Shoulder pain is a common issue that can stem from a variety of injuries or underlying medical conditions. Let’s explore the causes, symptoms, and treatment options available for shoulder pain, providing you with a comprehensive guide to better understand and manage discomfort. At Plancher Orthopaedics & Sports Medicine, we specialize in diagnosing and treating shoulder injuries, offering advanced, personalized care to help patients find relief and regain mobility. Whether your pain is due to overuse, trauma, or an underlying condition, identifying the source is crucial for effective treatment and long-term recovery.
Shoulder pain is one of the most common orthopedic problems that individuals face today. The shoulder is a complex and highly mobile joint, making it susceptible to a variety of issues. The instability of the shoulder joint arises from its wide range of motion; the ball and socket joint of the upper arm bone is larger than the socket of the shoulder, which provides its vast mobility but also makes it prone to shoulder dislocation and shoulder joint bone spurs.
The rotator cuff, a group of muscles and tendons surrounding the shoulder joint, plays a critical role in maintaining the stability of this joint. These muscles and tendons allow for a wide range of motion, but they are also prone to injuries such as rotator cuff tears, a torn rotator cuff, and rotator cuff tendinitis. When these structures are compromised, it can lead to severe pain and reduced mobility.
Shoulder pain can be localized to the shoulder area or radiate to surrounding regions, sometimes even extending down the arm. This pain can arise from various factors, including issues in the neck, which can cause referred pain in the shoulder. Knowledge of shoulder anatomy and mechanics helps in pinpointing and treating the causes of shoulder pain.
There are numerous causes of shoulder pain, with rotator cuff injuries being among the most prevalent. A rotator cuff tear can result from overuse, aging, or acute injuries like a fall. Tendinosis, which involves the wearing out of the rotator cuff tendons, often leads to inflammation and pain due to the tendons being pinched under bone structures in the shoulder.
Another common cause is shoulder impingement, where the rotator cuff rubs against the shoulder blade, causing pain and inflammation. This condition, known as impingement syndrome, can lead to severe pain, especially when you lift your arm above the head. Impingement symptoms include aching pain in the top and outer shoulder, weakness in the arm, and difficulty sleeping due to discomfort.
Frozen shoulder, or adhesive capsulitis, is another condition that restricts motion due to inflammation and adhesions. Bursitis, the inflammation of the bursa, can also cause significant discomfort in the shoulder joint. These conditions, along with arthritis and shoulder dislocations, contribute to the various causes of shoulder pain.
Recognizing shoulder pain symptoms is key to accurate diagnosis and treatment. Pain often appears on the outer side and under the acromion, worsening with arm movements, especially overhead lifting. Discomfort can vary from mild to severe, significantly affecting daily activities.
Sudden left shoulder pain might signal a heart attack and requires immediate medical attention. Additionally, shoulder pain at night can be aggravated by lying on the affected shoulder, disrupting sleep.
Referred pain, where the discomfort originates from other areas such as the neck or lungs, can also manifest as shoulder pain. Awareness of these symptoms aids in identifying the cause and directing appropriate treatment.
A thorough physical assessment and specific tests are essential to diagnose the root cause of shoulder pain. The process starts with observing the shoulder and its range of motion to identify swelling, bruising, or deformities.
A cervical spine examination is essential to rule out any contributing spinal issues before focusing solely on the shoulder. Various tests are performed during the shoulder exam to confirm or eliminate specific injuries, including tests for shoulder instability, which check for symptoms like the shoulder feeling as if it is ‘giving way’. These evaluations diagnose conditions like rotator cuff injuries, shoulder impingement, and biceps tendinopathy.
Imaging tests like X-rays, MRIs, or ultrasounds become crucial if physical exams suggest serious injuries or potential surgery. These imaging techniques provide detailed views of the shoulder’s internal structures, helping to pinpoint the exact cause of the pain and plan the most effective treatment strategy.
Several risk factors can increase the likelihood of developing shoulder pain. Poor shoulder posture is a significant risk factor, as it can lead to abnormal shoulder movement and subsequent tears in the muscles and tendons. Repetitive overhead activities, common in certain occupational roles such as construction or painting, also elevate the risk of shoulder pain.
Athletes who engage in sports involving overhead motions, like volleyball or swimming, are particularly prone to shoulder injuries. Age is another factor, with the likelihood of developing shoulder pain increasing as one gets older. Recognizing these risk factors aids in preventing and managing shoulder pain effectively.
Treating shoulder pain involves a range of options, from non-surgical treatments to surgical interventions. Non-surgical treatments often include medications, from over-the-counter to prescription anti-inflammatory drugs, aimed at reducing inflammation and providing pain relief. Cortisone injections can also be administered directly into the shoulder joint to alleviate inflammation and pain effectively.
If non-surgical treatments prove ineffective, surgical options may be required. Options include minimally invasive procedures like arthroscopy and more extensive surgeries such as rotator cuff repair. Treatment choice depends on the condition’s severity and the patient’s overall health.
Non-surgical treatments for shoulder pain are often the first line of defense and can be very effective. Here are some methods to consider:
Physical therapy is crucial in non-surgical treatment, emphasizing shoulder strengthening and improved range of motion. Passive exercises with a physical therapist improve shoulder movement and aid recovery. Rehabilitation programs tailored for athletes, such as those in New Canaan, address their specific needs related to shoulder injuries.
Practicing physical therapy exercises at home maintains and enhances shoulder mobility and strength. Self-care measures, like rotator cuff exercises, significantly aid in managing and relieving shoulder pain.
Surgical intervention may be needed for severe shoulder conditions when non-surgical treatments fall short. Minimally invasive procedures like arthroscopy use small incisions and cameras, leading to faster recovery and less post-operative pain. Plancher Orthopaedics employs these advanced techniques to ensure effective treatment with minimal downtime.
Rotator cuff repair surgery addresses severe damage when non-surgical methods fail. Plancher Orthopaedics emphasizes expertise in treating shoulder injuries with these advanced surgical techniques, ensuring comprehensive care for their patients.
Managing shoulder pain at home involves several practical strategies. Moist heat alleviates pain by loosening the shoulder, enhancing mobility. Using an ice pack for 20 minutes multiple times daily reduces swelling and offers significant pain relief.
Adjusting activities to minimize pain and prevent re-injury is another key strategy. This includes avoiding carrying heavy bags on one shoulder and keeping frequently used items within easy reach to limit unnecessary shoulder strain.
Proper sitting posture and avoiding overhead activities are vital during recovery. These effective home care tips help manage and reduce shoulder pain, promoting quicker and more comfortable recovery.
Plancher Orthopaedics uses modern diagnostic tools and treatments for various orthopedic conditions, including shoulder injuries. The clinic employs cutting-edge robotic surgery and regenerative therapies to enhance recovery from shoulder injuries. Advanced techniques ensure precise diagnosis and effective treatment tailored to each patient.
Dr. Kevin D. Plancher leads a multidisciplinary team that collaborates in creating personalized treatment plans, ensuring comprehensive care. Combining advanced diagnostics, personalized treatments, and specialized care ensures a holistic approach to shoulder injury management. The clinic’s commitment to positive patient experiences is evident in their supportive and engaging approach throughout the healthcare journey.
Plancher Orthopaedics offers specialized shoulder injury care in Greenwich, New Canaan, Westport, Upper East Side, and Upper West Side, using advanced arthroscopic techniques for minimal downtime. Their combination of advanced medical expertise and compassionate care empowers patients in their health decisions.
Demand for specialized orthopedic care varies by location and is influenced by local demographics and lifestyles. Connecticut’s active communities frequently experience shoulder injuries from sports and recreational activities, while New York’s diverse population, including active professionals and retirees, often prefers minimally invasive treatments for quicker recovery.
Connecticut’s active communities, engaged in both youth and adult recreational sports, commonly face shoulder injuries such as rotator cuff tears, labral tears, impingement, and arthritis. Dr. Kevin Plancher’s orthopedic expertise ensures effective diagnosis, treatment, and customized rehabilitation for these conditions, helping residents maintain their active lifestyles with a focus on swift recovery.
In New York, residents include a mix of active professionals, retirees, and sports enthusiasts who value less invasive treatments to minimize recovery time. High demand for outpatient and minimally invasive procedures meets the needs of those wanting to quickly resume their daily activities. Clinics like Plancher Orthopaedics address these injury patterns with personalized care strategies, ensuring comprehensive treatment and rehabilitation across age groups.
Personalized patient care is a top priority at Plancher Orthopaedics. The practice provides a welcoming environment with a luxurious waiting area for comfort and relaxation. Patients enjoy direct access to the care team, enhancing communication and reducing wait times for a more efficient healthcare experience.
Plancher Orthopaedics offers customized rehabilitation programs for athletes and active adults, particularly in New Canaan and the Upper West Side. These tailored programs promote quick and effective recovery, addressing specific needs and activities. This holistic approach to wellness features personalized consultations and continuous support, ensuring optimal care throughout recovery.
Combining advanced medical expertise with compassionate care, the practice empowers patients to make informed health decisions. This blend of cutting-edge techniques and patient-focused care distinguishes Plancher Orthopaedics as a leader in orthopedic treatment and rehabilitation.
Understanding and managing shoulder pain requires a comprehensive approach, including recognizing symptoms, identifying risk factors, and exploring various treatment options. Plancher Orthopaedics & Sports Medicine stands out for its advanced diagnostics, personalized care, and commitment to patient well-being. Whether through non-surgical treatments, home care, or surgical interventions, effective strategies for shoulder pain relief are available to help you regain your quality of life. Contact Plancher Orthopaedics & Sports Medicine today to schedule a consultation and take the first step toward long-lasting relief and recovery.
Shoulder pain is often caused by rotator cuff tears, impingement syndrome, bursitis, arthritis, and frozen shoulder, typically resulting from overuse, injuries, or inflammation. Identifying these underlying issues is crucial for effective treatment and relief.
Shoulder pain is diagnosed through a comprehensive physical examination, targeted tests to determine the nature of the injury, and imaging studies like X-rays or MRIs to visualize the shoulder’s internal structures. This method ensures accurate identification of the issue.
Non-surgical treatments for shoulder pain include NSAIDs, physical therapy, cortisone injections, and modifying activities to alleviate pain and inflammation. These approaches can effectively manage symptoms without the need for surgery.
Surgery is necessary for shoulder pain when non-surgical treatments do not relieve symptoms, often leading to options like arthroscopy or rotator cuff repair depending on the severity of the issue. It is essential to consult with a healthcare professional for an accurate assessment.
To effectively manage shoulder pain at home, apply moist heat or ice packs, modify activities to prevent strain, maintain proper posture, and perform strengthening exercises. These strategies can significantly alleviate discomfort and promote recovery.
New York Office
1160 Park Avenue (corner of 92nd Street)
New York, NY 10128
Phone: (212) 876-5200
Fax: (212) 876-4440
Connecticut Office
31 River Road, Suite 102 Cos Cob,
CT 06807
Phone: (203) 863-2003
Fax: (203) 863-2025
Joseph M. Ajdinovich, M.D.
Fellowship Year 2016-2017
Post Fellowship: Orthopaedic Surgeon, Bonutti Clinic & HSHS St. Anthony’s Memorial Hospital
Effingham, IL
Jeffrey T. Alwine, D.O.
Fellowship Year 2013-2014
Post Fellowship: Orthopaedic Surgeon, Guthrie Corning Hospital, Guthrie Robert Packer Hospital, Guthrie Troy Community Hospital
Corning, New York / Troy, Pennsylvania
Shariff K. Bishai, M.S., D.O.
Fellowship Year 2006-2007
Post Fellowship: Partner, Associated Orthopedists of Detroit
St. Claire Shores, MI
Peter B. Blank, D.O.
Fellowship Year 2005-2006
Post Fellowship: Owner, New Jersey Center for Orthopaedics and Sports Medicine
Basking Ridge, NJ
David B. Dickerson, M.D.
Fellowship Year 2008-2009
Post Fellowship: Owner, Performance Orthopaedics & Sports Medicine
Shrewsbury / Tom’s River, New Jersey
Albert S.M. Dunn, D.O.
Fellowship Year 2013-2014
Post Fellowship: Orthopaedic Surgeon, Precision Orthopaedic Specialties, Inc.
Chardon, Ohio
Eric D. Fornari MD
Pediatric Sports Medicine
Montefiore Medical Center | 3400 Bainbridge Avenue, 6th Floor, Bronx, NY 10467
Monet A. France, M.D.
Fellowship Year 2012-2013
Post Fellowship: Orthopaedic Surgeon, CareMount Medical
Fishkill, New York
Mary Ann Gardner, M.D., Lieutenant Commander, Medical Corp, USNR
Fellowship Year 2007-2008
Post Fellowship: Department of Surgery at James A. Haley Veteran’s Hospital
Tampa, Florida
Michael J. Kaplan, MD
Advanced Knee Reconstruction and Sports Medicine
Active Orthopaedics P.C. | 1579 Straits Turnpike, Middlebury, CT 06762
Harish Kempegowda, M.D.
Fellowship Year: 2018-2019
Post Fellowship: Orthopaedic Surgeon, Horizon Health
Paris, Illinois
Bradley J. Lawson, M.D.
Fellowship Year 2010-2011
Post Fellowship: Orthopaedic Surgeon, Advanced Orthopedics of Oklahoma
Tulsa, Oklahoma
Sheryl L. Lipnick, D.O.
Fellowship Year 2008-2009
Post Fellowship: Physician, The Center for Sports Orthopaedics, S.C
Hoffman Estates / Carol Stream, IL
Timothy A. Luke, M.D.
Post Fellowship: Orthopaedic Surgeon, Minimally Invasive Spine
Fellowship Year 2003-2004
Phoenix, Arizona
Marc J. Philippon, MD
Complex & Advanced Hip Arthroscopic Procedures
Steadman Clinic / Steadman Surgical Skills Lab | 181 West Meadow Drive, Suite 400, Vail, CO 81657
Pedro A. Piza, M.D.
Post Fellowship: Physician, Tenet Florida Physician Services
Fellowship Year 2004-2005
Delray Beach / Boca Raton, Florida
Kevin D. Plancher, MD, MPH
Fellowship Director – Knee & Shoulder Reconstruction, Sports Medicine, and Arthroplasty
Plancher Orthopaedics & Sports Medicine | 1160 Park Avenue, New York, NY 10128
Bioskills Cadaver Lab | 345 East 37th Street, Suite 312, NY, NY 10016
Alberto R. Rivera-Rosado, M.D.
Fellowship Year 2009-2010
Post Fellowship: Owner, Rivera Orthopedics and Sports Medicine
Coamo, Puerto Rico
William I. Sterett, MD
Knee & Shoulder Reconstruction, Sports Medicine, Arthroplasty, and Acute Trauma
Vail Summit Orthopaedics | 108 S Frontage Rd W, Vail, CO 81657
William W. Stewart, M.D.
Fellowship Year 2012-2013
Post Fellowship: Orthopaedic Surgeon, Mercy Clinic Orthopedic Surgery
Edmond, Oklahoma
Francesca M. Swartz, D.O.
Fellowship Year 2010-2011
Post Fellowship: Orthopedic Surgeon, Orthopedic Specialists of SW Florida
Fort Meyers, Florida
Seth R. Miller, MD
Shoulder Reconstruction and Sports Medicine
Orthopaedic & Neurosurgery Specialists (ONS) / 6 Greenwich Office Park, Greenwich, CT 06831
Paul M. Sethi, MD
Knee & Shoulder Reconstruction, Sports Medicine, and Shoulder Arthroplasty
Orthopaedic & Neurosurgery Specialists (ONS) / 6 Greenwich Office Park, Greenwich, CT 06831
William D. Murrell, MD
Fellowship Year 2021-2022
Post Fellowship: Orthopaedic Surgeon, Gardner Orthopaedics and Sports Medicine/Institute for Mobility and Longevity
Ft. Meyers, FL
Tyler J. Brolin MD
Complex Shoulder Arthroplasty & Reconstruction, and Sports Medicine
Campbell Clinic Orthopaedics / 1400 S. Germantown Road, Germantown, TN 38138
Thomas B. Evely, DO
Fellowship Year: 2020-2021
Post Fellowship: Orthopaedic Surgeon, University of Alabama (UAB);
Assistant Professor, Department of Orthopaedic Surgery, Heersink School of Medicine
Birmingham, Alabama
Clifford Voigt, MD
Fellowship Year 2021-2022
Post Fellowship: Orthopaedic Surgeon, SUNY Downstate Medical Center
Brooklyn, NY
Karthikeyan Chinnakkannu, MD
Fellowship Year: 2020-2021
Post Fellowship: Orthopaedic Surgeon, Bronx Care Health System
Bronx, New York
Erik Carlson, MD
Shoulder Reconstruction, and Sports Medicine
Active Orthopaedics P.C. / 1579 Straits Turnpike, Middlebury, CT 06762
Marc S. Kowalsky, MD
Knee & Shoulder Reconstruction, Sports Medicine
Orthopaedic & Neurosurgery Specialists (ONS) / 6 Greenwich Office Park, Greenwich, CT 06831
Rachel M. Frank, MD
Sports Medicine and Cartilage Regeneration
CU Sports Medicine Center / 2000 S. Colorado Blvd., The Colorado Center Tower One, Suite 4500, Denver, CO 80222
CU Sports Medicine & Performance Center / 2150 Stadium Drive, Boulder, CO 80309
Orthopedics-Anschutz / 1635 Aurora Court, 4th Floor, Aurora, CO 80045
Max N. Seiter, MD
Shoulder, Hip and Knee Reconstruction, Sports Medicine, and Acute Trauma
Vail Summit Orthopaedics / 108 S Frontage Rd W, Vail, CO 81657
Demetris Delos, MD
Knee & Shoulder Reconstruction, and Sports Medicine
Orthopaedic & Neurosurgery Specialists (ONS) / 6 Greenwich Office Park, Greenwich, CT 06831
Armando F. Vidal, MD
Knee & Shoulder Reconstruction, Sports Medicine, and Acute Trauma
The Steadman Clinic / 181 West Meadow Drive, Suite 400, Vail, CO 81657
Lauren M. Fabian, MD
Shoulder, Knee & Elbow Reconstruction and Sports Medicine
Orthopaedic Specialty Group (OSG) / 305 Black Rock Turnpike, Fairfield, CT 06825 and 762 River Road, Shelton, CT 06484
R. Tim Greene, MD
Complex Hip Arthroscopy and Sports Medicine
Orthopaedic & Neurosurgery Specialists (ONS) / 6 Greenwich Office Park, Greenwich, CT 06831
Peter J. Millett, MD, MSc
Knee & Shoulder Reconstruction, Shoulder Arthroplasty, and Sports Medicine
The Steadman Clinic / 181 West Meadow Drive, Suite 400, Vail, CO 81657
Jaya Shanmugam, M.D.
Fellowship Year: 2019-2020
Post Fellowship: Orthopaedic Surgeon, Pratt Regional Medical Center
Pratt, Kansas