A recently published study outlines an alternative multimodal pain management pathway that eliminates the need for opioids in patients undergoing elective reverse and anatomic total shoulder arthroplasty.
Internal impingement is a specific type of shoulder injury that is seen primarily in throwing athletes.
Shoulder impingement, which people sometimes call swimmer's shoulder, is a condition that causes pain in the shoulder due to a tendon or bursa rubbing against the shoulder blade.
The aim of this clinical laboratory study was to compare scapular and rotator cuff muscle activation between standard and modified exercises.
Elbow stiffness commonly causes functional impairment and upper-limb disability. This study aimed to develop a new pathologic classification to further understand and standardize elbow arthrolysis from a new perspective, as well as to determine clinical outcomes.
Hearing a cracking or popping in the shoulder can be unsettling. However, unless it accompanies pain, swelling, or other symptoms, joint cracking and popping are generally harmless.
Shoulder pain has several possible causes. If shoulder pain increases as you raise your arm, and the pain is worse than when it’s straight out at 90 degrees, your problem may be impingement.
Thoracic outlet syndrome refers to a group of conditions characterized by the compression of the nerves, arteries, and veins that pass through the space between the collarbone and the first rib. This space is known as the thoracic outlet.
Regional anesthesia – specifically, interscalene blocks – have been advocated as an alternative to intravenous opioids to manage pain in patients undergoing primary shoulder arthroplasty. They’ve generally done a good job of providing analgesia. [1-3] The problem, as described by Thomas (Quin) Throckmorton, MD, during a presentation at ICJR’s 7th Annual Shoulder Course, is that interscalene blocks are associated with some pretty serious side effects, including respiratory side effects similar to those associated with opioid use.
Advancements in implant design and more careful patient selection have improved outcomes and longevity of shoulder replacement in recent years. More than 70,000 of these surgeries are done annually, making shoulder replacements the fastest growing joint replacement.