The shoulder joint is the most mobile joint in the human body. We can use the shoulder to move our arms and hands to practically any point on our back and high above our head. This mobility is the big plus, but it also makes the shoulder susceptible to painful injuries and wear and tear. The entire shoulder area is stabilized almost exclusively by muscles and ligaments. The high mobility of the shoulder makes it particularly susceptible to injury and wear and tear. One-sided sporting movements are another cause.
Shoulder pain can indicate various problems in the shoulder or neck area. Possible causes of shoulder pain are
If you have shoulder pain that has persisted for a long time or occurs repeatedly - especially when lifting your arm or even when resting at night - then see a specialist. Ultrasound, X-rays and magnetic resonance imaging (MRI) can be used to quickly determine the cause of the pain and whether there is any relevant damage to the shoulder joint. If treated early enough, it is often possible to achieve freedom from symptoms or a significant reduction in symptoms with targeted therapy including physiotherapy, even without surgery.
The first step is always to clarify the cause of the shoulder pain. The treatment is then adjusted accordingly. For example, anti-inflammatory medication is used, which is injected under the acromion or directly into the joint (infiltration). Mobilizing physiotherapy or shock wave therapy often also helps.
If there is structural damage or permanent injury to the shoulder, surgery is performed. Many of these procedures can now be performed very gently using so-called keyhole surgery. This has the advantage of a very short hospital stay, rapid rehabilitation and, ultimately, barely visible scars.
After the operation, the problem with your shoulder is fixed and healing begins. This is actually good news. Nevertheless, the time after the operation can be very stressful for patients, both physically and emotionally. Typical short-term problems include uncertainty about the wounds, pain medication or physiotherapy. In the medium term, there are questions about resilience, building up strength and returning to sport. As my patient.
Dr. Martin Schwarz, MSc, Prim. a.D.
Specialist for trauma surgery,
Specialist in Orthopedics and Traumatology Shoulder Center Vienna
Surgery for shoulder, knee and sports injuries