Periartritis humeroskapularis

Periarthritis humeroscapularis is manifested by pain that the patient feels at shoulder level.

Periartritis humeroskapularis


Periarthritis humeroscapularis is a very common condition, it usually occurs after the age of 35, and is manifested by pain that the patient feels at shoulder level. It is very important to determine the exact location of the pain, as well as whether the pain in the shoulder may be just a place of reflection, and that the problem arose at the level of the neck, for example (c4, c5, c6, c7).


It is a pain in the shoulder, which is caused by inflammation of the extra-articular tissue of the shoulder joint. The shoulder joint itself is very complex, so it is more difficult to establish a safe diagnosis.

This inflammatory process can affect:

  • Tendon attachments (entensitis)
  • Tendon sheaths (tendosynovitis)
  • Stock exchanges (subacromial, subdeltoid, subscapular bursitis)

A very common cause of PAHS-A is a change in the tendon of the supraspinatus, which occurs during long-term irritation of the lateral raising of the arm above 90, or as a secondary consequence of anterior instability of the shoulder joint, or some other form of trauma.

It is characterized by one or more associated symptoms:

  • Tendinitis m.supraspinatusa
  • Subdeltoid bursitis
  • Adhesive bursitis affecting the joint capsule

Bearing in mind that the tendon of the supraspinatus muscle, in contact with the subdeltoid bursa and the articular capsule, their interaction with pathological changes is not surprising.


In the initial phase, inflammation of the supraspinatus tendon occurs, it is characterized by fever, pain in the upper arm, shoulder and spreads to the neck. Asymmetry of holding the upper part of the body, during lateral (abduction) raising of the arm or external rotation, the pain intensifies. In the later phase, subdeltoid bursitis develops, which is manifested by extremely strong pain, the patient keeps his hand next to the body, preventing movements. Calcification can also occur in the tendons or bursa. If left untreated, PAHS leads to frozen shoulder, or adhesive bursitis. Frozen shoulder, grips all three of the above structures. At this stage, the pain also occurs at rest, it spreads to the upper arm, as well as towards the shoulder blade, the movements in the shoulder are limited and extremely painful. Due to prolonged rest, muscle hypotrophy occurs, and this can later lead to incapacity for work, or at least limited.


The process of therapy itself depends on the stage of the disease in which the patient came for help, as well as on the clinical picture in the phase of taking the anamnesis.

  • Cryomassage (ice)
  • Electrotherapy (ifs, dds, tens)
  • Laser therapy
  • Magnetotherapy
  • Kinesitherapy (exercises) mobilization and stretching of shortened soft structures, increase in the volume of mobility, strengthening of musculature (arms, shoulder, thoracic spine), exercises that improve circulation, coordination and proprioception exercises.
  • Manual non-invasive method
  • Chiropractic (if current condition allows)

It is very difficult to give an answer to the question, how much treatment is needed for PAHS, depends on the stage in which the patient came, the current condition, the condition of the muscles before the onset, the general condition of the organism. Based on our experience, it can last from a couple of weeks to a year, after which surgical intervention is indicated.

We have listed some of the procedures that are most often used, depending on the need, we apply them differently.

We are at your disposal for any additional questions


What is interesting to emphasize is that our technique MANUAL NON-INVASIVE METHOD gives excellent results, but after the first treatment (if the method is indicative), according to our statistics of 30% -40% pain reduction, it is necessary to do 4-6 treatments.

We are at your disposal for any additional questions,



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Copyright by Hirofizikal 2021. All rights reserved.

Copyright by Hirofizikal 2021. All rights reserved.

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