Vote for Your Health

Despite all the different diagnoses are very similar treatments since the causes are virtually the same.

In acute phase, when there is severe pain and just started the process, advised to rest his arm in a sling, but in any case be very long (more than 48-72 hours), since the immobilization predisposes to the development of capsulitis.

If possible because the pain is not severe, will not be used restraint and were initiated early so-called pendulum exercises, in which the actual weight of the patient’s arm is used to facilitate movement.

On many occasions, and if no contraindications recommend the use of analgesics and / or oral anti-inflammatory.

Thermotherapy, is the application of cold in the first 48 hours in acute, cold and / or heat in the evolution over time, is an easy and valuable aid in treatment.

An effective treatment in many cases it is infiltrated with local anesthetic steroids in the vicinity of the tendon. If given good results can be applied to three or four separated by 7-15 days. Depending on the intensity of pain and the medical criteria that you perform, you can call to infiltration primarily or after a period of rehabilitation.

Rehabilitation treatments involve the application of certain devices that relieve the pain by different mechanisms (shortwave, microwave, ultrasound, laser, etc.). And the conduct of certain exercises and manual therapy designed to prevent loss of mobility and / or recover lost, and to strengthen certain muscles that help offset the deficit (poleoterapia, kinesitherapy, massage).

Only in cases with little or no response to previous treatments raise the surgery:

• Currently arthroscopy allows diagnosis and treatment of many of these processes. In general is to extend the subacromial space through the section of bone spurs, ligament and tip of acromion to prevent rubbing of the tendon. When there is rupture of the suture can proceed even though in many cases, due to poor condition or location of tendon rupture, the result is usually not very favorable. The increased space instead it usually improves the pain.

• Other times you can not perform arthroscopy and conducted an open surgery by performing a similar action.

• In cases of advanced adhesive capsulitis not responding to intensive rehabilitation treatment, it can be mobilized under anesthesia technique in which the force lost mobility in the anesthetized patient to start rehabilitation next day and not lose it recovered.

• Other times you perform a medial approach by arthroscopy or open surgery in which we flush all formed adhesions impeding the movement.