer to Infomedics, stating the invoice number. You can email the explanation of the reimbursement to:specification@cortoclinics.com

Once we receive this copy, we can complete the administrative process.

You will receive an invoice for your treatment within Cortoclinics from Infomedics. Due to the regulations of the Dutch Healthcare Authority, this may take 90 to 120 days after the end of your treatment.

Cortoclinics provides insured care. We do not have a contract with all health insurers. In those cases, the health insurer will reimburse a percentage of the invoice, the amount of which depends on your insurance policy. You will never pay more than the deductible withheld.Before you pay Infomedics, wait for the message from your insurer. As soon as you have received the reimbursement and the explanation of the reimbursement from your insurer, you pay Infomedics: the reimbursed amount + any deductible withheld. We will pay the 'non-reimbursed part' or 'own contribution'.Important! You can email the explanation of the reimbursement to: specification@cortoclinics.com

Cortoclinics does not have contracts with all insurers. If you are insured with the health insurers listed below, you must submit the invoice yourself.Zilveren Kruis, Interpolis, FBTO, De Friesland, CZ, OHRA, Nationale Nederlanden, PZP, Stad Holland, InTwente, Salland, A.S.R., SZVK, Menzis or AnderzorgYou therefore send the invoice from Infomedics yourself for declaration to your health insurer. Before you pay Infomedics, you wait for the message from your insurer.As soon as you have received the explanation of the reimbursement from your insurer, you pay Infomedics: the reimbursed amount + any deductible withheld. CortoClinics will pay the 'non-reimbursed part' or 'own contribution'.Important! You can email the explanation of the reimbursement to:  specification@cortoclinics.com

Provide your insurer with our AGB code. Our AGB code is 22 221026.

No, you pay the same as if you chose treatment in a regular hospital. What do you pay yourself? Your mandatory deductible, costs for physiotherapy not covered by the insurance, and a personal contribution for some medications. The latter is determined by your insurance.

First of all, this can be seen in your bank statements. But your insurer will also inform you of this. This is not always done by post anymore. Therefore, always check the message box in your internet account with your insurer. You can find this message box in the app or your insurance website.

No, all examinations are included in the treatment at Cortoclinics. You will not receive a separate invoice for this.

Our AGB code is 22 221026. Having this AGB code at hand when contacting your insurer is beneficial. With this code, your insurer can access all relevant information about Cortoclinics.

Hip prosthesis

Driving is often possible after 4 to 6 weeks, depending on recovery and your doctor's recommendations. Sports such as cycling or swimming are often possible, but intense activities such as running or contact sports will have an impact on the hip replacement over time. It is important to consult your doctor for specific recommendations.

The doctor chooses the right prosthesis based on your age, activity level, health condition and the type of hip problem you have. At Cortoclinics we use an uncemented hip prosthesis that is placed with robotic arm-supported technology.

Most people can move about normally again after hip replacement surgery, although your doctor may not recommend vigorous activities such as running or jumping. It is important to follow your doctor’s advice. Seize the day: Do what you can do today.

A hip replacement is an artificial hip that is placed to replace a damaged or worn hip. This is often done in people with severe osteoarthritis, fractures or other hip problems.

Modern hip replacements typically last between 15 and 20 years, depending on factors such as age, activity level, and the type of prosthesis.

There are different types of hip replacements, including total hip replacements (where both the femoral head and the acetabulum are replaced) and half hip replacements (where only the femoral head is replaced). The total hip replacement is used for osteoarthritis and the half hip replacement is an option for a hip fracture, but not for osteoarthritis.

Recovery from hip surgery varies, but most people can return to normal daily activities within 6 to 12 weeks. Physical therapy plays an important role in the recovery process. Returning to sports activities usually takes longer.

It is important to exercise regularly, such as doing the recommended exercises to promote blood circulation. After hip replacement surgery, the doctor will prescribe blood thinners for the first 4-6 weeks to reduce the risk of blood clots.

After hip replacement surgery, there are some important restrictions to prevent complications. Avoid strong hip rotations, such as during sports or lifting heavy objects. Do not sit on low chairs or couches, and avoid intense physical activities such as running or jumping. It is essential to follow the instructions of your doctor and physical therapist for a successful recovery.

A hip replacement is usually recommended for severe pain or mobility problems that cannot be relieved by other treatments, such as physical therapy or medication. The goal is to relieve pain and restore range of motion.

Knee prosthesis

If your knee osteoarthritis is severe, with persistent pain, stiffness, and functional limitations that affect your daily life, a knee replacement may be a solution. It is important to discuss your symptoms and options with your orthopedic surgeon who can help you determine if surgery is the right choice.

Driving will usually be possible after 4 to 6 weeks, but this depends on your recovery and your ability to use your knee safely. Consult with your doctor for specific guidelines.

Most people can resume many of their daily activities after knee replacement surgery, such as walking, climbing stairs, and light sports. However, high-impact activities such as running or jumping often cannot be resumed.

Risks may include infection, bleeding, blood clots, nerve damage, bruising, loosening of the prosthesis or knee dislocation. Your doctor will discuss these risks with you and take precautions to minimize the risk of complications.

A knee replacement is usually recommended when other treatments, such as physical therapy, medications or injections, are not effective in relieving pain or improving mobility. It is often the solution when osteoarthritis or a knee injury are interfering with the normal function of the knee.

Kort na de operatie kun je pijn hebben. Dit bestrijden we met pijnstilling. De pijn na het plaatsen van een knieprothese vermindert na ongeveer 2 weken. In de weken daarna neemt de pijn langzaam verder af.Drie tot vier maanden na de operatie treedt een aanzienlijke verbetering op. Sommige mensen hebben echter tot een jaar nodig om tot het eindresultaat te komen en zich volledig hersteld te noemen.

Yes, it does. The standard at CortoClinics is to retain your own kneecap in a total knee prosthesis, unless that is not possible in specific cases.Sometimes the wear is limited to just the kneecap, and the rest of the joint is unaffected. In those cases, placing a kneecap prosthesis may be an option. This consists of a metal component, attached to the front of the thighbone and a plastic component (polyethylene) on the back of the kneecap.

Modern knee prostheses last on average between 15 and 20 years, depending on factors such as age, weight, activity level and the type of prosthesis. Sometimes a replacement of the prosthesis is necessary after a long time. After 15 years, more than 90% of clients still have the prosthesis as it was originally placed. Less than 10% of people have had a revision operation in these 15 years.

Knee surgery is often considered when other treatments are not effective and the pain and limitation of function are interfering with your daily life. Your doctor will advise you based on your health, age, degree of osteoarthritis and other personal factors.

After knee replacement surgery, you will usually use crutches for 4 to 6 weeks, depending on your recovery and the recommendations of your doctor or physical therapist. In the first few weeks, crutches help to take the weight off your knee and provide stability. Over time, and with proper guidance, you can transition to a normal walking pattern.

Hip surgery

Prepare by improving your physical fitness (if possible), modifying your home to make recovery easier (such as using handrails or crutches), and undergoing any medical exams or tests your doctor prescribes. Also, discuss your medications and any questions you have with your doctor.

Yes, physical therapy is an essential part of the recovery process. It helps to improve mobility, build muscle strength and reduce stiffness. The physical therapist will prescribe exercises and techniques that are appropriate for your recovery.

You can usually drive after 4-6 weeks, but this depends on your recovery and whether you have enough control of your hip to drive safely. Always consult your doctor for specific guidelines.

Most patients are able to walk independently, climb stairs and resume activities such as cycling or swimming after surgery. However, strenuous or risky activities such as running or contact sports are often discouraged.

In a hip replacement, the damaged femoral head and/or hip socket is replaced with an artificial prosthesis. In a non-replacement surgery, other procedures may be performed, such as repairing a fracture (break), reducing inflammation, or relieving pain by other techniques.

There may be pain after surgery, but this is usually well managed with pain medications and therapies. Over time, the pain will subside, especially as healing progresses.

Recovery can range from 6 to 12 weeks depending on the type of surgery and your overall health. Full recovery, including strengthening muscles and resuming daily activities, can take up to a year.

Possible risks include infections, bleeding, thrombosis, nerve damage, hip dislocation, or problems with the implants. The doctor will discuss these risks with you and take steps to minimize them.

Hip surgery may be necessary if you have severe pain, loss of mobility, or permanent damage from conditions such as osteoarthritis, hip fractures, or hip inflammation that cannot be treated with other treatments.

Hip surgery is a medical procedure that treats a damaged or diseased hip. This can range from hip replacement (hip prosthesis) to other procedures such as repairing fractures or treating hip instability.

Knee surgery

After a knee replacement, most people can resume many of their daily activities, such as walking, cycling and climbing stairs. However, strenuous or risky activities such as running or contact sports are generally discouraged.

As with any surgery, there are risks, including infection, blood clots, bruising, nerve damage, or loosening of the implant. However, these risks are often minimized with proper care and precautions.

The benefits include pain relief, improved mobility, and the ability to better perform daily activities such as walking and climbing stairs. Rehabilitation of the knee after a prosthesis can significantly improve the quality of life.

The goal of the surgery is to relieve pain, improve mobility and restore quality of life. In severe osteoarthritis, a knee prosthesis (artificial knee) may be the best solution to replace the joint.

Knee surgery is usually considered when other treatments such as pain medication, physical therapy, injections or weight management do not provide adequate relief. If the pain is severe and interferes with daily functioning, surgery such as a knee replacement may be necessary.

Yes, physical therapy is an essential part of recovery. It helps to improve muscle strength around the knee, restore mobility and optimize the functionality of the knee. Physical therapy begins shortly after surgery.

Knee surgery is often considered when other treatments are not effective and the pain and limitation of function are interfering with your daily life. Your doctor will advise you based on your health, age, degree of osteoarthritis and other personal factors.

With a total knee prosthesis, the upper leg and the lower leg portion of the knee are replaced, while with a partial knee prosthesis, only the inside, the outside or the portion behind the kneecap is replaced.

Recovery from knee surgery can vary, but generally takes 6-12 weeks to return to most daily activities. Full recovery can take up to a year, especially to regain muscle strength and flexibility.

Recovery after hip surgery

After surgery, you will need to make sure that you maintain proper posture and do not rotate your hip in risky positions, such as deep bending or rotating your hip while walking. Your doctor or physical therapist will give you specific instructions on how to avoid certain movements during the initial period of your recovery.

This depends on your job. If you have a sedentary job, you can often return to work after 2-4 weeks. For physically demanding work, recovery can take 8-12 weeks. For work-related considerations, it is advisable to consult with an occupational health and safety physician to discuss realistic expectations regarding work. This helps to ensure a well-coordinated treatment plan.

Avoid activities that put a lot of stress on the hip, such as bending or twisting, during the first few weeks. It is recommended to avoid activities that put the hip in extreme positions (such as sitting cross-legged or doing deep squats) during the first period of recovery.

After recovery, you can resume light activities such as walking, biking, and swimming. Intense sports, such as running or jumping, are usually not recommended for 6 months to a year, depending on your recovery.

Immediately after the operation, you will learn to walk with the help of a walker or crutches. Usually, you can walk without aids after 4 to 6 weeks, although it is important to relieve the knee and hip well to prevent overloading.

Hip replacement surgery requires considerable rehabilitation. Most of your recovery occurs in the first 6 weeks to 3 months after surgery. That is not to say that the full recovery is achieved at that time. Some people require up to a year to achieve full function and feel completely recovered.

As with any surgery, there are risks such as infection, blood clots, nerve damage, hip dislocation (hip out of the socket), or problems with the prosthesis. However, these risks are carefully minimized by the doctor.

Pain may be present in the first few weeks after surgery, but the pain usually decreases as healing progresses. Painkillers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help, but your doctor may also prescribe other medications for more intense pain. Do I need to take painkillers after surgery?

It is important to exercise regularly, such as doing the recommended exercises to promote blood circulation. After hip replacement surgery, the doctor will prescribe blood thinners for the first 4-6 weeks to reduce the risk of blood clots.

The use of crutches or a walker is usually necessary for the first 2 to 6 weeks, depending on your recovery and stability. This helps to prevent the new hip from sinking due to pain and provides safer mobility.

Recovery after knee surgery

Swelling is normal after surgery and can be reduced by elevating the knee, icing the knee, and doing recommended exercises to improve blood circulation.

Pain may be present in the first few weeks after surgery, but the pain usually decreases as healing progresses. Painkillers such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs) can help, but your doctor may also prescribe other medications for more intense pain. Do I need to take painkillers after surgery?

The amount of bending can vary. After surgery, it is normal for the knee to be stiff for a while, but with physical therapy and patience, the bending can usually improve. In some cases, the bending may not return completely.

Most doctors recommend waiting at least 4 to 6 weeks before driving again, depending on how well your knee heals and your ability to stop and shift safely.

Physical therapy is crucial to recovery because it helps improve knee mobility, build muscle strength, and reduce stiffness. It is often advised to begin physical therapy soon after surgery.

Possible complications include infections, blood clots, prosthesis loss or instability, and joint stiffness. It is important to follow your doctor's instructions carefully to minimize these risks.

This depends on the type of work you do. If you have a sedentary job, you can often return to work after 2-4 weeks. With physically demanding work, it can take longer, usually between 6 and 12 weeks.

In the first few weeks after surgery, heavy exertion should be avoided. Activities such as walking, cycling and light exercise can usually be resumed after a few weeks, but intensive sports should usually be avoided for a longer period of time.

Yes, physical therapy is an essential part of recovery. It helps to improve muscle strength around the knee, restore mobility and optimize the functionality of the knee. Physical therapy begins shortly after surgery.

Recovery can vary, but most patients can return to normal daily activities within 6 weeks. However, full recovery can take 6 months to a year, depending on your health and the level of physical therapy.

Cortoclinics app

If you have any questions or concerns, you can easily contact the Cortoclinics team via the app. The app also contains all contact details so that you can quickly get help when needed.

The app sends you reminders for things like medication, important preparations for surgery and rehabilitation exercises. These notifications help you take the necessary steps at the right time.

No, the app is intended to complement your physical visits and not replace them. It provides additional information and support, but face-to-face appointments with your care team remain essential.

Once you have scheduled an operation at Cortoclinics, you will receive a personal code with which you can activate the app and access all functions and information.

The Cortoclinics patient journey app guides you step by step through your treatment and rehabilitation process. From 30 days before your operation to a year after, you will receive personalized information, tips, and reminders to optimally prepare and support you.

Mako

A knee prosthesis can be placed using robot-assisted surgery in specialized clinics and hospitals that offer this technology, including Cortoclinics. Robotics ensures precision during the operation, which leads to better outcomes and fewer complications. Cortoclinics offers this advanced treatment method and is the only clinic in Europe specialized in hip and knee orthopedics.

The main difference lies in precision. The Mako robotic arm provides real-time feedback and enables the surgeon to work with greater accuracy. In traditional surgeries, all steps are performed manually by the surgeon, which can lead to variations in precision.

The Mako robotic arm is an advanced technological tool that assists surgeons in the precise placement of hip and knee implants. The system uses 3D models to plan the surgery and position the implant with extreme accuracy, leading to better outcomes and a faster recovery.

Yes, the precision provided by the Mako robotic arm allows for more accurate implant placement, which can result in less postoperative pain, a faster recovery, and better long-term joint function.

Not everyone is automatically eligible for surgery with the Mako robotic arm. Your orthopedic surgeon will conduct a thorough evaluation to determine whether this technology is the best option for your specific situation.

Surgery with the Mako robotic arm offers several benefits, including greater accuracy in implant placement, a reduced risk of complications, less postoperative pain, and a quicker recovery.