Category Archives: shoulder injury

Arthroscopic Rotator Cuff Surgery

With Arthroscopic  surgery the Rotator Cuff repair  is done by a series of small cuts around the shoulder. Flexible wires called “portals” are introduced through the cuts. These enable the surgeon to see and assess the shoulder damage.

Removal of spurs from the underside of the acromion and repair of the rotator cuff tear are done through the portals themselves using flexible wires capable of carrying various cutting and suturing instruments within themselves in to the joint. This procedure requires a highly proficient and experienced orthopedic surgeon.

Advantage of arthroscopic surgery

The advantage of arthroscopic surgery is that postoperative pain, recovery and rehabilitation are comparatively better. But open shoulder surgery and mini open surgeries provide assured and long term results, especially if the initial rotator cuff tear is very large.

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Open Repair Rotator Cuff Surgery

In open repair rotator cuff surgery a small incision of is made over the shoulder joint. The deltoid muscle, which covers the shoulder joint, is exposed. It is then cut to gain access to the tear.

Re-attaching of the torn rotator cuff tendon to the bone closes the tear. Any bony fragments or spurs are also removed during the procedure. The deltoid muscle is again sutured together. Then the tissues under the skin, and finally the skin are closed.

The results of open rotator cuff surgery provide are generally very good, but disadvantages are that compared to arthroscopic surgery the postoperative pain can be worse, and recovery and rehabilitation takes longer.

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Rotator Cuff Surgery Options

Shoulder surgery is sometimes necessary to treat rotator cuff injuries such as rotator cuff tears. For example, if the rotator cuff injury is accompanied with a decrease in strength of the affected shoulder joint then the injury may require surgery.

There are three different types of shoulder surgery for rotator cuff injuries. These are

1. Open rotator cuff repair
2. Mini open rotator cuff repair
3. Arthroscopic surgery

In my next posts I will examine these different types of rotator cuff surgery in more detail.

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Alternatives to Rotator Cuff Surgery

What are the alternatives to Rotator Cuff Surgery?

Rotator cuff repairs can be achieved by surgery, but in some cases surgery may not be necessary to repair the rotator cuff.

Non-surgical treatment is usually appropriate for people who suffer from shoulder pain without a decrease in shoulder strength caused by the rotator cuff injury.

There are three main non-surgical options for treating rotator cuff injuries. These are:

1. Avoiding pain inducing activities
2. Pain relief injections
3. Perform shoulder exercises

Avoiding pain-inducing activities can itself lead to increasing stiffness and frozen shoulder.

Injections can result in reduced pain and stiffness, but the improvement is temporary. In addition there is the risk of side effects such as infection.

Shoulder pain exercises are usually the best non-surgical option, but the level of success will depend upon the amount of arthritis present under the acromioclavicular joint of the shoulder.

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What is the Most Frequently Broken Bone in the Body?

Did you know that the collarbone is the most frequently broken bone in the human body. It’s hardly surprising that I see so many patients who have fractured their collarbone.

Often collarbone fracture is caused by falling on an outstretched arm for example when skiing. I’ve just got back from the Winter Olympics and skiing is a common cause of fractures to the collabone so if you’re off skiing over the holidays do be careful on the slopes.

What To Do If You Suffer Whiplash

Whiplash happens in accident like car crashes, sports injuries or when someone is suddenly thrown.

Symptoms of whiplash can include stiffness, specifically in the neck and at the back of the head, and headaches. Usually these signs appear after the accident happen or within a few days to two weeks.

If you think you may have suffered whiplash seek medical advice without delay. You should do this for two reasons.

Firstly although whiplash  symptoms  may not appear immediately whiplash injuries can be serious and prompt medical treatment will help to reduce the time it takes you to recover.

Prompt medical consultation may also help you to make a claim for your medical treatment and other costs you might suffer as a result of your injury, such as loss of income.

How to Stop Shoulder Problems Becoming a Pain in The Neck

Shoulder problems frequently lead to neck pain.

When shoulder mobility becomes restricted it is unfortunately very common for pain to radiate into the webbing between the neck and shoulder. This area is known as or the upper trapezius. Usually this causes a deep ache that feels like it needs to be massaged.

It is important to stretch this muscle. A good exercise is side-bending the neck so the ear moves towards the shoulder. This is enough to put a stretch on the trapezius. Hold for 30 seconds, and perform three times per day.

Applying ice after exercise may help to prevent the muscles suffering from any further damage.

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Rotator Cuff Tear Symptoms

Rotator cuff tear symptoms usually show up slowly. Pain may be really mild at first and gradually increases.

The pain is usually felt at the front of your shoulder and spreads down the arm. Mild shoulder pains are often ignored and treated with over the counter prescriptions. However, in the case of rotator cuff tear, the pain gradually increases and is felt even with very little activity or at rest. Treatment and even rotator cuff surgery may be required.

You might feel pain while lying down on the affected side. Stiffness and consequent loss of
motion result.

For further information about rotator cuff tears please click the link below:

Rotator Cuff Tear

Are You Suffering From Painful Arc Syndrome?

Do you find it difficult lifting your hand sideways? Do you feel a sharp pain on the tip of the shoulder when you try to reach for something overhead? If so you may be suffering from Painful Arc Syndrome.

Constant use  of the shoulder, and wear and tear can cause painful arc syndrome.

Painful arc syndrome frequently occurs in athletes and sportsmen and women, because they use the shoulder joint to its maximum capacity.

Physical therapy, steroid injections and shoulder surgery are some of the treatment options for painful arc syndrome.

I have just written an article all about painful arc syndrome so for further details please see the link below:

Painful Arc Syndrome