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Experience of Treating Shoulder–Scapular Periarthritis

Treatment of Shoulder–Scapular Periarthritis

Treatment of shoulder–scapular periarthritis in Riga — “Dr. Bubnovsky Center”. A unique 3-stage program for chronic cases. We relieve pain, restore shoulder mobility, and eliminate the root cause of the problem. Individual approach and modern kinesitherapy methods. Book a diagnostic consultation.

Treatment of Shoulder–Scapular Periarthritis at the Dr. Bubnovsky Center

Why shoulder pain develops into shoulder–scapular periarthritis

Shoulder–scapular periarthritis is an inflammatory-degenerative condition affecting the soft tissues around the shoulder joint (ligaments, tendons, muscles, and synovial bursae), without direct damage to the joint itself.

Main causes of shoulder–scapular periarthritis

Many people experiencing shoulder pain tend to ignore it, hoping it will “go away on its own.”
However, this neglect often leads to chronic periarthritis.
Minor injuries — bruises, strains, overload — may seem insignificant, but without proper treatment they trigger chronic inflammation of periarticular tissues.
People at higher risk are those performing repetitive shoulder movements: athletes, painters, loaders. Over time, microtrauma accumulates, tendons and ligaments wear down, and even simple arm movements cause pain.
Another key cause is spinal disorders.
Cervical osteochondrosis disrupts nerve supply to the shoulder and impairs blood circulation, leading to chronic inflammation and muscle spasm.

Connection between cervical osteochondrosis and shoulder–scapular periarthritis

The shoulder joint is innervated by nerves from the cervical plexus (C5–C8) and upper thoracic roots (Th1).
In cervical osteochondrosis (C4–C7 compression), the following occur:
  • muscle spasm
  • impaired blood circulation
  • referred shoulder pain

Stages of shoulder–scapular periarthritis and symptoms

At first, there is mild pain during movement.
Later, mobility decreases and night pain appears.
In chronic stages, severe stiffness develops (“frozen shoulder”).

Forms of shoulder–scapular periarthritis

  • Mild form — pain only under load
  • Acute form — strong pain and inflammation
  • Chronic form — persistent limitation of movement

Preserve your shoulder health

Do not tolerate pain and seek help at the first symptoms.
At the “Dr. Bubnovsky Center,” specialists treat not only symptoms but also the root cause of the disease.

Case history: 8 years of chronic shoulder pain

A 50-year-old woman came to the clinic with right shoulder pain lasting more than 8 years.

How it started

The first symptoms were mild — slight discomfort during movement and tension in the shoulder. It was not seen as a serious issue.
Over time, the pain intensified:
  • night pain when lying on the right side
  • difficulty lifting the arm or moving it behind the back
  • limitation in daily activities
Additional symptoms:
  • neck pain
  • tingling in fingers
  • evening weakness in the arm
She tried massage, osteopathy, injections, medications, and vitamins — with only temporary relief.
The condition became chronic.
The main issue was the lack of a systemic approach: treatment focused on pain, not on the cause (shoulder + neck + muscle imbalance).

Comprehensive diagnosis

After examination, the diagnosis was confirmed: chronic shoulder–scapular periarthritis with neurological involvement.

Recovery strategy

1. Kinesitherapy and exercise therapy

Individual exercises for restoring shoulder and neck function.

2. Diet

Anti-inflammatory nutrition, omega-3, protein, hydration.

3. Psychological state

Stress reduction and breathing restoration.

4. Lifestyle correction

Posture correction, physical activity, sleep regulation.

5. Medical supervision

Regular monitoring and program adjustments.

Main stages of the program

(3 modules: pain relief → recovery → stabilization)

Results

  • Restoration of shoulder mobility
  • Pain elimination
  • Recovery of arm function

Conclusions

A comprehensive approach allows effective treatment even in long-standing chronic cases.

Restore freedom of movement

At the “Dr. Bubnovsky Center,” we help restore shoulder function even in long-term chronic conditions.