Category Archives: Shoulder Pain Treatment

Arthroscopic Shoulder Surgery

What Is Arthroscopic Surgery?

Arthroscopic shoulder surgery is more commonly called keyhole surgery. It involves using an arthroscope to diagnose and treat joint problems.

An arthroscope allows surgeons to literally look within the joint, without making large incisions in the skin. (The word arthroscope is derived from two Greek words, arthro or joint, and skopein – to look.)

How Is Arthroscopic Surgery Performed?

An orthopaedic surgeon inserts a narrow tube, containing a fiber-optic video camera, into the shoulder joint area.

The joint is then viewed on a monitor, which is transmitted from the arthroscope. The incision made for arthroscopic shoulder surgery is about the size of a buttonhole, and this procedure works for relatively uncomplicated shoulder problems.

Common Arthroscopic Shoulder Procedures

A variety of joint conditions may be diagnosed or treated with arthroscopic surgery. Along with the shoulder, arthroscopic surgery is also used on knees, ankles, hips, wrists, and elbows. Some common conditions which may be treated with arthroscopic surgery include:

  • Torn ligaments and tendons surrounding joints
  • Bone spurs or loose bone fragments
  • Inflamed joint linings
  • Damaged or torn cartilage
  • Joint infections
  • Removal of inflamed tissue, excessive scar tissue, or loose cartilage
  • Repairing recurrent shoulder dislocation

Some less common arthroscopic procedures may include fracture repair, nerve release, and cyst extension. Many times, arthroscopic shoulder surgery can correct problems such as a torn cartilage ring (labrum), shoulder instability, or damaged biceps tendons. Shoulder impingement, and problems associated with arthritis may also be corrected. Shoulder arthroscopy is sometimes used for rotator cuff tears if the injury is not too extensive.

What happens before Arthroscopic Shoulder Surgery?

The orthopaedic surgeon will obtain medical records from the patient’s primary physician. Some medications may need to be stopped temporarily, prior to surgery. Other diagnostic tests may be ordered also, to insure a safe surgery. Local or general anesthesia will be administered at the hospital, depending on the extent of shoulder surgery you are having.

Local anesthesia is injected to block pain, in a defined area, and the patient remains awake during surgery. A general anesthesia is delivered intravenously, and will put you to sleep through the surgery. If the patient is generally in good physical health, the arthroscopic shoulder surgery can be performed on an outpatient basis, with no overnight hospital stay.

Arthroscopic Surgery Procedure

In the operating room, the patient may be placed in the beach chair position, or the lateral decubitus position. The beach chair position is similar to sitting in a reclining chair. In the lateral decubitus position, the patient is on his or her side on the operating table. The position selected, is based on the procedure being performed, as well as the surgeon’s training and preference.

The surgical team will remove any hair around the area to be addressed. An antiseptic solution is then spread over the entire shoulder, to prevent infection. The shoulder is covered with sterile drapes. The forearm is placed in a holding device in order to keep it from moving during surgery.

The surgeon will inject fluid into the shoulder. This inflates the joint so that it is easier to see various structures in the shoulder through the arthroscope. A very small incision is made for the arthroscope. Several separate incisions may be made for small specialized instruments necessary for the procedure. Instruments may be necessary for grasping, shaving, suture passing, knot tying, and cutting. Following surgery, the incisions are closed with stitches, or steri-strips, and covered with a larger bandage.

I hope this helps you to understand what is involved in Arthroscopic Shoulder Surgery. For further information follow the link below to my more detailed article

Link: Arthroscopic Shoulder Surgery

Do claim your free shoulder pain report with more free tips and advice for relieving shoulder pain. Just enter your name and email address to receive this valuable guide.

Kind Regards,
Tim Allardyce DO MCSP SRP

Exercises For Shoulder Pain

Shoulder Pain Management

Shoulder Pain Management

Shoulder Pain Management

Shoulder pain management is varied, and dependent on the source of your shoulder pain.

The shoulder is a complex joint and I see a variety of different causes of shoulder pain every week in my London clinics. The best way to treat pain initially, is to consult with a physician or physiotherapist to ensure that you get a correct diagnosis.

Once the source of shoulder pain is diagnosed, a plan to manage shoulder pain can be prescribed and individualized. Pain relief can include over-the-counter medicines such as Penetrex, drugs prescribed by your doctor, physical therapy, behavior modification, surgery, or a combination of many treatments. The same shoulder pain management may work on one person, but may not relieve pain in another. Some treatments may work specifically for certain shoulder conditions as well.

Diagnosing Shoulder Pain

The more accurate and detailed the description that you provide, the easier it is to diagnose the cause and treatment. Before a visit to your physician or orthopaedic surgeon, it is very helpful for you to have self-assessed the pain that you are experiencing.

Shoulder Pain self-assessment

Being prepared to answer some of the following questions, will help in diagnosing your shoulder pain source. Knowing specifics from you, will help the doctor or specialist prescribe the most beneficial treatment to relieve your pain.

  • When did you first experience the shoulder pain, and how long has it persisted?
  • Where do you feel the shoulder pain? Is it all over the shoulder, or in a specific area?
  • Have you experienced this pain before?
  • Were there any external forces which may have caused the pain, such as strenuous activity, your occupation, or an accident?
  • Have you experienced any other symptoms, along with the shoulder pain?
  • What is the intensity of your pain?
  • Do specific movements or activities increase the shoulder pain intensity?
  • Is the pain constant, or intermittent? Does the shoulder pain continue even when you are at rest?
  • Are you experiencing any weakness, or numbness in your arm?
  • Describe what the pain feels like in various situations. Is the pain burning, stabbing, shooting, dull, or tingling?
  • What types of shoulder pain management have you tried already?

Documenting the answers to these questions is important, because you may forget dates, or important facts which may aid in the correct diagnosis. If your injury is extensive, or your pain seems to be severe, the cause may be determined by other diagnostic measures. X-rays, MRIs, and ultrasound scans can help to delineate your shoulder joint, muscles, and tendons, aiding in the diagnostic procedure

Shoulder Pain Medications

I usaually recommend [easyazon-link asin=”B0026HDURA”]Penetrex[/easyazon-link] for local shoulder pain relief. Nonsteroidal, anti-inflammatory drugs such as ibuprofen, aspirin, and NSAIDs with COX-2 inhibitor drugs may be taken, and usually work well with arthritis-related shoulder pain. COX-2 medications contain specific inhibitors, which block an enzyme known to cause inflammation. If shoulder pain is not relieved by NSAIDs, a disease-modifying antirheumatic drug (DMARD), may be prescribed. DMARDs are believed to correct immune system deficiencies which contribute to arthritic conditions.

Steroid injections may be administered if the pain is related to the rotator cuff muscles. Corticosteroid injections help to relieve pain, as well as inflammation.

If the rotator cuff injury is severe enough, and a tear in the muscle is involved, surgery may be recommended. Any type of over-the-counter or prescribed pain medication may have adverse side effects.

Depending on the type of shoulder pain or injury, surgery would be considered the last alternative.

Alternative Pain Medication

With proper care, a minor shoulder injury often heals on its own. If you are experiencing shoulder pain, you can care for the shoulder by resting, applying ice, taking over-the-counter pain relievers, and doing gentle shoulder exercises. If the pain persists, worsens, or is accompanied by other symptoms, you should seek professional care.

Acupuncture, chiropractic massage therapy, and naprapathy are other alternative ways to deal with shoulder pain. Acupuncture uses sterile needles, placed in strategic points on the body, to control pain.

Chiropractic massage therapy uses manual manipulation of the shoulder joint and soft tissues to relieve pain.

Naprapathy is manual manipulation, ultrasound, electrical impulses, heat, cold, posture and nutritional counseling together, as an alternative type of shoulder pain management.

Lifestyle changes including paying attention to posture, work habits, and exercising regularly can help to prevent shoulder pain.

Doing regular range of motion exercises, taking frequent breaks at work, and resting between repetitive movements will help to prevent, and also ease existing shoulder pain.

Your shoulders are important, and need care and maintenance to work without pain. Often patients arrive at my clinic having put up with shoulder pain for weeks and even months. If shoulder pain is interfering with your day-to-day life or preventing you from sleeping at night don’t put off getting treatment.

The first steps to shoulder pain management are prevention, and a getting an accurate diagnosis of the shoulder pain source. [easyazon-link asin=”B0026HDURA”]Penetrex[/easyazon-link] is very effective for local pain relief and I recommend getting my free report with more free tips and advice for relieving shoulder pain. Just enter your name and email address to receive this valuable guide.

Kind Regards,
Tim Allardyce DO MCSP SRP

Exercises For Shoulder Pain

Pinched Nerve in Shoulder


Pinched Nerve In the Shoulder Symptoms and Treatment

Pinched Nerve in Shoulder

Pinched Nerve in Shoulder

A pinched nerve in the shoulder can be excruciating, and if not treated, can become irreparable, or can cause muscle atrophy.

In other words, the pain is awful, and if you wait too long to see a doctor, it might lead to surgery or chronic pain, lasting a lifetime.

What causes of Pinched Nerve In the Shoulder?

There are many causes of pinched shoulder nerves, and some actually originate in neck discs.

Pinched nerves are nerves which have too much pressure placed upon them, altering their function of sending signals to the muscles and brain.

What is Pinched Nerve In the Shoulder?

A pinched nerve is a universal and general term to describe an injury to a nerve, or group of nerves.

A pinched nerve in the shoulder occurs when there is too much pressure applied on a nerve, or nerve group, by the tissues around it, such as bones, cartilage, muscles or tendons.

If a nerve is pinched, or pressured for a short time, there is usually no permanent damage.  The pressure prevents the nerve from functioning correctly, and if the pressure continues, chronic pain and permanent nerve damage can occur.

Shoulder Anatomy

[easyazon_image add_to_cart=”default” align=”left” asin=”B005EI8R3U” cloaking=”default” height=”160″ localization=”default” locale=”US” nofollow=”default” new_window=”default” src=”” tag=”privat-20″ width=”160″]3B Scientific A80 Functional Shoulder Joint Model, 6.3″ x 4.7″ x 7.9″[/easyazon_image]

Your shoulder is one of the most complicated joints in the body.  It provides the greatest range of motion, and is made of four joints, and five bone groups.  Because it is a unique joint, it can also cause unique and complex problems.

The deepest layer of the shoulder consists of bones and joints, followed by ligaments, then tendons and muscles, and on top of these layers are the nerves.  The shoulder nerves travel down the arm, and pass through the axilla or armpit, and are called the Brachial Plexus, before they divide into individual nerves.

Pinched Nerve In Shoulder Symptoms And Possible Causes

Pinched Nerve In Shoulder Symptoms

Persistent, acute pain Redness or swelling Fever or heat in the shoulder joint Numbness, or decreased sensation in the shoulder Sharp or burning pain, radiating outward from the shoulder Tingling or “pins and needles” sensations called paresthesia radiating from shoulder, down the arm Muscle weakness or twitching of the shoulder

Pinched Nerve In Shoulder Causes

  • Injury to the shoulder and/or neck disc Stress from repetitive activity (using it the same way repeatedly for work, sports, or hobby)
  • Osteoarthritis
  • Obesity
  • Swelling of tissues (diabetes, or genetic malady)
  • Poor sustained posture

Home Treatment for Pinched Nerve in Shoulder Pain – (P-R-I-C-E)

[easyazon-image-link asin=”B000PD1EU2″ alt=”Mueller Ice Bag, Blue, 9 Inch” src=”” align=”none” width=”160″ height=”131″]

At home treatment for pinched nerve in shoulder pain can be remembered by the acronym PRICE.

Protection – protect your shoulder, by immobilizing it

Rest – refrain from normal activities involving use of your shoulder

Ice – [easyazon-link asin=”B0027CU1EY”]apply an ice pack[/easyazon-link] to your shoulder area for 15-20 minutes, three times daily

Compression – use a compression bandage to reduce swelling

Elevation – elevate your arm in order to reduce swelling and subsequent pressure on the nerve(s)

[easyazon-block asin=”B0019MDRC6″ align=”none”]

The most frequently recommended home treatment is rest, or stopping the activities which are possibly causing the nerve compression.  Use a shoulder brace to immobilize the shoulder, and modify your activities which aggravate the problem.

Medications for pain are analgesics, or Non-steroid Anti-Inflammatory Drugs (NSAIDs), such as ibuprofen, and can be found in over-the-counter products such as Advil, and Motrin.  Naproxen, which can be found in Aleve and Anaprox, will also help to relieve pain, and alleviate inflammation causing pressure on the nerve(s).

When to See a Doctor for Pinched Nerve in Shoulder Pain

If in any doubt, always seek proper medical advice. If you experienced a shoulder injury, if your shoulder pain persists more than a few days, or if there is redness or swelling accompanying acute pain, you should seek medical attention.  If the shoulder pain occurs suddenly, is severe, and is accompanied by chest pressure, you should get emergency medical treatment because this could be these symptoms of heart failure.  If you feel fever or heat in your shoulder, this could indicate infection, and needs to be treated immediately.

Diagnosing shoulder nerve damage

Nerve conduction velocity test

In order to diagnose damage to your nerve, your doctor or orthopedic surgeon may conduct a nerve conduction velocity test with electrodes to tell whether your nerve(s) are damaged.  The electromyography is also used to measure the electrical discharges produced in the muscles, indicating whether there is damage to the nerves leading to the muscles.

Shoulder MRI

A shoulder MRI, or Magnetic Resonance Imaging, test may be given if compression of the nerve root is suspected by your doctor.

Pinched Nerve in Shoulder Treatment

Treatment thereafter may require physical therapy to strengthen and stretch the muscles, to relieve pressure on the nerve(s).  Corticosteroid injections to the shoulder may be administered to help minimize inflammation and pain.  If your condition has not improved with these treatments, surgery may have to be an option.  Arthroscopic decompression surgery is performed to relieve nerve pressure when all other treatments fail.

Because the shoulder is so complex, it is best, especially with a new shoulder injury, to seek immediate treatment.  Getting the correct diagnosis and proper treatment not only alleviates the horrible pain, but also helps prevents further damage to the nerve or nerves.  Pinched nerve in shoulder pain should not be taken lightly, so pay attention to your symptoms, and if the pain persists, see your doctor for a more complete diagnosis.

Pinched Nerve in Shoulder exercise and rehabilitation

To help you recover from shoulder pain and injury I have created a complete shoulder relief program. Generally exercising your shoulder will help you relieve shoulder pain and help rehabilitate your shoulder, but always check with your doctor before doing any exercise. Never repeat an exercise if you feel that it aggravates your pain and stop the exercise immediately if it hurts.

—>CLICK HERE to order My complete Shoulder Program to quickly and easily relieve your shoulder pain<—

Kind Regards,
Tim Allardyce DO MCSP SRP

Exercises For Shoulder Pain



Left Shoulder Pain In Women

What Causes Left Shoulder Pain In Women?

Left Shoulder Pain in Women

Left Shoulder Pain in Women

Left shoulder pain in women is more common these days and one reason is because many jobs women do today are computer based.

You may need to sit at the computer for hours on end each day. Poor sitting postures can lead to shoulder pain, but there could be more serious causes of left shoulder pain so you need to see a doctor in case your shoulder pain is a symptom of something more serious.

Left Shoulder Pain Heart Attack Symptom

Left shoulder pain needs immediate attention because it is one of the symptoms of heart attack.

If the pain is cardiac in nature, the pain radiates to chest, arm, neck and jaw. If left shoulder pain is combined with other symptoms like nausea, vomiting and shortness of breath, you need immediate medical attention.

Left shoulder pain is not usually very serious in nature unless it is cardiac in nature but you do need to rule this out by getting proper medical attention. Left shoulder pain after a fall or accident should also be immediately seen by a doctor.

Other reasons for left shoulder pain in women

The other causes of shoulder pain in women are quite varied.  Shoulder pain can be due to arthritis, muscular cramps, damage to disc, gas problem or upper back pain radiating towards the shoulder.

Avoid lifting heavy objects till your pain is relieved. Apply ice packed in a cloth to your shoulder for five minutes.

You can repeat the same after 30 minutes, but don’t leave the ice on your shoulder for longer than 5 minutes. If you your shoulders immobile, it may lead to stiff or frozen shoulder. I have developed a complete shoulder pain relief program that you can get by clicking the link below.

—> Order my Shoulder Exercise Program to quickly and easily relieve your shoulder pain CLICK HERE<—

Women who work in office and are sure that their left shoulder pain is office related, can get relief by exercising regularly. There are some easy shoulder exercises that can be done at home. You don’t need to go to gym or get the help of a physical fitness trainer to do these exercises if you follow my program.

Shoulder Warm-up exercises

The first and foremost thing that you must remember is you should warm up your shoulders before doing the exercises. If you start exercising without warming up, your painful shoulder may be aggravated.

One of the first exercises that I show you is how to bend and swing your arms like a pendulum. It is important that you move your hands freely without any stiffness. It looks similar to an elephant moving its trunk and I call it the pendulum exercise.

pendulum exercise

Pendulum Exercise

Shoulder stretching exercises

Once you have done warm up exercises like the pendulum exercise you can proceed to do shoulder stretching exercises.

Stretching exercises are very helpful in relieving shoulder pain. Pull both your hands behind your back. Lock your palms together. Now stretch your hands as much as possible behind your back. Continue for ten counts and then relax for sometime.

Repeat the same rotating your left shoulder clockwise and anticlockwise will relieve you from the pain. You can also swing your left arm front and back in full swing slowly. This will loosen your shoulder joints.

My shoulder program contains full details with clear pictures to make rehabilitating and strengthening you shoulder simple to do at home, you can order it by clicking the link below:

—>CLICK HERE to order My complete Shoulder Program to quickly and easily relieve your shoulder pain<—

Exercising regularly will give you good relief from shoulder pain. Never repeat an exercise if you feel that it aggravates your pain. Stop the exercise immediately.

Kind Regards,
Tim Allardyce DO MCSP SRP

Read this important article about left shoulder pain ….Click Here To Find Out More About Left Shoulder Pain

How to Use Therabands

Using Therabands

[easyazon-image-link asin=”B000FJUFA6″ alt=”Thera-Band Latex Free Exercise Bands – Green – Heavy – 25 Yards” src=”” align=”none” width=”160″ height=”160″]

If you’ve ever been around someone who has undergone physical therapy then I’m sure you have seen Therabands. You may have even asked what they were and been surprised at the reply, “Those are the bands that I use when I exercise.”

Therabands don’t look like other exercise aids you’d have seen before, but there are significant advantages of using Therabands instead of free weights if you are suffering from shoulder pain.

Therabands are rolls of colored rubber resistive exercise bands that are used around the world for everything from rehabilitation to strength training.

Therabands are simple and inexpensive. They allow you to tone and strengthen your muscles without putting undue stress on your joints.

Benefits of Therabands include:

•    Resistance is not dependent on gravity.

•    Provides continuous tension on the muscles being trained.

•    You can’t use momentum to get the Theraband moving.  The only way to continue the motion of the band is to use more muscles to continue the movement of the band.

Research shows that using Therabands provides increased strength, increased muscle tone and decreased fat. Therabands are excellent for shoulder rehabilitation and shoulder strengthening.

Where to buy Therabands

Therabands are available online from Amazon

[easyazon-block asin=”B000FJUFA6″ align=”none”]

For more informations about using Therabands see:

Therabands for Shoulder Rehabilitation

Shoulder Pendulum Exercise

The Shoulder Pendulum Exercise is designed to improve the range of mobility in your stiff shoulder.

pendulum exercise

Pendulum Exercise

I’ve made a video showing how to do the “Pendulum Exercise” .

This video will show you how to perform the exercise and relieve your shoulder pain.


Detailed instructions to perform the exercise:

• Keep the shoulder completely relaxed

• Let momentum and gravity move it in circles

• Go anti-clockwise and clockwise

• Keep the circles within your comfort zone

• Perform for 2 minutes, 3 times a day