Chronic injuries and overuse are more common in individuals over the age of 50.
On the one hand, the shoulder itself with its various joints and functional units may be the cause of the pain; on the other hand, possible pain radiation from the cervical spine and other diseases must always be considered.
Among the shoulder-specific diseases, tendon injuries in the area of the rotator cuff and the long biceps tendon are in the foreground. Tendon injuries are often caused by constrictions of the gliding layer under the acromion, in the sense of mechanical or functional constrictions due to instability problems.
Painful calcification of the rotator cuff can occur independently of other changes.
Shoulder joint arthrosis can often develop without a tangible cause.
Changes in the acromioclavicular joint occur primarily after accidents, but also with heavy weight bearing in bodybuilding and heavy laborers.
Among the shoulder-unspecific causes, diseases of the cervical spine dominate and must always be excluded. Other possible causes are various systemic diseases and arthritides, but also metabolic diseases, neurological diseases and even tumors. A diagnosis of exclusion is chronic shoulder pain in depressive conditions.
Due to the complex anatomy of the shoulder girdle as well as the multitude of causes, a detailed medical history, a precise clinical examination with special functional tests as well as X-ray, ultrasound or magnetic resonance examinations, if necessary, are necessary to make the correct diagnosis and to initiate an efficient therapy.
If you have any further questions, please do not hesitate to contact me by appointment.
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