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The shoulder has the most mobility of any joint in the body. Even small injuries can result in significant loss of use of the shoulder. One of the most common injuries to the shoulder is the Rotator Cuff. The Rotator Cuff consists of 4 separate muscles and can be injured by overuse, repetitive smaller injuries, or a single larger injury. Most injuries will result in either weakness, stiffness, or instability of the joint. Because of the significant number of muscles around the joint, rehabilitation plays an extremely important role in getting back in the game. When surgery is needed to heal injury, minimally invasive techniques are utilized to reduce the length of disability and allow a faster return to activities.

AC Joint Injury (the separated shoulder)

The acromioclavicular (AC) joint is the meeting point of the acromion and clavicle bones in the shoulder area, often indicated with a visible bump in the area. AC joint injuries often occur as a result of a fall or other trauma, which may cause the acromion to move or separate from the clavicle, or cause the ligaments to be stretched or torn.

While conservative treatment is often used first for AC joint injuries, surgery may be required for injuries that are more severe or those that cause prolonged pain.

Labral Tear

A labrum is a protective cuff of cartilage found in ball and socket joints like the hip and shoulder. They provide more stability, cushioning and a full range of motion for these shallow joints. A tear in the labrum, known as a labral tear or Bankart tear, is caused by injury or overuse and can lead to pain and “catching” of the joint while moving. A dislocation of the shoulder is a common cause of labral tears and can result in the shoulder feeling unstable or sliding out of joint.

Treating a Shoulder Dislocation

After a shoulder dislocation, physical therapy is commonly used to help restore motion, reduce pain and regain strength. The labrum has a very poor ability to heal on its own. Labral repair surgery, or Arthroscopic Bankart Repair, aims to repair unstable shoulders with arthroscopic surgery.

What is a rotator cuff?

The rotator cuff is the thick band of muscles and tendons that covers the top of the upper arm and holds in its place, providing stability and a full range of motion to the shoulder joint. It is made of four muscles and their associated tendons. These tendons can become partially or completely torn as a result of a rotator cuff tear. A rotator cuff tear most often occurs as a result of overuse of the muscles over a long period of time. As a result, this condition is most common in patients over the age of 40. It may also occur as a result of a traumatic injury, and involves pain when lifting or lowering their arm, muscle weakness, and atrophy.

Rotator Cuff Repair

Many rotator cuff tears can be treated through nonsurgical methods that focus on relieving pain and restoring function to the shoulder. These may include:

  • Rest
  • Use of a sling
  • Anti-inflammatory medication
  • Steroid injections
  • Physical therapy

Surgery may be recommended for tears that cause severe pain or that do not respond to more conservative treatments. The type of surgery performed depends on the size and location of the tear, but often involves trimming torn edges or suturing the tendon back together.

Schedule a Consultation

To learn more or to schedule a consultation contact us today at (508) 363-6363. Our practice proudly serves Worcester, MA, and surrounding areas.

More Information

I’ve Torn My ACL, Now What?

A torn ACL is a diagnosis that no one wants to have. Studies estimate that between 100,000 and 200,00 people suffer the injury each year. A torn ACL can be particularly troublesome for athletes whose livelihoods often depend on their ability to play. Whether you’re an athlete or not, your priority is to get back in action after you’ve torn your ACL.

Before you get concerned about your recovery, it’s crucial to understand the nature of your injury, your treatment options, and how to have confidence in your knee stability.

How Is a Torn ACL Diagnosed?

If you’re in the midst of activity and you hear or feel a sudden ‘pop’ in your knee, it’s time to see the doctor. During your exam, your doctor will compare the differences in your knees and check swelling, tenderness, and range of motion. Your doctor may call for an x-ray, MRI, or ultrasound to officially confirm the diagnosis.

How a Torn ACL Can Happen

There are many ways to tear your ACL. Any sport or fitness activity that involves sudden stopping, starting, and cutting movements puts you at greater risk.

These include:

  • Soccer
  • Football
  • Basketball
  • Skiing

It can also happen if you take a direct hit to your knee, land awkwardly, or try to pivot if your foot is planted firmly in the ground.

Treating a Torn ACL

Recovering from an ACL tear can be done with or without surgery. However, it depends on the severity of your case and age. 

If you want to take your time, you can opt for a conservative approach to your recovery. Non-surgical options involve wearing a brace and undergoing physical therapy to strengthen and stabilize your knee. 

On the other hand, athletes may have to take more aggressive steps to get back in action as quickly as possible. Reconstructive surgery and physical therapy are primary tools in the recovery process.

The recovery time varies. Typical torn ACL recovery can last between 6 to 12 months, but it can take up to two years to get the knee back to full strength.

Trusting Your Knee Again

Surgery and physical therapy treat the tangible aspects of a torn ACL. However, regaining trust in the stability of your knee is a psychological battle and takes time to overcome. 

Putting your knee to the test after injuring your ACL can be nerve-racking. Following your doctor’s advice and not pushing yourself too hard are a solid foundation for regaining trust in your knee.

Do you have questions about an ACL injury? 

Schedule a consultation with us today by calling (508) 363-6363.