Medicines against inflammation
To the not steroidal antirheumatic drugs belong for example These medicines work apart from their pain-inhibiting effect also anti-inflammatory. This can improve the symptoms of shoulder impingement syndrome, as the symptoms are often caused by an inflammatory process in the shoulder. In addition, these drugs have a blood-thinning effect, i.e. they counteract thromboses.
Prolonged intake of NSAIDs increases the risk of changes in the stomach lining and can lead to increased inflammation of the stomach lining or stomach ulcers. To prevent this, a stomach-protecting medication is usually prescribed for prolonged intake.
- Diclofenac
- Ibuprofen
- Indomethacin
- ASS
- Naproxen
Medication for pain
In addition to the NSAIDs, there are other non-opioid analgesics such as paracetamol and novalgin, which do not have a blood-thinning effect, but have an additional antipyretic effect. Opioid analgesics can be used for very severe pain: Because of the severe side effects, which include breathing difficulties, nausea and vomiting and constipation, opioids are only used when clearly indicated.
- Morphine
- Tramadol
- Tilidin
- Dihydrocodeine
- Methadone
Glucocorticoid injections under the acromion
The narrowing of the tissues and tendons under the acromion causes a number of symptoms for those affected. Pain is the main symptom; this can also typically occur at night and during work where the arms have to be raised above the head. The shoulder impingement syndrome is therefore also associated with restrictions in movement.
Due to the pain-related movement restrictions, many sufferers also quickly lose muscle strength in the shoulder, which in turn leads to an additional loss of stability. In this case, withdrawal retinae are the diagnosis of shoulder arthrosis. If the impingement syndrome of the shoulder is not treated, it can also lead to adhesions on the bursa, which cause more pain and movement restrictions. In most cases, the pain is triggered by a specific situation (e.g. at work or during sports) and is perceived by patients as very stressful.
