Tag Archives: Shoulder Arthroscopy

Who is at Risk for Injuries and what Treatment Options Should I Choose

By  aenriquez  published  September 20, 2018

Accidents happen all the time and people get injured for numerous reasons!  Athletes fall while running, sports stars twist ankles or bash their knees in, the elderly tumble while shuffling in the driveway, kids fall off their bikes and crack an elbow, weapon mishaps occur to anyone not being careful, car accidents demolish organs on impact and freakish wounds are unstoppable.

Injuries are known as physical trauma. Injuries occur when outside forces cause damage to the body, in unexpected, harmful ways.  Injuries can be life-threatening and be the foundation for much-added pain throughout your body.

Who is at risk for injuries and why?

Anyone that plays a sport has an increased risk for potential injuries to any part of their body.  We know that accidents can occur to anyone, anywhere.  Therefore, athletic gear is enforced.  Kids are forced to wear helmets, cups, body armor, elbow and knee pads, as well as chest protectors.

The elderly are specifically at risk of breaking bones, fractures weaken bone areas or sprained wrists due to not having the same agile mobility as they had in their younger years.  Also, osteoporosis is more likely to occur in older adults.  Osteoporosis is defined as a medical condition where your bones are brittle, they become weak due to your body not making new bones fast enough, and this makes people easily prone to fractures.

Everyone is at risk for bodily harm in an unforeseeable accident with a firearm or automobile catastrophe.  You can lower your risks by not drinking and driving, going the speed limit, wearing your seatbelt, not texting and driving, paying attention to the road and do not get distracted from other people in the car.

At FXRS Orthopedics & Bracing, we have a variety of treatment options, depending upon the severity of your injury and pain level.

We offer various knee therapy choices:

Knee Arthroscopy (Knee Scope)

Knee Replacement

Cartilage Regeneration is done through a knee scope – to avoid a knee replacement

Steroid Injections in joints ease and reduce pain

Regenerative Medicine with PRP (Platelet Rich Plasma) Therapy (regenerate damaged tissue)

Orthopedic Bracing (used for arthritis, Carpal Tunnel, and fracture stabilization)

Shoulder Therapy Choices:

Rotator Cuff Repair

Shoulder Arthroscopy – known as a shoulder scope

Partial and Total Shoulder Replacement

Arthroscopic Shoulder Labral Repair

Arthroscopic Shoulder Instability Repair

We also offer fracture treatment and bracing for of these types of injuries.

Our trained surgeons will devise a medical plan that is best for your personal situation.  You are not just a number in our practice.  Our doctors listen to your concerns and care about your road to recovery.

If you would like to schedule an appointment – sign up here https://www.fxrxinc.com/.

We will be with you every step of the way, no matter what solution your body needs.  We want you to live pain-free!  If you have questions or concerns – email us at https://www.fxrxinc.com/contact.html.

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When Is Shoulder Arthroscopy A Better Option Than Open Surgery?

By  aenriquez  published  January 29, 2018

Subacromial decompression is a surgery that treats shoulder impingement syndrome and can be done through an open incision or arthroscopically.

Surgeries such as open decompression or arthroscopy have almost the same results in a reduction in pain ranging in almost 77-90 percent of the patients. The methods to be used are dictated largely by the surgeon’s preferences and the condition of the patient.

Arthroscopic Surgery for wellness

Arthroscopic surgery

A minimal two to three small cuts are made surrounding the shoulder during the surgery. An arthroscope, which is a small viewing device is inserted in the cut. The surgeon can look inside through the camera and check the biceps and joints along with the rotator cuff tendons to any issues that can otherwise be overlooked or go unnoticed in an MRI or an open procedure.

Arthroscopic surgery is generally recommended for people who are young and have a mild impingement in the shoulder. It is done to promote regaining of daily activities. Moderate shoulder impingement refers to pain which hinders daily life activities. It often occurs in individuals around the age of 25 to 40 years old.

When is it not recommended?

It is generally not recommended for people who experience the following:

  • Existing shoulder problem
  • Have a large tear in the rotator cuff which is medically proven as unrepairable. Patients who have such significant injuries can only be treated with open surgeries.
  • Individuals with a flat acromion or tissue inflammation like tendonitis in the rotator cuff, which is not due to shoulder impingement but rather the cause.

Open Surgery

This procedure involves a large incision of about 4-6 cm. It is necessary for patients who have a large rotator cuff tear. In many cases, surgeons recommend open surgeries compared to other options as it allows them access to a large area of injury. On the other hand, however, a large incision increases the chance of infection. Patients who undergo open surgery may have to spend 1-2 nights in the hospital for recovery.

Open Surgery vs Arthroscopic

Open surgeries are for external rotation while arthroscopic procedures are linked with less motion. Open surgery can be performed faster, while arthroscopic procedures require a detail-oriented set of skills.

Many surgeons are comfortable with open surgeries for the latter can be a difficult procedure.  Recovery time varies for both, and in general, takes 3-6 months to fully recover. People may be able to use the affected arm by two weeks of the surgery.

It is reported that people who go through arthroscopic surgery recover faster, and experience less pain during the recovery period. The recovery process involves stretching and exercise that prevents swelling and stiffness. In both cases, a therapist would likely be involved to assist the patient with exercises that promote healing and recovery.

Risks

There are potential risks of both types of surgeries, including:

  • Chronic shoulder pain and stiffness
  • Damage to the nerves or blood vessels
  • Infection  (less risk in arthroscopic compared to open surgery)

 

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