Common Shoulder Problems
- Most People Who Think They Have Shoulder Arthritis, Probably Don’t.
- Arthritis of the Ball and Socket: There Are Good Solutions When the Time is Right.
Rotator Cuff Tears
Rotator Cuff Surgery
- Don’t Get a Rotator Cuff Operation Until You’ve Considered These Critical Points
- Can You Repair the Rotator Cuff with Arthroscopic Surgery?
- Can All Torn Rotator Cuffs Be Fixed? If Not, What are Your Options?
- Most People Who Think They Have Shoulder Arthritis, Probably Don’t.
- Arthritis of the Ball and Socket: There Are Good Solutions When the Time is Right. Is Shoulder Replacement Right for You?
- If You are Considering Shoulder Replacement You Need to Know about the Weak Link in This Procedure. Do You?
- A New Technology May Eliminate Your Shoulder Pain if You Have a Special Type of Shoulder Arthritis.
- Hemiarthroplasty: When Fixing a Broken Shoulder May NOT Be in Your Best Interest.
- Five Point You Probably Haven’t Considered About Your Shoulder Dislocation
- If You Need Surgery to Fix a Shoulder Dislocation, Overlooking One Key Issue May Lead to Failure.
- These Days You’d Think That You Could Fix All Unstable Shoulders with Arthroscopy. Not Always.
- The Secret to Treating Your Torn Labrum May Depend on Your Age.
- How to Address A SLAP Tear from Someone Who Treats Them…and Has One.
Bursitis and Impingement
- Ten Minutes a Day May Prevent Shoulder Surgery.
- Shoulder Impingement: Not Necessarily What it Sounds Like.
- People Are Obsessed With Bone Spurs and I’m Not Sure Why.
- When a Weak Shoulder May Be a Sign of Deeper Problems.
- When a Nerve Injury Might Be the Source of Your Shoulder Pain and Weakness
Non-Surgical Solutions to Shoulder Problems
- Ten Minutes A Day May Prevent Shoulder Surgery
- Why Many Frozen Shoulders Improve WITHOUT Surgery
- The Secret to Treating Your Shoulder Fracture
Surgery around the shoulder can be loosely grouped into 2 categories: arthroscopic (minimally invasive) and open.
Whether you need one of these 2 types depends on your particular problem. If you need surgery we will discuss which of these options is best for you.
Arthroscopic Shoulder Surgery
Rotator Cuff Repair
- Instability Surgery- arthroscopic repair after dislocated or subluxating shoulder
- Release of Stiff Shoulder- Capsulectomy
- Repair of Torn Labrum: Anterior Shoulder Stabilization, Posterior Labrum Repair, SLAP Repair
- Treatment of Shoulder Arthritis, Removal of Loose Body
- Acromioplasty, Arthroscopic Debridement, Distal Clavicle Excision, Removal of Inflamed Bursa
- Arthroscopic Surgery for Arthritis, Tuberoplasty
- Biceps Tenotomy
- Capsule Plication for Multidirectional Instability
- Microfracture Surgery for Cartilage Defects
Open Shoulder Surgery
- Total Shoulder Replacement, Reverse Shoulder Replacement, Revision Shoulder Replacement
- Partial Shoulder Replacement- Shoulder Hemiarthroplasty
- AC Joint Reconstruction/ Repair
- Fracture Repair: Clavicle Fractures, Humerus Fractures,, Scapula Fractures
- Open Rotator Cuff Repair and Revision Rotator Cuff Repair, Open Rotator Cuff Repair with Soft Tissue Grafting
- Tendon Transfer for Irreparable Rotator Cuff Tear: Latissimus Dorsi Transfer and Pectoralis Transfer
- Surgery for Snapping Scapula, Scapula Thoracic Fusion, Surgery for Winging Scapula
- Instability Surgery- Repair of Dislocating Shoulder
- Surgery for Bone Loss
- Shoulder Fusion
- Biceps Tenodesis
- Pectoralis Major Repair
Frequently Asked Questions About Shoulder Surgery
Blog posts about Shoulder Problems & Treatments
Being told that you need rotator cuff surgery can be an intimidating prospect. Physical Therapy after Surgery One of the main concerns is how much physical therapy you will need after surgery. How long will therapy take? And when will you finally be back doing what you want to do? The truth is, most people…
As we mentioned in a previous post, most suture anchors stay in your bone for life. The technology has advanced to such a degree, that they are extraordinarily reliable and rarely come out. While we don’t have exact numbers, our experience as surgeons tells us that it is rare for them to “back-out” of bone…
When I am explaining rotator cuff surgery to patients, one of the most common questions I get is, “How do you repair the tear?” My answer typically involves an explanation of some basics about rotator cuff tears: (more…)
We highlighted an article a while ago about how smoking was bad for your bones in general. It not only leads to osteoporosis (weak bone) but can lead to poor healing if you are unlucky enough to break a bone. (more…)
The other day a patient asked me if he should exercise his shoulder before getting a shoulder replacement. A little background, the patient is about 60 years old and is an avid weight lifter. I was a little confused by the question so I asked him to clarify. He thought that if he increased his…
Rotator cuff tears can be tricky. And unfortunately not all rotator cuff repairs are fool proof. Older studies showed that rotator cuff repairs failed to heal in up to 3/4 of attempts in some patients. Newer studies tend to show more favorable results but on average still report at least a 1/4 chance of retiring…
I recently saw a patient who had undergone three previous shoulder surgeries over the course of four years by another surgeon. All of the surgeries were arthroscopic surgeries. Two of those surgeries were to fix the labrum. The patient had a type of labrum tear called a SLAP tear. The patient was about 40 years…
Frozen shoulder is one of the most frustrating problems for patients and doctors alike. It’s painful, it comes out of nowhere, it causes sleepless nights and it often seems to drag on forever – 12 months is not uncommon. As doctors we like quick fixes as much as you do. So it’s hard to see…
Most people think that you need an MRI to “see” everything that is going on in your shoulder. But it’s simply not true. And there are a few ways that you can be fooled by this line of reasoning. 1. You fail to put findings in context I can show you MRI reports of normal…
We don’t know a millionth of one percent about anything. Thomas Edison A recent presentation at the American Arthroscopy Association of North America tried to answer the question of why some adolescents re-dislocate their shoulder and others do not after shoulder instability repair. (more…)
I saw a patient recently that I have been treating for a few years. He originally sustained a very bad trauma – a gunshot wound to his dominant arm and was in his early 40’s at the time of the incident. His injury was so bad that it required a shoulder replacement as the ball…
No doubt about it, rotator cuff tears can be confusing. It’s not that you can’t understand the idea of having a tear in your tendon. That’s easy. It’s just that treating them can be counterintutive: some get better with therapy and others don’t. Some cause significant pain and others don’t. Some need surgery and others don’t. (more…)
I saw a patient in the office recently whose x-rays were a testament to two important points about shoulder arthritis: For a given patient, shoulder arthritis in the ball and socket portion of the joint usually occurs in both arms. (more…)
There is more than one joint in the shoulder. What you choose to do about your shoulder arthritis really depends on where the arthritis is in your shoulder and how severe it is. Below is a typical case of severe arthritis in the ball and socket portion of the shoulder joint. Arthritis is actually relatively…