Shoulder pain can happen for so many different reasons, it is important to know the difference between something that would go away by itself or something serious that requires medical attention.
Let us understand when your shoulder pain requires an urgent trip to the doctor.
1. If your shoulder seems popped or out of place, especially after an injury or accident, this requires immediate medical attention. Out of place shoulder could indicate ligament tears that would threaten shoulder stability.
2. A popping or clicking sensation may be a sign of a labral tear, which may require surgery to fix.
3. If you are not able to lift your arm pain free, it is time to see a doctor. It could indicate a rotator cuff injury which often requires surgery.
4. If your shoulder pain is not due to a trauma but due to overuse or aging, it is important to note any changes in the severity of pain and range of motion. Increasingly worsening pain could be an indication of arthritis. Getting timely medical help for early diagnosis and treatment of arthritis can delay its progression.
If you simply not sure, seek professional medical advice anyway. Seemingly harmless discomfort and pain may worsen and turn chronic, if left untreated. So, it is best to see an experienced orthopedic surgeon right away.
Osteoarthritis is a degenerative condition that gradually wears away the protective joint cartilage. It is the most common form of arthritis and has no cure till date. However, several conservative and interventional pain management methods can help to reduce pain and delay progression.
Treatment options include physical therapy, prescription pain medications, steroid injections, or joint replacement surgery. But regenerative medicine has given us a new treatment called platelet-rich plasma (PRP) therapy which may help to delay the need for surgery in moderate arthritis cases.
PRP therapy uses the patient’s own blood for its healing properties. The patient blood sample is drawn and filtered. Platelets are then concentrated. Platelets produce a high concentration of essential growth factors which initiate a natural healing response. The extraction and injection, both, are relatively painless. The growth factors can repair the degenerative cartilage, reduce inflammation and relieve pain.
Patients need to undergo treatments for about 4 to 6 weeks. The basic aim of PRP is to assist repair and build up damaged and worn out tissues.
Since the platelets are extracted from the patient’s own blood, there are virtually no risks of infection and rejection.
If you are experiencing knee pain due to osteoarthritis and don’t want it to prevent you from living a healthy, active life, ask your orthopedic doctor about PRP therapy.
The number of total knee replacements continues to rise. Despite the long recovery process, an increasing number of people believe that a knee replacement surgery can help them live a better life.
But how do you know you need a knee replacement surgery? Read on for answers.
Patients, and doctors, prefer conservative and minimally invasive treatment options for any health problems and knees are no exception. Many times, the best treatment option is to undergo total or partial knee replacement.
Telltale Signs you need Knee Replacement Surgery
Severe knee pain that interferes with or even prevents everyday activities
The pain persists even during rest; you feel moderate to severe pain at all times
Knee swelling and inflammation that have become stubborn
Bowing of the leg
Non-steroidal Anti-inflammatory drugs fail to provide pain relief.
These signs are serious. Do not allow them to become worse. If you experience one or more of these warning signs, consult an orthopedic surgeon immediately.
Left untreated, these symptoms may give way to even more serious problems, such as –
Weakened knee muscles and ligaments
Loss of motion and function in the knee
Knee joint degeneration
Delayed knee surgery may not prove as effective as it can when performed early
As the largest and perhaps most important joint in the body, the knee joint is an easy one to injury. Through twisting or moving awkwardly, there can be a strain on the joint and even if overusing, this can create knee pain. The knee joint takes a great deal of pressure and weight-bearing and this, along with natural aging are all likely causes of joint problems. Mild strains are likely where the tissues of the knee are stretched but minor aches and pains are unlikely to need medical assistance. Protecting, resting and using ice to relieve any inflammation is wise but ensuring flexibility is maintained and good muscular strength is present around the knee joint will help in a preventative manner. During recovery from any sprains, it’s useful to keep the leg elevated as much as is possible.
It is wise to take preventive measures to knee joint health because a severe injury could lead to a greater risk of ligament issues or, even arthritis in the long term:
Take a measured approach to increasing activity levels
Wear good fitting sports shoes
Warm up prior to exercising and stretch as part of the cool down process
Try low-impact exercises which will not injure the knee joints
Any injury to the knee joint could be costly. Damage to the joint will certainly affect movement, flexibility and, once weakened, it is likely that the individual will suffer from future pain or a reduction of mobility. According to Dr. Mininder Kocher, an orthopedics professor at Harvard Medical School, the potential to develop arthritis in the knee joint following a tear to a tendon or ligament is more than 50 percent. Therefore, treatment and due consideration to the health of the joint is paramount. Arthritis is very common and pain, swelling, and stiffness in the joint are typical.
The knee is a modified hinge joint which enables extension and flexion. It also enables external and internal rotation to a certain degree. There are three compartments; the patella (kneecap) the patellar groove on the front of the femur and the medial and lateral tibiofemoral articulations which connect the femur to the tibia. The joint capsule contains synovial membrane and fluid.
Knee joint pain can be considerable and where the severe injury occurs to the lateral collateral ligament (LCL) perhaps a severe sprain or if torn, the individual will experience stiffness, swelling, pain on the outside of the knee and a weakness in the joint. Partial LCL injuries may not demonstrate many symptoms. The LCL is one of four ligaments to help stabilize the joint but, this is the most common of LCL injuries.
It is easy to injure the LCL:
Over-stretching or over-use
Hyperextension of the knee
Twisting movements or a sudden change of direction
Injuries are graded accordingly. A grade 1 LCL sprain means that the ligament did not tear although there is the risk of further injury. A grade 11 LCL sprain means that there is partial tearing to the ligament and some symptoms will be experienced. When a grade 111 LCL sprain occurs, the ligament will have torn completely and there may be bleeding beneath the skin. If all the pain fibers are torn at the same time, there will be little to no pain.
Recovery – depending on the grade of injury may take up to four months. Minor injuries take much less healing time. Certainly, physiotherapy treatments will accelerate the healing process via massage, joint exercises, and electrical modalities. They will also guide the way that the knee ligament fibers heal. This can also help to reduce the potential to tear this ligament again. An MRI may be used for diagnostic purposes to be sure that there are no other combination injuries. Knee surgery may be required especially where there is a combination of injuries. Rehabilitation thereafter will focus on being able to increase strength to the joint and to restore the full motion of the knee. This will also help to reduce the risk of arthritis.
A group of tendons and muscles over the shoulder joint hold the arm in place. They are referred to as the rotator cuff. The rotator cuff is easily one of the most important parts of the shoulder.
The rotator cuff makes it possible to freely move your shoulder and that make sit susceptible to injuries, especially in an accident or due to overuse. Strain or a tear in the rotator cuff can cause severe pain. The best treatment is rotator cuff repair.
Rotator cuff repair is a minimally invasive surgical procedure, performed to fix complete tears. Partial tears have the potential of getting healed on their own with conservative treatments, rest and physical therapy.
The rotator cuff procedure involves insertion of an arthroscope into the affected area through a small incision. The arthroscope allows the surgeon to get a clear view inside the joint and make repairs. Surgical tools are then inserted through other small incisions to repair the tears in the tendons and muscles.
Since the rotator cuff repair surgery is minimally invasive, you may be allowed to go home on the same day as the procedure. After the surgery, you would be advised to not move your shoulder too much. You would need to undergo physical therapy sessions to restore strength and movement in your shoulder. Most patients are able to completely recover from their rotator cuff repair procedure within months.
Platelet rich plasma therapy has been shown to be highly effective in healing painful knee injuries, using a person’s own blood!
What is Platelet Rich Plasma (PRP) Therapy?
Platelet rich plasma is derived from the patient’s own blood and injected into the knee.
Platelets are blood cells that are best known as clotting cells. But they also contain a number of proteins called growth factors. These growth factors can support healing.
In the PRP therapy, the person’s own blood is used to separate the blood cells from plasma. The plasma now contains a high concentration of platelets. This platelet rich plasma is injected into damaged tissues.
Research has shown that PRP or platelet-rich plasma can help with knee injuries and pain, especially those cases that have failed to achieve relief with other treatments.
Platelet-rich plasma has been used to treat the following –
Knee, shoulder, elbow, and other joint injuries
Carpal tunnel syndrome
Sprains and strains
Effectiveness of PRP Therapy
A study in 2009 showed significant improvements in pain, 6 months after the treatment, among 100 people with degenerative cartilage lesions in their knees.
A 2013 study followed 78 patients with osteoarthritis in both knees. Patients who received PRP injections experienced great pain reduction as compared with a group that received placebo injections. Most people obtained relief within a few weeks.
Most studies found few or no side effects. PRP has been shown to be a safe, non-invasive alternative to knee surgery. Since it uses the person’s own blood, no adverse reaction is likely.
Rotator cuff tears are commonly encountered shoulder problems and often present with non-specific pain. A skilled and experienced orthopedic surgeon, such as Dr. Sumit Dewanjee at FXRX in Phoenix, has special expertise in the diagnosis and management of rotator cuff injuries with minimally invasive surgery.
If you have been through surgery for tendon repair, you should know that your shoulder goes through 3 phases of healing before it recovers fully.
The inflammatory phase occurs during the first week after surgery. The platelets facilitate clotting to stop any bleeding. Chemicals are sent throughout the body to attract inflammatory cells to the site of surgery.
The proliferative phase of tendon healing is also the new cell formation phase from the first week to 2-3 weeks after surgery. The inflammatory cells produce scar tissue and the original clot is replaced with new blood vessels. This scar tissue becomes the building block for more permanent repair tissue that would form in the next phase.
The maturation and remodeling phase occurs about 3 weeks after your surgery. The scar tissue is starting to get replaced by more mature, repair tissue. This phase may last at least 12 weeks but may go up to 26 weeks.
The knee joint includes several important components that allow movement involved in getting up, walking, pivoting and many more movements that your knee helps you make throughout the day. Often taken for granted, these movements can become a challenge if the meniscus is torn.
The menisci are two small discs of cartilage that lie between the thigh bone and the shin bone to even out the pressure in the knee while standing or walking.
A meniscus tear can be caused by an injury or day-to-day wear and tear. Meniscus tears near the outer edge have a better chance of healing.
What are the common symptoms of torn meniscus?
The most common symptoms of a meniscus tear include:
Pain over the inner half of the knee that worsens with pivoting or deep squatting
Swelling on the upper and outer part of the knee
Motion, such as deep knee bending an pivoting is often limited
A feeling of instability or the knee giving out
Locking, catching or popping of the knee
How would I know if I have a torn meniscus?
Simply having knee pain does not indicate a torn meniscus. If some of the symptoms listed above have continued for more than a week, it may be a sign of a torn meniscus. An orthopedic surgeon is the best person to evaluate the pain and other symptoms.
To learn more or to consult the best orthopedic surgeon in Phoenix, AZ, Dr. Sumit Dewanjee, call FXRX Inc. at 480-449-3979. As a leading orthopedic surgeon who is an expert in arthritis and fracture treatment in Phoenix, Dr. Dewanjee has performed hundreds of successful knee and shoulder arthroscopies and other treatments.
Have you ever suffered a knee injury? No, no, not the mere cuts and bruises but one which is deep and cannot be treated from the surface. Such injuries can be painful. In fact, most of you won’t be able to take the pain and gobble down painkillers in one go. But, that’s not the solution, right? If your injury is severe, it may lead to complications later on. So, why not go and see and knee surgeon before things get too complicated?
Taking an appointment with a knee surgeon is no big deal. But yes, finding the right one is. You have the internet. Search for the best knee surgeon in your area and shortlist few names. Then you can see their reputation on the web and get an idea how satisfied their patients are. Select the best one and make an appointment.
It is true that when you visit the chamber of the knee surgeon, you will have a lot of things going on in your mind like:
Is my condition pretty severe?
Will he want to operate?
Do I need a knee replacement surgery? And so on.
In the midst of so many things going on in your mind, you may forget some necessary questions like the cost of a knee surgery, its side effects, how long are you going to take the medicines and etc. do one thing. Write them out on a piece of paper. But yes, do not scribble it. Make a proper list like the one given below:
What is the guarantee that my implant will be successful and it will not move from its position in future?
Yes, there are few real chances of that happening. You doctor, if he is a reputed one, will make sure that it doesn’t. He will be quite experienced enough to make the right cut at the right angle to insert the implant.
What will happen if in future the implant becomes loose?
If you have not noticed yet, doctors do not give a 100% guarantee on anything. But, they give their best to minimize the chances of such incidents as the one mentioned above. If you are aware that you have had a knee transplant, you will be careful for the rest of your life. And that much is required to keep the implant steady. Otherwise, you just have no risk if your doctor is an experienced surgeon.
What are the chances of getting an infection?
There is almost no chance of getting an infection if you have chosen an experienced knee surgeon. This is because all surgical instruments are sterilized properly and you will be under the effect of antibiotics that prevent infection.
Is there any chance of nerve damage?
Yes, you may have heard about something like this. We all have. But the chances are really less if your doctor is experienced and knowledgeable about the whole thing. He will explain everything to you before you take any decision and less you are satisfied, he will continue answering your questions. After all it’s your knee, a very important contributor in your locomotion.
You can easily find an experienced knee surgeon in Phoenix, Arizona. Just take help of the internet and choose the most reputed one among the results. You will be in good hands for sure.
Arthroscopic surgery is a surgical process where the cartilage in the tendons in your joint are reviewed by a surgeon and repaired. The process begins with a small incision around your kneecap through which a small tube is placed. This tube contains a small camera. The camera is used to reach small areas of your joint in search for the affected region. The camera will show images of the inside of your kneecap to the surgeon on the video monitors inside of the operating room. This allows the Arizona orthopedic surgeon to review the inside of your joint in search for the damaged area.
Once the damaged area is located the knee specialist in Phoenix uses a camera for guidance while they make a secondary incision through which miniature surgical tools are inserted and used to fix the problem. The process of arthroscopic surgery offers significantly faster recovery times compared to open surgery and the incision spots are both quite small. Once this process is complete the Arizona orthopedic surgeon is able to stitch up the incision and work with you to create a recovery plan.
This is a surgical process recommended after you have attempted all other nonsurgical treatment options with no success. If you have exercised all nonsurgical options and your knee joint continues to remain in flames or damaged this surgical option may be your only resort. A doctor will review your medical history and evaluate your current medical health prior to recommending a surgeon. This knee specialist Phoenix will speak with you about the process and what will happen before, during, and after. You might have to get blood work and a regular checkup completed by your primary care physician in order to verify your health. You should also make sure that while speaking with the Arizona orthopedic surgeon you discuss any medications or herbal supplements that you are currently taking. In some cases you may be asked to stop taking these items two weeks before the surgery takes place.
What happens before the surgery?
Before the surgery takes place the hospital will contact you to speak with you about what is expected in terms of your arrival time, what items you should wear, and what items you should and should not drink and eat. All advice offered must be followed. Should you have any questions the hospital staff will be able to answer them.
A local nerve inhibitor will be applied to your knee joint in order to inhibit the nerves in the region which send pain signals to your brain. The area will become numb but you will still be awake. If you prefer to not be awake during the process you can opt for general anesthesia in addition to the local inhibitor. If you have both forms of anesthesia you will help offset the amount of pain that you feel after the surgical procedure is complete.
Your orthopedic surgeon in Phoenix AZ will likely give you a plan for physical therapy. It is imperative that these recommendations be followed as they will help you to retain flexibility and improve strength in the joint.
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