Abstract
Shoulder impingement syndrome is a complex of pathological changes which t akes place in soft tissues between the humeral head and structures above it. This syndrome is equally common for man and women aged 40 or older. There are different stages and forms of this disease, but the methods of treatment and rehabilitation are the same. The purpose of our research was to find out the efficiency of different methods of conservative treatment. The test persons: 84 patients male and female, between 59 and 71 years old. The diagnosis of impingement syndrome was estimated with clinical, ultrasound and radiological methods.The first stage of therapy was with nonsteroidal antirheumatics, in our case with «Arcoxia», 120 mg a day for 8 days. 36 patients, 19 male and 17 female, showed an insufficient response to the treatment. These patients were divided into two groups. The first group (19 patients) was treated with subacromial injections with corticosteroids 2-3 times. The second group (17 patients) was treated with a complex of therapy developed by us: electrophoresis with karipazim (proteolytic enzym, herbal medicine) 20-25 times, phonophorese with voltaren and chondroxide 10-15 times, kinesotherapy 15-20 times, special physical exercises to widen the space between humoral head and acromion and to strengthen shoulder muscles. The clinical research was done before and after rehabilitation/treatment. We stayed in contact with those patients by phone for a period of one year.
The results of our research revealed that treatment was effective in the first group almost immediately, 28% of the patients were in recurrence in the first year. In the second group, the effect of the treatment was noticeable after two weeks and after 1 year no recurrence occurred at all anymore. Conclusion: the treatment which we have developed, a complex of several therapeutic methods, is safe and doesn’t cause any complications. It generates very good treatment results and can be recommended as the treatment of choice
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