Shoulder

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. Contact Us Today

Shoulder Conditions And Their Treatment Plans

Woman With Pain in 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

 

Man with Shoulder Pain

Effective shoulder stabilization can mean the difference between dealing with constant discomfort or returning to your daily routine and favorite activities. When pain or slippage impedes your ability to live life to the fullest, High Mountain Orthopedics can help. Here’s what you need to know about shoulder stabilization surgery and how you can get the care you need ASAP. 

What Is Shoulder Stabilization? 

For patients who experience an overstretched or torn shoulder joint, stabilization is incredibly important. While some minor injuries may progress satisfactorily using noninvasive methods such as a sling or physical therapy, other cases call for surgical intervention. 

Surgical shoulder stabilization is a procedure that repairs shoulder injuries to bring the internal structures back into alignment and, ultimately, back under your control. Though surgery can be open, meaning it involves a larger incision and wider field of view, modern approaches such as arthroscopic surgery offer fewer scars and faster healing. Only your surgeon can decide which technique is right for you.

Conditions That Call For Shoulder Stabilization 

Shoulder injuries are the most common reason for shoulder stabilization surgery. Slips and falls, collisions while playing sports, overlifting weights at the gym — all of these actions can quickly turn into a serious problem that requires medical attention. 

Specifically, you may need shoulder stabilization if: 

  • Your shoulder frequently pops out of joint, called a partial dislocation or subluxation, often felt as an overly loose joint or too much movement when you do simple gestures such as throwing something or raising your arm to wave hello
  • Your day is interrupted by a painful pinching or slipping feeling in your shoulder
  • You’re experiencing increasingly frequent subluxations or dislocations
  • You have an obvious physical deformity of the shoulder, especially in conjunction with an acute injury and sudden onset of pain
  • You have numbness in or around your shoulder
  • You have weakness, either progressive or temporary, linked specifically to your shoulder muscle(s) 

Once your shoulder pops out of joint or tears, it’s more prone to a repeat injury. This may mean that a shoulder healed once through noninvasive methods could later be reinjured and require surgery. It’s essential you seek out professional medical advice as soon as you notice a problem. 

A Look At Shoulder Stabilization Surgery 

The shoulder is a ball-and-socket joint that connects the humerus, or upper-arm bone, and the glenoid, or shoulder-blade cavity. When instability occurs, the humerus and glenoid no longer sit flush and operate securely. Instead, the arm bone slips in and out. The more that happens, the more risk there is of collateral damage to the surrounding ligaments and other soft tissue.

Arthroscopic shoulder stabilization offers a treatment option that could potentially help minimize pain, repair the instability and help you get back in the game. Because it’s less invasive, arthroscopy also comes with a decreased risk of complications and less downtime. However, in more severe cases, open surgery may offer a better chance at a complete, effective repair. Either way, your surgeon will likely use special anchor sutures to re-situate and tighten the injured joint, perhaps even repairing the muscles themselves in the process. The goal is to help restore function, reduce pain and get you on the road to mobility. 

Schedule Your Appointment

The first step towards a pain-free, more active future is to make an appointment with one of our fellowship-trained, experienced physicians. We’re dedicated to compassionate, efficient care and can’t wait to help you understand your therapeutic options. Though our main office is located in Wayne, New Jersey, we also have locations in Englewood and Paramus. Explore our contact information and reach out to the location that’s most convenient for you.

Shoulder Replacement Procedures

Doctor Examining Shoulder Pain in Elderly Man

Overuse, repetitive motions, injuries, accidents and diseases put your shoulders at risk. Because your shoulder joint is one of the most-used parts of your body, it’s important to seek diagnosis and treatment quickly to ensure the fullest possibility of recovery. Many shoulder conditions, when caught early, can be treated with conservative methods, but some require surgery to relieve pain and improve overall function. Our board-certified and highly experienced orthopedic physicians at High Mountain Orthopedics in Wayne, New Jersey, treat an extensive range of conditions affecting the shoulder and can help you decide whether shoulder replacement provides the most optimal outcome for your condition.

Treatments For Shoulder Conditions

We may be able to treat your shoulder condition with physical therapy, injections or arthroscopic surgery, or you may require shoulder joint replacement surgery. Although shoulder joint replacement is less common than knee or hip replacement, it’s just as successful in relieving joint pain. Severe, long-lasting arthritis and severe or recurrent tears are often best treated with shoulder replacement surgery or reverse shoulder replacement surgery. In nearly all cases, part of your treatment includes physical therapy at our state-of-the-art therapy facility following surgery and sometimes prior to surgery to strengthen the surrounding muscles and reduce your recovery time.

Shoulder Replacement Surgery

Shoulder replacement was originally used to treat severe shoulder fractures but is now a viable option for treatment of various other painful conditions that affect the shoulder. When nonsurgical treatments fail to relieve or eliminate pain, we often suggest shoulder replacement surgery as a safe, effective procedure to relieve your pain and help you resume normal activities. During surgery, we remove the damaged parts of your shoulder and replace them with artificial components called a prosthesis.

Shoulder Replacement Options

Our experienced surgical team evaluates your condition carefully before deciding on the best shoulder replacement option. We may either replace just the head of the humerus bone, called the ball, or replace both the ball and the socket or glenoid.

If it’s determined you require total shoulder replacement, we replace the arthritic joint surfaces with a metal ball and a plastic socket. If you suffer from bone-on-bone osteoarthritis and your rotator cuff tendons are intact, a conventional total shoulder replacement is usually the best option. Ball and socket components come in various sizes and may be either press-fit into the bone if the bone is still good quality or cemented if the bone is soft.

If your ball is severely fractured but your socket is normal, then we may only replace the ball through a stemmed hemiarthroplasty procedure. Similar to a total shoulder replacement, your ball is removed and replaced with a metal one, but your socket is left intact. Your surgeon may even go into the operating room expecting a total shoulder replacement, then decide you only need a hemiarthroplasty during your surgery.

In less severe cases, we may also choose resurfacing hemiarthroplasty. This procedure replaces only the joint surface of the ball with a cap-like prosthesis, instead of replacing the entire ball. This option is highly desirable for younger or very active patients and offers an alternative to those who want to preserve humeral bone. Due to the conservative nature of this procedure, it’s typically easier to convert to a total shoulder replacement should it become necessary later.

Reverse Shoulder Replacement Surgery

In some cases, a conventional shoulder replacement won’t be effective, especially if you have large rotator cuff tears and/or cuff tear arthropathy. When you suffer from these conditions, you typically can’t retain function of your rotator cuff muscles, which are required for conventional shoulder replacement devices. During a reverse shoulder replacement surgery, we switch the ball and socket, so the metal ball is attached to your shoulder bone and the plastic socket is attached to your upper arm bone. The result is that you’ll use your deltoid muscle instead of your torn rotator cuff to lift your arm. If a previous shoulder replacement failed, we may also turn to a reverse replacement.

Compassionate Orthopedic Care

Our compassionate orthopedic specialists carefully customize your shoulder replacement to meet your unique needs and help ensure the best results and smoothest recovery. Our ultimate goal is to relieve your pain and improve your shoulder function and quality of life. We have three convenient locations in northern New Jersey to serve you. Contact us at our main office in Wayne at 973-595-7779 or in Englewood at 973-595-7779 or Paramus at 973-595-7779 to schedule your shoulder evaluation today.

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

New Jersey Shoulder Instability Treatment

Representation of Woman Experiencing Shoulder Instability

The shoulder is one of the most used joints in the body, responsible for a wide range of tasks from brushing your teeth to putting on clothes. Because it’s frequently used, it is predisposed to injury and shoulder instability. At High Mountain Orthopedics, we can diagnose your pain or injury and keep you moving freely.

Identifying Shoulder Instability

Shoulder instability is a common complaint that our physicians hear from patients at High Mountain Orthopedics. It occurs when the structures that support the shoulder joint don’t work as they should to keep the ball of the shoulder in the socket. We sometimes refer to this condition as a subluxation or partial dislocation of the shoulder joint. Sometimes, the joint may completely move out of place, which is referred to as a shoulder dislocation.

Shoulder instability is most often the result of an injury or when the joints of the body become loose due to age or wear. Our caring team of physicians can examine you and help determine the underlying cause of your condition in order to create a treatment plan that works.

Symptoms Of Shoulder Instability

Those with shoulder instability typically display several common symptoms. Pain directly at the shoulder joint is the most common complaint of those with instability. Also, an individual may experience frequent shoulder dislocations or repeated times when the shoulder fails to work properly, such as when placing something on a tall shelf or reaching for something over your head. Some patients also complain that the joint feels loose or it feels like the arm is just hanging.

While occasional shoulder pain might not indicate a serious problem, there are certain times you need to contact our office immediately to schedule an appointment. This includes a sudden onset of severe pain of the joint, a pins and needles feeling, discoloration or numbness through the hand and arm. Also, if the shoulder is swollen or appears deformed in comparison to the other, you should seek help right away.

Diagnosing Shoulder Instability

To diagnose your shoulder issues, our physicians will perform a complete exam and examine your prior medical history. X-rays are done to get a clear picture of the possible causes and to rule out many reasons for shoulder pain. Our doctors may also order additional tests such as an MRI scan or a CT scan to evaluate the bones and tissues.

Available Treatment Options

For individuals with shoulder instability, our office offers a variety of treatment options. Most individuals respond well to nonsurgical treatment. This is done through physiotherapy or strengthening exercises that help keep the shoulder in the proper position. This method of treatment may take several months, so you’ll be required to come into our office for frequent rechecks to ensure the joint is healing as it should.

In severe cases, surgery by one of our doctors may be necessary. Surgery may be used to tighten the shoulder joint capsule or to repair the ligaments.

Contact Us

If you live in New Jersey and suffer from shoulder pain, our doctors at High Mountain Orthopedics can help discover the cause of your condition and recommend a plan of treatment. For more information or to schedule an appointment, contact our offices in Wayne at 973-595-7779. We are open seven days a week, with late hours until 6 PM on Monday, Wednesday and Friday. We also have offices in Englewood and Paramus to accommodate our patients across the state.

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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