Many shoulder conditions can be treated through conservative methods, but some may require surgery to effectively relieve pain and restore function to the joint. Your doctor will decide which type of treatment is best for you after a thorough evaluation of your condition.
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Shoulder Conditions And Their Treatment Plans

woman holding shoulderYour shoulder joint is one of the most-used parts of your body, which puts it at risk for issues due to overuse, repetitive motion, accidents, injuries and diseases. A timely response is necessary to catch these issues when they are most easily treated for the fullest possible recovery. Partner with board-certified and specialty-leading physicians at High Mountain Orthopedics to address any conditions your shoulder may be experiencing.

Types Of Shoulder Conditions

We treat many shoulder conditions at High Mountain Orthopedics, including:

  • Rotator Cuff Tears: Partial or full tears through this grouping of muscles and tendons occur due to repetitive motions or acute trauma and cause pain, instability and weakness.
  • Shoulder Joint Tears: Partial and full tears can also occur in other ligaments and tendons that support the shoulder joint, often in conjunction with rotator cuff injuries.
  • Shoulder Impingement: Painful compression that occurs due to repetitive movements, particularly in athletes and manual laborers, restricting the smooth flow of tendons and ligaments around the joint and limiting range of motion.
  • Shoulder Arthritis: Inflammation within the shoulder joint that causes clicking, grinding and snapping sensations while resulting in pain and restricted motion.

Treatments For Shoulder Conditions

Shoulder conditions may be treated with physical therapy, injections, at-home rest and exercises, arthroscopic surgery, open surgery or joint replacement techniques. Often, two or more of those treatment paradigms are combined to fully treat shoulder injuries.
Arthroscopy is often effective in treating tears and impingement issues. Long-lasting and severe arthritis, as well as severe or recurrent tears, may be best treated with shoulder replacement surgery or reverse shoulder replacement surgery. Replacements may also be indicated if you’ve undergone prior procedures unsuccessfully. In nearly all cases of shoulder conditions, physical therapy is ordered after surgical procedures and sometimes used before to strengthen surrounding muscles and reduce recovery time.

Consult With Leading Surgeons To Experience Optimal Recovery

Shoulder conditions can be debilitating, robbing you of the use of your arms while causing extreme pain. As soon as you experience an issue with your shoulder, or once you’ve received a referral from your primary physician, contact us at High Mountain Orthopedics by dialing 973-595-7779 to schedule a consultation at our Wayne, Englewood or Paramus locations.

What is Shoulder Arthroscopy?

A shoulder arthroscopy is a procedure used to examine, diagnose, and treat problems inside the shoulder joint. Your surgeon will insert a small camera into the shoulder joint to capture and display images that will be used to guide the procedure. The methods for shoulder arthroscopy are less involved than those required for standard, open surgery, and therefore result in reduced pain and a shorter recovery time period.

You might need Shoulder Arthroscopy if…

  • You experience persistent age and/or wear-and-tear-related shoulder damage
  • You have a painful condition that is unresponsive to nonsurgical treatment
What is a Rotator Cuff Tear?

A rotator cuff tear is a common cause of pain and disability among adults. Rotator cuff tears typically weaken the shoulder and increase pain during, and difficulty of, daily activities.

You might have a Rotator Cuff Tear if…

  • You experience pain during rest and at night, especially when lying on the affected shoulder
  • You experience pain when lifting and/or lowering your arm with specific movements
  • Your arm feels weak when lifting or rotating it
  • You experience a crackling sensation when moving your shoulder
What is Rotator Cuff Repair?

A rotator cuff tear is a common cause of pain and disability among adults. Rotator cuff tears typically weaken the shoulder and increase pain during, and difficulty of, daily activities. Rotator cuff repair typically involves reattachment of the tendon to the upper-arm bone. When the thickest part of the tendon suffers a complete tear, this is repaired by stitching its two sides together.

You might need Rotator Cuff Repair if…

  • You experience persistent pain that is unresponsive to nonsurgical treatment
  • If you are very active and use your arms for overhead work and/or sports
  • You suffer a recent, acute, and/or large tear
  • You experience weakness and/or loss of function in your shoulder
What is Shoulder Stabilization?

Shoulder stabilization is a procedure that involves the repair of an overstretching and/or tear deep within the shoulder joint. Typically the surgery is performed arthroscopically, however some surgeons prefer an open procedure. Your surgeon will discuss your best available surgical options with you before proceeding with an operation.

You might need Shoulder Stabilization if…

  • You experience frequent subluxation, which causes the shoulder to slip into certain positions, subsequently making the shoulder feel ‘loose.’ (This often occurs when raising your hand above your head, or perhaps when throwing an object)
  • You experience fleeting feelings of pain, as if something is slipping and/or pinching your shoulder, which may force you to self-impose restrictions on your use of your shoulder
  • Your shoulder becomes so loose that it begins to frequently dislocate
  • An abnormality of your shoulder becomes visibly apparent, specifically after an intense onset of pain has occurred
  • You develop a numb spot on the outside of your arm, below the top of your shoulder
  • Your shoulder muscles become temporarily weakened
What is Shoulder Replacement?

Originally used to treat severe shoulder fractures, shoulder replacement surgery is now an option to treat a variety of other painful conditions of the shoulder, including arthritis and others. Shoulder replacement procedures are often considered when nonsurgical treatments (medication, exercise, etc.) prove no longer satisfactory in relieving or eliminating pain. Replacement surgery is common, safe, and effective.

You might need Shoulder Replacement if…

  • You have arthritis-induced shoulder pain that remains uncontrolled by non-surgical treatment
  • Your pain is accompanied by progressive stiffness and motion loss, and you experience grinding or grating sensations within the shoulder joint
What is Reverse Shoulder Replacement?

A reverse shoulder replacement is the preferred procedure for patients with cuff tear arthropathy, for whom conventional shoulder replacement will likely prove unsuccessful and/or ineffective. Because patients with large rotator cuff tears and/or cuff tear arthropathy typically cannot retain function of their rotator cuff muscles, such patients require alternatives to replacement devices that rely on the use of those muscles. This is where reverse shoulder replacement comes in: this procedure relies instead on the deltoid muscle to power and position the patient’s arm.

You might need Reverse Shoulder Replacement if…

  • You have a complete, irreparable rotator cuff tear
  • You have cuff tear arthropathy
  • Your previous shoulder replacement proved unsuccessful
  • You have severe shoulder pain
  • It is difficult to lift your arm away from your head
  • You have tried and ruled out the effectiveness of rest, medication, cortisone injection, physical therapy, and other forms of treatment designed to relieve shoulder pain
What is Shoulder Impingement?

Shoulder impingement is the result of chronic and repetitive compression of the rotator-cuff tendons in the shoulder, resulting in pain and movement issues. This condition is also caused by shoulder injuries, and is a risk for those who perform repetitive or overhead arm movements, such as manual laborers or athletes. If left untreated, a shoulder impingement can lead to more serious conditions, such as a rotator cuff tear.

You might have Shoulder Impingement if…

  • You have minor pain that persists throughout activity and rest
  • Your pain radiates throughout the front of your shoulder and the side of your arm
  • You experience sudden pain when lifting and/or reaching
  • You experience pain at night
  • You suffer a loss of strength and/or motion
  • Activities that place the arm behind the back, such as buttoning or zippering, become increasingly difficult
  • You feel an acute, severe  tenderness of the shoulder, and your movements suddenly become limited and/or painful
What is Shoulder Instability?

When the upper arm bone is forced out of the shoulder socket, this results in shoulder instability. Often this condition is caused by a sudden injury or overuse. Chronic shoulder instability can manifest when the shoulder is loose and slips out of place recurrently.

You might have Shoulder Instability if…

  • You have pain caused by shoulder injury
  • You have recurrent shoulder dislocations
  • Your shoulder gives out repeatedly
  • You experience a persistent sensation of the shoulder feeling ‘loose,’ moving in and out of the joint, or ‘hanging’
What is Shoulder Arthritis?

Shoulder arthritis is the inflammation of your shoulder joint(s). The inflammation of a diseased shoulder commonly causes pain and stiffness in the affected area.

You might have Shoulder Arthritis if…

  • You have persistent pain, which may be aggravated and increasingly worsened by activity
  • You experience limited range of motion, making it difficult to lift your arm, to comb your hair, or reach your arms out
  • You hear a grinding, clicking, or snapping sound as you move your shoulder
  • You experience night pain that makes sleeping difficult

Schedule An Appointment Today!

If you or someone you know is in pain, we can help. Take the first step and schedule an appointment.

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