Shoulder Pain Treatment

Mini Open Repair

• Deltoid not removed from bone
• Quicker recovery
• Less stiffness

Shoulder Arthroscopy

• Minimally invasive
• Allows for a more complete assessment of the rotator cuff
• Less pain
• Quicker return to function

All Arthroscopic Repair

• Least violation of the deltoid
• Less painful
• Less scarring, less stiffness
• More complete visualization

Outcomes

• Improved strength and stamina
• Less night pain
• Improved overall shoulder use

Frozen Shoulder

• Inflammatory condition
• More common in diabetics
• Varied presentation
• Most commonly misdiagnosed shoulder condition

Frozen Shoulder Symptoms

• Vague onset of dull pain
• Sometimes preceded by mild trauma
• Pain with all motions (not just overhead)
• Gradual loss of motion

Frozen Shoulder Treatment

• Most resolve with conservative management
• Key is cortisone injection in the joint to manage the inflammation
• Therapy can help regain motion after pain resolves
• Relatively high recurrence rates
• Manipulation
• Arthroscopic cauterization of inflammation
• Intense daily PT

Glenohumeral Arthritis

• Least common of the major joints
• Can be secondary to trauma, chronic rotator cuff deficiency and necrosis of the humeral head

X-Ray

• Joint space narrows
• Spur forms on the ball
• Bone becomes more dense
• Cysts

Shoulder Arthritis Treatment

• NSAIDs
• Injections
• Home exercise

• Shoulder clean out (arthroscopy)
• Shoulder replacement
  • Total shoulder
  • Reverse total shoulder (combined arthritis and cuff tear

• Conservative
  • Injections
• Operative
  • Replacement