Tag Archive: shoulder doctor

Options for Shoulder Impingement Treatment

Shoulder impingement syndrome is known by many names including painful arc syndrome, swimmer’s shoulder, and subacromial impingement and this condition occur when the tendons of the rotator cuff muscles become inflamed as they move through subacromial space. As a result, there is reduced the flexibility of the shoulder, and weakness and pain will usually be experienced too. Pain usually intensifies if the shoulder is moved to an overhead position or, at night, when the individual lays upon that shoulder. Restricted movement increases the sense of frustration experienced. Pain may manifest as a dull ache, gradually occurring, or, it may suddenly manifest and be acute. There may be a grinding motion or a popping sensation. Elevation of the arm is likely to be painful but will also occur when applying downward force too although this will ease. Seeking medical assistance for shoulder impingement treatment is paramount.

Although other options are likely to be considered first, a subacromial decompression may be required which helps to prevent the bones and tendons rubbing together. Subacromial simply means under the acromion which is a part of the shoulder blade helping to form the shoulder joint. This is usually done through keyhole surgery and a general anesthetic would be required. When there is subacromial impingement, this means that the actual space between the rotator cuff tendons and the shoulder blade is reduced, typically through swelling and irritation or, the development of bony spurs. Where the latter occurs, it’s often as a result of osteoarthritis. Treatment enables this space to be extended and any inflamed bursa or bony spurs can be removed.

Any surgery can be worrying and so, it’s important for good communication to be in place and to speak to specialists in the field such as the Orthopedic Center, Arizona who can explain the process reducing any fears about the procedure. Any surgical operation will be carried out by an orthopedic surgeon who will guide each person through the process as is relative to their case. As a general anesthetic is likely, fasting will be necessary prior to the operation. Any individual who smokes will be asked to stop as smoking increases the risk of infection. The procedure takes approximately one hour although this will vary on an individual basis and a local anesthetic may also be injected into the shoulder nerves to reduce any discomfort experienced following surgery. Pain management is important and there will be options to ease discomfort. The surgeon may also decide to repair any damaged tendons at the same time.

Shoulder impingement treatment does not always require surgery. There are various causes and symptoms which may not mean invasive treatment at all. Certainly, resting the shoulder joint and avoiding extensive movements can help and doctors may suggest non-steroidal anti-inflammatory medicines along with physiotherapy initially. Where necessary, steroid joint injections may be given. Note that subacromial decompression will only be recommended usually if other treatments have not helped. It can take up to four months for full recovery following surgery and most people will make a complete recovery.  Following up with physiotherapy is often beneficial to aid flexibility and to increase movement. It will also be important to build strength up in the shoulder joint too. Find out more by visiting OSPLarizona.com

All about Partial Shoulder Replacement Surgery

The shoulder essentially comprises of a ball and socket joint, where the round end of one bone fits into the socket at the end of another bone. This is the joint which is responsible for both, arm and shoulder movement.

When it comes to replacing an arthritic or injured shoulder, the rate is highly uncommon as compared to knee or hip replacements. This means that the surgery rate is also very low. However, this doesn’t mean that an injured or arthritic shoulder cannot be treated by surgery.

Partial replacement surgery is generally recommended by Gilbert orthopedic surgeons to patients suffering from pain accompanied by arthritis or a traumatic injury to the shoulder. Exceptional care should therefore, be taken by athletes, because their shoulder joints are subjected to a lot of wear and tear, which over time, can lead to a problem.

That being said, the benefits that can be derived from other joint replacement procedures are the same as that of a shoulder replacement, i.e. restoration of normal joint movement and relief from joint pain.

What Is Included In A Partial Shoulder Replacement Procedure?

This procedure is normally used when the glenoid socket doesn’t need to be replaced because it’s still intact. Instead; in a partial shoulder replacement, the humerus is operated upon, replacing the head and implanting the humeral component.    

This means that, during the procedure, there is no need for a plastic socket, less bone is removed as compared to other surgical procedures, and it requires a smaller incision.

Because every shoulder is unique, the very first step that you should take if experiencing shoulder pain is to consult with an orthopedic surgeon in Chandler and ask for an assessment. Then the surgeon will perform an examination to find out what the condition of your shoulder is. Some common shoulder problems that require surgery are:

  • Instability of the Shoulder
  • Shoulder Tendinitis
  • Fractured Collarbone
  • Full Thickness Rotator Cuff Tear

Orthopedic Evaluation: What to Expect

The evaluation and assessment of the shoulder covers 3 essential components:

A Medical History: Typically about current complaints, the duration of symptoms, pain and limitations faced by the patient, any injuries and past surgical or non-surgical treatments.

A Physical Examination: This is done to assess the tenderness, swelling, range of motion, weakness or strength, instability, and/or deformity of the affected shoulder.

Diagnostic Tests: X-rays of the shoulder are taken in various positions and in a series of movements. An MRI scan can also be helpful in effectively making an assessment of soft tissues in the shoulder. A CT scan is sometimes used to evaluate the various bones within the shoulder.

At the end of the evaluation and assessment, your orthopedic surgeon will review the results and discuss the best treatment options with you, both surgical and non-surgical. If you opt for the surgical option of treatment, the doctor will then inform you regarding all the risks and complications that may occur, during and after surgery.

OSPI offers the top shoulder surgeons in the East Valley including Gilbert, Chandler and Mesa AZ. These shoulder specialists are Board Certified and Fellowship Trained. Call today for help with all your shoulder pain needs!

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