If structural damage is absent, conservative therapy is the primary treatment!
This also applies if there is only minor structural damage (e.g., partial rotator cuff rupture; small calcific deposits) that affects the balance of shoulder function.
General measures
- Depending on the disease stage of the impingement syndrome:
- Relief and immobilization – no movement against the pain.
- Avoid lifting and carrying movements
- Sports leave
Conventional non-surgical therapy methods
- In the acute phase, analgesics (painkillers)/antiphlogistics (anti-inflammatory drugs) – nonsteroidal anti-inflammatory drugs (NSAIDs), including local infiltration for pain reduction if necessary.
Regular check-ups
- Regular medical checkups
Sports medicine
- To relieve the shoulder joint, little-used muscles in this area should be built up in a targeted manner – isometric exercises prove to be particularly beneficial (= passive muscle exercises performed with little weight and without self-loading); active muscle exercises can be added later on
- Coordination training; gradual increase in load.
- Preparation of a fitness plan with appropriate sports disciplines based on a medical check (health check or athlete check).
- Detailed information on sports medicine you will receive from us.
Physical therapy (including physiotherapy)
- Balneological therapy:
- Physiotherapy – to maintain the mobility of the joint, as well as muscle strengthening when atrophy has already occurred.
