Below, you will find everything you need to know about shoulder pain and whether it’s something you should be concerned about or if it is simply part of an otherwise healthy body.

What is the Anatomy of the shoulder?

The shoulder is a ball-and-socket joint. The ball is the end of the upper arm bone (the humerus), and the socket is the top of the shoulder blade, called the scapula.

Ligaments are structures that connect bones. These ligaments include the acromioclavicular ligament, which connects your clavicle (collarbone) to your scapula, and the coracoacromial ligament, which connects the coracoid process of your scapula to the acromion process of your clavicle on top.

Types of shoulder pain

There are three types of shoulder pain: muscular, bursitis, and nerve.

• Muscular: Muscular pain is the most common and can be caused by a number of things, like overuse or injury. This type of pain will often subside on its own and can be treated with rest, ice packs, medication, or physical therapy.
• Bursitis: Bursitis is an inflammation of a bursa sac near the joint that causes excess fluid to build up around the joint.
• Nerve: This kind of shoulder pain is nerve-related, and usually stems from damage to the brachial plexus (a group of nerves originating in the spinal cord).

If you suspect you may have this type of shoulder pain, you should consult your doctor immediately as it may require surgery.

Causes of shoulder pain

One of the most common causes of shoulder pain is rotator cuff inflammation and bursitis.

What is the rotator cuff?

A rotator cuff is a group of muscles and tendons that stabilizes the shoulder joint by keeping it in place while it moves. When one or more of these muscles are inflamed, they can’t stabilize the joint and move as they should. This leads to pain, weakness, and sometimes limited motion in the shoulder.

What is Bursitis?

Another cause of shoulder pain is bursitis. A bursa is a fluid-filled sac that reduces friction between bone and soft tissue in your body. It sits below the rotator cuff muscle on your upper arm bone, called the humerus, where it meets with your collarbone at your acromion process (the top part of your shoulder blade).

The bursa acts like a cushion when you use your arm. If there is too much pressure from something like arthritis, repetitive stress, overuse, or injury in this area, it can lead to an inflamed bursa.

Bursitis can be painful, causing swelling and redness around the shoulder joint. Like rotator cuff injuries, it also restricts mobility in the shoulder.

How to treat shoulder pain

Treatment for shoulder pain can vary depending on the severity of the injury. If you experience sudden or intense pain, it is best to seek medical attention immediately.

For minor cases, over-the-counter medications such as ibuprofen may be enough to provide relief, but a doctor should still be consulted.

Heat therapy and ice therapy are two other options that have been shown to provide some relief from shoulder pain.

Nonsteroidal anti-inflammatory drugs (NSAIDs) may also be prescribed by your physician.

Surgery might need to be considered in more severe cases where there is damage to your rotator cuff muscles. Surgery would involve arthroscopic debridement (removal of torn tissue) and repair of damaged ligaments in the joint capsule.

When to seek medical attention

It can be challenging to determine when it is time to see a doctor about shoulder pain. Generally, if you have pain for more than two weeks or experience any of the following symptoms, you should seek medical attention:

• Pain that wakes you up at night or pain that doesn’t go away after taking ibuprofen and rest
  Loss of range of motion in the shoulder
• A feeling of catching or crunching in the shoulder when moving
• Swelling in the shoulder or around the collarbone
• Unusual stiffness and difficulty with arm movements
• Constant arm pain
• Hearing a popping sound coming from your shoulder joint

Experiencing numbness in one of your fingers may mean there are pinched nerves as well as other problems such as tendonitis, bursitis, impingement syndrome, and rotator cuff injury. The best thing to do if you experience these symptoms is to get an evaluation by a physician before deciding on treatments such as therapy and surgery.

How to find the best Doctor for Shoulder pain

Finding the best doctor for shoulder pain can be difficult because there are so many options. Thankfully, we have a few suggestions to help you out. Our first suggestion is to see the best orthopedic doctor in Jaipur.

This type of doctor specializes in joint pain and injuries and will be able to accurately diagnose what is going on with your shoulder without any guesswork. If that doesn’t work, our second suggestion would be to find the best shoulder pain doctor in Jaipur.

These doctors specialize in treating all kinds of joint pain and disorders. They are typically trained orthopedic surgeons specializing in shoulder pains and other joints.

So, if a physician or physical therapist has told you that surgery may be necessary for relief from your shoulder pain, it may make sense to find the best orthopedic doctor in Jaipur or the best shoulder replacement surgeon in Jaipur to make sure that surgery is the right option.

Bottom Line

You may not need to be concerned about your shoulder pain if you are one of the many people who experience intermittent pain from time to time. On the other hand, if your pain is constant and progressively worsening, you should seek medical attention as soon as possible.

Talk to a doctor about your symptoms and have an MRI done to rule out serious causes of shoulder pain. If your doctor determines that surgery is necessary, find the best orthopedic doctor in Jaipur.

You can visit also:

Rotator Cuff Tear: Common cause of Shoulder Pain in Elderly

SHOULDER & KNEE SPORTS INJURY treatment in Jaipur

The post Should You Be Concerned About Shoulder Pain? Here is What You Should Know first appeared on My Shoulder & Knee Expert Blog.

Specialties of Best Orthopedic Doctor In Jaipur

If you are worried about your bones, joints, or muscles, you may want to visit an orthopedic physician in your location. This kind of specialist should be seen for a variety of reasons. Are they, however, all the same? Some doctors specialize in particular injuries, abnormalities, or even particular locations on the body, while others have a general practice and can examine just about any problem you have. Find the ideal medical professional for your needs before making an appointment.

Dr. Rajat explains, “We have shoulder arthroscopy surgery for recurrent shoulder dislocation, rotator cuff rupture, and labral tears.” The clinic is also one of the few facilities in India performing meniscus repair procedures, and Dr. Rajat is one of the few Indian surgeons with expertise in shoulder replacement surgery (semi, complete, and reverse), as well as meniscus surgery (the latest trend in sports surgeries). The committed group of four physiotherapists, led by Dr. Ashish Sharma, are skilled in treating various sports-related injuries and are essential in helping patients move around more quickly and easily.

If you are looking for an Orthopedic doctor, Visit the Best Orthopedic doctor in Jaipur.

Services We Provide 

1. Arthroscopic Ligament Surgery

Ligaments, which are substantial tissue fragments, join one bone to another. Their purpose is to give joint stability. The cruciate ligaments are two cruciate ligaments located inside your knee. Because they cross over in a cruciform pattern, they are known by this name (i.e., shaped like a cross). The Anterior Cruciate Ligament is crucial for regulating movements during pivoting sports that include rotation between the shin bone and (thigh bone).

One of the main stabilizing ligaments in the knee is the ACL. It prevents instability between the leg bone and the thigh bone by joining the two together. More specifically, it gives the knee rotatory stability so that actions like pivoting or abrupt direction changes can be made without the knee giving way. One of the best ACL Surgeons In Jaipur will be a great option if you are looking for Arthroscopic Ligament Surgery.

2. Arthroscopic Meniscus Surgery

One of the most popular knee operations performed by Orthopedic surgeons is arthroscopic meniscus surgery. A meniscus injury, also known as a cartilage tear, can be brought on by high-impact sports or aging-related changes to the knees. Due to the prevalence of meniscus tears, Orthopedic surgeons have had a lot of practice treating this condition. They have a high success rate and Dr. Rajat Jangir is one of the best orthopedic doctor in Jaipur.

Athletes who perform body motions that involve the upper body twisting or pivoting while the foot is firmly planted are at risk of meniscus tears. When athletes shift their course or cut a line, they often twist or pivot violently, which can damage the meniscus. Even routine exercises like jogging or squatting can cause knee pain. As the knee cartilage ages and deteriorates, older people have degenerative meniscus tears.

3. Cartilage Restoration

By resurfacing, realigning, and stabilizing a patient’s knee during a Cartilage Restoration operation, a joint replacement is avoided.

Patients who are under 50 and active benefit most from cartilage restoration.

The hard, slick, and slippery cartilage known as articular cartilage covers the ends of bones and protects and cushions the bone joint. This cartilage can become injured, resulting in pain and swelling. Mechanical symptoms like “locking up” or “catching” can be caused by injured cartilage that has partially or completely separated

Surgery might be necessary if several non-operative treatments don’t work. Restoring cartilage is one of the surgical treatments.

4. Shoulder Arthroscopy

Orthopedic surgeons use arthroscopy to examine, identify, and treat conditions inside a joint.

A small device called an arthroscope is inserted into your shoulder joint by the surgeon during shoulder arthroscopy. Surgeon uses the images from the camera to direct the tiny surgical instruments on a video monitor.

Your surgeon can do arthroscopic surgery with much smaller incisions than they would need to perform regular, open surgery because the arthroscope and surgical equipment are narrow. Patients have less discomfort as a result, and it takes less time for them to recover and resume their favorite hobbies.

5. Shoulder Replacement

In a shoulder replacement, the damaged bone is removed and replaced with plastic and metal components (implants). The procedure is known as shoulder arthroplasty.

It has a ball and socket joint at the shoulder. The shallow socket in the shoulder allows the upper arm bone’s spherical head (ball). Joint injury may cause stiffness, weakness, and pain.

Several various shapes and sizes of shoulder implants are available. Partial and total replacement options employing anatomic or reverse implants are available.

6. Hip Replacement

Hip replacement joint surgery involves replacing the injured hip joint’s components with artificial implants (artificial parts). The two types of hip replacement surgery are as follows: The full replacement is also known as a total hip replacement, while the partial replacement is also known as a hemiarthroplasty. The femoral joint and the acetabulum (hip bone) are both replaced during a total hip replacement, whereas just the femoral head is done so during a hemiarthroplasty. The most common Orthopedic procedure today is a hip replacement, yet patient satisfaction with the procedure both immediately after and over time varies greatly. For the from best hip replacement doctor in Jaipur visit best orthopedic doctor in Jaipur. 

7. Knee Replacement

To do daily activities without pain, knee replacement is a medical treatment that helps replace diseased or damaged portions of the knee with artificial parts. It is the most typical Orthopedic procedure performed to repair a broken knee.

When is it time to replace my knees? / What position do you need to be in for a knee replacement?

When all other medical options come up short in managing the extreme pain brought on by damaged knee joints, knee replacement is believed to be the last resort. It is carried out when a person’s mobility is restricted and pain makes living very uncomfortable.

You should begin considering having a knee replacement if you have been diagnosed with arthritis in your knee joints. A knee replacement could provide you with a variety of advantages, including the fact that it is a highly effective method of pain relief.

8. Sports Injury

Overuse of, direct collision, or the application of force larger than the body component can physically withstand are the main causes of sports injuries. Acute and chronic sports injuries are the two main categories. An acute injury happens suddenly, such as an ankle sprain brought on by a poor landing.

Overusing muscles or joints repeatedly might result in chronic ailments. Chronic injuries can also be a result of poor technique and structural irregularities. Any sports injury warrants a medical examination since you might be harmed worse than you realize. For instance, a bone fracture may be present despite what seems to be an ankle sprain. For any kind of issue related to sport injury contact Dr. Rajat Jangir, sports injury specialist in Jaipur.

Ligament Sports Injury -Talk Dr. Rajat Jangir Best ACL Surgeon In Jaipur

Why Shoulder & Knee Surgery Clinic Is Best?

The clinic offers operative and post-operative services/facilities and is furnished with a state-of-the-art operating room of international standards and the newest instruments for surgery and rehabilitation services. The clinic can deploy the patients the day after replacement surgery because to these contemporary techniques.

L&JC provides keyhole arthroscopy surgery for the treatment of shoulder injuries as well as knee surgeries (such as cruciate ligament, ACL PCL Collateral ligament, medial collateral ligament, lateral collateral ligament, cartilage injuries, meniscus repair and surgery), which is provided with the least invasive day care technique and quick recovery of the athletes. Surgery called arthroscopy is performed to view, identify, and treat issues inside a joint.

Dr. Rajat states, “We have shoulder arthroscopy surgery for recurrent shoulder dislocation, rotator cuff injury, and labral tears.” The clinic is also one of the few facilities in India performing meniscus repair procedures, and Dr. Rajat is one of the few Indian surgeons with expertise in shoulder replacement surgery (semi, complete, and reverse), as well as meniscus surgery (a latest trend in sports surgeries). The committed group of four physiotherapists led by Dr. Ashish Sharma, who are skilled in treating various sports injuries, is crucial to the smooth and quick mobilization of patients.

The clinic’s expert team of doctors, Dr. Rajat Jangir & Dr. Ashish, along with physiotherapists, uphold and maintain a benchmark for patient care. They receive ongoing instruction in knowledge updates, the application of cutting-edge technologies, and the best ways to treat patients. L&JC envisions creating sports injury centers to provide athletes with individualized healthcare in the form of surgery, rehabilitation, and physical fitness services, as well as to assist them in regaining the desired level of performance.

Shoulder & Knee Surgery Clinic have the best orthopedic doctor in Jaipur to assist you.

Contact us on +91 8104855900 for further inquiry

The post Best Orthopedic Doctor In Jaipur – Dr. Rajat Jangir first appeared on My Shoulder & Knee Expert Blog.

The Shoulder Joint

The shoulder complex is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle). The shoulder joint is a ball-and-socket type of joint: The ball, or head, of your upper arm bone, fits into a shallow socket in your shoulder blade made of scapula bone.

The Head of the Humerus (Arm Bone) is kept in your shoulder socket by your rotator cuff. The rotator cuff of the shoulder joint is a group of four muscles that come together as tendons to form a covering around the head of the humerus. The rotator cuff attaches the humerus to the shoulder blade and helps to lift and rotate your arm around the joint.

There is a sac called a bursa between the rotator cuff and the bone on top of your shoulder (acromion) that provide lubrication in the joint. The bursa is the Subacromial bursa, which allows the rotator cuff tendons to glide freely when you move your arm. When the rotator cuff tendons are injured or torn, this bursa can also become inflamed and painful.

Advantages of arthroscopic shoulder surgery

The four muscles rotator cuff tendons are:

• Supraspinatus: It is there at the top of the shoulder.  Initiates abduction i.e. moving the arm out sideways, and stabilises the shoulder during this movement.  Most commonly injured tendon.
• Infraspinatus: It is at the back of the shoulder.  It rotates the arm outwards.
• Teres Minor: It is at the back of the shoulder below the infraspinatus. It also turns it outwards.
• Subscapularis: This runs across to the front of the shoulder.  It medially rotates the arm i.e. turns it inwards

Rotator cuff tears

Most tears occur in the supraspinatus tendon, but other parts of the rotator cuff may also be damaged.

In most cases, tears in tendons begin by fraying. As the injury progresses, the tendon can completely tear.

There are different types of tears.

• Partial tear. this is also called an incomplete tear. It damages the tendon but does not completely damage it.
• Full-thickness tear. also called a complete tear. It separates all of the tendons completely from the bone.

Cause of Rotator cuff tears
There are two main causes of rotator cuff tears: injury and degeneration.

• Acute Tear
  If fall down on your outstretched arm at home or road traffic accident or lift something too heavy with a jerking motion, your rotator cuff might be torn.
• Degenerative Tear
  These types of tears are the result of age-related wearing down of the tendon that occurs slowly over time. These are more common in the dominant shoulder. If you are having a degenerative tear in one of the shoulders, there is a more chance of a rotator cuff tear in the opposite shoulder — even if you do not have pain in that shoulder.

These are factors that contribute to degenerative, or chronic, tears.

• Repetitive stress. Repeating the same shoulder motions, again and again, lead to stress on your rotator cuff muscles and tendons. Example Baseball, tennis, rowing, and weightlifting. These sports activities can put you at risk for overuse tears.
• Lack of blood supply. With increasing age, the blood supply in our rotator cuff tendons lessens. This can ultimately lead to a rotator cuff tendon tear.
• Bone spurs. With ageing bone overgrowth often develop on the underside of the acromion bone. When you lift your shoulder, this bony outgrowth rub on the rotator cuff tendon.

Risk Factors

Most rotator cuff tears are caused by the normal wear and tear that goes with ageing, people over 45 are at greater risk.

People who do repetitive overhead activities or lifting are also at risk for tears. Overhead Athletes are likely to overuse tears, particularly tennis players and baseball pitchers.

Most tears in young adults are caused by a traumatic injury, like a fall.

SHOULDER PAIN TREATMENT IN JAIPUR INDIA

Torn Rotator Cuff Symptoms

Degenerative torn rotator cuff tear symptoms at the start are fairly mild and get progressively increase over time.

Acute rotator cuff tears more typically cause instant, intense pain.

Torn rotator cuff symptoms commonly are:

• Pain: around the shoulder, often is as a dull ache deep inside. Pain tends to get worse when lifting or rotating your arm, with activities such as brushing your hair. Pain is worse when lying on that side in bed, which often leads to disturbed sleep at night.  As the condition gets worse, you may experience pain even on rest.
• Weakness: Difficulty lifting or twisting the arm is common which can lead to decreased range of active movement.

Symptoms will depend on the severity of the injury. Three grades for tendon strains are:

• Grade 1 Strain:  No fibres are torn,  but overstretching of the tendon
• Grade 2 Strain: a partial rotator cuff tear – only some of the fibres are torn
• Grade 3 Strain: a complete/full-thickness rotator cuff tear – the tendon completely detaches from the bone itself. Due to this, you may not be able to lift your arm.

Diagnosing Rotator Cuff Tears

After taking your history doctor will examine you for your problems. It is always advisable to visit a shoulder specialist arthroscopy orthopedic surgeon.

Depending on your symptoms, he may send you for further investigations, like x-rays, to look for any bone spurs or arthritis or an MRI or ultrasound scan to look at the soft tissues as rotator cuff and identify the presence, location and size of a tear.

CAUSES OF SHOULDER PAIN

Rotator Cuff Tear Treatment
Treatment will depend on the severity of the injury, as well as the age and activity level of that patient.  Treatment should be directed not just to your symptoms, but also the underlying cause of the problem, such as any areas of weakness or postural issues.

INJECTION STEROID FOR SHOULDER PAIN YES OR NO!

In most cases, conservative treatment that is non-surgical is sufficient, but in more severe cases such as grade 3 tears, or if symptoms have failed to settle, surgery may be advocated.

Surgical Repair Options

Advancements in surgical techniques for rotator cuff repair include minimally invasive procedures. While every method available has its own advantages and disadvantages, all have the same goal: getting the tendon to heal.

The type of repair performed depends on your surgeon’s experience and familiarity with a particular procedure, the size of your tear, your anatomy, and the quality of the tendon tissue and bone.

FULL RECOVERY AFTER ARTHROSCOPIC ROTATOR CUFF REPAIR SURGERY

Your orthopedic surgeon will discuss with you the best procedure to meet your individual health needs and demand.

In addition to a rotator cuff tear, other problems might be there such as biceps tendon tears, osteoarthritis, bone spurs, or other soft tissue tears. During the surgery, your surgeon may be able to take care of these problems, as well.

Three techniques most commonly used are –

• Open Repair
  An open surgical incision (several centimetres long) is often required if the tear is large or complex. During an open repair, the surgeon removes bone spurs from the underside of the acromion (this procedure is called an acromioplasty). This was the first technique used for torn rotator cuffs. Over the years, new technology and improved surgeon experience and skills have led to the least invasive procedures.
• All-Arthroscopic Repair
  During shoulder arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays inside pictures of your joint on a television screen, and your surgeon uses these images to guide miniature surgical instruments in the joint to do the surgery.

Because the arthroscope and surgical instruments are very thin that is 5 to 6 mm, your surgeon can use very small incisions (cuts), rather than the larger incision needed for open surgery.

RECOVERY AFTER MASSIVE ROTATOR CUFF REPAIR

• Mini-Open Repair
  The mini-open repair uses newer technology and instruments to perform a repair through a small incision around the shoulder. The incision is typically 4 to 5 cm long.

This technique uses arthroscopy to assess and treat damage to other structures within the shoulder joint as bone spurs. Once the arthroscopic portion of the procedure is done, the surgeon repairs the rotator cuff through the mini-open incision. In this technique of tendon repair, the surgeon views the shoulder structures directly, rather than through the video monitor.

After rotator cuff repair surgery, physical therapy is vital to regaining the strength and movement in the shoulder. Recovery from rotator cuff tear surgery usually takes 8 to 12 weeks.

MOST COMMON MISTAKES AFTER ROTATOR CUFF REPAIR SURGERY

The author is a reputed shoulder surgeon in Jaipur India with expertise in shoulder arthroscopy and joint replacement surgeries.

Also read:- Frozen Shoulder – Treatment options

Must Watch:- SHOULDER & KNEE SPORTS INJURY treatment in Jaipur

The post Rotator Cuff Tear: Common cause of Shoulder Pain in Elderly first appeared on My Shoulder & Knee Expert Blog.

“Shoulder replacement, also known as shoulder arthroplasty, is the removal of portions of the shoulder joint, which are replaced with artificial implants to reduce pain and restore range of rotation and mobility. It is very successful for treating the severe pain and stiffness caused by end-stage arthritis or due to injury.”

Shoulder replacement surgery is less common than knee or hip replacements. But more than 3000 shoulder replacements are done in India every year.

Shoulder Pain Doctor in Jaipur

The Shoulder Joint 

It is ball-and-socket joint type joint. The bone in your upper arm (humerus) has a round end that acts as a ball and  fits into the curved structure (socket) on the outside of your shoulder blade.

Ligaments, tendons and muscles hold it together. A layer of tissue, cartilage keeps the bones apart, so they don’t rub against each other.

The ball and socket type joint lets you move your arm up and down, back and forward, or in a circle.

Shoulder Replacement – Why you need it !

In conditions where you have severe pain and not able to move and use shoulder joint 

• Shoulder Injury – Shattered bone around shoulder 
• Severe osteoarthritis 
• Torn rotator cuff with arthropathy 

If you have not got relief from physical therapy and pain medicine, doctor may advise you surgery.

Injection steroid in Shoulder Pain relief ?? 

What is done in surgery 

Shoulder surgeon will replace the bone in the ball and socket of your shoulder joint with a material that could be metal and plastic. You will need physical therapy the surgery.

There are three types of shoulder replacement surgeries:

Total shoulder replacement: This is the most common type shoulder replacement. Here the surgeon replaces the ball at the top of your humerus with a metal ball, which gets attached to the remaining bone. The socket of the joint gets covered with a new plastic surface.

Hemi shoulder replacement: Only the ball gets replaced at the top of your humerus with a metal ball.

Reverse shoulder replacement:

This is done mostly if they have a torn rotator cuff with arthropathy.

Nowadays due to better results also done in case of fracture around shoulder with shattered bone.  

It’s also done when another shoulder replacement surgery didn’t work.

This is called reverse because here ball get replaced with socket and socket with a ball. Here functions of the shoulder are better despite poor rotator cuff tissue. The metal ball gets attached to your shoulder bones, and a socket is implanted at the top of your arm.

Preparing for Your Surgery

Your Shoulder surgeon will do a full examination of your shoulder. X-rays, CT scan MRI or other imaging tests will be required.

Talk to your doctor about any other  medical conditions you have and any medications you take. You will have to stop taking certain drugs, especially painkillers, several weeks before surgery

The procedure takes about 2 hours.

Shoulder Dislocation doctor in Jaipur 

Recovery

You can expect to spend 2 to 4 days in the hospital after your operation.  You will be given pain medicine to reduce pain. Cold compression can help control the swelling.

At first, your arm will be kept in a brace to give rest. Within a few days your doctor will  start physical therapy to get your arm and your new shoulder started working.

You will do exercises that will gradually improve how your new joint works.

Don’t rush things:

It may take 4 to 6 weeks before you can pick up anything heavier than a glass of water .

Your arm will be in an arm sling for most of your recovery. It may be 8 to 10 weeks or more before you can drive again.

You will go for several follow-up visits with your doctor so they can see how your recovery is going.

Complications

Most people have full motion in their shoulder and return to their daily routine after shoulder replacement surgery. But as with any operation, there is a chance of complications.

Infection or bleeding: You will be given antibiotics after your surgery to lower your chances of infection.

Dislocation: This happens when the ball slips out of the socket.

Nerves around your shoulder may get damaged: They usually recover with time.

After years of use, the replacement joint may become loose or separate from the bone: You may need surgery to fix it.

Shoulder dislocation treatment in Jaipur

Author is senior Shoulder and knee orthopaedic surgeon in Jaipur, India

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