Repairing Shoulder Wear and Tear

Shoulder problems can be an occupational hazard.  Work or sports that require you to stay in one position for a long time, such as sitting at a computer, or that overuse the shoulder such as decorating or playing tennis, can result in rotator cuff damage.  The rotator cuff is where the muscles and tendons attach the upper arm bone (humerus) to the shoulder blade (scapula).

Although sports people or those with repetitive jobs are more at risk, rotator cuff injury can happen to anyone.  Poor coordination and bad posture over a period of time, or simply aging can cause the inflammation and irritation known as tendonitis.  Bony spurs can also develop on the joint  causing rotator cuff impingement. Tears in the rotator cuff may gradually develop, or occur suddenly.

Tendonitis and rotator cuff impingement cause pain radiating from the front of the shoulder to the upper arm when raising the arm overhead or to the side.  This intensifies at night. The arm feels weak and loses mobility.  Chronic partial tears have similar symptoms, but they gradually become worse.  Signs of an acute tear are a snapping sensation after a fall or lifting something awkwardly, accompanied by sudden severe pain and weakness.

Ramin Ghobadi & Peter DeNoble

The good news is that even complete tears can be mended.  At Advanced Orthopedics and Hand Surgery Institute (AOHSI), Drs Ramin Ghobadi and Peter DeNoble have the skills and expertise to match your shoulder problem with the appropriate treatment options.  During your first visit, a patient with a shoulder problem will have a consultation to discuss his or her condition.  A physical examination may be all that is needed to diagnose the problem, or they might need X-rays or MRI.

In most cases, the surgeons will start out with conservative treatment options, like physical therapy and injections.  In situations where surgery is warranted, Dr. Peter DeNoble, who is an expert shoulder, elbow, and hand surgeon, will use the latest, state-of-the-art minimally invasive techniques in shoulder arthroscopy to treat your problem.

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