While many shoulder injuries can heal with nonsurgical treatment, surgery is sometimes necessary to ensure your complete recovery. According to a study of collegiate baseball players, 7.1% of shoulder injuries sustained during the 2020 athletic season did require surgical intervention. If you're experiencing persistent shoulder pain or an injury that doesn't seem to improve with time, it might be time to consult with an expert to determine the best course of action.
But how do you know when that time has come?
At Barrington Orthopedic Specialists in Bartlett, IL, we pride ourselves on being a leading provider of minimally invasive, arthroscopic shoulder surgery. Our experienced team of shoulder specialists – which includes Dr. Bernstein, Dr. Jereb, Dr. Obermeyer, Dr. Rotstein, and Dr. Yaffe – is dedicated to helping you regain mobility and relieve discomfort with tailored treatment plans. Whether you're dealing with a rotator cuff injury, tendinitis, labral tear, shoulder osteoarthritis, or other shoulder-related conditions, we're here to support you every step of the way.
As we explore the signs and symptoms indicating surgery might be necessary, we aim to equip you with the knowledge needed to make an informed decision for your shoulder health.
Understanding Shoulder Injuries
The shoulder is one of the most complex joints in the human body, allowing for a remarkable range of motion. It consists of three bones: the shoulder blade, known scientifically as the scapula; the arm bone, or humerus; and the collarbone, or clavicle. The upper arm bone fits into a shallow socket in the shoulder blade called the glenoid, forming the ball-and-socket joint. This structure is stabilized by the rotator cuff, a group of tendons and muscles that secure the arm bone in place and enable lifting and rotating actions. Despite its incredible flexibility, this complexity also means the shoulder is more susceptible to injuries and problems.
Rotator Cuff Tears
A rotator cuff tear is a prevalent shoulder injury where the rotator cuff tendon is torn, either partially or completely. Such tears often occur from repetitive motion or excessive strain, common in activities involving overhead movements like painting or playing sports. Symptoms typically include pain, weakness, and a loss of range of motion.
Frozen Shoulder
Frozen shoulder, or adhesive capsulitis, encapsulates the condition where the shoulder capsule thickens and tightens around the shoulder joint, restricting movement. This can develop gradually, with symptoms progressing from stiffness to pain over several months. It's often seen in individuals recovering from injuries or surgeries, leading to limited mobility.
Shoulder Instability
Shoulder instability arises when the ball of the upper arm bone loses its secure fit within the shoulder socket, often due to overuse or prior dislocations. It can be characterized by a sensation of looseness, frequent dislocations, and discomfort with certain movements. Early intervention is crucial to prevent chronic instability and further complications.
Shoulder injuries can stem from various sources, including sports, repetitive activities, or accidents. Traumatic injuries may happen suddenly during activities like lifting heavy objects or falling, causing conditions such as torn rotator cuffs or shoulder dislocations. Non-traumatic injuries often develop over time through repetitive stress and improper body mechanics, especially in occupations or sports that demand overhead motion.
How to Recognize Shoulder Problems
Initial signs of shoulder injuries can vary but typically involve pain and discomfort, especially during movement or at rest. A noticeable reduction in shoulder strength and range of motion, and tenderness may also be present. These symptoms suggest that the shoulder's intricate structures may be compromised, necessitating a professional evaluation for accurate diagnosis and treatment.
When to Consider Shoulder Surgery
At Barrington Orthopedic Specialists (BOS), our team is committed to exploring nonsurgical treatment options first, focusing on approaches such as physical therapy, lifestyle modifications, and pain relief strategies whenever possible. However, certain indicators may suggest that surgical intervention is necessary to restore full function and relieve persistent discomfort.
Common scenarios where shoulder surgery is often recommended include severe rotator cuff tears that do not respond to conservative treatments, significant joint instability causing repeated dislocations, or advanced arthritis leading to debilitating pain and immobility. In these cases, our experts may suggest procedures such as rotator cuff surgery or other specialized shoulder surgeries to address the underlying issues and promote long-term healing and functionality.
Types of Shoulder Surgery at Barrington Orthopedic Specialists
The shoulder specialists at BOS are experienced in various advanced surgical techniques for addressing shoulder injuries and conditions. Here are just a few of the most common surgeries we perform:
Arthroscopic Rotator Cuff Repair
One of the most common minimally invasive techniques, arthroscopic rotator cuff repair, is utilized to mend a torn rotator cuff. This procedure involves inserting a small camera, known as an arthroscope, into the shoulder joint to provide the surgeon with a clear view of the injury. Through small incisions, specialized instruments are used to reattach the torn tendon to the bone, promoting natural healing and restoring shoulder function.
Shoulder arthroscopy for joint debridement addresses issues within the shoulder joint that lead to pain and restricted movement. This approach involves the removal of loose cartilage, bone spurs, and inflamed tissue, allowing the shoulder to move more freely. As a minimally invasive procedure, it offers a quicker recovery time than traditional surgeries and is effective for treating various conditions that affect the joint's function.
Total Shoulder Replacement
In circumstances where arthritis or severe shoulder damage requires a comprehensive solution, a total shoulder replacement might be recommended. This procedure involves replacing the damaged parts of the shoulder with artificial components. Unlike typical shoulder replacement techniques, the minimally invasive approach for total shoulder replacement aims to reduce recovery time and improve surgical outcomes by limiting the size of the incisions.
Reverse Total Shoulder Replacement
For patients with severe shoulder joint dysfunction often marked by a rotator cuff tear that cannot be repaired, a reverse total shoulder replacement may be the best course of action. This technique differs from a typical shoulder replacement as it reverses the ball-and-socket configuration, allowing other muscles to take on the role of the damaged rotator cuff. The minimally invasive approach ensures reduced post-operative pain and a quicker return to daily activities.
Preparing for Your Surgical Consultation
When attending a surgical consultation at Barrington Orthopedic Specialists, it's important to come prepared. Bringing a list of any symptoms you're experiencing, along with previous medical records related to your shoulder, can provide valuable insights for the doctor. It is also helpful to note any medication you are taking, including dosages.
You may want to prepare a set of questions to ensure you understand your condition and the proposed treatments. Consider asking about the benefits and risks of the surgery, expected recovery timelines, and postoperative care requirements. This information will empower you to make an informed decision about your health.
Recovery and Rehabilitation from Shoulder Surgery
Rehabilitation plays a pivotal role in the recovery process, as it helps restore mobility, strength, and flexibility to the shoulder joint. A personalized rehabilitation program, often beginning with mild exercises, progressively evolves to include more challenging activities designed to rebuild muscle strength and improve joint range of motion.
Adhering to your rehabilitation plan is vital for achieving the best possible outcome, and our in-house rehabilitation department at Barrington Orthopedic Specialists can provide the support and expertise required for effective recovery. Learn more about our rehabilitation services by visiting here.
Visit Your Shoulder Orthopedic Surgeon Near Chicago
Considering the complex and crucial role that shoulders play in your daily life, it's essential to address any discomfort or dysfunction with expert care. At Barrington Orthopedic Specialists, our specialists – Dr. Bernstein, Dr. Jereb, Dr. Obermeyer, Dr. Rotstein, and Dr. Yaffe – are committed to providing the highest standard of orthopedic care and ensuring your shoulder health is restored to its optimal condition.
Schedule a consultation with Barrington Orthopedic Specialists to take the first step towards a pain-free life. You can contact us directly or visit our website to learn more and book your consultation.
