Frozen shoulder is a common and painful condition where patients find themselves unable to move the shoulder joint freely anymore. Typically this is accompanied by terrible pain, compounding the immobility with true suffering.
The treatments for frozen shoulder are myriad, and may include various combinations of physical therapy, steroid injections, or shoulder surgery. But a lesser known treatment is gaining some traction nowadays, thanks in part to a recent study which showed that the treatment, known as extracorporeal shockwave therapy, or shockwave therapy, is more effective than many suspected. In a basic experiment, it offered marked improvements:
Functional improvements were significant compared with baseline at 2 months, with further amelioration at 4 and 6 months. These included an overall 3.14-fold decrease in the Visual Analog Scale, a 2.97-fold reduction in the Disabilities of the Arm, Shoulder, and Hand Score questionnaire, and a 39.7% increase in the Constant Shoulder Score.
It should be noted that this study was conducted of diabetics, and that there was no control group or randomized assignment of treatments. Still, it was an impressive result, and one which should beget further study in the coming years.
If you want the latest treatments for frozen shoulder in San Diego, contact Dr. Holland here today.
Look, I get it. New things are fun. New phones and tablets are faster and flashier than ever these days, boasting CPU speeds that put desktops from ten years ago to shame. And the new capabilities these phones possess are impossible to resist, from sleek 60fps gaming to live video calling.
But just because our devices are getting thinner and lighter doesn’t mean they’re getting any easier on our bodies. On the contrary, the time and posture we use when engaging with our devices can exact a toll, even for something as small as a phone.
That’s because ergonomics isn’t about force per se; it’s about proper positioning, something no phone manufacturer ever bothers to design for. As a result, most of the people you see out and about spends hours every day staring downward into their phones, at an angle that can cause neck pain over the long term. One article described the problem succinctly:
The natural posture when using a smartphone or tablet is with the device situated at a level far below our eyes, which leads to leaning our heads downwards and extending our necks. Research has shown that by leaning our heads downwards at a 60-degree angle, the strain put on our neck is equivalent to the weight of a 7-year-old child. This can result in neck pain and stiffness, headaches and even migraine attacks.
The solution, as with all things in orthopedics, is rest. Take breaks; mix it up; look away sometimes. And if that strain is causing a chronic condition such as neck pain, shoulder pain, or elbow pain, then contact Dr. William Holland for expert orthopedic care in San Diego.
Shoulder pain and shoulder surgery don’t always have to follow in lockstep. Shoulder pain can be caused by literally dozens of things. Only a few of them require that you go under the knife for a permanent fix.
Understanding shoulder pain requires an understanding of the mechanics of the shoulder. This joint is comprised of several moving parts working together. When the tendons become inflamed, or worn rough, or injured in a lasting way, then you will experience pain every time you try and use the joint.
If your pain is persistent or worsening, then it’s time to visit an orthopedic surgeon. Depending on the severity of your pain and the restrictions on your movement, he or she may recommend stretching, physical therapy, or steroids to ease the discomfort. When these measures fail, it is time to discuss shoulder surgery.
Take a look at my shoulder treatment page for a rundown of the different modalities employed here at the American Orthopedic Sports Medicine center. We offer detailed and comprehensive care for a wide variety of shoulder ailments, from bursitis to frozen shoulder and beyond.
The best treatment for shoulder pain begins with the right diagnosis. Contact my offices today to speak with a San Diego shoulder doctor immediately.
Sports are great. They encourage teamwork, foster competitive verve, and teach kids the many good lessons of winning and losing with dignity. Sports also help to further developmental skills and instill a lasting appreciation for the value of discipline. Also, they’re fun.
But sports can be dangerous as well. Some of the most common youth sports have a tendency to cause lasting injuries. As a coach or parent, it is your job to learn and remember the signs of common sports injuries, the better to minimize their impact and enhance your charges’ recovery.
Recently I came across a page that outlines some of the more common youth injuries in sports, as well as what is at stake:
The Centers for Disease Control and Prevention says more than 2.6 million children 0 to 19 years old are treated in the emergency department each year for sports- and recreation-related injuries.
The list includes many repetitive stress injuries such as periostitis (shin splints), growth plate injuries, and the various causes and symptoms of hairline fractures in overworked athletes.
If your child is complaining of chronic pain after engaging in youth sports, it’s time to step back and take a breather. For a full diagnostic workup and expert recommendations, set your appointment with the San Diego Orthopedic Surgery Center today.
Knee pain isn’t just for senior citizens or avid athletes. It can strike anyone, at any age. Although knee pain is usually associated with arthritis or injury, any repetitive movement can create lasting pain, impeding your ability to live a comfortable life.
Orthopedic surgeons like me are often called in to fix the problem once it has grown chronic or acute, but you can do a lot more before you ever reach out to the doctor. This page offers some good tips on how to avoid knee pain without too much stress or inconvenience, including simple stretches like this:
Sit on the floor with both legs straight out in front of you, and then bring your left foot toward your butt. Drop your left knee out to the side as you place the sole of your left foot in your right inner thigh. Then, bend at the waist and slowly fold forward, reaching your hands toward your toes. Stay here for 1 to 2 minutes, and then switch sides.
Staying active is helpful too, as is taking the time to rest when pain grows more intense during and after vigorous activity. And if your knee pain becomes a constant thorn in your side, visit the best orthopedic surgeon in San Diego for a comprehensive workup.
Call today to get started.
Elbow pain is a complex issue, marked by explosive flare-ups and equally precipitous dropffs. For athletes, however, elbow pain, once introduced, rarely goes away without a lot of intentional care.
Impingement is the root cause behind a lot of athletes’ elbow complaints. The term refers to pressure on the soft tissue inside your elbow joint which causes it to become irritated and chronically inflamed.
This page discusses some common causes of impingement in sports medicine, outlining the motions that tend to cause the problem in the first place:
This occurs due to activities that excessively or repetitively straighten the elbow often in combination with a sideways force. This may occur suddenly, due to a specific incident or, more commonly, due to repetitive strain associated with overuse (such as repetitive throwing).
Rest is the best course of treatment for elbow pain associated with impingement. It can be especially valuable when used as part of the so-called RICE regime, which refers to the quaternary protocol of rest, ice, compression, and elevation.
When impingement grows severe, orthopedic surgery may be required. The only way to know the best course of action is to contact an elbow pain doctor and get a full diagnostic review.
The American Orthopedic Sports Medicine Center can help you fast. Please call us today.