
The complicated interplay of a total of 3 joints and 2 accessory joints is essential to the perfect functioning of the shoulder.
11.05.2012
Bild der Frau - Bericht
Ein Bericht über Dr. Lehmann in der aktuellen Bild der Frau lesen Sie mehr....
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01.05.2012
Schulterarthrose stoppen
Funktions- und gelenkerhaltende Therapie bei Schulterarthrose
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29.11.2011
Schulter-OP und Reha erfolgreich
Schwimmstar Annika Mehlhorn beim Krafttest bei Schulterspezialist Dr. Michael Lehmann in Wiesbaden
[more]Patients with impingement syndrome typically complain of pain to the side of the upper arm that occurs either with loading (e.g. on lateral abduction of the arm) or is noticed as a pain at rest during the night.
It is due to the free space between the acromion and the rotator cuff being too small. This can either be due to a constitutionally reduced space that is often further decreased by bony deposits around the age of 40 years, or to an expansion of the soft tissue structures under the acromion (e.g. increase in calcium deposits within the rotator cuff or inflammatory thickening of the bursa following intensive strain on the shoulder during tennis, volleyball, etc.).




Sometimes, anti-inflammatory drugs, injections or physiotherapeutic measures can be helpful in the early stage. However, in cases of significant constriction, there is also the danger that the physiotherapeutic loading could increase the problem or even lead to tears in the rotator cuff.
Today, good results are often possible with the use of arthroscopy in impingement syndrome. In this way, for example, a reliable release of the inflamed, adherent bursa under the acromion and a precise removal of the bony constriction is possible, so that a good sliding function is already present after a few weeks.
Note. Although arthroscopic procedures are a conservative therapeutic alternative in many diseases of the shoulders today, this possibility often only comes into consideration at a relatively late stage. In some cases, further tears to the rotator cuff tendons will have already occurred, which can often be prevented by a timely intervention.
Kompetente Beratung zu
Schulterschmerzen,
Schulterarthrose,
Hüftschmerzen,
Hüftarthrose und
Hüftarthroskopie in Wiesbaden, Frankfurt und Freiburg
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© 2011 - Impingement syndrome