Tendon affections in an impingement syndrome
Note
You are in the subtopic Physiotherapy for impingement syndrome.
You can get to the start page for this topic at Physiotherapy for impingement syndrome.
You can find the medical-orthopedic part under our topic Impingement Syndrome, written by .
Appointment with a shoulder specialist
I would be happy to advise you!
Who am I?
My name is Carmen Heinz. I am a specialist in orthopedics and trauma surgery in the specialist team of .
The shoulder joint is one of the most complicated joints in the human body.
The treatment of the shoulder (rotator cuff, impingement syndrome, calcified shoulder (tendinosis calcarea, biceps tendon, etc.) therefore requires a lot of experience.
I treat a wide variety of shoulder diseases in a conservative way.
The aim of any therapy is treatment with full recovery without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
You can find me in:
- - your orthopedic surgeon
14
Directly to the online appointment arrangement
Unfortunately, it is currently only possible to make an appointment with private health insurers. I hope for your understanding!
You can find more information about myself at Carmen Heinz.
Which tendons are involved in impingement syndrome?
Inflammatory Involvement:
- of the tendon of Supraspinatus muscle (Splay muscles)
- Tendon of Infraspinatus muscle (External torsion muscles)
- Tendon of Biceps brachii muscle (Elbow flexor)
Therapeutic technique: cross friction
Transverse friction of the tendons
The transverse massage on the affected tendon / s (especially the so-called Supraspinatus tendon) is performed briefly at right angles to the course of the tendon and alternating with pressure and relief. Since this treatment promotes the local blood circulation and stimulates the release of histamine, inflammatory substances are transported away, the thickened tendon swells and can slide better in its tendon compartment again.
If already a chronic impingement is present, the affected supraspinatus tendon must first be put back into an inflammatory state by an introductory (initial) transverse friction treatment over 15-20 minutes in order to initiate renewed wound healing.
At the same time, the patient should move the affected arm in all directions of movement below the pain threshold.
