Shoulder Arthrosis

What is

Shoulder osteoarthritis is a degenerative disease of the joint that joins the humeral head and the glenoid cavity of the shoulder blade. It occurs “through wear and tear” whereby the degenerative disease triggers a loss of the cartilage covering the articular surfaces, so that the joint space progressively disappears.

This results in the loss of articular cartilage and hardening with the possible formation of bony formations called osteophytes that can restrict joint mobility.

Its development is slow and the pain appears gradually and worsens over time. Since there is no cure, the objective is to stop the deterioration of the joint and provide the ideal conditions for it to last for many years.

Causes

Age: the cartilage’s low capacity for repair decreases every year, to which we have to add the wear and tear that occurs.
Hereditary factors: the shape of our arms and chest can lead to a direct overload of this joint.
An old trauma.
An extensive tear of the shoulder tendons.

Symptoms

The symptoms accompanying osteoarthritis generally do not appear suddenly, but develop over the years. The most frequent are:

Pain in the area that is no longer protected due to cartilage wear.
The crunching sounds that occur when the joint wears out.
The effusion that produces inflammation that is triggered in an unprotected joint.
The daily and continuous shock of bones devoid of cartilage.
Decreased mobility.

Approach protocol

Diagnosis and assessment

A correct medical evaluation will be necessary by means of a good anamnesis, physical examination and, if necessary, imaging tests. Focusing especially on identifying risk factors that may have influenced the development of the pathology.

Complementary tests

X-ray and/or MRI.

Treatment

The treatment of this pathology will depend to a large extent on the patient’s condition, age and symptoms, the condition of the cartilage, the degree of osteoarthritis in the joint and how much of the total joint is affected by osteoarthritis will determine the approach to be followed. Below, we outline some of the possible treatments:

- Hyaluronic Acid Blocks
- Corticosteroid blockades
- Regenerative medicine:
  - Platelet-rich plasma: the compound extracted from the patient’s own blood has a concentrate of anti-inflammatory factors and cytokines that make it very useful for this pathology.
  - Cytokine-rich serum: this is a different process to platelet-rich plasma in which a compound rich in anti-inflammatory cytokines is also obtained from the blood.
  - Stem cells: originating from the patient’s bone or fat, they have a regenerative and anti-inflammatory power that makes them a unique treatment for pain relief.
- Radiofrequency
- Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.

Here begins your life without pain

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Elena Amores

Son muy profesionales ,súper cariñosas y amables. ( Todo el grupo de físicos)
Gracias a la profesionalidad de Andrea estoy recuperando la movilididad de mi brazo cuando me dijo el doctor que había probabilidades de tener que pasar por el quirofano. Infinitamente agradecida.
Solicitaría un plus en sus sueldos por sus ganas y buenas energias

Sebastián Trujillo

Response from the owner:Nos alegra mucho Sebastián, saber que le hemos brindado una experiencia tan positiva en MIVI Salud.
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Sole Romero

Muy contentos con los resultados obtenidos. He estado más de un año con dolores insoportables hasta el punto de no poder dormir dando bandazos entre, traumatologos, pruebas y fisioterapias, hasta que me derivaron a la unidad del dolor para hacer unas infiltraciones, ponerme en manos del doctor Francisco Duca a sido todo un acierto, a día de hoy puedo volver hacer vida normal

Response from the owner:Muchas gracias Sole por tu reseña y valoración positiva del Dr. Duca. Valoramos tu confianza y tus amables palabras

Santi Santi

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ERNESTO B L

Solo hebido una vez , pero el trato fue muy bueno .
La doctora muy amable y empatica . Lo recomiendo

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Carmen García Feria

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Andres Navarro

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JC Grau

Grandes profesionales. Eficacia y acompañamiento personalizado

Response from the owner:Gracias por su reseña! Nos alegra mucho saber que le hemos brindado una experiencia tan positiva en MIVI Salud
Saludos

Sebastián Trujillo

Response from the owner:Gracias Sebastián por sus 5 estrellas y confiar en MIVI Salud.
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Fran Asensi

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