THE SHOULDER I AN OVERVIEW

The shoulder – the most fascinating of all joints!

What makes the shoulder so special?

The shoulder is the most mobile joint in the human body – and that is precisely what makes it so special.

It connects the torso to the arm and allows us to move our arms in almost any direction: forward, sideways, backward, overhead, and even in rotational movements. Whether during sports, everyday life, or at work – our shoulders are constantly in use.

This enormous mobility is made possible by a special anatomical structure. The shoulder consists not of a single joint, but of a complex interplay of several joints and structures:

• The actual shoulder joint (glenohumeral joint) between the humeral head and the shoulder blade

• The acromioclavicular joint between the shoulder blade and the collarbone

• The sternoclavicular joint , i.e. the connection between the collarbone and the sternum

This system is complemented by numerous muscles, tendons, and ligaments that work together to ensure stability and mobility. Particularly important here is the rotator cuff , a complex of four muscles that holds the humeral head securely in the socket.

Why is the shoulder so prone to injury?

However, the shoulder's great mobility also brings with it disadvantages. The more mobile a joint is, the less stable it is by nature. The shoulder is therefore particularly susceptible to injuries , incorrect loading, and wear and tear.

Typical shoulder problems include:

• Shoulder instability (e.g. after a dislocation)

• Bursitis

• Tendon tears, especially of the rotator cuff

• Calcifications (tendinosis calcarea)

• Impingement syndrome (bottleneck syndrome)

• Osteoarthritis , for example in the acromioclavicular joint or the main joint

You can find more information about the most common shoulder problems in our shoulder problems guide .

Causes of shoulder pain: More than just wear and tear

There are many reasons for pain or restricted movement in the shoulder. In addition to acute injuries, such as falls or sports accidents, wear and tear with age also plays a major role. But improper everyday stress —such as prolonged sitting at a desk or repetitive, one-sided movements—can also overtax these sensitive structures.

In addition, congenital misalignments or muscle imbalances can lead to permanent shoulder problems. Even in athletically active people – such as swimmers, tennis players or

Strength athletes – the shoulder is particularly at risk because it is subjected to intensive strain.

Symptoms: When should you see a doctor about shoulder pain?

Not every shoulder pain is immediately cause for concern. However, if symptoms persist for several days, worsen, or keep you awake at night, you should seek medical advice.

Pay particular attention to the following warning signs :

• Pain during certain movements or under stress

• Limited mobility , e.g. when lifting the arm

• Cracking or rubbing in the joint

• Numbness or tingling in the arm

• Swelling or redness in the shoulder area

The earlier a problem is detected, the better the chances of successful and gentle treatment. In many cases, surgery can be avoided if the right measures are taken in a timely manner.

Diagnostics: How we find out what is wrong with your shoulder

In our specialized shoulder practice, we offer comprehensive diagnostics based on the latest medical advances . These include:

• Physical examination by experienced shoulder experts

• Imaging procedures such as X-rays, ultrasound or MRI

• Functional analyses to assess mobility and muscle strength

Based on these results, we create an individual treatment plan that is tailored precisely to your needs.

Treatment options: Conservative or surgical?

Not every shoulder problem requires surgery. In many cases, we can treat it with conservative measures such as:

• Physiotherapy

• Drug-based pain treatment

• Injections (e.g. hyaluronic acid or cortisone)

• Specific muscle training

achieve a significant improvement.

If surgery is nevertheless necessary, we rely on modern, minimally invasive procedures that are particularly gentle and enable a quick recovery. Our practice specializes in shoulder surgery and has many years of experience.

Prevention: How can I prevent shoulder problems?

The best treatment is the one that's never needed. Many shoulder problems can be avoided through targeted prevention . Our recommendations:

• Regular exercise and targeted training of the shoulder muscles

• Avoiding one-sided strain , e.g. by sitting correctly at the workplace

• Warming up and stretching before exercise

• Correct technique for repetitive movements (e.g. lifting or carrying)

• Early response to complaints

Your shoulder in the best hands

The shoulder is a complex yet fascinating joint. Its health is crucial for your mobility and quality of life. Therefore, it's worth consulting a specialized practice early on if you experience any discomfort or have any questions.

At our shoulder medicine practice, we take the time to address your concerns. We combine modern diagnostics , individualized consultations , and customized therapies to get your shoulder fit for everyday life and sports.

Would you like to know more or do you have any complaints?

Make an appointment now – we will be happy to advise you personally and competently.