Shoulder Pain (Omalgia): Therapy

The type of therapy depends on the cause and must be carried out according to the stage.

Conventional nonsurgical therapy methods

• Analgesics (painkillers)
• If necessary, puncture of the shoulder joint (for relief) or installation of local anesthetics (painkillers for local anesthesia) and / or steroidal anti-inflammatory drugs (cortisone).

Surgical therapy

• If conservative therapeutic influence is insufficient: surgical therapy depending on the nature of the disease.

Note: According to one study, scapula surgery (arthroscopic sub-acromial decompression) for subacromial shoulder pain (CSAW) has no clinically significant advantage over no treatment.Conclusion: only after months of unsuccessful conservative therapy should surgery be discussed in such cases.

Nutritional Medicine

• Nutritional counseling based on nutritional analysis
• Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
  • A total of 5 servings of fresh vegetables and fruit daily (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
  • High-fiber diet (whole grains, vegetables).
• Observance of the following special dietary recommendations:
  • Diet rich in:
    • Omega-3 fatty acids (eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) – at least once or twice a week fresh sea fish, i.e. fatty sea fish such as salmon, herring, mackerel).
• Selection of appropriate food based on the nutritional analysis
• See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
• Detailed information on nutritional medicine you will receive from us.

Physical therapy (including physiotherapy)

• Balneological therapy:
  • Crypotherapy (cold therapy) in the acute phase.
  • Heat therapy in in chronic complaints
• Physiotherapy (for prophylaxis of frozen shoulder).

Complementary treatment methods

• Acupuncture – for pain management
• Manual trigger point therapy (manual compression of the trigger point(s); similar to deep-stroking massage) – for myofascial shoulder pain.