Therapeutic targets
- Reduction of pain
- Increase in the ability to move
Therapy recommendations
- Anti-inflammatory drugs (drugs that inhibit inflammatory processes; non-steroidal anti-inflammatory drugs, NSAIDs), e.g. acetylsalicylic acid (ASA), ibuprofen.
- If necessary, injection of local anesthetics (local anesthesia) and / or steroids (glucocorticoids) under the acromion (subacromial infiltration).
- See also under “Further therapy“.
Further notes
- The acute onset of pain with nocturnal maximum – as typically occurs in the pre- and post-calcification stages – often responds poorly to analgesics. Notice:
- Disturbed sleep may also be the cause of increased pain sensitivity!
- Chronic pain is associated with a significantly increased prevalence (frequency of illness) of insomnia (sleep disturbances) or impaired sleep quality.
Conclusion: disturbed sleep should be treated.
Supplements (dietary supplements; vital substances)
In the presence of insomnia (sleep disorders) as a result of the symptoms, see below Insomnia/Medicinal Therapy/Supplements.