Our treatments offer long term relief for shoulder injuries and shoulder pain
AC Joint Disruption
The end of the scapula ( wing bone) is called the acromion, and the joint between this part of the scapula and clavicle is called the acromioclavicular joint or AC joint. The AC joint is held together by a strong band of tissue known as the AC joint capsule. This capsule can be disrupted resulting in minimal to severe joint separation. When the AC joint capsule is only mild to moderately damaged their may be little change on X ray as opposed to a high grade tear and separation. This injury can be a source of pain that is very effectively treated with Biologic Treatments.
Rotator Cuff Issues
The rotator cuff refers to a group of four muscles and their respective tendons which attach these muscles to the bones of the upper arm ( humerus). These muscles and their attaching tendons wrap around the shoulder joint and lie in a space that exists between the top of the humerus and the end of the scapula ( wing bone) known as the acromion.
In certain individuals this space may become too narrow and the tendons of the rotator cuff become “pinched” resulting in inflammation of the rotator cuff tendons and associated bursitis of the bursa sack which is intended to allow the tendons to glide more easily in this area. When this occurs, diagnosis of impingement syndrome with associated bursitis is made. Traditionally, steroid injections along with physical therapy has been used. However, we have found that OrthoBioGen treatment is more effective in providing long term pain relief. The rotator cuff muscles are also susceptible to tearing associated with trauma. While rotator cuff tears can occur with aging and cause no symptoms, traumatic injury to the rotator cuff can also be the source of significant pain.
The pain can be located in the shoulder but also can radiate into the upper arm. It is usually worsened by movement of the arm and causes difficulty with sleeping on the affected side. Treatment is often conservative including physical therapy. Cortisone injections are often used but can actually cause a breakdown of normal tissue. Biologic treatments not only can provide a reduction in pain but can assist in repair of damaged tissue and certainly do not cause steroid-like tissue degeneration.
The shoulder joint has a cuff of fibrous tissue called the labrum. The labrum circles the shallow shoulder socket known as the glenoid wrapping around the upper portion of the arm. The labrum along with the muscles and tendons of the rotator cuff help stabilize the shoulder joint while allowing for a very wide range of movement of the shoulder joint.
Trauma can be associated with a labral tear. The labrum also becomes more brittle with age, and can fray and tear as part of the aging process. Labral tears usually present with shoulder pain and / or catching of the shoulder with movement. These tears can occur in different parts of the labrum. A SLAP tear is a tear at the top of the shoulder socket where the biceps tendon attaches to the shoulder. It is the most common labral tear seen in athletes with overhead throwing motions. Posterior labral tears are less common but can be seen in association with rotator cuff injuries in throwing athletes. A Bankart Tear is due to stress placed on the front of the shoulder due to overhead activities. The treatment of a torn labrum depends on the type of tear that has occurred. Most labral tears do not require surgery and can be approached with physical therapy and Biologic Treatments.
To learn more about treatment options contact us today.