An organised guide to help you start with shoulder pain (In Greek), understand what your symptoms may mean and explore treatment options — from non-surgical care to arthroscopy, joint replacement and rehabilitation.
The pattern of pain or restricted movement can provide important information about the possible cause. Notice what you find difficult and explore the related information.
Inability to raise the arm after an injury, visible deformity, dislocation, marked swelling, fever with redness, progressive muscle weakness or numbness require prompt medical assessment.
Shoulder conditions may be related to injury, tendon tears, instability, inflammation, stiffness or arthritis.
Traumatic loss of the joint's normal position.
Factors affecting recurrence and stabilisation options.
A recurrent feeling that the shoulder is slipping out.
Pain, clicking and instability after injury or overuse.
Specific assessment of the tear, strength and treatment options.
Pain, weakness and often night-time symptoms.
Pain mainly when raising the arm.
How we adjust loading and rehabilitation.
Inflammation with pain during overhead movements.
Gradual onset of pain and significant restriction of movement.
Calcium deposits in the tendons, often causing severe pain.
Pain at the front of the shoulder that worsens with loading.
Pain, stiffness and limitations in everyday function.
Pain at the top of the shoulder and when bringing the arm across the body.
A complex degenerative condition with pain and weakness.
Read about Calcific tendinitis (In Greek) and other possible causes of acute shoulder pain.
Findings must be considered alongside the history, clinical examination, strength, range of movement and the patient's functional needs.
“Imaging is part of the diagnosis, not a diagnosis on its own.”
An imaging finding may be important, symptomatic, secondary or even unrelated to the main pain. Correlation with the clinical assessment determines the next step.
When it started, which movements hurt, and whether there is night pain or an injury.
Assessment of active and passive movement, strength and stability, with specific clinical tests.
Assessment of bones, arthritis and calcification, and dynamic assessment of tendons.
When there is a specific question about tendons, the labrum, bone or preoperative planning.
Not every patient follows the same pathway. The choice of treatment is based on the diagnosis, severity of symptoms, function and each patient's personal goals.
Exercise, physiotherapy, activity modification and pain management.
Corticosteroids, PRP/ACP, hyaluronic acid and ultrasound-guided injections for selected indications.
See how ultrasound-guided injections are performed →Arthroscopy or joint replacement is considered when there is a clear indication and substantial functional limitation.
PRP • ACP • Hyaluronic acid • Corticosteroid injections • Barbotage
In selected cases, ultrasound allows direct visualisation of the tendons, bursae and shoulder joint during treatment.
This allows the needle to be guided precisely to the intended site when this is important for the effectiveness and safety of the intervention.
The technique is used only when there is a clear indication. It is part of an individual treatment strategy, not a separate treatment in its own right.
Treatment is delivered to the anatomical area that is the intended target.
The needle's position is monitored in real time during the procedure.
PRP / ACP, hyaluronic acid, corticosteroid injections and barbotage where indicated.
The technique is selected according to the examination, imaging and the patient's needs.
Surgery is recommended when non-surgical treatment is insufficient or when the nature of the damage requires an operation. The aim is to reduce pain, restore function and support a safe return to everyday activities or sport.
Recovery times vary with the procedure and the individual. The guides below explain what usually applies to walking, driving, work, exercise and return to sport.
Explore the approach to sports injuries, from assessment to a gradual return to activity.
If you have persistent pain, stiffness, weakness, a recent MRI, or are considering treatment or surgery, you can arrange an individual assessment.
