The Most Common Types of Shoulder Pain, Explained

The shoulder is an efficient combination of joints, muscles and tendons that enable a wide variety of movement and range of motion. However, its utility and versatility make the shoulder prone to a variety of injuries and conditions. In fact, shoulder pain will affect up to 70 percent of the population in their lifetime. It can be disabling and result in a host of unwanted consequences.

Below are some of the most common painful shoulder conditions:

Biceps Tendinitis

The biceps tendon is a structure that connects the biceps muscle to the humerus (upper arm bone) bone near the shoulder joint. Biceps tendinitis, a common cause of shoulder pain, is an irritation or inflammation of the upper part of the tendon.

Causes

Often, biceps tendonitis is due to wear and tear. It can also be connected to other shoulder issues, such as instability, shoulder impingement or a rotator cuff injury. It is particularly associated with damage to the rotator cuff tendon.

Repeated motion in work or sport—particularly those activities that require overhead motion, such as construction work, painting, swimming, tennis and baseball—can also cause biceps tendinitis.

Treatments

  • Rest (from overhead activity)
  • Ice
  • Medication
  • Physical therapy
  • Steroid injections

Surgery-If more conservative measures have been exhausted, surgery may be indicated. This may entail biceps tenodesis, which is detaching the tendon from the shoulder socket and reattaching it to the upper arm bone.

Rotator Cuff Tear

The rotator cuff is involved every time you move your shoulder. It helps to stabilize the shoulder. So, it stands to reason that it is a commonly injured area. Rotator cuff tears can either be partial or incomplete (a tear that is frayed), or complete, which entails a tear that goes completely through the tendon.

Causes

There are two main causes of rotator cuff tears. They can occur from an acute injury (such as a fall or other cause of severe twisting motion of the joint). An acute injury can also be caused by the stress of improperly lifting a heavy object.

However, most rotator cuff tears occur due to progressive degeneration (wear and tear) over time. The incidence of tears increases with aging. It is important to determine the cause of a rotator cuff tear since this impacts what treatment is recommended.

Treatments

  • Rest
  • Modified activity
  • Medications
  • Physical therapy
  • Steroid injections

Surgery: If conservative measures have not offered relief or if the tear is severe, surgery may be indicated. This is particularly the case for athletes or those who engage in repetitive overhead movement, since many tears do not heal on their own.

Shoulder Impingement

Shoulder impingement syndrome, which is also sometimes called “bursitis” or “tendinitis”, occurs with the repetitive compression (“impingement”) of the rotator cuff during movement. A thorough and careful examination is the best approach to a personalized diagnosis.

Causes

Shoulder impingement is also the result of repeated overhead activity involving the shoulder. It can also be caused by a shoulder injury. Finally, in some cases, there is no known cause of the condition.

Treatment

  • Rest (from overhead activity)
  • Ice
  • Medication
  • Physical therapy
  • Steroid injections 

Surgery: If other treatments do not provide results, surgery may be indicated to increase the space around the rotator cuff. The procedure, which can usually be done with minimally invasive arthroscopy, allows free movement without the compression or rubbing on the bone and the resulting pain.

Frozen Shoulder

Frozen shoulder, technically called adhesive capsulitis, is a condition causing stiffness, pain and immobility in the shoulder joint. It is due to a thickening and tightening of the shoulder joint capsule which restricts room for movement.

Causes

While the causes are usually unclear and cannot be identified, some people suffer frozen shoulder following a recent injury or fracture to the area which resulted in a need to immobilize the shoulder. In about 10 to 20 percent of cases, it can be caused by diabetes. Other medical problems may put people at risk for frozen shoulder (hypothyroidism, hyperthyroidism, Parkinson’s and cardiac disease).

Treatments

  • Medications
  • Physical therapy
  • Steroid injections

Surgery is rarely required for frozen shoulder. Although recovery can take a long time (up to a couple of years), in the majority of people it resolves on its own with the use of nonsurgical treatments. In the event of surgery, manipulation under anesthesia and/or arthroscopy are performed to release the scar tissue.

If you’re having shoulder pain, contact us today to find out what’s wrong and how we can help.

NEOSM Collects for Cancer

Northeast Orthopedics and Sports Medicine (NEOSM) participated in a cancer awareness initiative on October 21, 2016. During this designated day, employees were permitted to dress down and wear something pink as long as they donated a minimum of $5.00.

NEOSM collected a grand total of $550, with all proceeds donated to the American Cancer Society in White Plains, NY.

November NEOSM Food Drive

Northeast Orthopedics and Sports Medicine (NEOSM) is proud to be hosting a food drive at all of our convenient locations. The drive will continue throughout the course of November with all donations going to People to People, Rockland County’s largest food pantry.

NEOSM is fully committed to helping friends and family in the community through this and other outreach programs. Click here for the complete list of requested items for those in need.

Come forward, and give back today!

NEOSM Gives Back: First Successful Drive for Local Schoolchildren

Northeast Orthopedics and Sports Medicine (NEOSM) banded together to provide $1000 worth of school supplies to East Ramapo children heading back to school this fall. 75 backpacks filled to the brim with supplies including scissors, pens and pencils were given to children of struggling families. A ceremony was held at NEOSM’s Nanuet location to present the donation to the superintendent.

“It’s an opportunity to give back to the community,” stated Carol Garabed, Director, NEOSM Human Resources. “We’re very excited about how this went.”

Northeast Orthopedics and Sports Medicine Now One of the Largest Orthopedic Practices in New York

A series of individual orthopedic practices have integrated to form a massive musculoskeletal practice now known as Northeast Orthopedics and Sports Medicine (NEOSM). As a result, NEOSM is one of the largest and most comprehensive orthopedic practices in New York State.

NEOSM is comprised of five smaller orthopedic practices that came together to provide more comprehensive care to the region:

  • Advanced Orthopedics and Sports Medicine
  • Clarkstown Orthopedics
  • Orangetown Orthopedic Associates
  • Premier Orthopaedics of Westchester and Rockland
  • Rockland Orthopedics and Sports Medicine

Serving Rockland, Westchester and Orange County, as well as Bergen County, New Jersey and the surrounding areas, NEOSM has become a major player within the region.

“We are very excited to be uniting these five elite practices under one banner,” states Dr. Cheryl Rubin, an orthopedic surgeon at NEOSM who has been practicing in the region for over 20 years. “By joining forces and working together as a coordinated team, we can provide complete and superior orthopedic care, pain management and rehabilitative services to the patients in our communities.”

With the tagline One team. One goal. Orthopedic excellence., that’s certainly true. NEOSM provides a variety of specialties and utilizes a team approach for the best possible diagnosis, treatment and continued care of all orthopedic disorders. Among the providers are fellowship trained physicians in various specialties, including:

As part of the integration of the practices into one unified entity, NEOSM has just revealed its official branding, complete with the launch of a new comprehensive website:
www.NEOSMTeam.com

ABOUT NEOSM
Northeast Orthopedics and Sports Medicine (NEOSM) is a premier orthopedic practice proudly serving the New York and New Jersey area with 10 convenient locations. Notably one of the largest musculoskeletal practices in the region, the NEOSM team provides complete, comprehensive care to the community. With a multidisciplinary approach, the elite physicians and staff effectively treat a variety of orthopedic conditions and illnesses as part of a treatment plan tailored to meet individual needs.