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Treatment of Shoulder Arthritis in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland, South Korea and India, we are not currently processing requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Shoulder joint arthritis diagnostics
577
Arthroscopy of the shoulder joint arthritis
5097
Shoulder arthritis treatment with autologous conditioned plasma (ACP)
4983

ATOS Clinic Munich

9.5/10
location_onGermany, Munich

Department of Shoulder and Elbow Surgery

The ATOS Clinic Munich is a highly specialized health care facility offering high quality treatment and excellent service. Medical focuses of the clinic include diagnosis and treatment of the entire orthopedic spectrum. In addition to the treatment of diseases and injuries of the hip, knee, shoulder, ankle and elbow, the medical
Shoulder joint arthritis diagnostics
1827
Arthroscopy of the shoulder joint arthritis
11815
Shoulder arthritis treatment with autologous conditioned plasma (ACP)
6300

Vitos Orthopedic Clinic Kassel

9.2/10
location_onGermany, Kassel

Department of Adult and Pediatric General Orthopedics, Trauma Surgery

According to the Focus magazine, the Vitos Orthopedic Clinic Kassel ranks among the top German medical facilities specializing in the treatment of orthopedic diseases! The clinic is a specialized medical facility, which provides top-class diagnostics, treatment and rehabilitation of patients with musculoskeletal diseases. The cl
Shoulder joint arthritis diagnostics
1554
Arthroscopy of the shoulder joint arthritis
9503
Total shoulder joint replacement for shoulder arthritis
18969

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Orthopedics, Traumatology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Shoulder joint arthritis diagnostics
0
Arthroscopy of the shoulder joint arthritis
0
Total shoulder joint replacement for shoulder arthritis
0

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Orthopedics, Traumatology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Shoulder joint arthritis diagnostics
2011
Arthroscopy of the shoulder joint arthritis
13284
Total shoulder joint replacement for shoulder arthritis
28484

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Traumatology, Hand Surgery, Plastic and Reconstructive Surgery

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Shoulder joint arthritis diagnostics
1530
Shoulder joint arthritis diagnostics
1527
Arthroscopy of the shoulder joint arthritis
9130

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Traumatology and Reconstructive Surgery

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Shoulder joint arthritis diagnostics
1646
Arthroscopy of the shoulder joint arthritis
10520
Total shoulder joint replacement for shoulder arthritis
21339

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Orthopedics, Trauma Surgery, Foot Surgery

According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
Shoulder joint arthritis diagnostics
1845
Arthroscopy of the shoulder joint arthritis
11714
Total shoulder joint replacement for shoulder arthritis
25104

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of General Orthopedics and Orthopedic Oncology

According to the Focus magazine, the University Hospital Muenster ranks among the top German hospitals! The hospital belongs to the most prestigious medical institutions in Germany. The hospital is distinguished by a high professionalism of its doctors, state-of-the-art technological equipment and the availability of the most ad
Shoulder joint arthritis diagnostics
1647
Shoulder joint arthritis diagnostics
1533
Arthroscopy of the shoulder joint arthritis
10452

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Orthopedics and Traumatology

The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
Shoulder joint arthritis diagnostics
1472
Arthroscopy of the shoulder joint arthritis
8818
Total shoulder joint replacement for shoulder arthritis
18041

University Hospital Giessen UKGM

9.5/10
location_onGermany, Giessen

Department of Adult and Pediatric Orthopedics, Orthopedic Surgery

The University Hospital Giessen UKGM positions itself as an ultramodern medical facility with outstanding quality of medical care. The hospital presents almost all areas of medicine, ranging from ophthalmology to traumatology and dentistry. The priorities of the hospital’s activities include surgery, neurosurgery, oncology
Shoulder joint arthritis diagnostics
1475
Arthroscopy of the shoulder joint arthritis
8650
Total shoulder joint replacement for shoulder arthritis
17743

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Orthopedics

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Shoulder joint arthritis diagnostics
1836
Arthroscopy of the shoulder joint arthritis
11691
Total shoulder joint replacement for shoulder arthritis
25022

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Trauma Surgery, Orthopedic Surgery

According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
Shoulder joint arthritis diagnostics
1593
Arthroscopy of the shoulder joint arthritis
9941
Total shoulder joint replacement for shoulder arthritis
20119

University Orthopedic Hospital Hannover-Annastift MHH

9.8/10
location_onGermany, Hannover

Department of Shoulder and Knee Surgery, Sports Orthopedics

As an academic hospital at the Hanover Medical School, the University Orthopedic Hospital Hannover-Annastift MHH offers a first-class medical care corresponding to the highest level of university medicine. The hospital is fitted out with the advanced medical equipment, an innovative X-ray unit, five modern operating rooms and th
Shoulder joint arthritis diagnostics
1598
Arthroscopy of the shoulder joint arthritis
9924
Total shoulder joint replacement for shoulder arthritis
20187

University Hospital Oldenburg

10/10
location_onGermany, Oldenburg

Department of Adult and Pediatric Orthopedics, Trauma Surgery

According to the Focus magazine, the University Hospital Oldenburg ranks among the best medical facilities in Germany! The hospital offers a wide range of medical services that meet the highest medical standards. The hospital has 832 beds. The medical facility annually serves 37,000 patients on an inpatient and partially inpatie
Shoulder joint arthritis diagnostics
1447
Arthroscopy of the shoulder joint arthritis
8444
Total shoulder joint replacement for shoulder arthritis
16390

University Hospital Saarland Homburg

9.8/10
location_onGermany, Homburg

Department of Adult and Pediatric Orthopedics, Orthopedic Surgery

The University Hospital Saarland is the largest hospital in the city of Homburg and the most important medical facility in the region. The hospital, which currently has 30 specialized departments and 20 institutes, was founded in 1947 and operates on the basis of the Saarland University. The hospital plays a leading role in medi
Shoulder joint arthritis diagnostics
1474
Arthroscopy of the shoulder joint arthritis
8916
Total shoulder joint replacement for shoulder arthritis
17663

Hospital Bogenhausen Munich

7.8/10
location_onGermany, Munich

Department of Adult and Pediatric Orthopedics, Traumatology, Sports Medicine

According to the reputable Focus magazine, the Hospital Bogenhausen Munich ranks among the ten best medical centers in Bavaria and among the top 50 medical facilities in Germany! The medical facility is the Academic Hospital of Ludwig Maximilian University of Munich. The modern hospital with the highest level of services annuall
Shoulder joint arthritis diagnostics
1652
Arthroscopy of the shoulder joint arthritis
10420
Total shoulder joint replacement for shoulder arthritis
21352
| from Booking Health GmbH

Shoulder arthritis is a chronic degenerative disease caused by the destruction of cartilage and bone tissue of the scapula and humerus. The disease is manifested by chronic pain and limited mobility of the upper extremity. Pain suppressants and other conservative therapies are used for the treatment of early stages. If they no longer work, doctors switch to surgical treatment: they perform arthroscopic operations, and in case of severe arthritis, resort to joint replacement surgery.

Content

  1. What is shoulder arthritis
  2. Diagnostics
  3. Conservative therapy
  4. Arthroscopic surgery
  5. Shoulder replacement surgery
  6. Why is it worth undergoing arthritis treatment in Germany

What is shoulder arthritis

 

Shoulder arthritis usually does not develop without obvious causes, unlike arthritis of the joints of the lower extremity. The arm joint, despite its high mobility, does not wear out with age, since it does not have to support the weight of the human body. Shoulder arthritis occurs much less frequently than coxarthrosis and gonarthrosis, and conservative methods or joint replacement surgery is often sufficient for the treatment. Sometimes doctors have to resort to joint replacement surgery.

Shoulder arthritis can be primary and secondary. The primary one develops as an independent disease, and the secondary one complicates other pathologies.

According to the causes of development, primary shoulder arthritis can be:

  • microtraumatic – the most common type of the disease, it is the result of recurrent microtraumas in athletes or patients engaged in physical labor;
  • involutional – the result of age-related cartilage tissue degeneration and it is very rare.

Secondary shoulder arthritis can be:

  • post-traumatic – after sports or other injuries;
  • post-infectious – after infectious arthritis;
  • shoulder arthritis caused by diffuse connective tissue diseases – a consequence of autoimmune inflammation of the shoulder joint;
  • arthritis as the advanced stage of humeral head osteochondropathy;
  • shoulder arthritis due to long-term instability, which is usually associated with common shoulder dislocation.

Diagnostics

 

The main complaint of patients is pain in the shoulder joint.

The diagnosis is confirmed using instrumental diagnostic methods. The simplest option is X-ray scanning. The signs of severe arthritis can be easily seen on X-ray images. The doctor detects calcifications (salt deposits), osteophytes (bone growths), cysts in the bone tissue under the cartilage. Bone mineralization is usually impaired, and fluid is found inside the joint due to reactive inflammation of the synovial membrane.

Doctors in Germany use CT and MRI scans to diagnose arthritis. These methods are more accurate. They allow detecting arthritis even at the early stage with an accuracy of 95%.

Conservative therapy

 

The goal of conservative treatment is to eliminate pain, improve shoulder mobility, increase the patient's ability to work and ensure a high quality of life. Further degenerative and dystrophic changes in the shoulder are prevented, if possible.

Modern medicine has the following means for dealing with arthritis:

  • painkillers and anti-inflammatory drugs;
  • bandages that limit unwanted movements;
  • functional rest (refusal of physical labor if repetitive movements in the shoulder joint lead to its microtrauma);
  • drug-free methods of pain management: massage, physiotherapy, kinesio taping, acupuncture, shock wave therapy;
  • therapeutic exercises;
  • intra-articular injections.

Temporary improvement can be obtained by blocking the shoulder with local anesthetics and glucocorticoids. Pain and other symptoms may decrease for several weeks. However, it is often impossible to repeat injections, because due to glucocorticoids, degenerative changes in cartilage progress faster, which only brings the joint replacement surgery closer.

Doctors from countries with advanced medicine have in their arsenal not only painkillers and blocks, but also cell therapy, which allows them to accelerate the regeneration of articular cartilage. Doctors perform injections into the joint. They inject platelet-rich plasma or stem cells from adipose tissue. Platelet-rich plasma secretes growth factors that stimulate recovery processes. Stem cells not only accelerate tissue regeneration, but also mature into cartilage cells by themselves and integrate into the defect area.

Arthroscopic surgery

 

Arthroscopy for shoulder arthritis is more successful than for lesions of the joints of the lower extremity. This is due to the fact that the results achieved are usually preserved for a long time or forever, because the disease rarely progresses.

Arthroscopy is a minimally invasive intervention on the joint. The doctor inserts thin, long instruments and a mini video camera through short incisions into the shoulder. He can remove cartilaginous loose bodies, polish the articular cartilage, remove the inflamed synovial membrane.

The operation is significantly less traumatic as compared to conventional open surgical interventions. In just a few weeks, patients recover and can return to normal life, without pain and without functional limitations.

Shoulder replacement surgery

 

If other methods do not work or the doctor considers them unpromising due to severe arthritis, they resort to joint replacement surgery. The person's own shoulder joint is removed and replaced with an artificial one.

Shoulder replacement surgery is no less successful than knee or hip replacement surgery. When performed by skillful hands, they are effective in almost all patients, and artificial joints can serve for decades without requiring replacement.

The operation has the following contraindications:

  • active inflammation of the shoulder joint;
  • brachial plexus paralysis with loss of function of the muscles of the rotator cuff and deltoid muscle;
  • patient's general severe condition, chronic decompensated diseases;
  • complete shoulder instability.

The shoulder joint contains two components: the spherical humeral head and the flat articular surface of the scapula. They contact minimally, and movements are weakly limited by bone structures. The shoulder stability is largely provided by the tendons of the muscles of the rotator cuff.

When performing joint replacement surgery, the doctor can replace one or two components of the endoprosthesis at once:

  • brachial;
  • scapular.

Shoulder hemiarthroplasty is an operation to replace only the shoulder component. This surgical intervention is less traumatic, provides quick recovery of patients and the ability to return to sports activities in a short time, with minimal risk of complications. Even with high sports loads, the implanted endoprosthesis wears out very slowly. The cost of treatment is lower, and the prosthesis is cheaper. However, there are disadvantages: the functional outcomes are worse, there is a risk of pain persisting, and besides, the method is not suitable for all patients, but is used only in the absence of degenerative changes on the articular surface of the scapula. Pain returns in approximately 8% of patients due to the appearance of erosion on the glenoid fossa of the scapula.

Total shoulder replacement is an operation to replace both the brachial and scapular components. This surgical intervention is performed twice as often. It provides the best functional results by giving the patient maximum range of motion in the shoulder. The pain syndrome is completely absent. Total shoulder replacement surgery allows doctors to cope with even the most severe cases of shoulder arthritis. However, there are disadvantages: the operation is more traumatic, it takes longer to recover from it, the prosthesis wears out faster.

In turn, total shoulder replacement can be:

  • anatomic;
  • reverse.

In 90% of cases, doctors perform anatomic shoulder replacement surgery. This means that during the operation they implant an artificial joint that is as similar as possible in anatomical structure to the patient's own shoulder joint. The artificial head of the shoulder looks like a ball, and the scapular part has a flat articular surface.

In 10% of cases, reverse joint replacement surgery is performed. In this case, the opposite occurs: the shoulder has a flat surface, and the scapula is spherical. This is necessary in a concomitant irreparable rupture of the tendons of the rotator cuff muscles of the shoulder. These muscles provide rotation of the arm in the shoulder joint. If they do not work, then the function of rotation must be taken over by the deltoid muscle. For this purpose, reverse shoulder replacement surgery is performed.

However, many tendon ruptures, even if they are degenerative, can be repaired. In such cases, German surgeons simultaneously perform anatomic joint replacement surgery, muscle and tendon plastic surgery to restore the function of the rotator cuff and improve shoulder mobility.

By the number of operations performed, joint replacement surgery can be primary and revision. If you are being treated in Germany, then the likelihood of a need for the second (revision) intervention is low. The cause is usually loosening of the endoprosthesis or infectious complications. The risk of loosening is higher with high sports loads, as well as with the use of poor-quality prostheses and with errors in implantation.

Why is it worth undergoing arthritis treatment in Germany

 

Germany offers many top-class clinics specializing in sports medicine, orthopedics and traumatology. Here you will be relieved of chronic pain and fully restore the function of the shoulder. After treatment, you can return to physical labor or sports training again.

Here are some reasons for you to undergo treatment in Germany:

  • the very latest methods of conservative therapy, including cell therapy, which stimulates cartilage tissue regeneration;
  • arthroscopic operations for the treatment of arthritis: minimally traumatic, through short incisions, with a rapid recovery;
  • various options for joint replacement surgery in severe arthritis, which allow the patient to fully restore the joint function even in the most severe cases, get rid of pain and return to normal life;
  • low risk of complications during and after surgery;
  • comprehensive care and well-performed pain management;
  • comprehensive orthopedic rehabilitation.

To undergo treatment of shoulder arthritis in Germany, please use the Booking Health service. On our website you have the opportunity to get up-to-date and accurate information about the cost of treatment in Germany, compare prices in different German hospitals and book a medical care program at a favourable price. The treatment will be easier and faster for you, and the cost of treatment in Germany will be lower.

You are welcome to leave your request on the Booking Health website. Our employee will contact you, consult, answer all questions. We will take care of the organization of your trip abroad. We will provide the following benefits for you:

  • We will select the best German hospital, whose doctors specialize in shoulder replacement surgery and achieve the best results.
  • We will help you overcome the language barrier and establish communication with the doctor in the German hospital.
  • We will reduce the waiting period, and you will receive medical care on the most suitable dates.
  • We will reduce the price. The cost of treatment in Germany will be lower than usual due to the lack of overpricing and coefficients for foreign patients.
  • Our specialists will solve any organizational issues: paperwork, transfer from the airport to the German hospital and back, hotel booking, interpreting services.
  • We will prepare medical documents and translate them into English or German. You do not have to repeat previously performed diagnostic procedures.
  • We will keep contact with the German hospital after the completion of treatment.
  • We will organize additional diagnostics and treatment, if necessary.
  • We will buy medicines in another country and forward them to your native country.

While the best specialists in the world take care of your health, the Booking Health staff will help reduce the cost of treatment in Germany and take care of all your travel arrangements.

Authors: 

The article was edited by medical experts, board certified doctors Dr. Nadezhda Ivanisova and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

Sources:

MedlinePlus

Medscape

Cochrane Rehabilitation




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