Services | Ida-Tallinna Keskhaigla

Allergen-specific immunotherapy

Allergen-specific immunotherapy is the only modern treatment changing the course of an allergic disease; it is used to develop a tolerance to the allergen causing the allergy. We can perform allergen-specific immunotherapy for the treatment of pollen allergy, household dust allergy, insecticide allergy and animal allergy. It is possible to carry out the treatment using subcutaneous injections or sublingual drops. We perform allergen-specific immunotherapy on both children and adults.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Outpatient appointment with an allergist-immunologist

Both children and adults who have already been diagnosed with or are suspected of having an allergic disease (such as allergic rhinitis, asthma, allergic skin rash or hives, food allergies, insecticide allergies, drug allergies), immunodeficiency (including abnormally common or abnormally severe infections) or other disorder encompassing the immune system are welcome to an appointment with an allergist-immunologist.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Appointment with an allergology-immunology nurse

Allergology-immunology nurses advise patients with different types of immune system disorders. In the case of allergic diseases (asthma, allergic rhinitis, atopic dermatitis), nurses provide recommendations to patients and loved ones on how to better cope with allergic diseases. Among other things, they will be trained in the use of medications and technical aids, and given recommendations regarding nutrition and skin care. The treating physician will refer you to a nurse’s appointment.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Appointment with a dermatovenerologist

A dermatovenerologist, i.e. a physician of the skin, deals with diagnosing, treatment and monitoring of different skin disorders and sexually transmitted diseases. We perform different dermatological procedures for the purpose of diagnosis and treatment: various minor surgeries (removal of skin formations), skin biopsies, cryotherapy, i.e. cold therapy, diathermocoagulations for the removal of haemangiomas.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Appointment with a dermatovenerology nurse

A dermatovenerology nurse provides consultations to patients with skin disorders. The nurse will give recommendations regarding skin care in the case of chronic skin disorders and acne, or after the treatment of fungal infections. In addition, we perform diagnostics of various skin formations and dermatoscopy, which allows us to diagnose suspicious birthmarks and new skin formations. Dermatoscopy allows early detection of skin changes, including melanoma. The treating physician will refer you to a nurse’s appointment.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Appointment with a geneticist

A geneticist deals with an already diagnosed genetic disease or the diagnosing, treatment and counselling of patients suspected of having one. At the geneticist's appointment, the patient receives information about the diagnosed disease, it is explained to him how the given disease is inherited, what is the recurrence risk in close relatives, what are the testing options for the patient and his close relatives, and what are the treatment options.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Digital dermatoscopy

Digital dermatoscopy is a test which enables nevi (birthmarks) to be diagnosed, recorded, and monitored over time. Digital dermatoscopy permits the early discovery of changing nevi and melanoma.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Epicutaneous tests

Epicutaneous tests are used for identifying the potential allergen when diagnosing allergic contact dermatitis. To perform the test, allergens are placed on the upper back using patches (the number of patches depends on the number of allergens studied). Patches will be left on the back for two whole days (48 hours), after which they will be removed. The result of the test will be evaluated during the third appointment (usually 48 hours after the patches have been removed).

Clinic of Internal Medicine, Centre for Allergology and Immunology

FeNO test

Measurement of fractional exhaled nitric oxide (FeNO) is a method of assessing eosinophilic inflammation of the airways. It allows for the assessment of the worsening and treatment results of eosinophilic diseases of the airways.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Removal of benign skin lesions

Diathermocoagulation, cryotherapy or a special instrument is used to remove benign lesions. Diathermocoagulation is an electrosurgical treatment method that uses alternating current to remove various skin lesions. This method gives a good cosmetic result, and closing the wounds with stitches is not necessary.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Outpatient appointment with a paediatric allergist

Children who have already been diagnosed with or are suspected of having an allergic disease (such as allergic rhinitis, asthma, allergic skin rash or hives, food allergies, insecticide allergies, drug allergies) are welcome to an appointment with a paediatric allergist. In order to refer a patient to a consultation with a paediatric allergist, one’s family physician or medical specialist will prepare an e-consultation referral, to which we will respond within 4 working days (we will contact you and agree on an appointment date).

Clinic of Internal Medicine, Centre for Allergology and Immunology

Light therapy of the skin

Light therapy has a positive effect against many skin problems, for example allergic and bacterial skin inflammation. The main (albeit not the only) indication for light therapy of the skin is psoriasis.

Clinic of Medical Rehabilitation, Centre for Allergology and Immunology

Minor outpatient surgery performed by dermatologists

Surgical removal of smaller neoplasms of the skin using local anaesthetic. Sutures will be applied to the wound, if necessary, which must be removed after a period of 1–2 weeks, depending on the site and size of the wound.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Skin biopsy

Histological examination of a tissue sample (biopsy) might be required to identify a skin disorder. For this, a piece of skin with a diameter of 2 to 4 millimetres will be taken using a biopsy drill. You will not feel any pain due to a previously injected local anaesthetic, but you will retain touch sensitivity. The samples will be sent to the pathology centre where a result will usually be reached within 3–4 weeks.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Skin prick tests

Skin prick tests are used to identify the causal allergen. To perform the test, a drop of the allergen solution will be placed on the skin of the forearm or back, and a special lancet will be used to do a gentle prick through the drop. The result of the test will be evaluated after 15 minutes have passed.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Provocation test

It is possible to verify whether a suspected allergen causes issues or not using a provocation test. To do so, the allergen will be given/administered under controlled conditions and constant supervision. We conduct allergological provocation tests in the event of the suspicion of a drug allergy, insecticide allergy, food allergy, as well as allergic rhinitis and asthma.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Treatment of viral warts and corns with liquid nitrogen

Cryotherapy is the removal of benign neoplasms of the skin using liquid nitrogen. Liquid nitrogen freezes the water in skin cells, during the melting of which the bonds between cells break and a blister forms. With the healing of the blister, the formation will be removed.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Spirometry

Spirometry is a test of breathing function, during which lung capacity, elasticity and airway resistance during forced breathing is assessed. Inhalation and exhalation with maximum depth and speed is studied during the test. The test is mainly used for diagnosing asthma and chronic obstructive pulmonary disease (COPD), and monitoring the treatment of these.

Clinic of Internal Medicine, Centre for Allergology and Immunology

Anti-gravity treadmill (AlterG)

AlterG has been developed to reduce the impact of gravity on the patient's lower extremities, thus enabling patients suffering from injuries to their lower limbs to start with gait training significantly earlier on in the rehabilitation process. Benefits of the AlterG treadmill, based on anti-gravity technology:

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Instrumental physiotherapy

Instrumental physiotherapy is a type of physiotherapy where electrical therapy devices are used for faster recovery in the case of a wide variety of health problems, mainly for the recovery of the supporting and movement organs. The treatment is used, for example, in acute inflammations, muscle and joint problems, post-traumatic conditions, ulcers, nerve diseases, skin diseases and ear-nose-throat diseases.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Instrumental lymphatic massage

Lymphatic massage or pneumo-massage activates the flow of lymph in the lymphatic system, affecting the subcutaneous tissues and stimulating the drainage of both lymphatic fluid and interstitial fluid. The goal is to stimulate the activity of the lymphatic circulation and improve the drainage of fluid and waste products from the body.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Automatic water massage

The effect of automatic water massage improves blood circulation and tissue metabolism. Massage relaxes muscle tension and relieves pain. Underwater massage has a soft effect and creates a pleasant feeling. Automatic water massage takes place in a special massage bath. The service is for a fee. Please bring swimwear, hygiene items, a towel and shoes with non-slip soles.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Infant swimming in group

Infant swimming strengthens the child’s skeletal and muscular system, improves joint mobility, relieves muscular tension and develops body flexibility. The water environment calms the baby and helps them relax. In an individual swimming lesson, the baby learns how to float on water, move on their back or belly, jump into water and practise their diving reflex.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Blood tests package for recreational athletes

The blood tests package determines: Creatinine is the end product of muscle metabolism. The amount depends on the size of the muscle mass. Helps assess the functioning of the kidneys. Urea is the end product of protein cleavage.

Diagnostic Clinic, Outpatient Rehabilitation Centre

Cardiopulmonary stress test

Cardiopulmonary stress test is a diagnostic examination method that allows us to assess circulation, respiration and muscle metabolism as a whole during exercise. Along with monitoring the adaptation processes of the cardiovascular system, changes in breathing function, inhaled oxygen and exhaled carbon dioxide are continuously recorded during the test using a breathing mask and a gas analyser.

Clinic of Internal Medicine, Outpatient Rehabilitation Centre

Cold compression therapy

The procedure performed with the GameReady device helps speed up recovery from injuries. In addition to topical cold therapy, the device contains compression therapy, which is very suitable for reducing swelling and pain after trauma and/or surgery (endoprosthesis placement, amputation, etc.). Duration: up to 30 minutes. The service is for a fee. Appointments can be booked:

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Physiotherapy in a pool

Physiotherapy in a pool builds muscles, stimulates the respiratory organs and regulates cardiac activity.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Gait analysis and training on the GRAIL system

GRAIL is a device for performing gait analysis (60 min) and training (30 min). It allows extremely detailed real-time gait analysis to be conducted and the results saved for subsequent use to clarify the patient’s problems and/or adjust their therapy. The GRAIL system is ideal for patients with neurological, orthopaedic and musculoskeletal conditions who need gait analysis or gait training.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Health checks for young athletes

The young athlete health check provides an overview of the health status and physical capacity of the young athlete. The main goals are to find out contraindications and partial restrictions for sports and to identify health risks.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Infant massage

Infant massage has an all-round positive effect on the baby’s development. Infant massage strengthens muscles, balances the tone of skeletal muscles and the motor development of the child, improves coordination, increases the elasticity and mobility of muscles and stimulates metabolism and circulation.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Individual foot orthotics

Individual orthotics provide relief for various foot ailments. We use the most modern technology in the manufacture of orthotics, which ensures the best fit for shoes. Accurate analysis of load distribution on the feet, modern materials and new technology make it possible to manufacture individual orthotics based on the patient’s needs.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Leg load distribution complex examination

We carry out an examination with a sensor board for children weighing 35 kg or more. We counsel smaller children if necessary without performing the examination. After the examination, the doctor counsels the patient on leg exercises, aids related to foot deformities, orthoses and the selection of appropriate footwear.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre koormusjaotus

Kinesio taping

Kinesio tape is an elastic tape that is an effective tool for reducing ailments of the skeletal muscle system. Taping aids in the recovery of an area damaged by overuse or trauma. The tape helps reduce swelling and reduces pain. We also perform kinesio taping with the patient’s own tape. The service is for a fee. Appointments can be booked:

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre kinesioteipimine

Light therapy

Light therapy is a form of an artificial sun which relieves springtime lethargy and winter depression, which is very prevalent here in the North.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Shockwave therapy

Shockwave therapy is a type of physical therapy. Shockwaves are acoustic waves which propagate in tissues and have healing properties. The first procedure is performed by a doctor, the following ones by a nurse.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre lööklaineteraapia

Massage

Massage helps to improve tissue circulation and promotes metabolism. Massage also normalises the nervous system and muscle function, which in turn helps rid the patient of muscle tension. Massage is also used for stress relief and to boost and maintain the capacity for work for a longer term. Massage, or healing with hands, is an ancient healing technique originating from India. We offer various therapeutic massages.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Occupational therapy

Occupational therapy involves teaching the patient the skills necessary for coping with everyday life. The goal is to assist the patient in coping with everyday activities as independently and safely as possible. In the case of hand and wrist problems, we carry out hand therapy sessions, make hand and finger orthoses and provide counselling as to the selection of orthoses.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre Inpatient Rehabilitation Centre

Paraffin wax therapy

The procedure relieves muscle tension and dilates the vessels in subcutaneous tissue, which improves circulation and reduces the sensation of pain. Paraffin wax therapy has a pain-relieving and anti-inflammatory effect. It is well-suited for relieving chronic muscle and joint complaints.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre parafiinravi

Pearl bath

A pearl bath has a relaxing effect on the whole body. Warm pearl baths are suitable for relieving excess tension and stress. Water relieves muscle tension, reduces the sensation of pain in the diseased regions of the body, stimulates metabolism, improves blood and lymph circulation and helps to relieve stress.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre pärlivann

Physiotherapy for pelvic floor muscles

In the case of urinary problems and uterine prolapse, it is necessary to learn how to correctly tighten the pelvic floor muscles to prevent and treat urinary incontinence and organ prolapse.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Prosthetist´s appointment

Our prosthetists make individual orthopaedic insoles and prostheses.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre Inpatient Rehabilitation Centre

Rehabilitation physician´s appointment

A rehabilitation physician is a medical specialist who evaluates the patient’s condition, decides on the need for medical rehabilitation and prescribes further treatment depending on the patient’s problem, by referring the patient to rehabilitative services (physiotherapy, occupational therapy, massage, etc.).

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre Inpatient Rehabilitation Centre taastusravi

Training room (HUR machines)

The training room is fitted with exercise equipment by the Finnish company HUR and enables targeting of all muscle groups. The equipment has been designed to also ensure convenient use by patients confined to a wheelchair. The training room is used for 30-minute individual as well as group therapy sessions under the instruction of physiotherapists.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre huri masinad

Underwater shower massage

Underwater massage with a powerful jet is suitable for muscle problems, limited joint mobility and lymphostasis.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre duššmassaaž

Water aerobics for the pregnant

The Clinic of Medical Rehabilitation offers water aerobics for pregnant women. Water is a good method for relaxation, You will feel lighter in water and relax your overstrained muscles and reduce lower back pain.

Clinic of Medical Rehabilitation, Outpatient Rehabilitation Centre

Anaesthesiologist's appointment

An outpatient appointment with an anaesthesiologist will take place for patients undergoing surgery in order to get acquainted. A surgeon will refer you to an appointment. Anaesthesiologists deal with patients with chronic pain at the pain management doctor's appointment.

Surgery Clinic, Centre of Anaesthesiology and Intensive Care radiojoodravi

Pain management doctor's appointment

In the pain service pain treatment office, we help patients with chronic pain with a referral. NB! In our hospital, neurologists provide headache treatment.

Surgery Clinic, Centre of Anaesthesiology and Intensive Care

Appointment with an endocrinologist

Endocrinologists diagnose and treat patients with thyroid-related problems: an overactive thyroid or parathyroid gland, a nodular thyroid gland or a thyroid malignancy. Patients with thyroid disease during pregnancy can also attend an appointment. Endocrinologists perform ultrasound examinations of the thyroid gland, if necessary, and take a biopsy from the thyroid gland. Diabetics are the largest patient group for endocrinologists.

Clinic of Internal Medicine, Centre of Endocrinology

Appointment with diabetes nurse

Diabetes nurses counsel patients suffering from type I and II and gestational diabetes and, if necessary, their family members and support persons. At the appointment, the nature of diabetes and its possible health effects are discussed with the patient as well as the principles of a healthy diet in the case of being overweight and the active phase of the disease itself. They are taught to recognise the state of low blood sugar and the necessary first aid measures.

Clinic of Internal Medicine, Centre of Endocrinology

Appointment with foot care nurse for diabetics

If required, you can turn to the foot care nurse for advice and treatment of skin injuries, ulcers and post-amputation conditions and upon the onset of inflammatory diseases. A foot care nurse appointment includes the following:

Clinic of Internal Medicine, Centre of Endocrinology

Eye pathology associated with thyroid diseases

Orbitopathy is an eye disease associated with thyroid diseases. It is often a problem that is difficult to treat. When treating the disease, we cooperate with the ophthalmologists at the Eye Clinic.

Clinic of Internal Medicine, Centre of Endocrinology

Thyroid puncture

Diagnosis and treatment of thyroid nodules. A thyroid puncture is performed if it is necessary to specify the cellular structure of a nodule located at the thyroid. In the course of a thyroid puncture, we puncture a suspected malignant nodule under ultrasound guidance and send the material for cytological examination. If necessary, the attending physician will refer you to the examination.

Clinic of Internal Medicine, Centre of Endocrinology

Thyroid ultrasound scan

Assessing the size and structure of the thyroid. Necessary testing in case of thyroid nodules, in diagnosing malignant thyroid tumours and illnesses accompanied by hyperthyroidism. The attending physician refers to the examination.

Clinic of Internal Medicine, Centre of Endocrinology

Balloon-assisted enteroscopy

A test for identifying diseases of the small intestine. With the help of a balloon located at the endoscope, the small intestine is pulled onto the endoscope, and the endoscope is advanced inside the intestine in this way. During the examination, it is possible to take tissue samples and perform treatment procedures, if necessary (taking a biopsy, polypectomy). Since the procedure may take a long time, it is usually performed under anaesthesia and in the day treatment ward.

Clinic of Internal Medicine, Centre of Gastroenterology

Capsule endoscopy

Mainly the small intestine is examined. A swallowed capsule transmits images from inside the intestinal tract. Movement of the capsule inside the intestine may take hours.

Clinic of Internal Medicine, Centre of Gastroenterology

Colonoscopy

This is an examination of the lower gastrointestinal tract. The large intestine, and sometimes also the end of the small intestine is observed. The examination generally lasts for up to half an hour.

Clinic of Internal Medicine, Centre of Gastroenterology

Colonoscopy for screening for cancer of the large intestine

Similar to colonoscopy, but performed in the course of screening for an early detection of cancer of the large intestine. A faecal occult blood test will be performed beforehand (by a family physician), and if this turns out to be positive, the family physician will refer the patient to a screening colonoscopy.

Clinic of Internal Medicine, Centre of Gastroenterology

Endosonography

The upper gastrointestinal tract with an unclear nature and pancreatic tumours are mainly examined. A special endoscope with an ultrasonic probe at its head is used for endosonography. This allows for the nature of the tumour to be assessed more accurately and there is a possibility to take tissue samples, if necessary.

Clinic of Internal Medicine, Centre of Gastroenterology

ERCP

ERCP is the endoscopic examination of bile ducts and the pancreatic duct. The test is required for removing stones from the common bile duct, identifying tumours of the bile ducts/pancreas and treating complications (taking a biopsy, stenting).

Clinic of Internal Medicine, Centre of Gastroenterology

Outpatient appointment with a gastroenterologist

A person should see a gastroenterologist if a disease of the gastrointestinal tract, liver, or pancreas is suspected – the patient exhibits stomach ache, diarrhoea, anaemia, weight loss.

Clinic of Internal Medicine, Centre of Gastroenterology

Oesophagogastroduodenoscopy, i.e. gastroscopy

This is an examination of the upper gastrointestinal tract where a video camera is used to examine the oesophagus, stomach, and beginning of the duodenum via the mouth.

Clinic of Internal Medicine, Centre of Gastroenterology

Zenker's diverticulectomy

Zenker’s diverticulum is a diverticulum at the upper gastrointestinal tract which causes difficulty in swallowing; in the most extreme cases, eating is not possible at all. This can be endoscopically treated (diverticulectomy) and after a successful procedure, the patient is able to eat normally again.

Clinic of Internal Medicine, Centre of Gastroenterology

Hospice

Hospice provides attention and care for the entire family and loved ones who are about to lose somebody. Death is sad, yet inevitable, and sometimes people and their loved ones need help coping with it. Here at the hospice, we support a person’s right to die with dignity.

Nursing Clinic, Centre of Nursing Care

Anaemia screening test (hemoglobin)

Anaemia means a decrease in blood haemoglobin concentration and erythrocyte count below the age- and sex-adjusted normal values. Signs of anaemia are gradually increasing fatigue, weakness, shortness of breath, loss of productiveness, pale skin, etc. Erythrocytes or red blood cells (RBC) contain haemoglobin. Haemoglobin’s (Hb) task is oxygen transportation. Hb and RBC are a part of a haemogram (CBC-5Diff), i.e a complete blood count.