{"id":842,"date":"2023-06-02T18:50:43","date_gmt":"2023-06-02T15:50:43","guid":{"rendered":"https:\/\/drgpanagopoulos.com\/?page_id=842"},"modified":"2026-03-09T13:20:20","modified_gmt":"2026-03-09T11:20:20","slug":"rixi-strofikou-petalou","status":"publish","type":"page","link":"https:\/\/drgpanagopoulos.com\/en\/rixi-strofikou-petalou\/","title":{"rendered":"Rotator cuff tears"},"content":{"rendered":"<p class=\"wp-block-site-tagline\">Georgios Panagopoulos MD | Orthopaedic Surgeon<\/p>\n\n\n<p><\/p>\n\n\n\n<p style=\"font-size:30px\"><strong>Rotator cuff tears<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1399\" height=\"746\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/125.jpeg\" alt=\"\u03a1\u03ae\u03be\u03b7 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03ce\u03bc\u03bf\u03c5\" class=\"wp-image-5465\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/125.jpeg 1399w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/125-768x410.jpeg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/125-18x10.jpeg 18w\" sizes=\"(max-width: 1399px) 100vw, 1399px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"translation-block\">A <strong>rotator cuff tear<\/strong> is a condition in which one or more tendons of the rotator cuff in the shoulder are <strong>partially or completely torn<\/strong>.\nThe rotator cuff is a group of four muscles and tendons that stabilize the shoulder joint and allow the arm to lift and rotate.\nRotator cuff tears may develop <strong>gradually over time due to wear and degeneration<\/strong> or occur <strong>suddenly after an injury<\/strong>.\nThey can cause shoulder pain, weakness, and reduced ability to move the arm, especially during overhead activities.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-28f84493 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"border-width:1px;border-top-left-radius:10px;border-top-right-radius:10px;border-bottom-left-radius:10px;border-bottom-right-radius:10px;padding-top:var(--wp--preset--spacing--60);padding-right:var(--wp--preset--spacing--60);padding-bottom:var(--wp--preset--spacing--60);padding-left:var(--wp--preset--spacing--60)\">\n<p class=\"has-medium-font-size\"><strong>Key takeaways at a glance<\/strong><\/p>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1768579011803\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>What's the rotator cuff?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>The rotator cuff is a group of tendons that stabilize the shoulder and allow lifting and rotation of the arm.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1768579140878\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>What causes cuff tears?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>Rotator cuff tears can develop gradually due to wear and degeneration or suddenly after injury.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1768579200903\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>What are the symptoms?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>Common symptoms include shoulder pain, weakness, reduced range of motion, and difficulty with overhead activities or sleeping on the affected side.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1768579238094\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>Is surgery always needed?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>Not all rotator cuff tears require surgery; many patients improve with physiotherapy, activity modification, and targeted treatments.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1768579286711\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>How is it diagnosed?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>Early diagnosis with clinical examination and imaging (such as ultrasound or MRI) is important to guide appropriate treatment.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1768579359227\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>When do I need surgery?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>Surgical repair may be recommended for full-thickness tears, persistent symptoms, or loss of shoulder function.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1768579400823\" class=\"rank-math-list-item\">\n<div class=\"rank-math-question\"><strong>What's the benefit of arthroscopy?<\/strong><\/div>\n<div class=\"rank-math-answer\">\n\n<p>Arthroscopic (keyhole) surgery allows tendon repair with minimal soft-tissue disruption and faster recovery.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n<\/div>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-rank-math-toc-block\" style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0\" id=\"rank-math-toc\"><p><strong>Table of contents<\/strong><\/p><nav><ul><li class=\"\"><a href=\"#\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03cc-\u03c0\u03ad\u03c4\u03b1\u03bb\u03bf\">What is the rotator cuff?<\/a><\/li><li class=\"\"><a href=\"#\u03c4\u03b9-\u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af-\u03c4\u03b7-\u03c1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5\">What Causes A Rotator Cuff Tear?<\/a><\/li><li class=\"\"><a href=\"#\u03c0\u03bf\u03b9\u03b1-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03b1-\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03c1\u03ae\u03be\u03b7\u03c2-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03c4\u03bf\u03c5-\u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03bf\u03cd-\u03c0\u03b5\u03c4\u03ac\u03bb\u03bf\u03c5\">What are the symptoms of a rotator cuff tear?<\/a><\/li><li class=\"\"><a href=\"#\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/a><\/li><li class=\"\"><a href=\"#\u03c3\u03c5\u03bd\u03c4\u03b7\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Conservative treatment<\/a><\/li><li class=\"\"><a href=\"#\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Surgical Treatment<\/a><\/li><li class=\"\"><a href=\"#\u03c1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-\u03c7\u03c1\u03cc\u03bd\u03bf\u03c2-\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2\">Recovery<\/a><\/li><li class=\"\"><a href=\"#\u03c1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-\u03b1\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2\">Exercise program<\/a><\/li><li class=\"\"><a href=\"#\ud83d\udd11-\u03c1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-key-facts\">\u03a1\u03ae\u03be\u03b7 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03ce\u03bc\u03bf\u03c5 &#8211; key facts<\/a><\/li><li class=\"\"><a href=\"#fa-qs-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c4\u03b9-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03bf-\u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03cc-\u03c0\u03ad\u03c4\u03b1\u03bb\u03bf\">What is the rotator cuff?<\/h2>\n\n\n\n<p class=\"translation-block\">The <strong>rotator cuff<\/strong> is a group of muscles and tendons that surround the shoulder joint, keeping the ball (head) of the humerus (upper arm bone) firmly within the shallow socket of the shoulder blade (glenoid). Further than keeping the ball in the socket, the cuff muscles help lift and rotate the arm. A rotator cuff tear is one of the most common causes of shoulder pain. The <strong>supraspinatus muscle<\/strong> is the one typically involved, followed by the <strong>infraspinatus<\/strong>, and the <strong>subscapularis muscle<\/strong>.\u00a0A tear can be either complete (full-thickness), or partial.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-68ea6fda uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\">The <strong>rotator cuff<\/strong> is essential for <strong>shoulder movement<\/strong> \u2014 a tear can significantly impair arm function.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c4\u03b9-\u03c0\u03c1\u03bf\u03ba\u03b1\u03bb\u03b5\u03af-\u03c4\u03b7-\u03c1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5\">What causes a rotator cuff tear?<\/h2>\n\n\n\n<p class=\"translation-block\">Rotator cuff tears occur when tendons pull away from the arm bone. A tear may result from overuse\/chronic wear &amp; tear, or from an <strong>acute injury<\/strong>. Tears are common and increase with age.\nTears of the rotator cuff may be incomplete (partial tears) or incomplete (full-thickness tears). \nAnyone can experience a rotator cuff tear, but people over 40 are more at risk. Tears can be caused by an injury to the shoulder, i.e., associated with a dislocated shoulder. However, most tears are so-called <strong>degenerative<\/strong>, due to chronic wear &amp; tear. Bone spurs rubbing on the tendon (impingement syndrome) may eventually lead to a full-thickness tear. Also, repetitive use of the shoulder on the job or during sports may contribute.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-56a29bcb uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\">Most tears <strong>develop gradually<\/strong> and are not always due to a single traumatic event.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized has-custom-border\"><img decoding=\"async\" width=\"594\" height=\"373\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u03a1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-\u03b1\u03b9\u03c4\u03af\u03b5\u03c2-visual-selection.jpg\" alt=\"\" class=\"wp-image-6135\" style=\"border-radius:20px;width:591px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u03a1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-\u03b1\u03b9\u03c4\u03af\u03b5\u03c2-visual-selection.jpg 594w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/\u03a1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-\u03b1\u03b9\u03c4\u03af\u03b5\u03c2-visual-selection-18x12.jpg 18w\" sizes=\"(max-width: 594px) 100vw, 594px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized has-custom-border\"><img decoding=\"async\" width=\"1024\" height=\"526\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u03a1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-1024x526.jpg\" alt=\"\u03a1\u03ae\u03be\u03b7 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03ce\u03bc\u03bf\u03c5\" class=\"wp-image-2771\" style=\"border-radius:20px;width:631px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u03a1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-1024x526.jpg 1024w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u03a1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-300x154.jpg 300w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u03a1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-768x394.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/\u03a1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5.jpg 1110w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c0\u03bf\u03b9\u03b1-\u03b5\u03af\u03bd\u03b1\u03b9-\u03c4\u03b1-\u03c3\u03c5\u03bc\u03c0\u03c4\u03ce\u03bc\u03b1\u03c4\u03b1-\u03c1\u03ae\u03be\u03b7\u03c2-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03c4\u03bf\u03c5-\u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03bf\u03cd-\u03c0\u03b5\u03c4\u03ac\u03bb\u03bf\u03c5\">What are the symptoms of a rotator cuff tear?<\/h2>\n\n\n\n<p>Symptoms usually develop gradually over weeks or months. The symptoms of impingement syndrome may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pain and weakness while raising your arm overhead<\/li>\n\n\n\n<li>Pain when lying on your arm<\/li>\n\n\n\n<li>Pain that worsens at night and disturbs your sleep<\/li>\n\n\n\n<li>Pain when lifting your arm overhead to reach something (i.e., from the cupboard)<\/li>\n\n\n\n<li>Difficulty performing activities of daily living<\/li>\n<\/ul>\n\n\n\n<p>Partial &amp; full-thickness tears often present with similar symptoms &amp; treatment options are similar.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-38aba1e0 uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\"><strong>Night pain<\/strong> is often the symptom that drives patients to seek medical advice.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03b4\u03b9\u03ac\u03b3\u03bd\u03c9\u03c3\u03b7\">Diagnosis<\/h2>\n\n\n\n<div class=\"wp-block-uagb-image alignleft uagb-block-896d9b31 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-left\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/d3ffc1ca5631cb47c30846644a4e9c_big_gallery.jpeg ,https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/d3ffc1ca5631cb47c30846644a4e9c_big_gallery.jpeg 780w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/d3ffc1ca5631cb47c30846644a4e9c_big_gallery.jpeg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/d3ffc1ca5631cb47c30846644a4e9c_big_gallery.jpeg\" alt=\"\u03a0\u03b1\u03b8\u03ae\u03c3\u03b5\u03b9\u03c2 \u03ce\u03bc\u03bf\u03c5 - \u03c1\u03ae\u03be\u03b7 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03ce\u03bc\u03bf\u03c5 MRI\" class=\"uag-image-1975\" width=\"316\" height=\"316\" title=\"\" role=\"img\"\/><\/figure><\/div>\n\n\n\n<p style=\"margin-top:2.6rem;margin-right:2.6rem;margin-bottom:2.6rem;margin-left:2.6rem\" class=\"translation-block\">Dr Panagopoulos will take a full history and perform a detailed physical exam, including measuring range of motion and strength. An x-ray will be ordered to look for <a href=\"https:\/\/drgpanagopoulos.com\/en\/arthritida-omou\/\" data-type=\"page\" data-id=\"840\" target=\"_self\">arthritis<\/a> or <a href=\"https:\/\/drgpanagopoulos.com\/en\/asvestopoios-tenontitida\/\" data-type=\"page\" data-id=\"855\" target=\"_self\">calcific tendonitis<\/a>. An <a href=\"https:\/\/drgpanagopoulos.com\/en\/yperichos-myoskeletikou\/\" data-type=\"page\" data-id=\"922\" target=\"_self\">ultrasound<\/a> in the office will be performed to look for tears. An MRI may be ordered to further clarify your anatomy and the extent of the damage, like tear size or degree of muscle atrophy.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c3\u03c5\u03bd\u03c4\u03b7\u03c1\u03b7\u03c4\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Conservative treatment<\/h2>\n\n\n\n<p>Conservative treatment for cuff tears may include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Rest<\/strong><\/li>\n\n\n\n<li>Activity modification<\/li>\n\n\n\n<li>NSAIDS<\/li>\n\n\n\n<li>Nonsteroidal anti-inflammatory drugs (NSAIDs)<\/li>\n\n\n\n<li>Physiotherapy\/home exercise program for strengthening and stretching exercises<\/li>\n\n\n\n<li><strong>Steroid injection<\/strong> in the  joint&nbsp;<\/li>\n<\/ul>\n\n\n\n<p class=\"translation-block\">Rotator cuff tears do not heal on their own without surgery. However, many patients can improve functionally and have less pain by strengthening their shoulder muscles (deltoid strengthening, in particular). If symptoms fail to improve with non operative measures, the next option is surgery, with <a href=\"https:\/\/drgpanagopoulos.com\/en\/arthroskopisi-omou\/\" target=\"_blank\" data-type=\"page\" data-id=\"924\" rel=\"noreferrer noopener\">shoulder arthroscopy<\/a>.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae-\u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1\">Surgical Treatment<\/h2>\n\n\n\n<p class=\"translation-block\">Surgery is generally recommended if you have a full tear or your tear failed to respond to a 3-month trial of conservative management, including physiotherapy and injections. Most cuff surgeries can be performed arthroscopically. Dr Panagopoulos performs <a href=\"https:\/\/drgpanagopoulos.com\/en\/arthroskopisi-omou\/\" data-type=\"page\" data-id=\"924\" target=\"_self\">shoulder arthroscopy<\/a> through 3 small incisions (4mm), through which he inserts a small camera and a variety of instruments. The bone spurs are trimmed, and the torn tendon is repaired to its anatomical position (footprint). Any other pathology encountered (biceps lesions, ACJ arthritis, etc.), is also addressed.<\/p>\n\n\n\n<p>This is a day procedure. It is performed under general +\/- regional anesthetic. You can go home the same day if you wish, just a few hours after the procedure.<\/p>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-e4f12f45 alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-container uagb-block-ce9a5b25\">\n<div class=\"wp-block-uagb-image uagb-block-995f97d2 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/MRI-shoulder-1.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/MRI-shoulder-1.jpg\" alt=\" \u03a1\u03ae\u03be\u03b7 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03ce\u03bc\u03bf\u03c5 MRI 1\" class=\"uag-image-3445\" width=\"428\" height=\"384\" title=\"\" role=\"img\"\/><\/figure><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-6be6dedd\">\n<div class=\"wp-block-uagb-image uagb-block-4595a42f wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img loading=\"lazy\" decoding=\"async\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/MRI-shoulder-2.jpg \" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/MRI-shoulder-2.jpg\" alt=\" \u03a1\u03ae\u03be\u03b7 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03ce\u03bc\u03bf\u03c5 MRI 2\" class=\"uag-image-3446\" width=\"388\" height=\"347\" title=\"\" role=\"img\"\/><\/figure><\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<p>During arthroscopy, a camera is inserted in the joint, in order to diagnose and treat any potential pain generators. This might include shaving off part of the shoulder blade (acromioplasty) and the collarbone (ACJ excision) to create a bit more space, fixing a diseased long head of the biceps tendon (biceps tenodesis or tenotomy) and fixing a rotator cuff tear with suture anchors. <\/p>\n\n\n\n<p>Your arm will stay in a sling for 4 to 6 weeks after the procedure based on the size of the tear. Then you will start physiotherapy. Most patients regain shoulder motion within 3 months and strength within 6 months, but full recovery may take up to a year. <\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-\u03c7\u03c1\u03cc\u03bd\u03bf\u03c2-\u03b1\u03c0\u03bf\u03ba\u03b1\u03c4\u03ac\u03c3\u03c4\u03b1\u03c3\u03b7\u03c2\">Recovery<\/h2>\n\n\n\n<p class=\"translation-block\">Physiotherapy after shoulder arthroscopy is essential. Exercises are meant to restore your range of motion first, followed by strengthening. Rehab time  depends to a degree to the size of the cuff tear that was repaired (small-medium-large). Time in the sling varies from 3 to 6 weeks. Physiotherapy then begins with goals set as above.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\u03c1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-\u03b1\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2\">Exercise program<\/h2>\n\n\n\n<p>A specialised physiotherapist will follow our patients postoperatively, initiating an individualised rehabilitation protocol, based on patient needs and underlying pathology addressed. Exercise programs initially include active - assisted, passive &amp; finally active exercises with resistance. Main goal is obtaining a full range of motion and regaining strength, ultimately returning in the pre-injury levels of activity.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Anterior-deltoid-exercises.jpg\" alt=\"\u03a3\u03cd\u03bd\u03b4\u03c1\u03bf\u03bc\u03bf \u03c0\u03c1\u03cc\u03c3\u03ba\u03c1\u03bf\u03c5\u03c3\u03b7\u03c2 \u03ce\u03bc\u03bf\u03c5 \u03b1\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03b5\u03bd\u03bf\u03bd\u03c4\u03af\u03c4\u03b9\u03b4\u03b1 \u03ce\u03bc\u03bf\u03c5 &amp; \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03b1\u03c1\u03b8\u03c1\u03bf\u03c3\u03ba\u03cc\u03c0\u03b7\u03c3\u03b7\" class=\"wp-image-2848\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Anterior-deltoid-exercises.jpg 400w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Anterior-deltoid-exercises-300x300.jpg 300w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/2023\/06\/Anterior-deltoid-exercises-150x150.jpg 150w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"1080\" height=\"1080\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Frozen-shoulder-exercises-2.jpg\" alt=\"\u0391\u03c3\u03ba\u03ae\u03c3\u03b5\u03b9\u03c2 - \u03c0\u03cc\u03bd\u03bf\u03c2 \u03c3\u03c4\u03bf\u03bd \u03ce\u03bc\u03bf\" class=\"wp-image-5719\" style=\"width:411px;height:auto\" srcset=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Frozen-shoulder-exercises-2.jpg 1080w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Frozen-shoulder-exercises-2-768x768.jpg 768w, https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Frozen-shoulder-exercises-2-12x12.jpg 12w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" \/><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Anterior Deltoid Strengthening\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/Bpns2RCyKDs?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><figcaption class=\"wp-element-caption\"><strong><em>Deltoid strengthening<\/em><\/strong><\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"translation-block\">Some tears are not repairable due to their size (massive tears), or due to poor quality of the tissue. These are the so-called irreparable tears. Those tears may necessitate another procedure, such as debridement of scar tissue without repair, a tendon transfer, or a <a href=\"https:\/\/drgpanagopoulos.com\/en\/arthroplastiki-omou\/\" data-type=\"page\" data-id=\"941\" target=\"_self\"> reverse shoulder replacement<\/a>.<\/p>\n\n\n\n<p>Reverse shoulder arthroplasty is indicated in the following occurences:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\"><strong>Massive rotator cuff tears<\/strong>, thus tears deemed non repairable due to poor tissue quality or established tissue atrophy.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Cuff arthropathy<\/strong>, thus cases with established arthritis.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Failed rotator cuff repairs<\/strong>, when prior arthroscopy has failed.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>In older patients<\/strong>, not deemed good candidates for arthroscopy due to the prolonged recovery process.<\/li>\n<\/ul>\n\n\n\n<p class=\"translation-block\">Shoulder pain may be related to a rotator cuff tear, especially following a specific traumatic event. If you experience <strong><a href=\"https:\/\/drgpanagopoulos.com\/en\/ponos-ston-omo\/\" target=\"_blank\" data-type=\"page\" data-id=\"896\" rel=\"noreferrer noopener\">shoulder pain<\/a><\/strong>, it is important to see an expert shoulder surgeon.<\/p>\n\n\n\n<p class=\"translation-block\"><strong><a href=\"https:\/\/drgpanagopoulos.com\/en\/orthopaidikos-xeirourgos\/\" target=\"_blank\" data-type=\"page\" data-id=\"5\" rel=\"noreferrer noopener\">Dr Panagopoulos<\/a><\/strong> will discuss with you all alternative treatment options during your office visit.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"\ud83d\udd11-\u03c1\u03ae\u03be\u03b7-\u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1-\u03ce\u03bc\u03bf\u03c5-key-facts\">\ud83d\udd11  Rotator cuff tears \u2013 key facts<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li class=\"translation-block\">A rotator cuff tear is a  <strong>partial or complete tendon rupture <\/strong> affecting shoulder stability.<\/li>\n\n\n\n<li class=\"translation-block\">The <strong>supraspinatus tendon<\/strong> is most commonly involved.<\/li>\n\n\n\n<li class=\"translation-block\">Tears may be <strong>traumatic<\/strong> or <strong>degenerative<\/strong>, increasing in prevalence after age 40.<\/li>\n\n\n\n<li>Main symptoms include: shoulder pain, especially at night, and weakness with arm elevation or rotation<\/li>\n\n\n\n<li class=\"translation-block\">Diagnosis is based on <strong>clinical examination<\/strong> and <strong>MRI or ultrasound imaging<\/strong>.<\/li>\n\n\n\n<li class=\"translation-block\"><strong>Not all tears require surgery<\/strong> \u2014 many are treated conservatively.<\/li>\n\n\n\n<li class=\"translation-block\">Surgery is mainly indicated for <strong>full-thickness tears<\/strong> or persistent functional limitation.<\/li>\n\n\n\n<li class=\"translation-block\">Arthroscopic repair allows <strong>precise<\/strong>  tendon restoration with <strong> minimal tissue disruption<\/strong> .<\/li>\n\n\n\n<li class=\"translation-block\">Early diagnosis helps prevent \u00a0<strong>tear progression\u00a0<\/strong> and long-term \u00a0<strong>shoulder dysfunction\u00a0<\/strong>.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<div class=\"wp-block-uagb-blockquote uagb-block-9b85cfa1 uagb-blockquote__skin-border uagb-blockquote__stack-img-none\"><blockquote class=\"uagb-blockquote\"><div class=\"uagb-blockquote__content translation-block\"><strong>Rotator cuff tears<\/strong> are a common cause of shoulder pain and weakness, resulting from trauma or degeneration. Early diagnosis and individualized treatment are key to optimal functional recovery.<\/div><footer><div class=\"uagb-blockquote__author-wrap uagb-blockquote__author-at-left\"><\/div><\/footer><\/blockquote><\/div>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" id=\"fa-qs-\u03c3\u03c5\u03c7\u03bd\u03ad\u03c2-\u03b5\u03c1\u03c9\u03c4\u03ae\u03c3\u03b5\u03b9\u03c2\">FAQs - Frequently Asked Questions <\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list\">\n<div id=\"faq-question-1697618572872\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><em>Which are the rotator cuff tendons?<\/em><\/h3>\n<div class=\"rank-math-answer\">\n<img loading=\"lazy\" decoding=\"async\" width=\"120\" height=\"96\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Cuff-muscles.jpg\" class=\"alignright\" alt=\"\u03a1\u03ae\u03be\u03b7 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03ce\u03bc\u03bf\u03c5\" \/>\n<p class=\"translation-block\">\u2013 Supraspinatus<br>\u2013 Infraspinatus<br>\u2013 Subscapularis<br>\u2013 Teres minor<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697619066415\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><em>What are the types of rotator cuff tears? <\/em><\/h3>\n<div class=\"rank-math-answer\">\n<img loading=\"lazy\" decoding=\"async\" width=\"110\" height=\"96\" src=\"https:\/\/drgpanagopoulos.com\/wp-content\/uploads\/Cuff-tear-image.jpeg\" class=\"alignright\" alt=\"\u03a1\u03ae\u03be\u03b7 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b1 \u03ce\u03bc\u03bf\u03c5 2\" \/>\n<p class=\"translation-block\">Rotator cuff tears can be:<br>\u2013 Acute tears (cuff tear), after an acute injury<br>\u2013 Chronic tears (cuff wear), degenerative \u2013 a result of wear &amp; tear<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697620216791\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><em>When does a cuff tear need surgery?<\/em><\/h3>\n<div class=\"rank-math-answer\">\n\n<p class=\"translation-block\">Shoulder arthroscopy is indicated for:<br>\u2013 Most acute tears, thus after an acute injury<br>\u2013 Chronic degenerative tears that have failed conservative treatment (PT &amp; injection)<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697620417786\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><em>How is it diagnosed?<\/em><\/h3>\n<div class=\"rank-math-answer\">\n\n<p class=\"translation-block\">\u2013 History &amp; clinical exam<br>\u2013 X-rays<br>\u2013 Ultrasound<br>\u2013 MRI<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697651779003\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><em>How is surgery done?<\/em><\/h3>\n<div class=\"rank-math-answer\">\n\n<p>Shoulder arthroscopy is the best surgical option in most cases. This is done in a minimally invasive fashion, through small keyholes. It offers greater accuracy, less complications, and faster recovery.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1697651925037\" class=\"rank-math-list-item\">\n<h3 class=\"rank-math-question\"><em>What does rehab involve?<\/em><\/h3>\n<div class=\"rank-math-answer\">\n\n<p>After arthroscopy, the arm is placed in a sling for 3-6 weeks, based on the size of the tear that has been repaired. Physiotherapy and patient compliance are crucial for a fast recovery.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<div class=\"wp-block-uagb-container uagb-block-f0c78fbe default uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-77c46601\">\n<div class=\"wp-block-uagb-info-box uagb-block-2fdac840 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 384 512\"><path d=\"M168.3 499.2C116.1 435 0 279.4 0 192C0 85.96 85.96 0 192 0C298 0 384 85.96 384 192C384 279.4 267 435 215.7 499.2C203.4 514.5 180.6 514.5 168.3 499.2H168.3zM192 256C227.3 256 256 227.3 256 192C256 156.7 227.3 128 192 128C156.7 128 128 156.7 128 192C128 227.3 156.7 256 192 256z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Athens<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"https:\/\/maps.app.goo.gl\/BEmxqgDN1X6dZg5c8\" target=\"_blank\" rel=\"noreferrer noopener\">Solonos 31, Kolonaki 106 71<\/a><\/p><\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-57cd5a88\">\n<div class=\"wp-block-uagb-info-box uagb-block-49841691 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 448 512\"><path d=\"M285.6 444.1C279.8 458.3 264.8 466.3 249.8 463.4C234.8 460.4 223.1 447.3 223.1 432V256H47.1C32.71 256 19.55 245.2 16.6 230.2C13.65 215.2 21.73 200.2 35.88 194.4L387.9 50.38C399.8 45.5 413.5 48.26 422.6 57.37C431.7 66.49 434.5 80.19 429.6 92.12L285.6 444.1z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 class=\"uagb-ifb-title\">Marousi<\/h4><\/div><p class=\"uagb-ifb-desc\"><a href=\"https:\/\/goo.gl\/maps\/pEhC2FhtNRm1PczT8\" target=\"_blank\" rel=\"noreferrer noopener\">Kifisias 58 Ave, 151 25<\/a><\/p><\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-container uagb-block-5aebfae2 default uagb-is-root-container\">\n<div class=\"wp-block-uagb-container uagb-block-32057e61\">\n<div class=\"wp-block-uagb-info-box uagb-block-e662ea13 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-icon-wrap\"><svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewbox=\"0 0 512 512\"><path d=\"M511.2 387l-23.25 100.8c-3.266 14.25-15.79 24.22-30.46 24.22C205.2 512 0 306.8 0 54.5c0-14.66 9.969-27.2 24.22-30.45l100.8-23.25C139.7-2.602 154.7 5.018 160.8 18.92l46.52 108.5c5.438 12.78 1.77 27.67-8.98 36.45L144.5 207.1c33.98 69.22 90.26 125.5 159.5 159.5l44.08-53.8c8.688-10.78 23.69-14.51 36.47-8.975l108.5 46.51C506.1 357.2 514.6 372.4 511.2 387z\"><\/path><\/svg><\/div><div class=\"uagb-ifb-title-wrap\"><h4 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\u03c0\u03b5\u03c4\u03ac\u03bb\u03bf\u03c5 \u03c3\u03c4\u03bf\u03bd \u03ce\u03bc\u03bf \u03ad\u03c7\u03bf\u03c5\u03bd \u03c5\u03c0\u03bf\u03c3\u03c4\u03b5\u03af&nbsp;\u03bc\u03b5\u03c1\u03b9\u03ba\u03ae \u03ae \u03c0\u03bb\u03ae\u03c1\u03b7 \u03c1\u03ae\u03be\u03b7. \u03a4\u03bf \u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03cc \u03c0\u03ad\u03c4\u03b1\u03bb\u03bf \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03ad\u03c3\u03c3\u03b5\u03c1\u03b9\u03c2 \u03bc\u03cd\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b5\u03c2 \u03c0\u03bf\u03c5 \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd \u03c4\u03b7\u03bd \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ce\u03bc\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c0\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03b1\u03bd\u03cd\u03c8\u03c9\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae \u03c4\u03bf\u03c5 \u03c7\u03b5\u03c1\u03b9\u03bf\u03cd. \u039f\u03b9 \u03c1\u03ae\u03be\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03bf\u03cd \u03c0\u03b5\u03c4\u03ac\u03bb\u03bf\u03c5 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3970,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"disabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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\u03a4\u03bf \u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03cc \u03c0\u03ad\u03c4\u03b1\u03bb\u03bf \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03af\u03c4\u03b1\u03b9 \u03b1\u03c0\u03cc \u03c4\u03ad\u03c3\u03c3\u03b5\u03c1\u03b9\u03c2 \u03bc\u03cd\u03b5\u03c2 \u03ba\u03b1\u03b9 \u03c4\u03ad\u03bd\u03bf\u03bd\u03c4\u03b5\u03c2 \u03c0\u03bf\u03c5 \u03c3\u03c4\u03b1\u03b8\u03b5\u03c1\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd \u03c4\u03b7\u03bd \u03ac\u03c1\u03b8\u03c1\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03ce\u03bc\u03bf\u03c5 \u03ba\u03b1\u03b9 \u03b5\u03c0\u03b9\u03c4\u03c1\u03ad\u03c0\u03bf\u03c5\u03bd \u03c4\u03b7\u03bd \u03b1\u03bd\u03cd\u03c8\u03c9\u03c3\u03b7 \u03ba\u03b1\u03b9 \u03c4\u03b7\u03bd \u03c0\u03b5\u03c1\u03b9\u03c3\u03c4\u03c1\u03bf\u03c6\u03ae \u03c4\u03bf\u03c5 \u03c7\u03b5\u03c1\u03b9\u03bf\u03cd. \u039f\u03b9 \u03c1\u03ae\u03be\u03b5\u03b9\u03c2 \u03c4\u03bf\u03c5 \u03c3\u03c4\u03c1\u03bf\u03c6\u03b9\u03ba\u03bf\u03cd \u03c0\u03b5\u03c4\u03ac\u03bb\u03bf\u03c5 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af&hellip;","_links":{"self":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/842","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/comments?post=842"}],"version-history":[{"count":28,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/842\/revisions"}],"predecessor-version":[{"id":7131,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/pages\/842\/revisions\/7131"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/media\/3970"}],"wp:attachment":[{"href":"https:\/\/drgpanagopoulos.com\/en\/wp-json\/wp\/v2\/media?parent=842"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}