Holistic medicine

Roeding (Roeder treatment) - removal of the almond stones

Roeding (Roeder treatment) - removal of the almond stones

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Roasting (also: Roeder treatment) is an alternative medical procedure for removing so-called almond stones. These are white-yellowish structures in the pharynx that arise from dead cell and tissue residues within the crypts of the tonsils. They are extremely unpleasant for those affected, because they usually only grow to a few millimeters in size, but they smell all the more abnormal. The small stones are stored in the indentations of the tonsils and cause not only an extremely penetrating, foul smell but also an annoying foreign body sensation.

Both can only be remedied by removing the almond stones. Often these resolve themselves, for example by sneezing or coughing. Occasionally, however, they are stuck so stubbornly in the tonsils that only a targeted treatment measure helps. In this context, the so-called roasting is one of the most important standard procedures in the field of alternative medicine - in addition to the actual tonsil removal. You can find out how the procedure works and what needs to be considered in advance of the treatment in our article on the topic below.

Rödern - Roederverarbeitung: Brief overview

  • description: So-called roasting is an alternative medical procedure for removing deposits (“almond stones”) from the almond furrows. Roeder treatment aims to improve lymphatic flow in the pharynx ring.
  • procedure: When roasting, the almond stones are sucked out of the almond furrows ("crypts") using a rubber ball and a glass bell ("Röderbesteck"). The almonds are then massaged with aids such as a cotton-coated finger or massage hook. In addition, almond rinses with herbal additives are often used.
  • effect: By suctioning and massaging the almonds, deposits are removed or the natural emptying of the almond crypts is stimulated.
  • application areas: Cleansing the almond crypts, fighting bad breath, preventing inflammation, alternative to surgical tonsil removal.
  • Risks and side effects: If the Röder cutlery is not used correctly and, for example, too much pressure is exerted, permanent damage to the palate and throat structures can occur. We therefore strongly advise against using the instruments on your own. For a Roeder treatment, please always seek out a competent alternative practitioner.
  • Contraindications: Acute inflammatory streptococcal infection

Note: Roeder treatment is an alternative medical treatment method that is described by many alternative practitioners and non-medical practitioners as well as patients as an effective method for removing tonsil stones. So far, however, there is no scientific proof of the effectiveness of the method.

The almonds - structure and function

The tonsils (Tonsilla palatina) describe a pair of organs in the pharynx, which owes its name to its almond-shaped nature. It lies between the anterior and posterior palate arch (Arcus palatini) and consists largely of lymphatic tissue, which in turn is surrounded by a protective layer of mucous membrane.

Characteristic of the almonds, which are also known as “tonsils”, are also several slit-shaped depressions, the so-called almond crypts (Cryptae tonsillares). They extend extremely deep into the tissue of the tonsils and are responsible for the somewhat jagged appearance of the almond surface.

The crypts are now also in which small structures (Detritus) accumulate. In the oral cavity, these consist essentially of a mixture of abraded epithelial cells, tissue and food residues, which migrate into the crypts through the swallowing process.

This is not without reason, because the detritus is to a certain extent “waste samples” from the oral cavity, which are presented to the immune system via the lymphatic structures of the tonsils for more precise analysis. The lymphocytes live in the crypts. They denote special defense cells of the lymphatic system, which belong to the white blood cells - better known as "leukocytes" - and examine the composition of the detritus of the tonsils for harmful pathogens. In this way, the immune status can be continuously updated and health risks in the oral cavity can be identified promptly.

So that new “samples” can get into the crypts of the tonsils, they have to be emptied every now and then. In the process, the annoying almond stones are created, which are also known as "tonsil stones" or "tonsilloliths". They are usually whitish to yellowish in color and have an extremely pungent smell, which is even more noticeable when you crush the small lumps between your fingers. The disgusting stench of the almond stones can be explained quite simply by their content, because this consists of old food residues and dead cell tissue.

The emptying of the almond crypts usually works very smoothly, so that the annoying, stinking almond stones only become a problem temporarily. However, tonsil stones can become a chronic problem if the tonsils are unnaturally fissured. Here the small structures accumulate more and more than normal.

At the same time, the abnormally fissured surface of the tonsils can also lead to emptying disorders and, as a result, to inflammation due to an increased accumulation of germ-laden detritus deposits. Another reason for unusual accumulations of tonsils can be tonsillitis. Due to inflammation-related swellings in the throat area, the emptying of the almond crypts can be massively impaired, which then causes tonsil stones to develop.

What is Roeder treatment?

The Roeder treatment, or "roasting" for short, is an irritant therapy for removing almond stones or for stimulating an improved self-emptying of the almond crypts. The principle of treatment is based on the fact that the crypts of the tonsils are emptied mainly through rhythmic chewing and swallowing movements of the palate and throat. Extreme movements such as clearing the throat, coughing or sneezing support this emptying mechanism. For this reason, massages, which support the movement processes of the palate, are an essential part of the Röder treatment.

Basically, this form of therapy for a lymphatic organ can be defined as a special form of lymphatic drainage, since a spontaneous emptying of the lymphatic organ is stimulated, similar to the massage of the lymph nodes and vessels.

For this purpose, therapists insert various aids coated with cotton wool in the palate, throat and around the nasal mucosa so that they can be massaged without a greater risk of injury. The following tools are used in detail:

  • Palatine tonsils: massage hook covered with cotton,
  • Pharyngeal tonsils: finger covered with cotton,
  • Nasal mucosa: button probe covered with cotton.

Before the actual tonsil massage, the almond stones are sucked out with the so-called Rödersaugglas. It is a glass bell that is connected to a rubber pump ball via a glass tube or hose. When placed on the almonds, the rubber ball in the glass bell compresses to create a vacuum, which is used to suck the tonsil stones out of the crypts. In doing so, germ spots and other contaminations of the crypts should also be removed.

In addition to the Röder treatment, almond rinses with herbal extracts or herbal tea (for example with chamomile, sage or St. John's wort) are often carried out as gargle water. On the one hand, this serves to disinfect inflammation and infection sites. On the other hand, the stuck bad breath associated with a detritus plug can also be eliminated more quickly.

History of Roeder treatment

Roasting is named after the first description of the treatment method, the internist and neurologist Heinrich Roeder. In 1912 he was one of the first to describe the tonsils as an excretory organ with important importance for our lymphatic system. His discoveries may be closely linked to previous innovations in the field of lymphology, which also emerged at the beginning of the 20th century.

Above all, the French anatomist Marie Philibert Constant Sappey, who first published a detailed atlas with extremely detailed illustrations of the course of the lymphatic system in 1874, may have provided Roeder with an important basis for his thesis. Sappey also has initial ideas for a massage-based stimulation process for lymph flow, which may have decisively shaped Röder's approach to the removal of detritus from the lymphatic system of the tonsils.

Sappey's studies were later continued by the French anatomist Henri Rouvière. In particular, he devoted himself to a closer examination of the lymph nodes and their drainage points. One of the retropharyngeal lymph nodes in the throat (Nodi lymphoidei retropharyngeales) is even named after him and shows how closely the tonsils are linked to the lymphatic system.

Because the "Rouvière node" is one of those lymph nodes that, according to the anatomist, are part of the important drainage pathways of the head and neck lymph nodes, which have to be particularly stimulated in the case of lymphatic drainage in the area of ​​the tonsils in order to discharge secretions.

With regard to the lymphatic structures as well as the function of the tonsils within the lymphatic system and the immune defense, Heinrich Roeder was absolutely right according to the records of Sappey and Rouvière. Roeder treatment therefore has a sound medical basis and tries to target those lymph nodes that, according to Rouvière, are responsible for the successful drainage of the tonsils.

The process also stimulates the lymph nodes on the palate of adjacent tissue structures such as the paranasal sinuses, neck and parotid gland, which further increases the success of the treatment.

Rödern - fields of application

The reasons for a Roeder treatment initially lie in cleaning the almond crypts. In the long term, the treatment should also help prevent inflammation. Because inadequate emptying of the crypts and the associated excessive accumulation of detritus is a dangerous source of bacteria, which can not only contribute to an increased risk of infection in the pharynx, but can also increase the risk of secondary infections in adjacent organs. For details on important causes of treatment, please refer to the overview below.

Purification of the lymphatic system

Like all deeper tissue structures, the crypts of the tonsils tend to become blocked by an impaired emptying function. This cleaning disorder can be compared to the skin pores, which contribute to the development of pimples and abscesses in the event of constipation.

The crypts or lymph nodes in the pharynx and palate tend to a so-called retropharyngeal abscess, which is caused by bacterial contamination of the tonsils as a lymphatic organ. The abscess causes enormous swallowing problems and pain when swallowing. Difficulty breathing, fever and a stiff neck can also occur. In this respect, roasting is a real preventive measure against abscess formation in the throat area.

By the way: The Roeder treatment is also often used in combination with general cleansing treatments to detoxify the body, such as fasting or drainage treatments. Stimulation of the pharynx lymph benefits in particular the metabolic transport within the lymphatic system, which contributes to the elimination of body waste and toxins.

Prevention of inflammation

In addition to an unbearable bad breath due to detritus, the most common consequence of chronic tonsillitis is tonsillitis (tonsillitis). It arises primarily from bacterial residues in the tonsil stones and is not entirely harmless with regard to secondary inflammation in the ENT area. In addition, the tonsil stones smell particularly disgusting in the context of tonsillitis, since bacterial pathogens also settle in the detritus, whose excretion products additionally intensify the stench of the small crumbs.

Typical triggers of tonsillitis are:

  • Streptococci (especially Streptococcus pyogenes),
  • Staphylococci,
  • Pneumococci,
  • Haemophilus influenzae,
  • Viruses (for example Epstein-Barr virus).

The classic sequelae of tonsillitis are pharyngitis and otitis media. The latter shows that local inflammation of the tonsils can also spread to adjacent organs. This is particularly tricky for the ears, since chronic courses can lead to massive and permanent hearing damage.

Danger: Some doctors and naturopaths point out that an impaired emptying of the almond crypts can even lead to rheumatism. The immune system is directed against the body's own tissue structures such as connective tissue, bones and joints, or blood vessels. An emptying disorder of the lymphatic organ of the tonsils can therefore also favor chronic inflammatory autoimmune diseases.

Alternative to tonsil surgery

Almond stones are particularly common in children aged one to eight years. This is due to the fact that the tonsils here are still greatly enlarged and the age-related deep crypts only shrink to their final size in the following years, which temporarily favors the crypt's emptying disorders.

Roasting can therefore be a gentle alternative to radical tonsil removal (tonsillectomy), especially for small children. For a long time, it was the standard procedure for chronic tonsillitis in childhood.

In fact, the drastic intervention only anticipates a natural development and not without consequences. Once the tonsils have been completely removed, the risk of infection and allergy increases according to the latest research. A 2018 study found that removing tonsils in childhood can increase the risk of developing allergies, respiratory and infectious diseases by two to three times.

It is hardly surprising when you consider that the early detection of pathogens, which is so important for a functioning immune defense, can no longer take place after a tonsillectomy. The same applies to the correct analysis of potential allergens that enter the detritus of the almond crypts via the nose and mouth.

So it can be said that with an almond removal, an important part of the immune and lymphatic system is lost forever. Parents should therefore think twice whether they should send their child to the operating room if they have almond complaints, or rather send them to a naturopath who tries to alleviate the symptoms with Roeder treatment.

In fact, this was also the original idea of ​​Heinrich Roeder, who tried with his procedure to reduce the disproportionate number of tonsillectomies, which at the time already provoked an unnecessary number of long-term patients whose lymphatic and immune systems were severely disturbed by the tonsil removal.

Roeder treatment procedure

There are now also Röders suction glasses for home use. However, we strongly advise against self-testing, as usage errors can cause permanent damage to the palate and throat structures. For example, excessive pressure on the tonsils can result from excessive pressure on the rubber ball attached to the bell jar, causing lacerations or tears. Therefore, for a Roeder treatment, please always place yourself in the hands of a trained alternative practitioner or doctor.

Therapy can take the following form:

First step - pre-cleaning the throat area

Coarse deposits are removed from the pharynx by means of a throat irrigation before the actual roasting. This can be, for example, microbial residues from an almond infection, fungus or ice residues. In addition to saline and various antiseptics (e.g. chlorophyllipt, furacilin or miramistin), popular additives for appropriate gargling water are especially disinfectant herbs such as

  • Angelika,
  • Arnica,
  • Marshmallow,
  • Raspberry leaves,
  • Elder,
  • Coltsfoot,
  • Johannis herbs,
  • Chamomile,
  • Mullein,
  • Propolis,
  • Marigold,
  • Sage,
  • Star anise
  • and thyme.

Second step - suctioning off the almonds

Sucking off the almonds is a bit like cupping with cupping glasses and requires a lot of tact from the therapist. The negative pressure built up in the glass bell should be strong enough to pull the almond stones out of the crypts, but at the same time it must be gentle enough not to damage the sensitive lymph structures of the tonsils.

Due to the negative pressure, the tonsil stones are pulled out of the crypts in the course of the treatment and guided out of the glass in the tube channel connected to the suction glass. As an alternative to the glass-rubber apparatus, there are now stainless steel rowing machines that work on the same principle.

Third step - massage of the tonsils

After suctioning off the detritus, the actual lymphatic drainage of the tonsils is carried out. Although the suctioning off of the tonsils means a certain pressure stimulation, a targeted massage with the instruments mentioned above is essential for an effective stimulation of the lymph nodes. Wrapping these with cotton has hygienic reasons. On the other hand, the soft cotton wool relaxes the pharynx and palate, which additionally supports the lymphatic flow.

Ideally, the suction and drainage of the tonsils will improve the lymph flow in the long term and thus also improve the spontaneous emptying of the crypts. The massage also promotes the activity of the palate muscles and the blood vessels in the throat, which also has a positive effect on the cleaning behavior of the tonsils. Depending on how large and extensive the emptying disorder of the tonsils is, repeated sessions at intervals of one to two weeks may be necessary until detritus can no longer be suctioned off manually.

Contraindications to roasting

If done correctly, there are no side effects when roasting. However, the treatment set should be carefully cleaned with medical alcohol before and after the treatment so that no germs remain. They could otherwise cause unwanted infections if they are used again.

Speaking of infections: Patients with an acute streptococcal infection should refrain from Roeder treatment. Streptococcus pyogenes in particular must be prevented from spreading further in the body by therapeutic instruments inserted into the mouth. Because the bacterium is not only considered to cause almond and throat inflammation, but can also trigger dangerous scarlet fever in humans. The childhood disease suggests that children should be treated with antibiotic agents or vaccinated against scarlet fever before treatment with Roeder, especially if they are pre-infected. (ma)

Author and source information

This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.


  • Buchinger, Otto: Therapeutic fasting and its auxiliary methods as a biological path, Hippokrates Verlag, 2005
  • Luebbers, Dr. med. Wolf; Luebbers, Dr. Christian W .: The "cleaning" of the almond - The Roedermethode, in: HNO Nachrichten, 1/2010: 58/59, 2010
  • Fachverband Deutscher Heilpraktiker e.V. (FDH): Rödern (access: 16.1.2020), FDH
  • Byars, Sean G .; Stearns, Stephen C .; Boomsma, Jacobus J .: Association of Long-Term Risk of Respiratory, Allergic, and Infectious Diseases With Removal of Adenoids and Tonsils in Childhood, in: JAMA Otolaryngology - Head & Neck Surgery, 144 (7): 594-603, July 2018 , JAMA Network
  • Stelter, K .: Diseases of the tonsils in childhood. Tonsillitis and Sore Throat in Childhood, in: Laryngo-Rhino-Otologie, 93 (S 01): S84-S102, 2014, Thieme

Video: 3 Powerful Home Remedies for Tonsil Stones That Work Fast! Tonsilloliths (December 2022).