Shoulder Pain
At GOED Medical Center, we specialize in treating muscle, tendon and joint problems. We treat patients with a variety of shoulder problems. At GOED Medical Center, we have different treatment methods for shoulder pain.
What are you suffering from?
At GOED Medical Center, we treat a variety of shoulder problems. Check out the treatments we offer for your shoulder pain below and discover our effective treatment methods.
Frozen shoulder
A frozen shoulder, also known as adhesive capsulitis, is a condition that causes pain and stiffness in the shoulder. It is characterized by a gradual reduction in the mobility of the shoulder joint. The frozen shoulder is caused by thickening and adhesion of the joint capsule.
What symptoms do I experience with a frozen shoulder?
A Frozen Shoulder usually develops slowly and goes through three phases:
- The freezing phase: The mobility of the shoulder begins to decrease and pain increases, especially at night. You may wake up at night because of the pain.
- The frozen phase: The pain may subside, but the stiffness remains, significantly limiting range of motion in the shoulder.
- The thawing phase: Mobility gradually begins to improve.
What treatments does GOOD Medical Center offer for frozen shoulder?
One-time corticosteroid treatment in the joint
Treatment with corticosteroids aims to reduce inflammation in the joint. This treatment will be done once, as multiple injections are harmful to the joint. If it has had a temporary effect, we do not recommend repeating this treatment. A PRP treatment may be the solution in this case.
PRP (Platelet Rich Plasma) in the joint
A PRP (Platelet Rich Plasma) treatment or ACP (Autologous Conditioned Plasma) treatment, is a treatment in which we leave body's own blood plasma with an increased dose of growth factors in the joint. This naturally stimulates recovery.
Pulsed-RF
Pulsed-RF stands for Pulsed Radiofrequency Denervation. During a PRF treatment at GOED Medical Center, one or more nerves that provide pain conduction are treated in the area where the pain is located. This treatment is usually done in conjunction with an injection into the joint (corticosteroids or PRP).
Hydrodilation treatment
During hydrodilation treatment, a saline solution (usually containing a corticosteroid) is injected directly into the joint capsule of the shoulder. The goal of hydrodilation is to stretch the tight and stiff joint capsule by adding fluid into the joint. This can help reduce inflammation, relieve pain and improve the range of motion of the shoulder.
Lime in the tendon
Calcium in the tendon, also known as tendinitis calcarea, is a condition in which calcium builds up in the tendons around the shoulder joint, leading to inflammation and pain. This can cause restricted movement and reduced functionality of the shoulder.
What symptoms do I experience with calcium in the tendon?
Shoulder symptoms can vary depending on the size and location of the calcium deposits. Common symptoms include pain (especially at night), stiffness and limited range of motion. The pain can range from mild to very severe.
What treatments does GOED Medical Center offer for calcium in the tendon?
NACD Procedure with Pulsed-RF
NACD stands for Needle Aspiration of Calcific Deposit, also known as barbotomy. The specialist begins Pulsed-RF on one or two nerves, depending on where the calcification is located. Pulsed-RF is performed to make the rehabilitation process more pleasant. Pulsed-RF is followed by NACD treatment. During a NACD treatment, the contents of the lime deposit are rinsed and suctioned out, and then we fragment the hard parts of the lime. If the first treatment has not been sufficient, a second NACD treatment may be done. In this, however, the corticosteroids are replaced by blood plasma (a PRP treatment).
Tenex treatment
Does the NACD procedure not have the desired result? Then there is the option of having a Tenex treatment performed at GOED MC. Tenex stands for "Tenotomy with Percutaneous Needle Excision." This is a minimally invasive procedure used to treat stubborn calcium deposits.
Shoulder osteoarthritis
Shoulder Osteoarthritis (also known as omarthrosis) is a degenerative joint disease. Research shows that inflammatory processes in the joint play an important role in the development of osteoarthritis. This inflammation can lead to pain and eventual loss of joint function.
What symptoms do I experience with shoulder osteoarthritis?
Symptoms can range from mild discomfort to severe limitations in daily functioning. Osteoarthritis in the shoulder often leads to pain, stiffness and reduced range of motion in the shoulder.
What treatments does GOED Medical Center offer for shoulder osteoarthritis?
PRP (Platelet Rich Plasma)
PRP (Platelet Rich Plasma) is also known as ACP (Autologous Conditioned Plasma). This is a treatment in which we inject blood plasma with a high dose of growth factors into the joint. This leads to a reduction in pain due to the anti-inflammatory effect and improves the function of the joint. PRP is not harmful to the joint, unlike corticosteroids.
Read more about the treatment
Hyaluronic acid treatment
Hyaluronic acid occurs naturally in the body. This viscous fluid is like a lubricant for joints, helping to absorb shock. As joints age, the amount of fluid and viscosity decreases. Adding extra hyaluronic acid in a joint with osteoarthritis will help the joint fluid thicken again. This treatment can only be performed when there is no inflammation in the joint.
One-time corticosteroid treatment in the joint
Corticosteroids aim to reduce inflammation in the joint. This treatment will be done once, as multiple injections are harmful to the joint. If it has had a temporary effect, we do not recommend repeating this treatment. A PRP treatment can provide the solution to this.
Pulsed-RF
During a Pulsed-RF treatment at GOED Medical Center, one or more nerves that conduct pain are treated in the area where the pain is located.
Cryo treatment
Cryo treatment involves the interruption of pain conduction in a nerve by freezing with carbon dioxide gas. The purpose of this treatment is to reduce or eliminate pain.
Phenol treatment
Phenol is a chemical used in medicine to break up nerve tissue. In the treatment of osteoarthritis, phenol can be applied locally to deactivate specific nerves that transmit pain signals.
Subacromial Pain Syndrome
Subacromial pain syndrome (SAPS), also known as impingement syndrome of the shoulder, is a common cause of shoulder pain. Tendonitis in the shoulder can take various forms. These conditions can cause significant pain and limitation of function.
Various tendon disorders in the shoulder:
Tendinopathy
Tendinopathy of the shoulder is inflammation of the tendons of the rotator cuff muscles. This condition is often caused by overuse, especially in activities that require repetitive movements of the arm. Symptoms include pain and sometimes swelling in the shoulder, especially when lifting the arm.
Tendinosis
Tendinosis is a chronic condition characterized by degeneration of the tendon with no significant inflammatory component. It is often caused by long-term overuse and aging. Tendinosis can lead to pain and weakness in the shoulder.
Rotator Cuff Tears
A rotator cuff tear can occur from an acute injury or from chronic degeneration of the tendons. Depending on the size and location of the tear, symptoms can range from mild pain and weakness to severe loss of function in the shoulder.
Biceps Tendinopathy
The long biceps tendon runs through the shoulder and can also become inflamed, leading to pain in the front of the shoulder.
Bursitis
Bursitis in the shoulder is a condition in which the bursa, a fluid-filled sac that reduces friction, becomes inflamed.
What treatments does GOED Medical Center offer?
PRP (Platelet Rich Plasma) treatment.
A PRP (Platelet Rich Plasma) treatment is a procedure in which we insert plasma from the patient's own body with a high dose of platelets into tendons, joints and ligaments. This naturally stimulates shoulder repair.
Corticosteroid treatment
Corticosteroids are so-called "stress hormones" produced by the adrenal glands. The goal of treatment is to reduce inflammation in the joint. This treatment will be done once, as multiple injections are detrimental to long-term recovery. If it has had a temporary effect, we do not recommend repeating this treatment. A PRP treatment may provide the solution in this regard.
Pulsed-RF
Pulsed-RF stands for Pulsed Radiofrequency Denervation. During a PRF treatment at GOED Medical Center, one or more nerves that provide pain conduction are treated in the area where the pain is located.
Cryo treatment
Cryo treatment involves the interruption of pain conduction in a nerve by freezing with carbon dioxide gas. The purpose of this treatment is to reduce or eliminate pain.
GOOD Medical Center
GOED Medical Center Breda
Oude Vest 3B
4811 HR Breda
T. 076 204 32 40
E. info@goedmedischcentrum.nl
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