Omaha Rotator Cuff Disorder

The rotator cuff tendons are a common source of shoulder problems. The tendons and tissues around them can become irritated, damaged, or weak because of normal wear and tear over the years, particularly through overuse and repetition of overhead arm movements. This age-related degenerative process can cause one or more tendons to rub against the bones (impingement). Impingement also can be caused by irregularly shaped shoulder bones.

Rotator cuff disorders include inflammation of the tendons (tendinitis) or the bursa (bursitis), a calcium buildup in the tendons, or partial or complete tears of the tendon. Partial tears are not uncommon when the rotator cuff is already damaged, scarred, or weakened. A complete rotator cuff tear in a person with an otherwise healthy shoulder is most often caused by a forceful injury.

Omaha Rotator Cuff Surgery Information

Rotator cuff disorders may be treated nonsurgically, with rest and rehabilitation, or with surgery. Consider the following when making your decision.

> You may be able to stop and reverse early stages of rotator cuff damage with nonsurgical treatment, which includes rest, ice and heat applications, anti-inflammatory medications, and physical therapy. But symptoms that persist for more than 6 months are unlikely to get better without surgery.

> You may want to consider surgery if you have torn your rotator cuff in a sudden injury and the tear is causing weakness. But surgery cannot completely reverse problems that occur with degeneration (wear and tear over the years) of the rotator cuff.

> Whether you choose rotator cuff surgery or nonsurgical treatment, you will need rehabilitation and physical therapy.

Omaha Doctors Detect Frozen Shoulder

Frozen shoulder (adhesive capsulitis) is stiffness, pain, and limited range of movement in your shoulder that may follow an injury. The tissues around the joint stiffen, scar tissue forms, and shoulder movements become difficult and painful. The condition usually comes on slowly, then goes away slowly over the course of several months or longer.

What is the Cause of Frozen Shoulder?

Frozen shoulder can develop when you stop using the joint normally because of pain, injury, or a chronic health condition, such as diabetes or arthritis. Any shoulder problem can lead to frozen shoulder if you do not work to keep full range of motion.

Omaha Frozen Shoulder occurs: > After surgery or injury. > Most often in people 40 to 70 years old. > More often in women (especially in postmenopausal women) than in men. > Most often in people with chronic diseases.

How Do Omaha Doctors Diagnose Frozen Shoulder?

Your doctor may suspect frozen shoulder if a physical exam reveals limited shoulder movement. An X-ray may be done to see whether symptoms are from another condition such as arthritis or a broken bone. An arthrogram, which is an X-ray image of your joint taken after a contrast material (such as a dye or air) is injected into it, can help confirm the diagnosis.

How Do Omaha Doctors Treat Frozen Shoulder?

Treatment for frozen shoulder usually starts with nonsteroidal anti-inflammatory drugs (NSAIDs) and application of heat to the affected area, followed by gentle stretching. Ice and medicines (including corticosteroid injections) may also be used to reduce pain and swelling. And physical therapy can help increase your range of motion. A frozen shoulder can take many months to get better. But if treatment is not helping, surgery is sometimes done to cut some of the tight tissues around the shoulder. This surgery is often done with an arthroscope.

How People in Omaha can Prevent Frozen Shoulder?

Gentle, progressive range-of-motion exercises, stretching, and using your shoulder more may help prevent frozen shoulder.

Omaha Orthopedic Procedures

Top 25 Orthopedic Procedures in Omaha

According to applications for board certification from 1999 to 2003, the top 25 most common procedures (in order) performed by orthopedic surgeons are as follows:

Knee arthroscopy and meniscectomy

Shoulder arthroscopy and decompression

Carpal tunnel release

Knee arthroscopy and chondroplasty

Removal of support implant

Knee arthroscopy and anterior cruciate ligament reconstruction

Knee replacement

Repair of femoral neck fracture

Repair of trochanteric fracture

Debridement of skin/muscle/bone/fracture

Knee arthroscopy repair of both menisci

Hip replacement

Shoulder arthroscopy/distal clavicle excision

Repair of rotator cuff tendon

Repair fracture of radius (bone)/ulna

Laminectomy

Repair of ankle fracture (bimalleolar type)

Shoulder arthroscopy and debridement

Lumbar spinal fusion

Repair fracture of the distal part of radius

Low back intervertebral disc surgery

Incise finger tendon sheath

Repair of ankle fracture (fibula)

Repair of femoral shaft fracture

Repair of trochanteric fracture

Omaha Rotator Cuff Disorders

Types of Rotator Cuff Disorders in Omaha

Rotator cuff disorders are irritations in or damage to tendons around the shoulder. These disorders include inflammation of the tendons (tendinitis) or the bursa (bursitis), a calcium buildup in the tendons, or partial or complete tears of the tendon.

The rotator cuff is a group of four tendons and their related muscles that helps keep the upper arm bone securely placed, or seated, in the socket of the shoulder joint. Problems related to the rotator cuff can cause shoulder pain and reduced mobility. These types of problems may develop as a person ages and the rotator cuff gradually breaks down (degeneration). Omaha sports and activities where you use your arms above your head a lot-such as tennis, swimming, or house painting-are also a common cause of rotator cuff injury. Age-related degeneration slowly damages the rotator cuff, causing one or more tendons to rub against the bones (impingement). Partial or complete tears to a rotator cuff tendon are more likely to occur when the rotator cuff is already weakened or damaged. A complete rotator cuff tear in a person with an otherwise healthy shoulder is most often caused by an extremely forceful injury.

Symptoms of Omaha Rotator Cuff Disorders

Symptoms of rotator cuff disorders include shoulder pain, weakness, and stiffness, most often on the front and side of the shoulder and upper arm.

Early minor shoulder problems usually heal with home treatment, such as ice and resting the shoulder. Physical therapy and medicines to reduce inflammation and relieve pain may be recommended. Surgery may be used to remove loose fragments of tendon and other debris from around the joint, to open up space in the joint, or to repair a torn rotator cuff tendon.

Omaha SLAP Tear Information

What is a SLAP tear?

A SLAP tear is a specific kind of injury to your shoulder.

To help make your shoulder more stable, there is a ring of firm tissue, called the labrum, around your shoulder socket. The labrum (say “LAY-brum”) helps keep your arm bone in the shoulder socket.

SLAP stands for “superior labrum, anterior to posterior“; or in other words, “the top part of the labrum, from the front to the back. It refers to the part of the labrum that is injured, or torn, in a SLAP injury.

What Causes a SLAP Tear in Omaha, Ne?

The labrum frays or tears because of an injury. You may get a SLAP tear if you: Fall on your outstretched arm. Fall on your shoulder. Brace yourself with your outstretched arm in a car accident. Lift heavy objects repeatedly or too suddenly. Do a lot of overhead activities, such as throwing a baseball. This injury was first identified in the 1980s in athletes, like baseball players, whose sport requires them to do a lot of overhead throwing. Many people with SLAP tears also have other shoulder injuries, such as a tear in the rotator cuff.

What are the Symptoms of a Omaha SLAP Tear?

Symptoms of a SLAP tear may include: Popping, clicking, or catching in the shoulder. Pain when you move your arm over your head or throw a ball. A feeling of weakness or instability in the shoulder. Aching pain. People often have a hard time describing or pointing to exactly where the pain is.

Omaha Wrist Sprain Information

What is a Wrist Sprain?

A wrist sprain is a common injury for all sorts of athletes. All it takes is a momentary loss of balance. As you slip, you automatically stick your hand out to break your fall. But once your hand hits the ground, the force of impact bends it back toward your forearm. This can stretch the ligaments that connect the wrist and hand bones a little too far. The result is tiny tears or — even worse — a complete break to the ligament.

Treatment for Wrist Sprain in Omaha, Ne

While they can bench you for a while, the good news is that minor-to-moderate wrist sprains should heal on their own. They just need a little time. To speed the healing, you can: Rest your wrist for at least 48 hours. Ice your wrist to reduce pain and swelling. Do it for 20-30 minutes every three to four hours for two to three days, or until the pain is gone. Compress the wrist with a bandage. Elevate your wrist above your heart, on a pillow or the back of a chair. as often as you can. Take anti-inflammatory painkillers. Non-steroidal anti-inflammatory drugs (NSAIDs), like Advil, Aleve, or Motrin, will help with pain and swelling. However, these drugs can have side effects, like an increased risk of bleeding and ulcers. They should be used only occasionally, unless your doctor specifically says otherwise. Use a cast or splint to keep your wrist immobile. This should only be for a short time, until you see the doctor. Then follow the doctor’s advice about whether or not to continue using a splint. Using a splint for too long can result in more stiffness and muscle weakness in some cases. Practice stretching and strengthening exercises if your doctor recommends them.

How Can I Prevent Wrist Sprain in Omaha, Ne?

Wrist sprains are hard to prevent, since they’re usually caused by accidents. Even the best-trained athlete can slip. But always make an effort to exercise safely. Some athletes benefit from using wrist guards or tape. These may prevent the wrist from bending backward during a fall. Learn more about sports medicine in Omaha, Ne.

Omaha Hand Osteoarthritis Information

What is Hand Osteoarthritis?

Osteoarthritis of the hand occurs more frequently in certain spots:

In the joint located at the base of the thumb, where the thumb meets the wrist. You may have bumps or bony knobs located near the site of the arthritis.

In the joint at the end of the finger closest to the nail. Bumps called Heberden’s nodes might show up there.

In the joint in the middle of the finger. This spot gets bumps called Bouchard’s nodes.

With osteoarthritis that is located at the base of the thumb, there is often a deep, aching pain. You may have trouble gripping or pinching things with any kind of strength, or opening lids or turning keys.

How is Omaha Hand Osteoarthritis Diagnosed?

To diagnose osteoarthritis, your doctor will conduct a physical exam and take a medical history. Some symptoms of arthritis are noticeable, such as swelling, warmth, deformity, and loss of motion. Tests that may be used to diagnose arthritis include: X-rays (which may show changes in bones or the development of bone spurs), bone scans (which may show arthritis even before the changes show up on X-rays).

How is Omaha Hand Osteoarthritis Treated?

The main goals of osteoarthritis treatment involve reducing or eliminating pain and/or restoring function and mobility. The following nonsurgical treatments may be used: Resting the joints, Heat treatments such as paraffin baths or cold treatments, Topical treatments such as capsaicin cream, Performing exercises given by your doctor or occupational therapist, Steroid injections into the affected joints.