Physiotherapy for acromioclavicular joint arthrosis
Physiotherapy for acromioclavicular joint arthrosis involves painless mobilization of the joint, keeping the subacromial space wide so as not to put stress on the rotator cuff, treating the surrounding soft tissue structures and, if necessary, applying pain-relieving and anti-inflammatory techniques in acute irritation. The above-mentioned exercise program should be practiced during physiotherapy and special attention should be paid to protective mechanisms and incorrect posture, so that the patient can carry out his training correctly and safely at home. The mobilization of the ACG can be achieved by manual therapeutic techniques.
Here, the patient is grasped close to the joint and the joint surfaces are moved against each other by gentle pressure. This technique should be painless and should only be performed when the cartilage is still in sufficiently good condition so that the mobilization does not provoke irritation. Enlarging the subacromial space can also be done very well by manual therapy in physiotherapy.
The shoulder head can be mobilized manually by the therapist in the joint downwards. This should not cause any pain. The soft tissue mantle is treated using various techniques.
Transverse frictions at the tendons of the rotator cuff can increase the blood circulation and make the tissue mobile. Pain relief can also be achieved. Transverse frictions are selective massage grips.The connective tissue structures such as fascia can be detached from adhesions.
Often the muscles of the Schutler neck are tense due to relieving postures. This can also be treated in physiotherapy for shoulder joint arthrosis. Trigger point therapy, functional soft tissue treatment or massages can relieve pain, improve the nutritional situation of the tissue and keep it mobile.
In addition, heat or cold applications, especially in the case of activated irritations, can round off the physiotherapy for acromioclavicular joint arthrosis. Movement exercises are also part of the physiotherapeutic treatment. The article on physiotherapy for torn ligaments of the shoulder may be of interest to you in this regard.
