Shoulder Treatment – Problems, Causes & Treatment Options from India’s Best Hospitals and Leading Team of Orthopedics
Shoulder is the most flexible joint in your body. It allows you to place and rotate your arm in many positions in front, above, to the side, and behind your body. This flexibility also makes your shoulder susceptible to instability and injury.
Depending on the nature of the problem, nonsurgical methods of treatment often are recommended before surgery. However, in some instances, delaying the surgical repair of a shoulder can increase the likelihood that the problem will be more difficult to treat later. Early, correct diagnosis and treatment of shoulder problems can make a significant difference in the long run.
Different Types of Shoulder Problems
Bursitis or Tendinitis : Bursitis and tendinitis are conditions that are also known as soft tissue rheumatic syndromes. A syndrome is a group of signs and symptoms that occur together and indicate a particular problem. This type of syndrome produces pain, swelling, or inflammation in the tissues and structures around a joint, such as the tendons, ligaments, bursae, and muscles.
Impingement and Partial Rotator Cuff Tears : Partial thickness rotator cuff tears can be associated with chronic inflammation and the development of spurs on the underside of the acromion or the acromioclavicular joint. The conservative nonsurgical treatment is modification of activity, light exercise, and, occasionally, a cortisone injection. Nonsurgical treatment is successful in a majority of cases. If it is not successful, surgery often is needed to remove the spurs on the underside of the acromion and to repair the rotator cuff.
Full-Thickness Rotator Cuff Tears : Full thickness Rotator Cuff tears off generally when there is a heavy lifting or a fall. When non-operative treatment like exercise and modification of activities do not work, surgery is required for the full repair. Spurs are removed by arthroscopic technique and repair of the tears in the rotator cuff is done along with it.
Bursitis or Tendinitis :Instability : Shoulder instability is a problem that occurs when the structures that surround the shoulder joint do not work to keep the ball tightly within its socket. If the joint is too loose, it may slide partially out of place, a condition called shoulder subluxation. If the joint comes completely out of place, this is called a shoulder dislocation. Patients with shoulder instability often complain of an uncomfortable sensation that their shoulder may be about to shift out of place.
Fractured Collarbone and Acromioclavicular Joint Separation : A fractured collarbone and acromioclavicular separation are common injuries of children and others who fall on the side of their shoulder when playing. Most of these injuries are treated nonsurgically with slings or splints. Severe displaced fractures or acromioclavicular joint separation may require surgical repair.
Fractured Head of the Humerus (Arm Bone), or Proximal Humerus Fracture :Fractured Head of the Arm Bone occurs particularly to old people with osteoporosis as a result of falling on outstretched arms. Surgical repair is often needed when it is fractured or displaced. Often replacement with an artificial joint or prosthesis is required.
Osteoarthritis and Rheumatoid Arthritis : Osteoarthritis and rheumatoid arthritis can destroy the shoulder joint and surrounding tissue. They can also cause degeneration and tearing of the capsule or the rotator cuff. Osteoarthritis occurs when the articular surface of the joint wears thin. Rheumatoid arthritis is associated with chronic inflammation of the synovium lining which can produce chemicals that eventually destroy the inner lining of the joint, including the articular surface.Refer a Patient
Diagnosis of Shoulder Surgery
The surgeon will conduct a physical examination and may order X-rays, CT Scans or even an MRI to determine the exact cause of the problem. It may be necessary to perform a shoulder Arthroscopy to ascertain the extent of damage or to locate the problem.
Initial treatment may be a course of physiotherapy or cortisone injections to promote natural healing. The surgeon may suggest that the arm is immobilized in a sling so as to allow the damaged tendons and ligaments to heal. If the damage is considered too bad or the above methods fail to improve the condition then surgery may be considered.Request a Call Back
Types of Shoulder Surgery
Shoulder Surgery can be Used for a Number of Treatments :
Arthroscopic Acromioplasty : This is an arthroscopic procedure to widen the space between the upper arm and the shoulder blade so that the rotator cuff tendons do not get stuck between them. Arthroscopy with shoulder instability – In case of dislocation of the shoulder, it is normal to have an arthroscopy. It is often possible to repair damage to the shoulder but sometimes a separate operation is needed.
Rotator Cuff Repair : Arthroscopic repair of the shoulder tendons. The goal of these procedures is to minimize the pain, restore strength and functionality.
Total Shoulder Replacement : Shoulder arthroplasty – With loss of cartilage the patient will suffer severe shoulder arthritis. This will eventually make surgical treatment is necessary.Refer a Patient
Different Types of Shoulder Surgery Procedures at World Class Hospitals in India
The procedure and technique used in shoulder surgery varies depending on the specific surgery. Shoulder surgery is generally performed using one of the following approaches:
- Minimally Invasive Surgery is performed by inserting special instruments and an arthroscope through small incisions in your shoulder. This approach is also known as arthroscopy. An arthroscope is a thin, lighted instrument with a small camera. The camera transmits pictures of the inside of your joints to a video screen viewed by your surgeon as he or she performs the surgery. Minimally invasive surgery generally involves a faster recovery, less pain, and less risk of complications than open surgery. This is because it causes less damage to tissues and organs. Your surgeon will make small incisions instead of a larger one used in open surgery. He or she can then thread surgical tools around structures and organs instead of cutting through or displacing them as in open surgery.
- Mini-Open Surgery uses newer technology and combines minimally invasive arthroscopic techniques with a smaller open procedure. The incision is one to two inches long, which is smaller than a standard open surgery incision. This technique may allow some surgeons to make more extensive repairs than are possible with minimally invasive surgery. However, it causes less damage than traditional open surgery because your muscles remain attached during the surgery.
- Open Surgery : Open surgery may be necessary and, in some cases, may be associated with better results than arthroscopy. Open surgery often can be done through small incisions of just a few inches. Recovery and rehabilitation depend on the type of surgery performed inside the shoulder, whether it was an arthroscopic or open surgical procedure. Post a Query
What People Say About Us
“My name is Linda from Houston, Tx and I am a 25 year old working in a Software Company. I had severeforearm and wrist pain since last 2 years. The pain used to increase on lifting objects. Our local hospital diagnosed me for having tennis elbow for which I received treatment in the form of analgesics, heat therapy, steroids and brace for 4 months. Twice I was given local steroid injections which resulted in temporary but incomplete relief. The severe pain persisted even after 10 months of therapy.
Since I had no insurance I started to think about going to India for low cost surgery without compromising on the quality of treatment.
I then came across SafeMedTripwhich put me in touch with Dr Gupta at India’s most advanced hospital. I underwent a minimally invasive surgery where they performed debridement of extensor tendon origin with decompression of bone. This was followed by postoperative physiotherapy. Today after just 2 weeks I have no pain and I feel my hand is much better functionally and I really thank you all for helping me get back to my work so soon.”
Ms Linda, Houston, USA