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Various factors contribute to shoulder pain or injury: sporting activities such as swimming, golf, or bowling; everyday activities such as painting walls or gardening; and repetitious tasks involving overhead motions.
Shoulder problems are most often first treated with R.I.C.E.
If the pain persists, the injury may require medical treatments such as cortisone injections or physical therapy. Common shoulder injuries that typically resolve themselves without surgical treatment include separated shoulders, "frozen" shoulders, and tendonitis.
In some cases, severely broken collarbones require surgery to align the broken bones with plates, pins and screws. The collarbone, or clavicle, is a long bone on either side of your chest. The collarbone connects the shoulder. The most common cause of a
broken collarbone is some kind of trauma, but can often occur through a sport-related accident.
Symptoms of a collarbone fracture can include:
Seek immediate medical treatment for a broken collarbone to determine the extent of damage. Typically, the broken bones can be aligned and a sling used for several weeks to aid in healing. Other treatment for a broken collarbone includes
over-the-counter pain medication and limited movement. In very rare cases, a patient will need surgery.
perform minimally invasive arthroscopic shoulder surgery, which requires just small incisions to look inside and repair the shoulder. Patients typically go home the same day and return to full activities in several weeks.
Common signs of the humerus being dislocated include:
Anterior dislocation, where the humerus is in front of the joint, is the most common dislocation and happens when the arm is suddenly pulled backwards. Once a shoulder has been dislocated, the ligaments and tendons may become stretched, which will
make the shoulder unstable and reoccurrences of dislocation likely.
and seek medical attention for suspected dislocated shoulder as delays
can permanently damage the tendons and ligaments.
A sling may be used to reduce swelling and tenderness. Once the swelling has been reduced, exercises to strengthen and increase movement of the shoulder may be prescribed. Frequent bouts of dislocation can be treated with arthroscopic surgery to tighten stretched or torn tendons or
Rotator cuff tendonitis refers to irritation of these tendons and inflammation of the bursa lining these tendons.
A rotator cuff tear occurs when one of the tendons is torn from overuse or injury.
The pain with a sudden tear after a fall or injury is usually intense. Weakness of the shoulder and arm is often present, along with a snapping sensation of movement.
Symptoms of a chronic rotator cuff tear include a gradual worsening of pain, weakness, and stiffness or loss of motion. The exact point when a rotator cuff tear begins in someone with chronic shoulder tendinitis may or may not be noticed.
Most people with rotator cuff tendon tears have pain at night. Pain that is worse at night may wake you up. During the day, the pain is more tolerable and hurts with certain movements.
Over time, the symptoms become much worse and are not relived by medicines, rest or exercise.
A separated shoulder is usually treated with rest and a sling. If it doesn’t heal quickly, or the ligaments have been severely torn, surgery may be necessary. The specialists at the Center for Orthopedics perform this surgery through minimally invasive techniques, typically allowing
the patient to return to normal activities within two weeks.
Total shoulder arthroplasty (TSA) can be a
successful treatment option for patients who suffer with end stage
arthritis or degenerative disease of the shoulder joint. Many patients
aren’t familiar with shoulder replacement as an option and tolerate pain
and restricted motion for a long period of time before seeking medical
The shoulder is a ball and socket joint held
in place by muscles, tendons and ligaments. In TSA the upper arm bone
(humerus) is replaced with a prosthetic implant that has a rounded metal
head. The socket part of the shoulder joint (glenoid cavity) is
replaced with a smooth plastic shell, held in place with special cement.
The size of the shoulder replacement is customized to the patient and
their lifestyle. The surgery itself takes between 1 – 3 hours and with
normal use, most replacement shoulders last for at least 10 years.
Once the postoperative therapy program is
complete most TSA patients are pain-free, and able to return to their
normal activities without any significant strength limitations.
As when considering any surgical procedure,
patients should talk with their doctor to determine if total shoulder
replacement is appropriate for their condition. Ideal candidates for
shoulder arthroplasty tend to be older with no prior history of large,
inoperable rotator cuff tears. Athletes who play contact sports or heavy
laborers are not typically good candidates for the surgery because of
the long-term demands they place on the shoulder. Patients experiencing
early osteoarthritis may consider more conservative management such as
physical therapy, over-the counter medication, cortisone or steroid
injections, or even a minimally invasive arthroscopic procedure before
opting for total shoulder replacement.
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