SHOULDER SURGERY

Our shoulder moves in all directions and is more freely movable than other joints, which is why chances of a shoulder injury and dislocation are higher. A shoulder dislocation can result in the injury of labrum, tendons or nerves.

Irrespective of the cause and type, shoulder dislocation causes muscles to spasm and intensive shoulder pain. Orthopaedic doctor will examine the shoulder and will set your shoulder right back into its position. The process usually involves shoulder surgery. Shoulder dislocation can be treated by closed reduction technique in which the humerus head is placed back into its socket. After this, the shoulder pain will reduce immediately.

Symptoms of shoulder instability and dislocation :

Chronic shoulder instabilities are treated with non-invasive methods that take several months to show complete recovery. Arthroscopic shoulder surgery is a minimally invasive procedure that results in more effective and fast recovery. However, some cases might still require an open shoulder surgery. You have to wear a sling for several weeks to provide support to the shoulder and hand.

Degenerative joint disease or Shoulder Osteoarthritis is caused by abreakdown of cartilage in the joints. One-third of adults over the age of 60 are likely to get affected by shoulder osteoarthritis. Breakdown of cartilage results in increased shoulder pain, swelling, stiffness and friction. The condition worsens with time as arthritis cannot be reversed but there are ways to slow the damage.

The situation can be improved bya combination of physical therapy, aerobic exercise, oral anti-inflammatoriesand ice. Sports medicine doctorsmay administer you with cortisone injection which provides temporary relief but can prove to be effective for long-term pain in some cases.

Cases in which arthroscopic procedures such as cartilage resurfacing cannot prove to be effective, Arthroscopy or complete shoulder replacement is performed.

Left side shoulder pain

There are situations when sudden left shoulder pain signals a heart attack. Contact the nearest hospital or someone who can drive you there right away if you suddenly experience pressure or crushing pain in your shoulder, particularly if the pain radiates from your chest to your left jaw, arm, or neck, or if it coexists with shortness of breath, vertigo, or sweating.

Right side shoulder pain

An issue with your rotator cuff, such as tendonitis or bursitis, is the most frequent cause of right shoulder pain. Fractures, rheumatoid arthritis, and cervical radiculopathy are further probable reasons.

Rotator cuff pain is common source of shoulder pain and dysfunction in athletes. When rotator cuff muscles and tendons get overworked, they cause inflammation in the area. Rotator cuff tears severity can vary from small partial thickness tears to cases with the entire torn tendon. As well as impingement, bursitis, and biceps tendinitis, rotator cuff tendinitis has these additional names. Each knows the difficulty of these labels in a different way. They indicate that the cuff tendons and the surrounding bursa are in pain and swollen. The bursa is a sack-like structure that softens the joint and holds a tiny amount of fluid. When rotator cuff tendons get caught under the shoulder's bony area, shoulder pain is most frequently the result. The tendons swell up or sustain damage. It is also known as bursitis or tendinitis of the rotator cuff.

Rotator cuff tear happens over time and is the result of ageing and strain on the shoulder. It is of two types-, namely acute and degenerative tear. Acute tear generally happens due to shoulder dislocation, broken collar bone, jerking motion or heavy lifting.

Your orthopaedic doctor will examine your shoulder to check symptoms, motion and stability. Rotator cuff tears can be detected by physical examinations such as musculoskeletal ultrasound and MRI. Rotator cuff tears can be small and develop with time, non-surgical treatment can easily treat such conditions, but in the case of large tears, shoulder surgery becomes the only option.

Included among the rotator cuff tear symptoms are:

• Have difficulty and discomfort brought on gently by raising your arm?
• You may hear or feel a popping or clicking sound while moving your arm.
• There is piercing pain in the shoulder, and it gets worse while your arm is at rest.
• Difficulty in lifting heavy objects.

Shoulder injuries such as rotator cuff tendons and labrum are common in athletes. The shoulder pain associated with rotator cuff tear is usually at the front and side of the shoulder or upper arm, and have aching and burning quality. With the help of shoulder arthroscopy, the rotator cuff tear is identified and loose, degenerated and frayed tissue around the cuff edge is removed back to healthy tissue. The tear is fixed into place using a specialized suture.

A rotator cuff tear may be repaired surgically using arthroscopy, open surgery, or a combination of the two. The purpose of rotator cuff surgery is to reduce the pain that is resistant to conventional therapies and to help the shoulder regain its flexibility and function.

Shoulder Arthroplasty is a procedure to replace the damaged ball and socket joint responsible for shoulder pain and discomfort. The shoulder joint is replaced with a prosthesis made of polyethene and metal components.

Shoulder Arthroplasty is performed in case of osteoarthritis, inflammatory arthritis, post-traumatic osteoarthritis and osteonecrosis involving the glenoid.

Shoulder Arthroplasty can be performed in various ways depending on the condition, namely Stemmed Hemiarthroplasty, Resurfacing Hemiarthroplasty and Reverse Total Shoulder Replacement (RTSR)

Shoulder pain can be managed by physical therapy soon after the shoulder surgery is done. This will reduce the pain and help you regain strength faster. However, if you still experience shoulder pain post-surgery and have a problem, then you should consult your orthopaedic surgeon as it is not normal.

Exercises to increase range of motion and, occasionally, injections of corticosteroids and numbing agents into the joint capsule are being used in frozen shoulder treatment. The joint capsule may need to be loosened in a small percentage of situations so that arthroscopic surgery may be necessary.

A Rotator cuff is a group of muscles and tendons responsible for holding the shoulder joint in place and allowing the motion of the arm. Tendons get detached in some cases due to constant wear and tear, giving birth to shoulder pain, irritation and weakness. Your rotator cuff or biceps tendon may become inflamed if you have shoulder tendonitis. Your shoulder's muscles and tendons make up your rotator cuff. They join the shoulder blade to the upper arm bone.

The orthopaedic surgeon manages to attach tendons to the bones with the help of sutures, but in cases where the tendon is completely damaged and cannot be reattached, the surgeon has to consider “tendon transfer”. Tendon is taken from a different location and is used to repair the rotator cuff. Sutures are used to attach the transferred tendon to the required place.

Shoulder arthroscopy is usually recommended when non-surgical shoulder pain treatments do not respond. Shoulder arthroscopy relieves the painful symptoms of many shoulder problems that damage rotator cuff tendons, labrum, articular cartilage, and other soft tissue surrounding the joint and causes shoulder pain.

Fluid is injected into the shoulder to inflate the joint, making it easier for the orthopaedic surgeon to see all structure of the shoulder with the help of arthroscope. After the identification of problem, specialized instruments are used for shaving, cutting, grasping, suture passing and knot tying.

Shoulder arthroscopy has turned out as an effective shoulde