Symptoms, diseases and medical Treatment

Shoulder 


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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Aspen Peterson

Two-Level Disc Replacement 

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.