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

Book appointment

Fernando Ceresuela Galvan

Grandes profesionales con trato exquisito.

Margarita Becerra salinas

Es una clínica donde el servicio que te dan es de los mejores. Tanto a nivel de adaptación de lo que necesitas, como los trabajadores que están allí día a día ayudándote. Muchísimas gracias a todos por el trato tan especial que habéis tenido! Paula, Dana, Fran, Victor, Jesus etc.En especial a Belen gracias por todo preciosa.

A .E.

Encantado con la atención

Alicia Salinas

Laura Nogales Cuello

Fátima Escobar

Años de dar vueltas y no encontrar alivio, y el doctor Rubén Algarra en solo 2 semanas no es que me haya aliviado, es q el dolor ha desaparecido.
Tanto el como su equipo, desde secretaría, enfermera y demás personal del quirófano una empatía y una amabilidad de 100.

Josep Ma Cisa

Un tracte professional i a la vegada molt proper. Et fan sentir com quan et cuida la família, t'ajuden d'una manera molt propera

Res més a dir que gràcies!

ANA M Heras

Dr. Xavier Morales

Panreac

Después de mucho tiempo pasándolo mal cada día con dolores de cabeza , en la clínica del dolor de Sant Cugat y en especial el doctor Duca y su equipo me realizaron una intervención que me fue genial y mi vida a cambiado 100%
Solo tengo palabras de agradecimiento para el Doctor Duca y su equipo son formidables y su manera de trabajar es impresionante.
Lo recomiendo de todo corazón .
Gracias por todo.
Saludos
Silvia

Alba De la Puente Granados

Todo perfecto, son unas profesionales amabilísimas. Me ayudaron con un dolor lumbar que ni con rehabilitación pude aliviar. Incluso me ayudaron a gestionar una incidencia administrativa por parte de mi mutua que me impedía acceder al tratamiento. Muy recomendables!!