{"id":100,"date":"2014-07-02T06:11:58","date_gmt":"2014-07-02T06:11:58","guid":{"rendered":"http:\/\/param.ypodemos.com\/?page_id=100"},"modified":"2024-07-11T06:23:18","modified_gmt":"2024-07-11T06:23:18","slug":"shoulder","status":"publish","type":"page","link":"https:\/\/2025divi.cortho.org\/?page_id=100","title":{"rendered":"Shoulder Treatment"},"content":{"rendered":"

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Shoulder Treatment<\/h1>\n

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Our orthopedic team can diagnose & treat shoulder injuries and conditions of all types. The shoulder is a complex joint, and can become painful from injuries received while playing sports, after being involved in an accident or simply from aging.<\/p>\n

Getting a correct diagnosis and treatment for your shoulder is critical. That\u2019s why we have multiple locations throughout Long Island and into Manhattan, to support you at every phase of orthopedic care.<\/p>\n

Dr. Vedant Vaksha is a sports fellowship trained surgeon, and specialist of the knee, shoulder neck and back. Watch the video so hear him talk about the shoulder.<\/p>\n

When do people hurt their shoulder?<\/h2>\n

People can injure their shoulder either by falling on it, hurting it in a car accident or overusing it. It can either start hurting right away, have a delayed onset, or start mild and increase over time.<\/p>\n

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It may also start after performing a lot of overhead activity.\u00a0 The onset initially can be sudden or gradual after a precipitating event, slowly building over hours or days.<\/p>\n

The pain can vary between being mild and intermittent to excruciating and continuous. \u00a0\u00a0The pain can start initially over the shoulder and then progress down the arm, up to the neck or around to the back.<\/p>\n

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It can even radiate down to the fingers.\u00a0 This is a sign that the shoulder injury is overloading surrounding muscles and nerves like the brachial plexus, a group of nerves going from the spinal column into the arm.<\/p>\n

What do you do when the shoulder hurts?<\/h2>\n

If you fell on it or injured it in a high energy manner and perhaps heard a crack or a pop, then you need to call your doctor.\u00a0 You may have broken a bone or dislocated or subluxated a joint and should have it attended to.\u00a0 If you are not sure, call the doctor.<\/p>\n

If the pain is not severe, the first thing you do is to rest it. Make your shoulder comfortable. Let your shoulder relax and fall back squeezing your shoulder blade next to your spine. You can ice it.\u00a0 You can take anti inflammatory agents like ibuprofen or naproxen with or without Tylenol.\u00a0 Most shoulder problems will usually get better day to day. If it doesn\u2019t you need to see your doctor.<\/p>\n

What does a doctor to do for a shoulder pain?<\/h2>\n

The doctor is going to try to find out why your shoulder pain is not getting better.\u00a0 Your doctor is going to ask you questions, examine you, perhaps get an Xray.\u00a0 Depending on how you hurt yourself and what your doctor finds you\u2019ll be directed to do any one of a number of things.\u00a0 You may be directed to continue resting while starting physical therapy.\u00a0 You may be given medication.\u00a0 You may be directed to have another study such as an MRI or CAT scan.\u00a0 You may be advised to have surgery.<\/p>\n

\"X-ray

X-ray showing shoulder anatomy<\/p><\/div>\n

What causes aggravation of shoulder pain?<\/h2>\n

When you have shoulder pain, depending on the energy of the injury it comes mostly from either the bones, muscles and \/or ligaments and capsule.\u00a0 Breaking a bone takes more energy and frequently is associated with a lot of pain and is usually of sudden onset.\u00a0 In situation where the onset is gradual, the structures most commonly involved include the muscles and the capsuloligamentous structures associated with the joints of the shoulder.\u00a0Sometimes injury and inflammation of the rotator cuff tendon, biceps tendon or the shoulder joint capsule or its labral or acromioclavicular joint (AC joint) may be the cause of the pain.<\/span><\/p>\n

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Shoulder Treatment Our orthopedic team can diagnose & treat shoulder injuries and conditions of all types. The shoulder is a complex joint, and can become painful from injuries received while playing sports, after being involved in an accident or simply from aging. Getting a correct diagnosis and treatment for your shoulder is critical. That\u2019s why […]<\/p>\n","protected":false},"author":14,"featured_media":3986,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"Shoulder Surgery, Shoulder Specialist in NYC | Shoulder Specialist","_seopress_titles_desc":"Orthopedic Shoulder Specialist to treat rotator cuff tear, frozen shoulder & instability conditions. Shoulder Surgery doctor in New York & Long Island.","_seopress_robots_index":"","_et_pb_use_builder":"on","_et_pb_old_content":"

When do people hurt their shoulder?\u00a0 They either fall on it, hurt it in a car accident or overwork it.\u00a0\u00a0 It can either start hurting right away, have a delayed onset or start mild and increase over time.\u00a0\u00a0 It may also start after performing a lot of overhead activity.\u00a0 The onset initially can be sudden or gradual after a precipitating event, slowly building over hours or days.<\/p>

The pain can vary between being mild and intermittent to excruciating and continuous. \u00a0\u00a0The pain can start initially over the shoulder and then progress down the arm, up to the neck or around to the back.\u00a0 It can even radiate down to the fingers.\u00a0 This is a sign that the shoulder injury is overloading surrounding muscles and nerves like the brachial plexus, a group of nerves going from the spinal column into the arm.<\/p>

So what do you do about it? Well if you fell on it or otherwise injured it in a high energy manner and perhaps heard a crack, then you need to call your doctor.\u00a0 You may have broken a bone and should have it attended to.\u00a0 If you are not sure call the doctor.<\/p>

If the pain is not severe, the first thing you do is to rest it. Keep your elbow by your side.\u00a0 Don\u2019t use it.\u00a0 Sleep propped up.\u00a0 Don\u2019t roll on it. Don\u2019t splint it or hitch it up.\u00a0 Let your shoulder relax and fall back squeezing your shoulder blade next to your spine. You can ice it.\u00a0 You can take anti inflammatory agents.\u00a0 Most shoulder problems will get better day to day. If it doesn\u2019t you need to see your doctor.<\/p>

What is the doctor going to do?\u00a0 He or she is going to try to find out why you are not getting better.\u00a0 Your doctor is going to ask you questions, examine you, perhaps get an xray.\u00a0 Depending\u00a0 on how you hurt yourself and what your doctor finds you\u2019ll be directed to do any one of a number of things.\u00a0 You may be directed to continue resting while starting physical therapy.\u00a0 You may be given medication.\u00a0 You may be directed to have another study such as an MRI or CAT scan.\u00a0 You may be advised to have surgery.<\/p>

What kind of problem occurs in your shoulder to cause you all this aggravation? . When you have shoulder pain, depending on the energy of the injury it comes mostly from either the bones, muscles and \/or ligaments and capsule.\u00a0 Breaking a bone takes more energy and frequently is associated with a lot of pain and is usually of sudden onset.\u00a0 In situation where the onset is gradual, the structures most commonly involved include the muscles and the capsuloligamentous structures associated with the joints of the shoulder.<\/p>

To understand the why and the wherefore of what\u2019s injured in your shoulder, \u00a0you need to understand the structure of the shoulder.\u00a0 The shoulder is made up of three bones: the shoulder blade, the humerus and the clavicle. These three bones are connected through two joints: the glenohumeral joint and the acromialclavicular joint.\u00a0 They in turn are attached to the rib cage through two joints: the scapulothoracic and the sternoclavicular joints .<\/p>

Lets talk about the problems associated with glenohumeral joint.\u00a0 The most common structure associated with this joint that is injured is the rotator cuff.\u00a0 The glenohumeral joint consists of a ball which forms the upper end of the arm bone.\u00a0 This ball sits in a shallow socket which is at upper outer corner of the shoulder blade.<\/p>

One of the structures that holds the ball in the socket is a group of muscles that are attached to the front, top and back of the shoulder blade,\u00a0 extend past\u00a0 the socket over the ball of the upper arm bone, attaching to the outer aspect of the ball. These muscles together are called the rotator cuff. These scapular muscles pull the ball into the socket and keep it in joint.<\/p>

There is another bone that comes off the scapula behind the socket that comes up over the joint forming a roof. There is a muscle attached to this roof that extends over the upper arm bone attaching between a quarter to a third of the way down.\u00a0 This muscle moves the arm bone and is called the deltoid.<\/p>

The rotator cuff can get irritated as it passes between the ball of the upper arm bone and the roof, called the acromion.\u00a0 This is because this space can narrow down and cause the acromion to rub on the rotator cuff. Now if the arm bone is raised up without the shoulder blade moving,\u00a0 just short of 90 degrees to the floor, the ball hits the acromion near where the rotator cuff attaches.\u00a0 In real life we can place our arm straight above our head without the ball hitting the acromion.<\/p>

Our body does this by rotating the shoulder blade and acromion ahead of the ball of the arm bone, so that the space between the acromion and ball doesn\u2019t narrow and the rotator cuff is not injured.\u00a0 In people with weakness and tightness of the muscles and ligaments about the shoulder blade, the shoulder blade and acromion is not able to rotate ahead of the ball.<\/p>

The space between the two closes down and the rotator cuff gets injured.\u00a0 Over time this causes injury with associated pain and eventual deterioration and tearing of the cuff.\u00a0 If you identify the problem early physical therapy may be enough to take care of the problem.\u00a0\u00a0 If you wait until the rotator cuff tears and bone spurs develop surgery is needed.<\/p>

Physical\u00a0 therapy works\u00a0 by loosening and toning the muscles about the shoulder blade and shoulder.\u00a0 This allows the motion between the shoulder blade and chest wall and between the ball and socket of the shoulder to be better coordinated. As a result the space between the ball and the roof doesn\u2019t narrow down and the rotator cuff moves more freely.\u00a0 The damage to the rotator cuff is able to heal and the pain goes away.<\/p>

In the situation where the pain doesn\u2019t go away with therapy or if there is a rotator cuff tear, surgery is needed.\u00a0 The surgery does many things.\u00a0 It fixes the tear.\u00a0 It removes bone spurs.\u00a0 It removes inflammatory tissue.\u00a0\u00a0 Frequently it can be done through small incisions with an arthroscope.\u00a0 The surgery can be done as an outpatient.\u00a0 Recovery takes a few months with strengthening continuing after that.\u00a0 The less injury, the less surgery, \u00a0the quicker the recovery.<\/p>","_et_gb_content_width":"","footnotes":""},"class_list":["post-100","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/100","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=100"}],"version-history":[{"count":0,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/pages\/100\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=\/wp\/v2\/media\/3986"}],"wp:attachment":[{"href":"https:\/\/2025divi.cortho.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=100"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}