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Category Archives: Shoulder

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When Your Shoulder Blade Is “SICK”

Do you have a “SICK” scapula? No, not sick with a fever or a cold, but SICK—an abnormal condition of the shoulder blade. This condition is characterized by   Scapular malposition: The scapula has moved to an abnormal position on the rib cage.   Inferior medial border prominence: The scapula protrudes abnormally along the back. […]

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Surgery or physical therapy: which is best for a tear to my rotator cuff?

While every case is unique, the questions you should ask the surgeon are not. What will happen if I just wait out the pain? If I try physical therapy first, am I hurting the chances of a positive outcome from surgery? In The Bone & Joint Journal, January 2014, a study by lead author J. […]

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Dive Back in After Swimmer’s Shoulder

Are you an avid swimmer now sidelined by swimmer’s shoulder? You have plenty of company. Swimmer’s shoulder can develop from overuse, a change in your stroke or an increase in the intensity or duration of your swimming activity.   Swimmers tend to have above-average flexibility and range of motion in the shoulder—that’s great for swimming. […]

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Withdrawing Calcific Deposits in the Rotator Cuff

Most often affecting women between the ages of 35 and 65, rotator cuff calcific tendonitis is a common cause of shoulder pain. It happens when calcium phosphate is deposited in the rotator cuff tendons of the shoulder, and it can be very painful.   Calcific deposits can form in the rotator cuff, a group of […]

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A Bone Graft to Rebuild Your Shoulder

If your shoulder is prone to recurrent dislocations, a surgery known as a Bankart procedure is often used to stabilize the joint. However, that surgery often fails because the repair is not strong enough or the shoulder socket is damaged. In that case, a shoulder bone graft may be required.   In a shoulder bone […]

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Do curve or breaking balls in Little League lead to shoulder or elbow pain?

NO!  At least one recent study doesn’t support that idea. The University of North Carolina’s Department of Exercise and Sports Science performed a study ,funded by a grant from the Yawkey foundation, that attempted to answer the question of whether “curve balls” or “breaking” balls lead to increased chance of pitching arm injuries. Over the course of […]

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Fighting Arthritis? Strengthen Your Muscles

Arthritis may be a joint disease, but strengthening the muscles is an important component in its treatment. That is because a leading cause of limited movement in people with arthritis—especially, for instance, knee arthritis—is the weakening of surrounding muscles, rather than pain, dysfunction or abnormalities in the joint itself. This raises an important question: Is […]

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Painful shoulder exercises–are they safe?

The exercises your physical therapist prescribed are causing pain. Could that be recommended practice? Recent studies suggest it may be. Eccentric strengthening in the moderately painful range may blunt pain fibers’ signals to the brain leaving you with decreasing pain as the muscles strengthen. Such strengthening may also assist in stimulating improved tissue repair. Evaluation […]

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Where is my shoulder pain coming from?

It could be coming from your neck or your shoulder?  Unfortunately, I have treated patients that have had shoulder surgery for a fracture, rotator cuff repair, stabilization procedure for shoulder instability or a total shoulder arthroplasty (TSA) that didn’t make enough progress.    Only later found to find out a portion of their shoulder pain was coming from their […]

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Synvisc Injections for Osteoarthritis- Why do they work?

For over 10 years patients with osteoarthritis of the knee and shoulder have had an alternative to oral medication for controlling knee or shoulder pain.  The advent of the use of an intra-articular injections of mostly known as there brand name Synvisc  or Hyaluranon that serve to lubricate the joint surfaces can provide significant pain […]

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