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Pain area: Shoulder

Shoulder spe­cia­list Vi­enna – Shoulder pain

Your shoulder spe­cia­list in Vi­enna – Help with shoulder pain.

Are you suf­fe­ring from shoulder pain that rest­ricts your mo­bi­lity and re­du­ces your qua­lity of life? As your shoulder spe­cia­list in Vi­enna, I spe­cia­lize in hel­ping peo­ple of all ages over­come these com­plaints. In my prac­tice, I of­fer in­di­vi­dual dia­gno­stic pro­ce­du­res and tail­o­red the­ra­pies to spe­ci­fi­cally treat the spe­ci­fic cau­ses of your shoulder pain. 

Cau­ses of your shoulder pain
Pain in the shoulder can arise for a num­ber of re­asons, in­clu­ding acute in­ju­ries, chro­nic stress or de­ge­ne­ra­tive ch­an­ges. The most com­mon cau­ses include: 

  • Shoulder im­pinge­ment syndrome
  • Bur­si­tis (in­flamm­a­tion of the bursae)
  • Ten­di­no­pa­thy of the ro­ta­tor cuff
  • Te­ars in the ro­ta­tor cuff
  • Os­teo­ar­thri­tis in the shoulder joint or in the acro­mio­cla­vicu­lar joint

These pro­blems can not only make ever­y­day life dif­fi­cult, but also lead to noc­turnal pain that dis­rupts sleep.

My ap­proach to trea­ting your shoulder pain

When cla­ri­fy­ing your shoulder pain, I at­tach great im­portance to careful dia­gno­stics in or­der to iden­tify the exact cause of your com­plaints. Ba­sed on this, I de­ve­lop an in­di­vi­dual tre­at­ment plan that is pre­cis­ely tail­o­red to your needs. My goal is to ef­fec­tively re­li­eve your pain and res­tore full func­tion­a­lity to your shoulder joint. 

I un­der­stand how stressful shoulder pain can be and am com­mit­ted to hel­ping you achieve a pain-free and ac­tive life. Make an ap­point­ment at the prac­tice in Vi­enna 1180 and take the first step towards re­co­very. I look for­ward to per­so­nally as­sis­ting you and im­pro­ving your qua­lity of life. 

Dia­gno­sis and Tre­at­ment of Your Shoulder Pain

To pre­cis­ely un­der­stand the cau­ses of your shoulder com­plaints, I be­gin with a com­pre­hen­sive cli­ni­cal ex­ami­na­tion of the af­fec­ted shoulder joint and the sur­roun­ding joints. Ad­di­tio­nally, I per­form ima­ging pro­ce­du­res, in­clu­ding X‑rays and ul­tra­sound ex­ami­na­ti­ons. If re­qui­red, the dia­gno­sis is fur­ther re­fi­ned with ma­gne­tic re­so­nance ima­ging (MRI).

For spe­ci­fic dia­gno­stic ques­ti­ons, MR ar­th­ro­gra­phy may also be re­qui­red. In this pro­ce­dure, the joint is enhan­ced with a con­trast agent be­fore the MRI ex­ami­na­tion, en­ab­ling a pre­cise as­sess­ment of struc­tures such as the shoulder labrum. 

Once I have de­ter­mi­ned the pre­cise cause of your com­plaints, I will in­itiate the most sui­ta­ble the­rapy for you. I of­fer a range of non-ope­ra­tive, con­ser­va­tive tre­at­ment options: 

Fur­ther steps if con­ser­va­tive the­ra­pies are not suf­fi­ci­ent:
Should these con­ser­va­tive tre­at­ments not yield suf­fi­ci­ent im­pro­ve­ment, sur­gi­cal in­ter­ven­tion may be­come ne­ces­sary. De­pen­ding on the si­tua­tion, I per­form the ope­ra­tion ar­thro­sco­pi­cally, of­ten re­fer­red to as key­hole sur­gery. In ca­ses where an ar­ti­fi­cial shoulder joint needs to be im­plan­ted, open sur­gery may be required. 

Fre­quently As­ked Ques­ti­ons about the Shoulder

Why con­sult a shoulder spe­cia­list?

As your shoulder ex­pert, I am par­ti­cu­larly ex­pe­ri­en­ced in the dia­gno­sis and tre­at­ment of shoulder con­di­ti­ons. This ex­per­tise is cru­cial be­cause the shoulder is a com­plex joint, com­pri­sing mul­ti­ple struc­tures sus­cep­ti­ble to in­ju­ries and wear. Spe­cia­lists can de­ve­lop spe­ci­fic tre­at­ment plans tail­o­red to the in­di­vi­dual needs of pa­ti­ents to achieve the best pos­si­ble outcomes. 

What is shoulder im­pinge­ment syn­drome?

Im­pinge­ment syn­drome, also re­fer­red to as shoulder im­pinge­ment, oc­curs when the ro­ta­tor cuff ten­dons in the shoulder joint be­come com­pres­sed bet­ween bo­nes. This of­ten leads to pain and rest­ric­ted mo­bi­lity, par­ti­cu­larly when lif­ting the arm. 

When should one con­sult a doc­tor for cal­ci­fic ten­di­ni­tis?

In cal­ci­fic ten­di­ni­tis, me­di­cally known as Ten­di­no­sis cal­carea, cal­cium de­po­sits ac­cu­mu­late in the ro­ta­tor cuff ten­dons. Sym­ptoms such as sud­den, se­vere pain and rest­ric­ted mo­ve­ment in­di­cate that a me­di­cal ex­ami­na­tion is ne­ces­sary. Par­ti­cu­larly if the pain dis­rupts sleep or im­pairs daily ac­ti­vi­ties, a spe­cia­list should be consulted. 

Where does Ten­di­no­sis cal­carea oc­cur?

Ten­di­no­sis cal­carea oc­curs in the ten­dons of the ro­ta­tor cuff, a group of four mus­cles and their as­so­cia­ted ten­dons that sta­bi­lize the shoulder joint and enable mo­ve­ment. The cal­cium de­po­sits ty­pi­cally form in the ten­dons near the shoulder joint. 

Why does the ro­ta­tor cuff fre­quently tear?

Ro­ta­tor cuff te­ars can oc­cur due to ove­r­use or as a re­sult of the na­tu­ral aging pro­cess over time. Acute in­ju­ries from falls or di­rect blows, as well as re­pe­ti­tive mo­ve­ments com­mon in cer­tain sports or pro­fes­si­ons, can also lead to tears. 

How is im­pinge­ment syn­drome trea­ted?

Tre­at­ment for im­pinge­ment syn­drome can be con­ser­va­tive, in­vol­ving phy­sio­the­rapy, anti-in­flamm­a­tory me­di­ca­ti­ons, and in­fil­tra­ti­ons, or sur­gi­cal, per­for­med via ar­thro­scopy. Du­ring ar­thro­scopy, in­fla­med tis­sue and ex­cess bone struc­tures are re­mo­ved to create more space in the shoulder joint and im­prove mobility. 

What are the long-term ef­fects of an unt­rea­ted ro­ta­tor cuff rup­ture?

An unt­rea­ted ro­ta­tor cuff rup­ture can lead to a pro­gres­sive de­te­rio­ra­tion of shoulder func­tion. Long-term ef­fects in­clude chro­nic pain, si­gni­fi­cant mo­ve­ment li­mi­ta­ti­ons, and po­ten­tial shoulder stiff­ness. Fur­ther­more, mus­cle atro­phy can oc­cur, which fur­ther exa­cer­ba­tes the situation. 

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haelsi Gesundheitszentrum im Achtzehnten
Theresiengasse 46/2
1180 Wien

Akuthilfe: +43 664 411 05 63

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Dr. Maximilian Kasparek
haelsi Health Center
in the Eighteenth
Theresiengasse 46/2
1180 Vienna

+43 1 399 08 63
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