Impingement Syndrome: Drug Therapy

Therapy goals

• Reduction of pain
• Increase in the ability to move
• Avoidance of complications

Therapy recommendations

• Analgesia (analgesia) during diagnosis until definitive therapy according to WHO staging scheme:
  • Non-opioid analgesic (non-acid analgesic: paracetamol, first-line agent).
  • Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic.
  • High-potency opioid analgesic (eg, morphine) + non-opioid analgesic.
  • Opioids: morphine, tramadol.
• If necessary, anti-inflammatory drugs (non-steroidal anti-inflammatory drugs, NSAIDs; anti-inflammatory drugs), eg acetylsalicylic acid (ASS), ibuprofen.
• In case of bursitis subacromialis (bursitis; lat. bursa = bursa) under a bone of the shoulder joint (acromion)) or tendopathy (diseases of the tendons due to overuse, misuse or wear): subacromial injection of local anesthetic (agent for local anesthesia)/glucocorticoids.
• See also under “Further therapy“.