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Shoulder Tips

Shoulder Pain - 6 Most Common Causes Of It!

Dr. Suman Kumar Nag 84% (10 ratings)
MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Sports Medicine
Orthopedist, Raipur
Shoulder Pain - 6 Most Common Causes Of It!

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collarbone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain. Let us get to know the six most common ones. 

  1. Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects. 
  2. Rotator Cuff Tendonitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work. 
  3. Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain. 
  4. Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.
  5. Bursitis: This condition is known to affect the fluid filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints. 
  6. Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.

Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.

Shoulder Pain - How To Treat It?

Dr. Rajat Jangir 88% (10 ratings)
MS - Orthopaedics, Diploma In Sports Medicine
Orthopedist, Jaipur
Shoulder Pain - How To Treat It?

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket. Shoulder pain can happen due to various reasons, vary from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc.. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In case of middle to old age, injuries that can cause shoulder pain are-

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to...

  • Bankart lesion

Diagnose Shoulder Pain-

Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views
  2. Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for Various Types of Shoulder Pain-

  1. For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions --

  1. Pain relief and physiotherapy as first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of labrum
  3. Biceps tenotomy or tenodesis

Arthritis --

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

Remember "a stitch in time saves nine"

4061 people found this helpful

Cupping Therapy As A Treatment In Present Day Medication!

Dr. Izhar Hasan 92% (247 ratings)
MD (U), Bachelor of Unani Medicine and Surgery (B.U.M.S)
Unani Specialist, Delhi
Cupping Therapy As A Treatment In Present Day Medication!

The Value of cupping therapy as a treatment in present day medication

ABSTRACT

Cupping therapy pulls toxins, pathogenic elements, blood poison, dead lymph and cell flotsam and jetsam from profound inside the tissues to the surface. These crippling operators are then more effortlessly removed from the body. The stores disseminate from a couple of hours up to a little while, contingent upon the measure of stagnation and the patients post treatment exercises. The nature of the pathogenic components changes as indicated by the seriousness of the patient's blood stasis; which associates with the nature, seriousness and sort of condition they have. It can show up from a light pink to a dim purple, yet is normally a shade of red. Regularly modest raised knocks will show up. In some cases a reasonable liquid will be attracted to the surface. These are largely consequences of sickness and toxins being expelled from profound inside the tissues. For the most part, the expert will see the best measure of stores being attracted to the surface in the initial couple of medicines. The stores will decrease in force as the more profound issues are settled and the stagnations and toxins have been dug up and flushed out by means of the bodys' own circulatory frameworks, removal from the pores and sweat.

Although the marks look painful, they are not. Patients usually feel an immediate sense of relief.

Keywords: Cupping therapy, Toxins

INTRODUCTION

Since antiquated occasions, complementary and alternative medicine (CAM) have assumed a critical job in human wellbeing and welfare. Cupping treatment gets its name from the cups that are utilized to convey the treatment. Cupping has turned out to be progressively accessible to general society in the ongoing years. "Cupping Therapy is an old restorative treatment that depends after making a nearby suction to assemble blood stream with the end goal to advance mending". Cupping is a conventional idea thought to help in medicinal conditions and has turned out to be progressively more famous in specific situations. It is as yet drilled in country zones as it was rehearsed a huge number of years back, yet as of late has been recognized in the western culture. Cupping treatment is rehearsed worldwide and among various societies to oversee pain and other medical issues. Pain can be enduring and consistent with the patient inclination inconvenience, trouble and frequently anguish if the seriousness is high. Pain that can't be overseen by customary restorative consideration, is the most widely recognized explanation behind looking for remedial options in contrast to traditional medication and the more serious the torment, the more incessant is the utilization of such treatments.

DEFINITION OF CUPPING THERAPY

Cupping therapy is therapy of alternative traditional medicine. Due to utilization of cups, it is called as cupping therapy. Hijama is alternative name of cupping therapy. It is Arabic word, which means ‘to suck’.

HISTORY OF CUPPING THERAPY

There is reason to trust the practice dates from as right on time as 3000 BC. The Ebers Papyrus , composed  1550 BC and one of the most established therapeutic course readings in the Western world, portrays the Egyptians ' utilization of cupping, while at the same time making reference to comparable practices utilized by Saharan Peoples. In ancient Greece, Hippocrates (400 BC) utilized cupping for interior malady and basic issues. The method was profoundly suggested by Muhammad and henceforth very much drilled by Muslim researchers who explained and built up the technique further. Continuously, this method in its various structures spread into medication all through Asian and European human advancements. In China, the most punctual utilization of cupping that is recorded is from the popular Taoist chemist and botanist, GeHong (281-341 A.D.).

AIMS AND OBJECTIVE

Cupping treatment ends up prevalent day by days. Many physicians interested to practise this therapy. But very short information they fear to practise. Keeping this fact in mind this article is written to provide basic information of cupping therapy to all research scholar and physicians.

METHODS OF CUPPING

Cupping can be wet or dry. In dry cupping cups are set on flawless skin and the point is to just expel blood and liquid from the site of aggravation to the surface of the skin. Wet cupping, otherwise called phlebotomy, is the point at which mini incisions are made with an exceptional sort of lancet on the locale of the skin where the cup is connected.

The point is to evacuate shallow blood that streams into the cup which is believed to be brimming with poisonous and harmful substances. Cupping is performed by making a vacuum in the cup set on the skin by either applying a warmed cup on the skin which devours the air inside it (fire cupping) or by utilizing a suction pump (suction cupping). In flame cupping the expert may utilize a cup made of glass, metal or wood (bamboo). The cups are then warmed by consuming liquor splashed cotton inside the cups. The cup is then set looked down level on the skin as the warmth makes suction on the skin. Suction cupping utilizes a suction pump to direct the let some circulation into of the cup after it is connected to the skin.

DURATION OF CUPPING

The cups are left in place anywhere from 10 to 15 minutes depending on the nature of the individual’s condition. However duration of cups left may vary patient to patient and severity of the disease.

A general course of treatment involves four to six sessions in intervals starting from 7 to 15 day gaps.

INDICATIONS OF CUPPING THERAPY

1. Musculoskeletal and autoimmune disorders: Cupping can eliminate pain causing substances, prostaglandins, inflammatory mediators and cytokines. 

  • Neck pain, cervical spondylosis
  • Back pain (lumbago) and lumbar disc herniation 
  • Lumbar disc prolapse unless surgery is indicated 
  • Fibromyalgia and fibrositis 
  • Neck and shoulder pain, stiffness, spasm
  • Skeletal pain, myalgia
  • Knee osteoarthritis, Rheumatoid arthritis
  • Shoulder back myofascitis 
  • Post fracture pain, sprain, traumatic strain
  • Muscles spasm
  • Tendonitis 
  • Carpal tunnel syndrome
  • Sciatica 
  • Ankylosing spondylitis
  • Addisons disease 
  • Autoimmune anaemia

2. Cardiovascular diseases: Cupping eliminates excess intravascular fluids, excess lipids, vasoconstrictors and aetiology concerning substances. 

  • Hypertension (through removing excess serum fluids and vasoconstrictors) 
  • Edema (through removing excess fluids and clear interstitial spaces 
  • Myocardial ischemia and arrhythmia 
  • Rheumatic fever 
  • Vascular thrombosis 
  • Coronary artery diseases (narrowing of the arteries) 
  • Abnormal heart rhythms

3. Gynaecological disorders: 

  • Amenorrhoea 
  • Dysmenorrhoea
  • Leucorrhoea 
  • Infertility 
  • Haemorrhage (vaginal bleeding) 
  • To stimulate the ovaries 
  • Menstruation problems

4. Haematological disorders: Cupping clears blood from fragments of haemolysed cells, liberated Hb, excess iron 

  • Sideroblastic anaemia (to excrete excess iron) 
  • Thalassemia (to excrete excess serum iron, fragmented cells and ferritin)
  • Polycythemia

5. Dermatological disorders: Cupping clears toxic blood from fragments of abnormally high IgE and other diseases 

  • Psoriasis
  • Atopic dermatitis 
  • Acne vulgaris
  • Leucoderma/vitiligo 
  • Cellulitis 
  • Idiopathic urticaria

6. Endocrinal/metabolism disorders: Cupping eliminates accumulated substrates and metabolites from body and induces blood clearance; induce immunity boosting and pharmacological potentiation. 

  • Hypothyroidism 
  • Hyperthyroidism 
  • Obesity 
  • Prevents diabetes mellitus complications 
  • Osteoporosis 
  • Gout and gouty arthritis 
  • Hyperlipidemia 
  • Hormonal imbalance

7. Neuropsychiatric disorders: Cupping removes pain causing substances, prostaglandins and aetiological concerning fluids from the body. 

  • Headache
  • Migraine 
  • Anxiety 
  • Depression 
  • Obsessive compulsory disorders
  • Insomnia 
  • Dementia 
  • Trigeminal neuralgia 
  • Laziness, lassitude and somnolence

8. Respiratory and ENT disorders: Cupping removes pathology concerning substances and boost immunity. 

  • Allergic rhinitis 
  • Bronchial asthma 
  • Tonsillitis 
  • Motion sickness 
  • Sinusitis 
  • Otitis media
  • Bronchitis

9. Gastrointestinal disorders: 

  • Constipation 
  • Irritable bowel syndrome (IBS) 
  • Gastritis 
  • Ulcerative colitis 
  • Gastroesophageal reflux disease (GERD) 
  • Intoxication (toxins, food and drugs administration

10. Miscellaneous: 

  • Cellulitis
  • Diabetic foot (excrete abnormal, harmful metabolites, increase immunity, and improve local circulation in foot) 
  • Influenza, epidemic flu as cupping enhances the natural antiviral immunity 
  • Prevents parkinson disease progress 
  • Frozen shoulder 
  • Varicose veins 
  • Blockages and congestion

CONTRAINDICATION OF CUPPING THERAPY

  • Bleeding disorders such as haemophilia or who are being treated with anticoagulants
  • Active inflammation, burns, infection, and open wounds.
  • A child
  • Pregnant
  • Menstruating

SIDE EFFECTS OF CUPPING THERAPY

  • None if done by expert

SPECIAL NOTE

This particular method of wet cupping is a specialty treatment and must be performed by trained and qualified Unani physician.

CONCLUSION

Cupping therapy treatment allows the practitioner to determine with the aid of suction cups whether the position of the symptoms is the true location of the disease. Additionally, we can detect which organ is defective and in need of treatment. With the many forms of cupping therapy health care provider should review the literature and make their selection of cupping method and points based on treatment studies.

2 people found this helpful

Top Physiotherapists in Gurgaon

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri

Today’s lifestyle is full of stress, long commuting hours, staying back in office to meet that deadline. All this can lead to musculoskeletal problems. These top physiotherapist in Gurgaon, can help you with determining any kind of musculoskeletal problems as well as treatment. They can help you with the simplest of thing like posture correction to post surgery physio like in case of knee or hip replacement. They also help in treating as well as the training required for sports. Below is the list of Top 10 Physiotherapist in Gurgaon, you can refer in case you are suffering from any kind of muscle or joint injury, pain or discomfort. 

1. Dr. Deep Arya

BPT

Consultation fees: ₹500

Dr. Deep has 21 years of practice and runs his own clinic as Arya Physiotherapy Clinic, Gurgaon. His clinics are very well equipped with high facilities and world class technology. His areas of specialization are general, orthopedic, neurology, geriatric, sports injuries and joint pain.

2. Dr. Rajesh Pal (PT)

BPTh/BPT, MPT - Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics), MBA - Hospital Management

Consultation fees: ₹500-600

Dr. Rajesh Pal has 18 years of experience at  PAL Physiotherapy and GNH Hospital, Gurgaon. He is a trusted physiotherapist and a trusted name in Gurgaon. His areas of specialisation are backache related disorders and sport injuries. 

3. Dr. Ranjana Arora

B.P.T, M.P.T(ORTHO), Certification In Gym Instructor & Prenatal & Post Natal

Consultation fees: ₹500

Dr. Ranjana is known for her hardwork and dedication for her patients. She has 16 years of experience and currently practices at Physioslimfit Wellness Centre.. Her areas of expertise are trauma injury, paralytic care, parkinson's disease and treating rheumatoid arthritis. She also specializes in Pain management, Aerobics,  Gym Instruction and pre- post natal exercise.

4. Dr. Sachin Singh

BPT, Master of Hospital Administration

Consultation fees: ₹400-500

Dr. Sachin has 20 years of experience and is amongst the leading physiotherapist in Gurgaon. He is currently associated with Neurortho Physiotherapy Clinic, Gurgaon. He actively participates in various medical camps and specialises in dealing with back pain related issues like-  slip disc and cervical spondylosis. He also take sessions on postural training and frozen shoulder in different corporate offices.

5. Dr. Gaurav Tyagi

BPT, MPT- Ortho

Consultation fees: ₹500

Dr. Tyagi has around 9 years of experience in treating various types of musculoskeletal pain, orthopaedic and neurological conditions. He also treats sports injuries, geriatric care and rehabilitation. He is currently working as a HOD of Physiotherapy and Rehabilitation in Anahat Multispeciality Hospital, Gurgaon and was previously associated with some of the reputed hospitals like Brij Medical Center, Nu Tech Mediworld and Qi Spine.

6. Dr. Pallavi Jain

BPTh/BPT, MPT - Physiotherapy

Consultation fees: ₹900

Dr. Pallavi Jain has 7 years of experience as a physiotherapist in Gurgaon. She currently practices at W Pratiksha Hospital. Other than being a physiotherapist, she is a certified Mat Pilates Level 1 Instructor. Sh also has hands on experiment on treating cases of  trauma injury, paralytic care, parkinson's disease and rheumatoid arthritis.

7. Dr. Yogyata Gandhi (PT)

Antenatal and Postnatal Fitness Instructor, CSPT, BPTh/BPT, Certification in Lactation

Consultation fees: ₹400 - 600

Dr. Yogyata Gandhi is a consultant physiotherapist who is associated with paras hospital Gurgaon. She has 10 years of experience in this field and specialises as sports and musculoskeletal physiotherapist and antenatal physiotherapist.  She is a certified pregnancy yoga and fitness expert and runs her own prenatal yoga classes in association with gynecologists.

8. Dr. Geyata Shrivastava

BPTh/BPT

Consultation fees: ₹200

Dr. Geyata is a well known physiotherapist, with  9 years of experience and practices at Dr. Geyata Shrivastava clinic. Her clinic is known for using the best and latest technology in machines for treating any pain and bone related ailments. Areas of specialization are general, orthopedic, neurology, geriatric, sports injuries and joint pain.

9. Dr. Neha Mittal

MPTh/MPT

Consultation fees: ₹600

Dr. Neha is currently affiliated with Mayom Hospital, Gurgaon. She has 11 years of experience as  physiotherapist. She is expert in treating some very rare critical and challenging cases. She is a certified Kinesio Taping Therapist, qualified Mulligan mobilization practitioner and Thera Band Trainer. Her rares of experiment are treatment of Orthopedic, Post-Surgical, Neurological, Pediatric, Gynecological, Cardiopulmonary, Sports Physiotherapy, Lifestyle and Obesity conditions.

10. Dr. Neetu Rathi (PT)

MPTh/MPT - Neurological Physiotherapy, BPTh/BPT

Consultation fees: ₹500

Dr. Neetu other than being a physiotherapist, she is a certified in different procedures like clinical dry needling, workplace ergonomics, kinesio taping (CKTT), mulligans manual mobilization therapist, cupping and manual therapy and pilates. Her areas of interest are treating cases with low back pain, knee pain and neck pain, antenatal and postnatal cases, ACL Reconstruction Rehabilitation, Paralysis, Neuro Physiotherapy and Sports Injury.

Orthopedic Doctor in Gurgaon!

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri

Is that stiffness in joints taking a toll on your daily activity like walking, exercise. These best orthopedic doctors in Gurgaon, can help in getting your life back on track by treating any kind of join or muscle related surgeries or disorders. Here is the list of best orthopedic doctors and surgeons in Gurgaon:

1. Dr. Himanshu Gupta

MBBS, MS - Orthopaedics, Fellowship in Interventional Pain Practice(FIPP), Fellow Adult Knee Reconstruction and Sports Injuries

Consultation fees: ₹400 - 1000

Dr. Himanshu is a well experienced orthopedic surgeon with 16 years of practice. He specialises in knee reconstruction and sports injuries. His other areas of interest are arthroscopic surgery along with interventional spine & pain treatments. He has successfully done more than 4500 spine interventions,  including lumbar ,sacral & cervical areas which are considered to be complicated and tricky. He is currently associated with Nivaran Pain Relief Centre in Sector-41, Gurgaon & Fortis Escorts Heart Institute & Research Centre - Okhla Road, Delhi.

2. Dr. Sanjay kapoor

MBBS, Diploma in Orthopaedics, MS - Orthopaedics

Consultation fees: ₹500

Dr. Sanjay Kapoor is a senior consultant. He is specialised as Joint Replacement & Sports Injury Surgeon. Hw currently practices as Managing Director at K.K Healthcare Centre, Gurgaon. His areas of keen interest are Hip Replacement, Knee Replacement and Spine treatment like Laminectomy, Disc Removal, Nerve Decompression. He has successfully operated more than 10000+ patients for knee and hip surgery from across the globe. He is a recipient of Global Health Care Excellence Award 2014 for best Orthopaedic Surgeon in Gurgaon Haryana.

3. Dr. Akhlaq Ahmed

Diploma In Orthopaedics, MBBS

Consultation fees: ₹500

With more than 48 years of experience he is a popular name in Gurgaon, when it comes to orthopedists fraternity. Dr. Ahmed specialises in orthopaedics, paediatric orthopaedics, treatment of spine related problems, spine & joint replacement surgery. He has also done fellowship in minimal access surgery.  He is also  associated with Indian Orthopaedic Association and International Society for Knowledge for Surgeons on Arthroscopy and Arthroplasty. He currently practices at Ahmed Hospital. 

4. Dr. Gurinder Bedi

MBBS, MS - Orthopaedics, DNB, FRCS - General Surgery & Trauma & Orthopedic Surgery, CCST - Internal Medicine

Consultation fees: ₹1000 

Dr. Bedi has 30 years of national & international experience. He has worked for 12 years in England. Currently he is director of Orthopaedic department at Fortis Hospital, Vasant Kunj. Previously he was associated with some of the prestigious hospitals like MAX, Primus and Sitaram Bhartiya Hospital. His special interest areas are joint replacement, arthroscopy and treatment of diabetic foot. He is also associated with many prestigious institutes and medical associations.

5. Dr. Vikas Gupta

MBBS, MS - Orthopaedics, Hand Surgery Fellowship

Consultation fees: ₹1000- 1500

Dr. Vikas Gupta a well known name in the field of orthopedist, has more than 27 years of experience. He is currently associated with Max Hospital in Sushant Lok I, Gurgaon and Max Smart Super speciality Hospital in Saket, Delhi and Hand 2 Shoulder Clinic, GK -1 Delhi. His area of speciality are hand and shoulder surgery. He was the first surgeon to perform wrist replacement (Ceramic on ceramic) in India and has successfully performed over 6000 complex hand upper & extremity surgeries.

6. Dr. Prince Gupta

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics

Consultation fees: ₹400 - 700

Dr Prince Gupta is an experienced joint and spine surgeon who is practicing in Gurgaon. He is practicing for more than 12 years. He is skilled in joint replacement surgeries like knee replacement, hip replacement, shoulder replacement and elbow replacement surgeries. Apart from joint surgeries he also specialises in performing orthopaedic spine surgeries using the best techniques as per the international standards. He has worked with some of the best hospitals in Gurgaon and Delhi like  Artemis Hospital, Fortis Hospital and Sir Ganga Ram Hospital. 

7. Dr. O P Gupta

M.B.B.S, M.S. (Ortho)

Consultation fees: ₹500 - 900

Dr. Gupta is a senior consultant in Orthopaedics, Spine & Joints. He specialises in  Spine Surgery. In 14 years of his practice he has done more than 3000 Orthopedic and Spine surgeries in India and abroad. He has done extensive training in all aspect of spinal surgery. He currently practices at Khushansh Clinic, Gurgaon and Max Smart Superspeciality Hospital, Delhi.

8. Dr. Akram Jawed

MBBS, MS - Orthopaedics, Fellowship in Shoulder Surgery

Consultation fees: ₹500 - 900

Dr. Akram Jawed is amongst the best experienced orthopedic surgeons in Gurgaon with 8 years of experience. He has done some special courses like Advance course in trauma management (2013), Advance course on Periarticular plating (2013), Principles of Fracture Fixation (2009) and National Trauma Management Course (2011). He currently practices at consultant in orthopaedics at Max Super Speciality Hospital, Saket and Med Harbour Family Clinic Gurgaon. He is also the director of Mobility Clinic.

9. Dr. Ashok Rajgopal

FRCS, MS - Orthopaedics, MBBS

Consultation fees: ₹1200

Dr. Ashok is best orthopaedic surgeon. He is a pioneer of many advancement of knee surgeries and has many accomplishments in his field like successfully completing 28 Total Knee Replacement surgeries in under 12 hours. In 40 years of his experience he has more than 25,000 Total Knee Replacement surgeries. He is the first orthopaedic surgeon in India who has carried virtual total knee replacement employing patient-specific instruments. He is a recipient of PadmaShri recipient. He currently heads bone and joint clinic- Fortis Hospital. 

10. Dr. Ankit Bhartia

MBBS, MS - Orthopaedics, Fellowship in Arthroscopy and Joint replacement of Knee and Shoulder

Consultation fees: ₹400

Dr. Ankit Bhartia is an experienced Orthopedist  with 9 years of career. His areas of keen interest are Knee Replacement, Hip Replacement, Arthroscopic Surgery, Spine Surgery and Pediatric Orthopaedics. He currently practices at ''Sparsh - Orthopaedics and Sports Injury Centre'' , which is his own clinic and is also the ''Managing Director''  there. He is a member of many Indian and international associations.

Shoulder Pain - Causes, Diagnoses & Treatment

Dr. Sachin Singh 92% (354 ratings)
MBBS, MS - Orthopaedics, Ozone Therapy
Orthopedist, Ghaziabad
Shoulder Pain - Causes, Diagnoses & Treatment

Shoulder pain can be a persistent dull and nagging sensation in the upper arm or shoulder area. It can be easily differentiated from neck pain as it is related to the movement of shoulders i.e. it will increase and decrease with shoulder movements especially overhead activities. The other signs to identify shoulder pain is if your shoulder movements are reduced.

If you find it difficult to scratch / wash your back, comb your hair or reach your back pocket. Shoulder pain can happen due to various reasons, vary from person to person depending on the activities he/she is involved in, for e.g. sports, manual job etc.. It can be a single major injury or multiple small injuries due to repetitive usage patterns. Also, degenerative changes in various parts of the shoulder can lead to shoulder pain.

In case of middle to old age, injuries that can cause shoulder pain are-

  • Biceps Tendonitis
  • Acromio-clavicular Joint arthritis
  • Scapular Dyskinesia
  • Trapezitis
  • Suprascapular nerve entrapment In young age, injury due to sports or gym activity can cause shoulder pain
  • Superior labral anterior/posterior (SLAP tear)lesion

Also, traumatic or repeated dislocations of shoulder can cause shoulder pain due to...

  • Bankart lesion

Diagnose Shoulder Pain-

Shoulder pain can be diagnosed only after thorough history taking and clinical examination. However, some imaging studies can be very helpful like:

  1. X-rays: Through an x-ray one can view the shoulder in many different views
  2. Ultrasound: With an ultrasound, you can also check the damaged caused to the tendons and muscles of the shoulder but the quality of reporting depends upon the expertise of the doctor.
  3. MRI: MRI gives a clear picture of the shoulder as it shows everything related to a shoulder joint that is joints, vessels, tendons and muscles that too from different angles.
  4. Diagnostic Arthroscopy: A surgical procedure often used by orthopaedic surgeons to diagnose and treat issues inside a joint. Arthroscopy has the big advantage that one can use it to diagnose as well as treat at the same time.

Treatment for Various Types of Shoulder Pain-

  1. For Shoulder Impingement or Rotator Cuff tear: Give rest to the shoulder for a few days only Dedicated Physiotherapy Protocol Bursal injections If these fail then, (Surgery)Arthroscopic sub-acromial decompression If Cuff tear is found, then one can go for Arthroscopic/Mini-open repair
  2. Labral Lesions: For anterior Labral lesions (Bankart's) following anterior shoulder dislocation then surgery in the form of Arthroscopic Bankart's repair is the only option to reduce risk of recurrence and degeneration.

SLAP Lesions --

  1. Pain relief and physiotherapy as first step If this fails then following surgical options are available
  2. Arthroscopic debridement or repair of labrum
  3. Biceps tenotomy or tenodesis

Arthritis --

In this case, the joint is already destroyed and has to be resurfaced for pain relief and to maintain ROM. If Rotator cuff muscles are working, then Shoulder resurfacing hemiarthroplasty (preferred in young people), that has a life of 10 to 15 years, Total shoulder replacement (preferred in middle aged to old people) has a life of 10 to 15 years. But, if rotator cuff muscle are not working then Reverse Geometry Shoulder replacement is recommended, that has a life of 10 years.

It is always advisable to get yourself diagnosed properly in case of shoulder pain as management changes depending on clinical situations. Neglecting shoulder conditions can lead to bigger problems later on.

Remember "a stitch in time saves nine".

2779 people found this helpful

8 Exercises You Should Ignore To Safeguard Your Body!

Dr. Kiran Kumar Lakkampalli 90% (10 ratings)
BPTh/BPT
Physiotherapist, Hyderabad
8 Exercises You Should Ignore To Safeguard Your Body!

People who regularly work out can go on about its benefits and also show off a toned physique. However, a bad or improper movement can be more harmful than no exercise at all. Read on to know some common exercises that are best avoided for their potential harmful effects. 

  1. Dumbbell punches (Punching the air with dumbbells in hands): By holding dumbbells and punching them forward into the air, you are just spending your energy for absolutely no benefit. It is good as a conditioning one if done for a long time but does not help the shoulders or the arms. Bicep curls and triceps extensions yield much better results than these punches.
  2. Shoulder Shrugs (Rolling shoulders with dumbbells in hands): The only muscle that gets worked here is the trapezius, which is at the joint of the shoulders and the neck. The arms and the back do not get any benefit and shoulder shrugs can actually cause postural problems and increase shoulder tension. It is best to avoid this exercise if you are not a professional bodybuilder.
  3. Thigh machines (Pressing weight through legs): One of the most ineffective machines in the gym is a thigh machine. The poor posture and no workout for the abs are few of the reasons why the outer and inner thigh workouts should be avoided. Better results can be achieved with squats and lunges, which also help more muscles and help in losing weight.
  4. Plank rows (Push-up posture & lifting hands one by one): Plank rows or board lines are almost ineffective for back and arm strengthening. Better results are achieved with the usual lines for these areas.
  5. Squatting on a Bosu ball (Squatting on a specific machine): This colourful equipment might be alluring but can be really dangerous and cause ankle and knee injuries. It can also result in meniscal tears or disruptions.
  6. Crunches (Laying on floor and pushing head upwards with hands): When improperly done, crunches produce the same position as one achieves while working on a computer - head forward and rounded shoulder. Crunches are meant to be done by pulling up on the head and not using the abs, as most people incorrectly do.
  7. Lat pull-downs behind the neck (Pulling down weight behind your back): This can be very harmful for people who have even minor shoulder joint problems. The idea is to build arm, torso, and back muscles by pulling a weighted bar down the front and back of the chest area. This can cause misalignment, shoulder impingement, or a tear in the rotator cuff, and in severe cases, even cervical vertebral fracture.
  8. Military Presses Behind the Head (Pulling up weight behind your back): Similar to a lat pull-down, here also, a barbell is lifted up and down behind the head and can cause the same problems as the earlier one, including fracture of the cervical spine.

Make sure you get a professional trainer's advice on the right ways to work out so as to get the maximum benefits and avoid injuries.
 

3836 people found this helpful

Physiotherapy Treatment For Frozen Shoulder!

Dr. Aneeta Verma 84% (10 ratings)
Wellness Diploma, MBA (Healthcare), BPTh/BPT, Post Graduate Specialization In Preventive Health Care
Physiotherapist, Noida
Physiotherapy Treatment For Frozen Shoulder!

Frozen shoulder is a condition when somebody encounters continuous shoulder stiffness and pain. It could last for weeks. It is likely to occur when swelling increases around the shoulder which reduces inability to move or stretch properly. This ordinarily happens when somebody is recovering from an injury. Frozen shoulder at times happens when somebody is wearing a sling or a cast. It also occurs, if someone is recovering from surgery, experiencing joint pain or facing restraint of movement for other reasons.

A frozen shoulder can go on from a couple of months to as much as 3 years and the precise cause is unknown. Physiotherapy is often to treat this condition. It has been found that posture plays a huge part in your recovery from a frozen shoulder. The urgent goal is to get the shoulder join moving once again. The sooner this is done, the better are the odds of a quick recovery. Anti-inflammatory medicines, heat application and delicate stretching activities are performed with the assistance of a physiotherapist.

Physiotherapy is very crucial for a frozen shoulder since it is very difficult to get movement in the stiff joint without any exercise, stretching or other methods used by a physiotherapist. It is mostly crucial to get physiotherapy to:

  1. To reduce pain in the shoulder
  2. To increase the flexibility and strength of the shoulder
  3. To enhance movement of the shoulder.
  4. To increase endurance of the muscles

Physiotherapy treatment for a frozen shoulder depends on the stage you are on and is customized according to the needs of your condition. Physiotherapy treatments for a frozen shoulder include:

  1. Pain relief: Pain diminishing techniques including gentle shoulder movement exercises, muscle releases, needle therapy, dry needling and kinesiology taping for pain can help during the painful swelling phase.
  2. Defrosting: Shoulder mobilization and stretching are the best in order to achieve a full shoulder recovery. As your scope of movement increases, your physiotherapist will then be able to give you muscle strengthening exercises to control and keep up your recently found range of movement.
  3. Warm Up: Before beginning shoulder exercises for a frozen shoulder, try to warm up your shoulder keeping in mind the end goal. That is to help blood supply in the affected area and avoid future injuries. The best approach is to extend and warm up the shoulder by applying heat for 10 to 15 minutes, scrubbing down or showering with Epsom salt.

Physiotherapy does not bring out immediate results, but gradually. Flexibility will increase gradually. One should keep in mind, not to stretch their shoulder too quickly at once. This can lead to a ligament tear. The exercises should be tender and gradual.

4707 people found this helpful

Shoulder Dislocation: Causes And Treatment

Dr. Suhel Khan 86% (10 ratings)
MBBS, Diploma In Orthopaedics, DNB (Orthopedics), MS - Orthopaedics
Orthopedist, Pune
Shoulder Dislocation: Causes And Treatment

A shoulder dislocation is a shoulder injury which is characterized by the upper arm bone popping out of the socket of your shoulder blade. The shoulder joint is the most mobile among all the joints in the body, making it the most prone to dislocation. The dislocation of the shoulder joint can either be partial or complete depending on the injury. In a partial dislocation, the head of the upper arm is partially shifted out of the socket whereas in a complete dislocation, the head comes out of the socket in its entirety.

Symptoms-

The symptoms of shoulder dislocation are:

  1. Swelling or bruising of the affected area.

  2. Deformed shoulder.

  3. Excruciating pain in the shoulder region.

  4. Mobility of the joint is greatly reduced.

Apart from these symptoms, there may be tingling, numbness and weakness in the affected region.

Causes-

There can be multiple ways in which a shoulder can be dislocated because of its ability to move and swing in all the directions. The fibrous tissues that connect the bones of your shoulder may also get stretched or torn. These injuries occur due to a sudden blow or a strong force exerted on the shoulder joint.

It is caused by:

  1. Trauma to the Shoulder Joint: Hard blows to the shoulder joint such as one suffered from a vehicle accident can lead to shoulder dislocation.

  2. Sports Injuries: In contact sports such as hockey and football, the sudden forceful contractions of the shoulder region may lead to dislocation of the shoulder.

  3. Falls: Tripping or falling from an elevated place and landing on the shoulder can cause shoulder joint dislocation.

Treatment-

The treatments for shoulder dislocation are –

  1. Medication: Medications such as pain relievers can be prescribed by the doctor to reduce pain.

  2. Surgery: Surgery of the shoulder joint can help in treating chronic shoulder dislocations. Surgery is also required if the blood vessels or the nerves along the shoulder joint are damaged.

  3. Immobilization: This process involves attaching a sling or a splint to the affected area to prevent it from moving. This allows the shoulder joint to heal and recuperate faster.
2497 people found this helpful

Shoulder Pain - Know Causes Of It!

Dr. Umesh Kulkarni 83% (11 ratings)
MBBS, MS - Orthopaedics, Diploma In Orthopedics
Orthopedist, Nashik
Shoulder Pain  - Know Causes Of It!

The shoulder is one of the most important joints in the body that uses a ball and socket to join the arm to the rest of the body. Any pain can make it difficult to carry out motion in a comfortable manner. The shoulder consists of the long arm bone called the humerus, the collar bone or the clavicle, as well as the shoulder blade called the scapula. A layer of cartilage provides essential padding to the bones in this area and its two main joints. There are a number of issues that can cause shoulder pain.

Let us get to know the six most common ones


*  Rotator Cuff Injury: This is the most common cause of shoulder pain and it occurs when the four muscles or the tendons are injured. These muscles and tendons usually control the movement of the arm. This injury can involve strains and tears which may also be caused by constant lifting of heavy objects. 


*  Rotator Cuff Tendinitis: This condition affects the tendons and muscles that help in moving the arm freely. This usually happens due to inflammation in the tendons. It is commonly experienced by patients who are actively involved in sports and other heavy physical pursuits in their line of work. 


*  Frozen Shoulder: This is a debilitating condition that restricts the free movement of the arm and is also known as adhesive capsulitis. When the shoulder tissues become too thick, it leads to the growth of scar tissue that hinders proper movement and causes pain. 


*  Osteoarthritis: Osteoarthritis is a condition that comes as part of aging bones that also become hollow and brittle over the passage of time, which leads to joint and bone pains in various parts of the body. It is a degenerative disease that is caused due to prolonged wear and tear as well as other factors including family history and sports injury.


*  Bursitis: This condition is known to affect the fluid filled sacs that lie in between the joints. These are known as bursae. When the bursae suffers from swelling, the effect usually shows up as pain in the joints. 


*  Tendon Sheath Inflammation: The fibrous tissue that connects the bones and the muscles is called a tendon. The presence of the tendon makes it possible to pursue activities like running, jumping, lifting, gripping and more. It is protected by a sheath known as synovium, which also lubricates the same. Any injury or tear to this sheath can cause shoulder pain.

Acute and persistent pain that does not abate and gets even worse should be treated with immediate medical intervention.
 

3774 people found this helpful
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