Tag Archives: shoulder treatment

Broken Shoulder Treatment

In my last post What is a Broken Shoulder I explained all about the causes of broken shoulder and just how common it is to break your shoulder.

In this article I’m going to outline the various treatment options available.

Firstly the good news, most broken shoulders or proximal humerus fractures can be treated without surgery.

If the shoulder break is clean, meaning that there are no bone fragments displaced, the arm will be treated by being placed in a sling.

Eighty-five percent of shoulders which are broken, are nondisplaced, and do not require surgery.

The shoulder cannot be placed in a cast for healing, therefore a sling is worn, giving the shoulder time to heal, and preventing further damage.

Shoulder surgery

When the shoulder is broken due to traumatic injury such as a vehicle accident, or forceful fall, treatment may involve surgery.

If bone fragments are shattered, and shifted out of position, surgery is necessary. The fractured bone may be repositioned and fixated with screws, pins, or plates.

If the fragments are too small, or cannot be correctly positioned, shoulder replacement surgery may be necessary.

Factors that determine Broken Shoulder Treatment

Broken shoulder treatment depends on several factors.

Treatments can include wearing a shoulder sling, surgery to replace bone fragments, or shoulder replacement surgery.

Some important factors in determining the proper treatment are:

  • Age of the patient

  • Patient’s general health-is there pre-existing bone disease?

  • How much time has passed between the shoulder injury and diagnosis or treatment?

  • Bone density – is osteoporosis present?

  • Fracture placement-where is the break located in proximity to the shoulder?

  • Condition and placement of fracture fragments-are the fragments scattered or can they be fixated into place?

  • Extent of nerve and/or soft tissue damage surrounding the break

After any broken shoulder treatment, physical therapy is recommended. Supervised physical therapy exercises can help to preserve range of motion.

Normal recovery can be expected for most patients. Only a small percentage of shoulder fractures result in permanent nerve damage.

A period of immobilization will be necessary for approximately 4-6 weeks.

After the first few weeks of healing, more intensive exercises will decrease arm stiffness, and improve the shoulder’s range of motion.

A Broken shoulder is a great inconvenience, but can be managed with proper diagnosis and treatment.

I have produced a complete shoulder relief program that could help you relieve shoulder pain and rehabilitate your shoulder.

Always check with your doctor before doing any exercise and stop the exercise immediately if it causes pain.

—>CLICK HERE to order My complete Shoulder Program to rehabilitate your shoulder pain<—

Kind Regards,
Tim Allardyce DO MCSP SRP

Related Articles:

What is a Broken Shoulder

Should I Have Shoulder Surgery

 

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 Ice Treatment

Shoulder Treatment Using Iceshoulder pain ice treatment

You might well ask why you would want to use ice for shoulder pain when its so cold? Won’t the cold just make the pain worse? The answer is “No”, not in most case it won’t.

Why use ice for shoulder treatment?

Well, as I explain in more detail in this shoulder treatment article, using an [easyazon-link asin=”B000EAPNCQ”]ice pack[/easyazon-link] really can help to improve the results you get in healing your shoulder pain. Ice is excellent for reducing inflammation and swelling that often aggravates shoulder pain and it also helps to numb the pain. Practice this regularly and you will soon notice the difference in your overall situation.

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More information about using ice for shoulder treatment

Halloween – Time to Treat Your Shoulder Pain

Time to Treat Your Shoulder Pain?

Do you enjoy Halloween? I enjoy the neighbor’s kids calling and I’d rather handout a few “treats” than have a “trick” played on me.

When the “Trick or Treaters” call tonight do think about treating your shoulder.

Whether you like Halloween or not it’s very hard to ignore trick or treating.

Shoulder pain often comes and goes, and it can be easy to put off proper treatment.

Here are three exercises that you can do tonight that will help relieve your shoulder pain:
We all have to put up with trick or treating, but you don’t have to put up with shoulder pain. Instead why not treat yourself to my best selling Shoulder Pain Relief Program?

Don’t put off fixing your shoulder.
My program is simple and easy to follow.
You get a 44 page treatment plan with step-by-step instructions.
Photographs and diagrams give you the exact
program that I give to my private patients, without the cost of clinic visits.

Get Rid of Your Shoulder Pain

You’ve got nothing to lose except your  Shoulder pain because you have my 56 day
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Kind Regards,
Tim Allardyce
Chartered Physical Therapist
and Registered Osteopath

What is the Best Treatment For Dislocated Shoulder?

A study recent study (Jakobsen et al, 2007) that compared the long term results following surgical and conservative treatment strategies for primary shoulder dislocations found that surgical repair produced better results, with better long term prognosis.

According to the results of the study after 2 years, about 56% of the dislocated shoulder patients had recurrence following conservative management. Only 3% of those who underwent surgical correction experienced a recurrence.

The best treatment for dislocated shoulder will depend on the nature of the dislocation and other pateint specific factors, but it is worth noting the impressive results that shoulder surgery achieved in this study.

For more information and advice about shoulder injuries, please enter your name and email address in the box on this page

How to Treat Arm Shoulder Pain

At its most serious arm or shoulder pain can be a symptom of angina or to a heart attack.

Arm and shoulder pain that is combined with the inability to use the arm, any loss of sensation, or includes paleness of the hands or fingers needs prompt medical evaluation.

Arm and shoulder pain that is accompanied by redness, fever, neck stiffness, or that occurs after an accident should also be evaluated promptly by a doctor.

For other types of arm or shoulder pain, the general rule of thumb is to rest the arm and shoulder for 24 hours and then begin to very gently use the arm, putting it through its’ entire range of motion to prevent “frozen shoulder”.

The application of heat and ice treatment is also recommended along with physical therapy and shoulder exercises.

For further information please see the following articles:

Arm Shoulder Pain

Frozen Shoulder

Shoulder Treatment

How to use Pilates to Exercise Your Shoulder

Pilates shoulder exercise

A Pilates shoulder exercise may be just what you are looking for to cure your shoulder pain, but do check with your doctor first!

What is Pilates?

Pilates focuses on improving flexibility, strength and spinal alignment without adding bulky muscles. It is not considered aerobic exercise, it is more resistance training.

Pilates has been in the main stream fitness realm for several years. It has actually been around since the 1920s and was developed by physical therapist Joseph Pilates for the purpose of rehabilitation.

For full details and a Pilates exercise to relieve shoulder pain please click the link below:

Pilates Shoulder Exercise

Shoulder Tendonitis and Ultrasound

Shoulder Tendonitis

Shoulder tendonitis occurs when the shoulder tendons, which attach the muscles to the bone, become inflamed. Tendonitis is an extremely painful shoulder condition that if untreated can result in decreased mobility. Shoulder tendonitis can also cause Frozen Shoulder due to the lack of movement resulting from the pain and inflammation of the area.

Ultrasound

Ultrasound for shoulder tendonitis is used daily around the world as a first line treatment.

Ultrasound works by producing a high frequency sound wave. Ultrasound treatments take only 3-5 minutes to perform and there is usually no discomfort to the patient.

There are a several benefits of treating shoulder pain with ultrasound. Ultrasound waves produce heat and increase blood flow to the damaged tissues. This increase in blood flow brings oxygen to the injured area and raises the tissue metabolism. Chronic inflammation and pain are decreased as the increased blood flow helps to remove tissue waste. The tissues begin to heal and joint mobility is increased as a result.

For more information and advice about shoulder tendonitis and ultrasound treatment click the links below:

Shoulder Tendonitis and Ultrasound Treatment

Shoulder Tendonitis

How to Treat Deep Shoulder Pain

Deep shoulder pain, is typically the pain that resides below the surface and in the front or back of the shoulder area.

Deep shoulder pain can be caused by several things. For a younger people, deep shoulder pain can be caused by a sports related injury or overuse of muscle and tendons i.e. a rotator cuff injury or labral tear. This type of injury could lead to tendonitis, inflammation of the joint, or even a bone fracture.

For elderly persons, deep shoulder pain can originate from an awkward sleeping position and/or a form of arthritis to more severe causes such as coronary heart disease.

If you’ve suffered deep shoulder pain do read the new article I’ve just published a about deep shoulder pain.

Click below now for further information about deep shoulder pain:

How to Treat Deep Shoulder Pain

How to Treat Baseball Rotator Cuff Tear

Rotator cuff tears are the most common baseball shoulder injury that I treat in my clinics.

One of America’s greatest sports, baseball is hard on athletes, harming pitchers, basemen, and outfielders as they forcefully throw, catch, and bat.

Each of these actions focuses on the rotator cuff, and as players age or overexert themselves, their cuff begins to fray, eventually splitting and tearing.

After the rotator cuff heals it becomes more susceptible to injury.  Applying ice, and physical therapy are the best ways to get, and keep, your shoulder in shape after suffering a rotator cuff tear. Shoulder surgery may be required in more serious cases. Click Below for more information about baseball shoulder injuries and treatment.

Shoulder Pain and Baseball