Physiatrist Rochester, MN Areas of focus: Nerve block, Ultrasound-guided calcific tendinitis aspiration and lavage, Percutaneous tenotomy, Platelet rich plasma i Edward Edward R. Laskowski, M. Marianne T. Luetmer, M. Jennifer R. Maynard, M. Morrey, Mark E. O'Driscoll, Shawn W. Sanchez-Sotelo, Joaquin M. Sperling, John W.
Steinmann, Scott P. Request an Appointment at Mayo Clinic. The rotator cuff is a group of muscles and tendons that provide stability and allow movement for the shoulder.
Because the humerus fits relatively loosely in the shallow socket within the shoulder joint, it can make the shoulder vulnerable to a number of conditions and injuries leading to pain, weakness, instability, and reduced function. If you have had any of the following symptoms, seek expert medical advice in order to achieve relief from your shoulder pain:.
Three of the main reasons why patients visit an orthopedic doctor to treat shoulder pain are the following:. A rotator cuff tear is a common source of shoulder pain and reduced function. The risk of suffering from a torn rotator cuff increases with age, because the aging process can cause the tendons and muscles that comprise the rotator cuff to degenerate and weaken.
Rotator cuff tears can result from overuse injuries or sudden shoulder injuries, such as from constant typing at work, playing tennis, playing golf, or suffering a fall. This is especially true of rotator cuff problems. However, in many cases, it is important to have an orthopaedic surgeon evaluate the problem in order to make sure something more serious is not the cause of the shoulder pain. In a case such as this, a shoulder specialist should be consulted because some rotator cuff surgeries are time sensitive.
He has been providing expert care to athletes of all ages in and around Gulf Breeze, Fla. The length of time a physician chooses to employ watchful waiting can range from several days to weeks, or even months.
Although watchful waiting may be suitable in certain instances, watchful waiting is not suitable when:. An individual experiencing any of the aforementioned symptoms should contact an Orthopaedic surgeon and schedule an appointment. Even if a primary care physician makes a diagnosis, Dr. The condition can also be caused when patients have loose ligaments in their shoulder — whether the looseness is their anatomy or a result of repetitive overhead motion.
Those who play volleyball, tennis, or swim sometimes have stretched shoulder ligaments. Shoulder separation is a condition caused solely by loose ligaments — the bones remain in place, but the loose ligaments create a feeling of instability and weakness in the shoulder. As detailed above, some specific sports and occupations can increase the risk of problems with the ligaments in the shoulder. Physical therapy and modifications to your activities can help minimize the symptoms.
Physical therapy can also help strengthen the shoulder to improve stability. Anti-inflammatory medications and injections can also help to relieve the swelling and pain. Surgery is sometimes necessary to repair damaged ligaments, allowing them to hold the shoulder in place again. At MOA, we see consistently positive outcomes for shoulder surgeries. The ball joint of the humerus upper arm is held in place by the labrum — a rubber tissue attached to the shoulder socket to help keep the joint stable.
A SLAP lesion superior labrum, anterior to posterior is a tear above the middle of the shoulder socket. Tears to the labrum can occur from a sudden injury or can wear and tear as we age.
Injuries that can cause a labrum tear include falling on the shoulder or arm, a direct hit to the shoulder, reaching overhead rapidly or a sudden pull.
Some athletes, like weightlifters or throwing athletes, can see these types of injuries as a result of a repetitive motion that wears down the labrum.
A labrum tear causes pain, especially when reaching overhead. It may create a feeling of instability and loss of strength, along with a decrease in your range of motion.
Some people experience a grinding sensation or popping and locking in the joint. Physical therapy may help strengthen the muscles in the rotator cuff, while anti-inflammatory medications can help relieve the symptoms.
For a labrum tear, surgery is minimally invasive. While therapy is always needed after surgery to regain your range of motion and strength, there is minimal downtime. Shoulder Replacement. Shoulder replacement surgery is not as conventional as hip or knee replacements. However, it is an effective way to treat severe pain, swelling, weakness, and loss of range of motion if these symptoms have not responded to more conservative treatments.
People who have arthritis, rotator cuff tears, severe fractures and more may benefit from shoulder replacement surgery. Here, you will discuss your medical history and have a full physical examination. As there are several different procedures for a shoulder replacement, you and your doctor must work together to ensure you understand your options. For patients who had a previous shoulder replacement that failed, have an incredibly severe rotator cuff tear or debilitating arthritis, a reverse shoulder replacement may be an option.
In a reverse shoulder replacement, the ball and socket are switched — a plastic socket is attached to the humerus, and a metal ball is attached to the shoulder bone.
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