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Treatment of impingement syndrome in Düsseldorf: Advanced techniques for optimal results.

Impingement syndrome

Shoulder pain is now present in many people and has therefore developed into a widespread condition. The most common shoulder disorder is the so-called impingement syndrome.

People who frequently perform overhead tasks in their profession, such as painters, or athletes who engage in arm-intensive sports like handball, may sooner or later be affected by impingement syndrome. But other individuals who move heavy loads with their arms over the years can also eventually develop impingement syndrome.

Symptoms of impingement syndrome

Symptoms of impingement syndrome can include shoulder pain that worsens when lifting the arm or during overhead movements. There may be nighttime pain that makes it difficult to sleep on the affected side. Additionally, sufferers may experience limited range of motion and a feeling of stiffness in the shoulder. In advanced cases, persistent pain and muscle atrophy are possible.

If you notice such symptoms in yourself, an impingement syndrome could be the cause. In our practice in Düsseldorf, we specialize in such complaints and can offer you professional help. Do not hesitate to visit us – we are here to help you.

Causes of shoulder impingement syndrome

Causes of shoulder impingement syndrome

Different causes are responsible for the development of an impingement syndrome. There is already a certain anatomical narrowness between the head of the humerus and the acromion, which is further exacerbated by wear and constant tendon irritation. This leads to compression of the tendons and the bursa located under the acromion. As a result, the already narrow gliding space is rendered non-functional, and there is even a risk of tendon rupture if the irritation of the shoulder joint persists.

Shock wave therapy Düsseldorf

Treatment of shoulder impingement syndrome (also known as impingement) at your orthopedist in Düsseldorf

The chances of recovery from this disease are high, especially with early treatment. After a thorough examination of your shoulder by your Düsseldorf orthopedist using X-rays, ultrasound, and MRI, various effective therapy options are available. These include medications, physiotherapy, and advanced techniques such as shock wave therapy and high-energy induction therapy. In certain cases, arthroscopy may also be advisable.

Focused shockwave therapy Focused shockwave therapy
Arthroscopic treatment (joint endoscopy)

Arthroscopic treatment (joint endoscopy)

If the impingement syndrome has reached an advanced stage or if bony changes in the form of bone spurs occur, surgery may become necessary. In such cases, we routinely perform a minimally invasive arthroscopy, a method with which we have a lot of experience.

Only two to three small incisions are required for the procedure. Through the first incision, we insert a small camera, and with the others, we expand the space under the shoulder roof. This is achieved by removing the thickened and inflamed bursa and shaving off excess bony structures. Over the next few weeks, a new, healthy gliding layer forms, and the shoulder joint becomes pain-free again.

Thanks to our experience and routine execution, this shoulder surgery is very successful and associated with minimal risk. It can be performed on an outpatient basis. After the procedure, it is important to start gentle physiotherapy from the first day. This will be continued for several weeks and serves to strengthen the muscles and restore the natural mobility of the shoulder joint.

Shoulder arthroscopy Shoulder arthroscopy

Get treated with modern methods at our orthopedic practice in Düsseldorf.

We are experts in the treatment of shoulder impingement syndrome. The diagnosis and treatment of an impingement syndrome should always be carried out by an experienced specialist. In our practice, we are also specifically equipped with a lot of experience to treat patients with impingement syndrome in Düsseldorf.

Efficient and modern treatment methods for calcific shoulder tendinitis play

Efficient and modern treatment methods for calcific shoulder tendinitis

Efficient and modern treatment methods for calcific shoulder tendinitis. play

Efficient and modern treatment methods for calcific shoulder tendinitis.

Häufig gestellte Fragen (FAQ)

The healing duration of impingement syndrome is individual and varies. It can take a few weeks to months. However, an early start of therapy can significantly shorten the healing process. It is always advisable to consult an orthopedist as soon as possible if symptoms occur.
In the treatment of impingement syndrome, anti-inflammatory medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to reduce pain and inflammation. Occasionally, corticosteroid injections into the affected shoulder joint can also be administered to specifically target inflammation. The exact choice of medications depends on the individual situation and the recommendations of the treating physician. It is important that you always discuss the use of medications with your doctor to receive the most suitable treatment for you.
If an impingement syndrome remains untreated, the symptoms can worsen over time and lead to significant limitations. The ongoing friction and compression of tendons and soft tissues in the shoulder can result in chronic pain, inflammation, and a deterioration of mobility. In some cases, it can lead to progressive damage to shoulder structures such as tendon tears or cartilage wear. Early diagnosis and appropriate treatment can help avoid potential complications and achieve a better long-term prognosis. Therefore, it is advisable to seek medical advice and pursue appropriate treatment if impingement syndrome is suspected.
Special physiotherapy exercises aimed at strengthening and flexibility can be helpful for impingement syndrome. These include rotation exercises, shoulder circles, and stretching exercises. However, it is important to perform these exercises under professional guidance to avoid worsening the symptoms.
Yes, impingement syndrome is generally treatable. We use a combination of medications, physical therapy, and specific shoulder exercises to alleviate the symptoms. If necessary, we also employ advanced treatment methods such as shock wave therapy, arthroscopy (joint endoscopy), and high-energy induction therapy. The prospects for recovery depend on several factors, including the severity of the syndrome and the individual's response to treatment. Therefore, it is important to seek professional advice early to create the optimal treatment plan.
In the case of impingement syndrome, certain exercises that put additional strain on the shoulder and could worsen the symptoms should be avoided. These include exercises with excessive shoulder rotation, overhead movements, or lifting heavy weights above the head. Additionally, exercises that exert strong pressure on the shoulder, such as bench presses or shoulder presses with heavy weights, should be avoided. It is important to consider individual limitations and seek advice from a qualified physiotherapist or orthopedist to develop a personalized exercise program that trains the shoulder gently and safely.
For an impingement syndrome, targeted massage can help relax the muscles and improve blood circulation. A gentle and careful massage of the affected shoulder area can help relieve tension and pain. Massage techniques such as cross-friction, trigger point massage, or myofascial release techniques can be used to loosen adhered tissue structures and improve shoulder mobility. It is advisable to consult an experienced masseur or physiotherapist who is knowledgeable in dealing with impingement syndrome and can adjust the massage accordingly to avoid potential damage or worsening of the condition.
Impingement syndrome can be caused by various factors, including anatomical characteristics and repetitive overhead movements. These can narrow the space between the upper arm and the shoulder roof, leading to irritation. Injuries, age-related changes, or unstable shoulder conditions can also play a role. Risk factors include sports with overhead movements, poor posture, or muscle weakness. An accurate diagnosis by an orthopedist helps to determine the causes and initiate appropriate treatment.
The impingement syndrome typically causes pain in the shoulder, which can sometimes extend to the upper arm and neck. Movements that raise the arm above shoulder height can particularly intensify the pain. The pain can be described as dull, aching, or sharp and can worsen with pressure on the shoulder. For persistent shoulder pain, you should always consult a medical professional to obtain an accurate diagnosis and appropriate treatment.
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