Shoulder complaints are very common and can have various causes. Patients of all ages can be affected, regardless of whether they are competitive athletes or spend most of their time sitting at a desk. But whether it is shoulder impingement syndrome, calcific tendonitis, osteoarthritis, tendon irritation, partial tendon tears, subluxations, or harmless Schleimbeutelentzündung vorliegt: Meist lassen die Symptome sich gut behandeln und im Rahmen weniger Sitzungen schnell in den Griff bekommen. Wir klären Ihren Befund durch ein ausführliches Anamnesegespräch, eine eingehende Untersuchung und durch unsere praxiseigene digitale Röntgendiagnostik.
The X-ray image provides us with information about possible calcium deposits, the anatomical position, and possible wear and tear. Our digital X-ray diagnostics are state-of-the-art, which means that the radiation exposure is very low.
If an MRI scan is necessary, we can usually arrange an appointment at very short notice thanks to our excellent contacts, regardless of whether our patients have statutory or private health insurance.
We check the mobility of the shoulder and examine it for instability, bottlenecks, or other pathologies or causes. Is there tendon irritation, bursitis, anatomical variation, or are the rotator cuff muscles affected?
This is followed by an ultrasound examination, which, in addition to the X-ray image, provides us with information about the soft tissue structures with regard to the function of muscles and tendons.
Our therapy primarily focuses on shock wave treatment supported by injections. When bone rubs against bone or a tendon is involved, inflammatory reactions occur. We therefore begin with a “single” injection of cortisone to relieve the inflammation and thus the acute cause of the pain. At the same time, this injection serves as a diagnostic intervention, as it may reveal another cause of the symptoms, which then results in a specific hierarchy principle or a process of elimination.
In most cases, this “single” cortisone injection is sufficient to reduce the pain sensation by about half after a few days, based on experience.
Once this has been achieved, a treatment lasting several weeks follows, involving injections of blood plasma, collagen and/or hyaluronic acid, as well as the application of shock waves, acupuncture, and kinesiology tape, and a specific exercise regimen. Since the injections are always performed under ultrasound guidance and are therefore placed precisely, they are particularly effective . Even patients who previously had reservations about injection therapy find the therapy not unpleasant and often follow the injection of the serum on the ultrasound monitor with their own eyes after just a few sessions.
Once the orthopedic treatment has been successfully completed, the patient can often actively contribute to maintaining the long-term success of the treatment by doing their own exercises. For this purpose, I provide specific instructions based on the options available to me in my practice and to each patient at home. In most cases, no additional equipment and/or specific facilities are required. In addition, the physiotherapy team at our practice is available and can be seamlessly integrated into the individual (follow-up) treatment upon request.