1980–1987 
Orthopaedics at the Roland Klinik, Bremen. Orthopaedist in 1983. Consultant orthopaedist at St. Anna Hospital in Wanne-Eickel Chair at Ruhr University in Bochum, Prof. Arcq. 

1987–1988
Reg. orthopaedist with own practice in Herne Wanne-Eickel. Further training courses: 
1986 Sports medicine. 
1988 Manual medicine, Hamm.
1990 Atlas therapy acc. to Arlen.
1991 Manual paediatric treatment. 
1993 Osteopathy.

Since 1994
ESWT, founding member of the ESMST (later ISMST), chief instructor for ESWT applications of DIGEST until 2009.

Lectures and book articles Treating necrosis of the head of the femur. Treating osteochondrosis dissecans. Myofascial pain syndromes. Non-unions treatments with ESWT. Chronic changes to the skin. Osteogenesis.

Mechanotransduction through ESWT Lecture work through ESWT (DE, NO, SE, DR, IT, FR).