The treatment of shoulder disorders is determined by the underlying diagnosis, the severity of the pathology and the functional demands. It is typically approached in a stepwise manner. Conservative therapies, such as targeted physiotherapy, non steroidal anti-inflammatory drugs (NSAID´s), corticoid infiltrations and physical modalities (Cryotherapy, thermotherapy, ultrasound) constitute the first line approach for many functional and degenerative conditions. If conservative measures fail or if there are structural lesions, minimally invasive arthroscopic procedures are increasingly indicated.
Medical solution
Minimally invasive arthroscopic procedures have become the gold standard in the treatment of various shoulder pathologies due to their reduced surgical trauma, faster recovery times and improved cosmetic outcomes.
Among the most common interventions is:
Arthroscopic rotator cuff repair: used to reattach torn tendons of the rotator cuff complex, particularly in degenerative or traumatic tears.
Subacromial decompression: involves the removal of inflamed bursal tissue and smoothing of the acromion to alleviate impingement symptoms.
Arthroscopic labral repair: in Cases of labral injuries, such as SLAP Lesions, the labral repair enables anatomic restoration of the labrum using suture anchors. Recurrent anterior shoulder instability is often managed with arthroscopic Bankart repair, which reattaches the detached anterior labrum to the glenoid rim.
Arthroscopic removal of calcific deposits: is indicated in calcific tendinitis, facilitating pain relief and functional improvement
Arthroscopic distal clavicle resection: Patients with symptomatic acromioclavicular joint osteoarthritis may benefit from this procedure.
These techniques collectively represent a significant advancement in shoulder surgery, offering precise and effective solutions for a broad spectrum of disorders.
Shoulder arthroplasty is an established treatment option for advanced degenerative, traumatic, or inflammatory conditions of the glenohumeral joint. Indications include primary and secondary osteoarthritis , post-traumatic joint destruction, complex proximal humeral fractures and degenerative rotator cuff tears resulting in cuff tear arthropathy. The primary goals of prosthetic joint replacement are pain reduction, restoration of function and improvement in quality of life.
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At 26 years old, I was living with severe, chronic back pain that made everyday activities—like sitting through a movie—nearly impossible. After exhausting all conservative treatment options, I underwent a two-level disc replacement surgery performed by Dr. Karsten Ritter-Lang in Germany.
Three-level cervical and two-level lumbar disc replacement
Listen to the testimonial from Thomas, a 41-year-old patient from British Columbia, Canada. Thomas had been suffering from neck and lower back pain for years and therefore decided to take the step of undergoing surgery. He received a total of five disc replacements in one operation! Check it out.
With the uncertainties of my back pain, I reached out to Stenum. My husband had a disc replacement there 15 years ago. It was a prompt response after viewing my imaging. The problems in my spine were severe. The diagnosis, surgery needed, treatment plan and date options were sent. DR Ritter Laing and his entire team are unequivocally professional and precise. I’m very grateful for the care you provided. Thank you!
Removal of disc material and implantation of an artificial disc (TDR)
My opinion about the whole process is that if you are interested in artificial disc replacement as an option to treat degenerative disc disease in any portion of your spine (cervical thoracic lumbar), then Ortho Care Global GmbH and Dr. Karsten Ritter-Lang would be an exceptional choice for consideration. I would definitely recommend getting in touch with Ortho Care Global.
The entire process, from initial consultation to post-operative care, was exceptional. Dr. Ritter-Lang and his team were highly professional, compassionate, and thorough at every step. Just four and a half months after surgery, I am completely pain-free, back to full activity—including horseback riding and workouts—and have not needed any pain medication since one week post-op.
This surgery has truly changed my life, and I am deeply grateful to Dr. Ritter-Lang and his outstanding team. I highly recommend them to anyone considering disc replacement.
Life-Changing Surgery – Thank You Dr. Ritter-Lang and Team!
I’m a 26-year-old female, and just four and a half months ago, I had a two-disc replacement surgery performed by Dr. Karsten Ritter-Lang in Germany—and it has truly changed my life.
Before surgery, I was in constant, debilitating pain. Sitting through something as simple as a movie was unbearable. I tried everything—physical therapy, pain management, injections—but nothing worked. I was beginning to lose hope.
Then I found Dr. Ritter-Lang and his incredible team. From start to finish, the entire process was seamless and professional. They answered every question, walked me through each step, and made me feel completely confident and cared for. The experience in Germany was not only smooth, but also surprisingly pleasant thanks to their exceptional organization and support.
Now, just four and a half months post-surgery, I’m completely pain-free. I’m back to working out, riding horses, and doing anything I want—all without pain or limitations. Best of all, I haven’t taken a single pain pill since just one week after surgery. That’s how effective this procedure was.
Dr. Ritter-Lang is truly a world-class surgeon, and his team is equally outstanding. I cannot recommend them enough. If you are suffering and considering disc replacement, do not hesitate. This was the best decision I’ve ever made.
My name is Brad Handford and I am a community Pharmacist residing in Alberta Canada.
In 2018 I had a disc removed from upper C spine C7-T1 vertebral joint and a subsequent fusion in Canada. I had seven years being pain-free, but sadly in September of this year, the disc above that joint C6-C7 began to herniate severely as well causing severe „sciatic like“ pain in my left arm/shoulder/neck. I did a fair bit of research and it seems that spinal fusions are the common option in Canada, but in the United States and Europe, they perform total artificial disc replacements (when the joint is stable) which are titanium ball/socket joints that allow for more flexibility and reduce the risk for future adjacent disc disease.
I received a price quote estimate from a US hospital for a single level displacement of 500-700K. You read that right! way too much money for an average guy like me. So forget that option.
I did more research and discovered there were a few facilities in Germany that would provide this type of service.
I reviewed various orthopaedic surgeon in Germany to try to find the very best that I could.
I finally decided upon Dr. Karsten Ritter-Lang. I confirmed with an inpatient evaluation that Dr. Ritter-Lang has been an orthopaedic spinal surgeon since 1996 and has performed thousands of artificial disc replacements and other spinal surgeries to improve patient’s health. According to a bio I found online, „He has been a specialist in the field of inter-vertebral disc prosthetics, especially in the field of abdominal access surgery, for over 20 years. Dr. Ritter-Lang has performed over 10,000 surgeries, of which 5,584 were spinal column reconstructions and has done over 6,000 Disc Replacement procedures using a wide range of implants both cervical and lumbar.“
This data made me much more comfortable choosing Dr. Carson Ritter-Lang as he is very experienced in this type of surgery and I would have to say one of the top spinal surgeons that I could research a Germany.
Next, I would like to let you know about my experience with Ortho Care Global GmbH
After completing intake forms and submitting copies of my x-rays and MRI reports I received a timely free review and evaluation personally from Dr. Karsten Ritter-Lang. He provided me with a very thorough evaluation and a diagnosis including herniation of my C6-7 disc, putting pressure on the nerve route exiting that joint. He then offered me a therapeutic plan which included removal of the disc, revision of the spinal canal and implantation of a single level total artificial disc replacement with the ProDisc C Vivo between my C6 and C7 vertebrae (check out the video it’s worth watching)
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I also received a very professional and concise surgical offer from Ortho Care Global GmbH. This offer included; the type of implant that would be used, the therapy plan, full details of services included and the price for the complete 16 day package. This pack included; two days at a private hotel prior to surgery to allow for an in person preoperative appointment with Dr. Carson Ritter-Lang, five days of care in the Stenum hospital, and then seven days of further postop recovery at the beautiful Park hotel(what an amazing place to recover). Price for the full package was included and I will just say that it was 10 to 15 times cheaper than the US quote I had received for the same artificial disc replacement surgery.
My surgical and postop experience was excellent. I spent a full day in a special ICU unit for evaluation. Pretty rare where I come and then a further four days in my own room in the new wing of the hospital. Beautiful.
Nursing care was exceptional at this facility. I can’t thank them enough for their amazing care. My pain was controlled well while I recovered. All of the hospital staff were amazing including services from lab testing, food services, physiotherapy. Transfers to them from the airport to each of the hotels and hospital was included. I was even up and moving well (walking, etc.) after just two days. I recovered so well that after two weeks, I was even able to take a few trips into Bremen for sightseeing and made a trip to Hamburg to get a bit of a view of Germany. Beautiful country. It’s important to note that the package also includes one other. This was very kind as having my wife along really improved my recovery.
I was also very impressed by the follow up services provided by my pre-case manager Brett Bailey, my case manager, Svenja Rohrmoser, Anne Urban (operations and project lead), and even more exceptional personal visitation from the CEO of the company Katharina Helwig who checked in periodically to make sure that I was being looked after well.
Food at both hotels was excellent and the opulence and service provided at the Park Hotel was beyond compare. Absolutely wonderful place to finish up my Recovery before flying home.
I’m at home now and slowly recovering. I’m tasked with physiotherapy, including isometric exercise exercises to improve the referral pain which can occur postop. The pain in my left arm is gone, which makes me very happy as I know there’s no longer pressure against the nerve and I am hopeful for a full and uneventful recovery.
My opinion about the whole process is that if you are interested in artificial disc replacement as an option to treat degenerative disc disease in any portion of your spine (cervical thoracic lumbar), then Ortho Care Global GmbH and Dr. Karsten Ritter-Lang would be an exceptional choice for consideration. I would definitely recommend getting in touch with Ortho Care Global.