Universität zu Köln

Ambacher, Thomas and Lanzerath, Fabian (2022). Holistic, conservative treatment of subacromial syndrome in rotator cuff tendinopathy. Obere Extremitaet-Schulter-Ellenbogen-Hand, 17 (3). S. 127 - 135. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1862-6602

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Abstract

Subacromial shoulder disorder with typical clinical signs of painful abduction and pain at night are common. Subacromial shoulder pain is commonly caused by degenerative, inflammatory lesions of the supraspinatus tendon and subacromial bursa. Treatment of subacromial syndrome may only lead to consistent results when the patient is actively involved in the therapy management and when treatment includes multiple methods. Important parameters of comprehensive nonsurgical treatment include reduction of mechanical stress on the shoulder by modification of typical daily living movements, sport activities and general body posture during the day and work, daily self-treatment with relaxing exercises, local physical therapy, subacromial injections, reduction of psychosocial stress, treatment of the functional chain (spine, scapula, shoulder, elbow, hand) and underlying cervical spine pathologies. Proven additional therapeutic options are extracorporeal shock wave therapy and acupuncture. Nonsurgical treatment will only be successful if therapy is consistently applied for at least 6 weeks and if load reduction is strictly followed. Complete restoration of full weight bearing shoulder function is impossible in most cases due to the underlying degenerative changes of the soft tissue. Moderate chronic complaints and limitations must be generally accepted. In the course of nonsurgical therapy, unacceptable complaints remain in 10-20% of patients, which then constitute an indication for surgery if the patient is unable to cope with his or her individual life situation.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Ambacher, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Lanzerath, Fabian UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-663420
DOI:	10.1007/s11678-022-00698-5
Journal or Publication Title:	Obere Extremitaet-Schulter-Ellenbogen-Hand
Volume:	17
Number:	3
Page Range:	S. 127 - 135
Date:	2022
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1862-6602
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EXTRACORPOREAL SHOCKWAVE THERAPY; IMPINGEMENT SYNDROME; SHOULDER IMPINGEMENT; PHYSIOTHERAPY; DECOMPRESSION; MANAGEMENT; EXERCISE Multiple languages Orthopedics Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66342