Sports Medicine

Shoulder Arthroscopy and Debridement with Top Arizona Orthopedic MDs

Shoulder arthroscopic debridement is a procedure used to relieve pain and restore function to the shoulder joint. This surgery is best for patients who have rotator cuff tears that cannot be fully repaired. The procedure is followed by a long course of physical therapy.Shoulder Surgeon Mesa AZ

What is debridement?

Debridement is the process of removing damaged tissue and debris from the shoulder joint. Considered a minimally invasive procedure, shoulder joint debridement involves use of small tools to surgically clean the area.

Who is a candidate for shoulder arthroscopic debridement?

Tissue damage of the shoulder joint occurs due to various reasons. The most common reason for tissue damage is degeneration from osteoarthritis. However, damage can also occur due to trauma or injury. As the tissue of the joint deteriorates with normal wear-and-tear as the body ages, debris and loose tissues form in the joint. This can lead to impaired shoulder range of motion and significant pain.

What is the success rate of shoulder arthroscopy and debridement?

Based on clinical studies, shoulder arthroscopic debridement has over a 70% success rate with orthopedic surgeons in Gilbert and Chandler AZ. This success rate is based on reduction in pain and return to normal activities.

What type of anesthesia is involved?

Shoulder ArthroscopyShoulder arthroscopy and debridement is usually done using general anesthesia, and the total procedure takes approximately one hour. For pain relief after the procedure, a local anesthetic and or regional anesthetic (nerve block) may be used. Regional anesthesia is used for patients who have certain medical conditions and those who wish to avoid post-operative side effects.

How do I prepare for the shoulder debridement procedure?

Two weeks before your scheduled surgery, make the Chandler orthopedic surgeon aware of all your medications, and assure that he has copies of your medical records. Don’t smoke, avoid alcohol, and pass on over-the-counter medications. Do not eat or drink the night before the procedure, and leave valuables at home. Arrange to have someone to drive you home from the hospital. When you arrive, a nurse will have you sign a consent form, change into a gown, and place an IV in your arm to administer necessary medications.

How is the surgery done?

The sports medicine surgeon first makes several small incisions around the shoulder. The arthroscope is inserted so the doctor can see inside on a monitor. The first part of the procedure involves evaluating the shoulder for damaged tendons and arthritis of the joint. When shoulder ospi_smallmovement is restricted, the ligaments are released.

If the biceps tendon is trapped or painful when the arm is lifted, the tendon is also released. In order for the tendon to move adequately, a small portion of bone may need to be removed as well. After all debridement is done, the incisions are closed with sutures, and the area is covered with bandages. Then, the shoulder is placed in a sling.

What does recovery involve?

After the procedure, you are moved to a recovery room where a nurse monitors your condition for several minutes. Most patients will stay overnight in the hospital. The next day, a physical therapist works with you to teach necessary exercises for regaining strength and joint function. The sling is worn for 2-3 weeks, and at this time, you may use your hand as needed. After the sling comes off, you can drive and gradually return to usual activities over the next 3-6 weeks.

Current Concepts in Anterior Cruciate Ligament Repair

Anterior cruciate ligament (ACL) repair is a procedure used to rebuild the ligament in the center portion of the knee. The ACL keeps the tibia (shinbone) in place. When this ligament is torn or damaged, it can cause the knee to buckle during physical activity.

How common is ACL ligament repair?

The ACL is one of the most commonly injured ligaments in the knee. Around 200,000 people ACL Tear2suffer some sort of injury to the ACL, and 100,000 ACL repair surgeries are performed annually. ACL injury incidence is higher in people who participate in high-risk activities, such as skiing, football, basketball, and soccer. It is common to see an injured ACL in combination with injury to the meniscus, collateral ligament, articular cartilage, and/or joint capsule.

What tissue is used to make the repair?

The ACL is often repaired using tissue grafting. The graft taken from the patient’s own body is called an autograft. The most common area for taking tissue is the hamstring tendon (kneecap tendon). When not possible to use the patient’s own tissue, an allograft (cadaver tissue) is used.

Why is ACL repair necessary?

ACL repair is done because the knee becomes unstable after a tear in this ligament. This will increase the chance of a meniscus tear. ACL repair is also used for treating knee problems, such as:

  • Knee pain
  • Knee instability
  • Inability to participate in usual activities

How do I prepare for ACL surgery?

After surgery, you will not be able to bear weight on the knee, so you should prepare your home. Have items you need within reach, and stock up on supplies. You need to arrange to have ACL Graftsomeone drive you home, and should notify the doctor of all blood thinners you are taking, as some of these must be held for several days before the procedure.

What happens when I arrive at the surgery center?

Be sure to arrive at the surgery center 60 minutes before your scheduled procedure. A nurse will go over the risks and benefits of the procedure, and ask you to sign a form of consent. After you change into a gown, the nurse will place an IV catheter in your arm.

How is the ACL repair performed?

After receiving anesthesia, the Gilbert sports medicine surgeon makes small incisions over the knee. The tiny, lighted camera is inserted into the knee so the doctor can visualize the structures (arthroscopic). The surgeon uses the camera and monitor to check the ligaments and repair the

physical therapy1damaged structure using graft tissue. The graft is attached using screws and pins to hold it in place. After all repairs are made, the surgeon closes the incisions with sutures, and covers the area with a dressing.

What happens after surgery?

You will need time and effort if you wish to fully recover. You must follow a rehabilitation program for 4-6 months, and your ability to return to full activity depends on how well you follow this program.

What is the success rate of surgical ACL reconstruction?

Patients who have surgical reconstruction of the ACL have a success rate of 82-95%, according to clinical studies. Only 8% of patients experience graft failure or recurrent instability.

Female Triad: What Is It?

canstockphoto8700031In recent years, there has been a steady rise in female participation in the world of sports. While this is taken as good news, but with the increase in participation, increased occurrence of a triad of disorders, particularly in women, has also been observed. This disorder is aptly named as the female triad.

Found to be more common in the athletic population, people who are non-athletic too however, can develop this condition. Interestingly enough, decades were spent observing the syndrome before giving it a formal name. Experts at the American College of Sports Medicine first described the condition at a 1993 meeting.

An association was found out between the condition and symptoms as a result of the observations and that historic meeting, laying down the basis for further study of the female athlete triad syndrome.

What Is the Female Athlete Triad?

In a nutshell, the female athlete triad consists of three primary conditions, which, according to recent studies, are becoming increasingly common, specifically in young and active girls. The medical conditions are;

  1. Menstrual Disturbances
  2. An imbalance in Energy, either with or without an Eating Disorder
  3. A Significant Decrease in Bone Mineral Density, with or without osteoporosis

In the case of an eating disorder, the first thing to look out for is the regular consumption of a low-calorie diet. Another sign that could ring a bell is excessive exercise or an obsession with staying fit.

One other condition that is linked to female athlete triad is amenorrhea, which in turn is linked to lower than normal estrogen levels. This condition is prevalent in teens who are really thin, have an exercise obsession, and may or may not have an eating disorder as well. A contributor to low bone density can also be an unbalanced diet, low in vitamin D and calcium.

How Is Female Athlete Triad Treated?

Female triad is a serious condition and should be treated as such. As an athlete, it’s very important for you to know what are the risks involved in this condition and find ways of minimizing those risks. For example, it’s important to be fully aware of the effects training has on your body and also know the limits which you can push through by.

Consult with a doctor if you notice irregular menstrual cycles, as that could indicate a menstrual disorder which might eventually lead to a lower bone mass. Research done on the subject found out that a young woman who hasn’t had a menstrual period in four years, may quite possibly develop a bone density a woman twice her age.

Prevention is always better than the actual treatment; therefore, be sure to include or increase calcium intake in your diet. If that isn’t possible, consider taking supplements. Keeping your athletic prowess in mind, always try to keep your body weight from dropping too low. This will also help you to develop stronger bones.

In the end, the more carefully you look after your body, the higher accolades you will achieve for your athletic abilities.

OSPI offers the top orthopedic doctors in Gilbert, Chandler and Mesa AZ for comprehensive treatment options. This includes issues that pop up in female athletes including ligament tears, stress fractures and tendonitis. Most of the time, surgery can be avoided and patients can get back safely to elite sporting activities.

Most insurance is accepted at OSPI, call for the top sports orthopedic treatment today in the East Valley!

Importance of Chiropractors for Young Athletes

Here’s a fact: Kids and sports go together. Sports are encouraged for many reasons – the exercise and socialization invites everyone and helps develop better motor skills and teamwork.


Parents are pushing their kids to excel from a very early age. From soccer to basketball to baseball, they leave no stone unturned to make sure their children excel at sports.

As there is a rapid and more access to sports these days, here lies a major drawback – increased risks of injury. This is where Chiropractors come in the picture.  If your kids are into sports heavily, it’s equally impetrative to understand the need and importance of chiropractic care from very early on, thus reducing the  risks of injury and helping a child recover faster, if in case any injuries occur.


The sports your kids involved in, or their age will not matter, as similar to every athlete’s experience of sports injury, they will come across such moment of despair and pain at some time in his or her life. It has to do mostly because of the competitive drive and could compel young athletes to reach beyond the maximum output of their bodies. This leads to fatal sports injuries, including pulled muscles, torn ligaments, or sometimes broken limbs.

Chiropractors are exclusively trained and are licensed to treat the entire neuromusculoskeletal system, provide advice on sports training, nutrition and injury prevention to young athletes. The procedure involves non-invasive, prescription-free treatments to restore physical ability in athletes.

Most sports are physically demanding and require massive training and thorough practice which can adversely affect the spine and muscles of younger athletes. Chiropractic care on a regular basis can help take care of the spine, the muscles, and prevent injuries in the long run.

Yes, young athletes can bounce back quickly from an injury, but one needs to understand that though they have the ability to get back in the tune in less time, their skeletal structure is always at risk. Let’s not forget that their bodies are vulnerable for a long-term damage too.

Studies show that such chiropractic care can help younger athletes recover from injuries without having to use medications.

The muscle tension in the neck that occurs during activity in sports could lead to severe headache. In such cases, a chiropractor can help you relieve headache instantly.

Chiropractic care can help ease shoulder pain that might occur due to repetitive stress injuries during a game of baseball and football. The process will also help in preventing further shoulder injury, or any injuries for that matter.

When in times of ankle injury, a chiropractor helps increase motion and lessens pain. Of course, you’ll still have to visit a physician for proper treatment.

In conclusion, they assist in improved health and better game performance for young athletes.

Are you young and in the process of becoming a super athlete in the future? Do you wish to consult a chiropractor for any health advice?

OSPI has all the answers. For your convenience, you may also want to visit Crossfit Gilbert AZ.

Call us and schedule an appointment TODAY 480-899-4333!

Understanding Rotator Cuff Tendinitis – Info from OSPI

The rotator cuff is a grouping of four muscles and tendons attached to the inside of your shoulder joint. Together these muscles and tendons allow your shoulder to remain stable and to move inside of the shoulder joint.

So what is rotator cuff tendinitis?

Rotator cuff tendinitis is something that happens when the tendons inside of your rotator cuff become irritated. This irritation causes the lining of rotator cuff bursitisthe tendon to become inflamed. Normally this lining is very smooth and if it becomes inflamed it can lead to a significant torn tendon or muscle. When your tendon has been used too much or it becomes injured it can increase the chances of a torn tendon.

What usually happens is the soft tissues start to rub up against the bone of the shoulder. This leads to significant inflammation, swelling and pain.

What causes rotator cuff tendinitis?

Your shoulder joint is a ball and socket joint. This means that you have a socket and a ball inside of which your bones sit. The top part of the arm bone joins together with the shoulder blade. And the rotator cuff is what holds the top of your arm bone inside of your shoulder blade and is responsible for controlling your movement.

Tendinitis happens when the tendons inside of this area move underneath the bone while they are still attached to the top part of your arm. This can take place if your tendon becomes inflamed and it can also happen when they regularly move and fray over the bone. Each time this happens it causes significantly more fraying to the shoulder. If this happens enough you can lead to a bone spur developing inside of the small area. Regular bone spurs can lead to rotator cuff tendinitis.

Most often rotator cuff tendinitis is caused by playing sports where you have to move your arm regularly over your head. This can include movements such as pitching during baseball or tennis. But it can also because by work, if you have to regularly move your arms over your head for your job. Painting and carpentry or to such examples of jobs where this can take place. Even gardening can lead to tendinitis.

The common symptoms of rotator cuff tendinitis include mild pain when the arm is lifted above the head. When you try to reach for something over your head or you ospi_smallbrush your hair you might experience mild pain at the front part of your shoulder which travels to the side of your arm. This pain should stop before it reaches your elbow. But if the mild pain does not go away it can be an indication of something much more serious.

It is in cases like this that you should meet with our Gilbert orthopedic surgeon and discuss your options. In some cases you will have to work with a licensed physical therapist to help strengthen and naturally improve the muscles around your shoulder.


OSPI accepts most insurance plans, and offers several Board Certified sports medicine doctors who are experts in the treatment of rotator cuff tendinitis and tears. Call 480-899-4333 for more information and scheduling today with orthopedic surgeons Gilbert and Chandler trust!

How to treat an ACL injury in Gilbert AZ

The ACL is one of four ligaments located in the knee responsible for providing stabilization to your joint. The most common injuries sustained to this area is a torn ACL.

What is a torn ACL?

When this ligament goes through the front part of your knee and it passes through the center of it, it provides stability for rotation movements. Especially during recreational activities like soccer that involve twisting. ACL tear ice on knee

A torn ACL can happen if there is a sudden change in direction for your knee. For example: if your knee has been locked into one position facing to the east, and you suddenly change and try to face toward the west, it can cause the ligament to become torn. It can also take place if you try to pick it when your knee is still in the locked position.

Most of the time such injuries are sustained while playing a sport or during physical activity. The ligament can become partially torn through regular sports and it can become fully torn when you keep your foot planted in your knee locked but then you try to twist and pivot your knee at the same time.

This is something that occurs regularly in gymnastics, soccer, football, and basketball. Take for example a soccer player who is running down the field chasing the ball, and then firmly plants a foot and knee in the locked position to receive a pass, but suddenly the other team intercepts the soccer ball and kicks it back down toward the opposite end of the field. If the athlete keeps the knee in the locked position and tries to pivot quickly, it can cause damage. This sudden change in the stress is what damages the ligament. But these injuries can also be sustained at lower speeds.

The most common symptom is a large popping sound followed by immediate pain in the knee and swelling. Typically it’s not subtle.

Women actually stand to sustain this type of damage more so compared to their male counterparts because of the different muscle function and anatomy. Women actually have a wider pelvis compared to men and this wider pelvis causes the femur to meet the tibia at a greater angle compared to men.

The meeting of the femur and tibia increases the force that the ACL ligament needs to withstand when the body is twisted. This measure alone increases the risk of damage to the ACL. The muscles in the female body are more elastic which means that they decreased the protection given to the hamstring and the ACL. Hormonal changes which happened with menstruation can cause even greater elasticity which increases the risk of a torn ACL even more.

After tearing an ACL, it is best to have it reconstructed. This way, the athlete can get back to the same level of sports activity as prior. While it doesn’t always occur, there would not be another way to reach elite activity levels. The Gilbert orthopedic surgeons at OSPI are top sports medicine doctors, Board Certified, and have successfully treated hundreds of ACL tears with reconstruction.

Call OSPI for the top sports medicine treatment in the East Valley and all of AZ today – 480-899-4333!