What makes rotator cuff tear different from impingement?

What makes rotator cuff tear different from impingement?

Most of the athletes and often non-athletes rely on their physical strength for various activities and tend to overuse their joints and muscles to outperform in the game or routine life. This tendency sometimes leads to a series of consequences and rotator cuff injuries is one of them. Do you know that the most common sports injury and cause of shoulder problem are rotator cuff injuries? Moreover, if these injuries are not treated well, then it can leave an impact on their sports career as well as regular daily activities. This is the reason that one should consult a specialist for adequate care and the right treatment. The prime challenge is to find the exact cause of shoulder pain as sometimes the symptoms of rotator cuff impingement seem to be similar to rotator cuff tear. Let’s discuss the difference to clear off the layer of confusion.

Understanding the anatomy

Shoulder joint constituents three bones termed as the clavicle, scapular bone, and humerus. But this ball and socket joint is not stable enough to perform the movements with grace. Many ligaments and muscles wrap this joint to provide stability and strength. The main ligaments present in this complex joint are named- Glenohumeral ligaments, Coracoacrmial arch, and Coracoclavicular & acromioclavicular ligaments. These ligaments keep the joint intact and maintain integrity. There are many muscles present in a shoulder joint and serve different purposes. The muscles are:

  • Rotator Cuff

These act as stabilizers for the joint and consist of 4 different muscles to form a cuff that is strong enough to hold the humeral head in its place during any shoulder movement. These muscles are:

  • Infraspinatus: helps in shoulder rotation and extend
  • Teres minor: assists in rotary movement
  • Supraspinatus: allows internal rotation
  • Subscapularis: helps in lifting the arm
  • Scapulothoracic muscles

These muscles connect the scapular bone to the axial skeleton. It comprises of rhomboids, trapezius, and levator scapulae muscles.

  • Biceps

The long head of the Biceps (one of the origins of the biceps muscle from inside the joint) assists to hold the joint in place and allow several movements like arm raising, elbow bending, etc.

  • Deltoid Muscles

These provide strength to the shoulder joint in various movements and comprise deltoid and pectoral muscles.

Digging into the difference between Rotator cuff impingement & tear

  • Rotator cuff impingement

It is a severe injury that can eventually lead to other shoulder problems. Although it is not a complete tear, but can’t be taken lightly as the tendons present near the shoulder joint are inflamed. So, whenever the bones come in contact with these swollen tendons, an intense pain stirs up in the body and progresses to further complications. The range of rotator cuff impingement goes from tendon inflammation to thickening & scarring of the bursa that is present in the affected region.


The causes of this shoulder problem can be the following:

  • Wear & tear of muscles due to ageing
  • Repetitive movements
  • Traumatic injury to the shoulder
  • Overhead or overstretched arm movements


  • Sharp pain that intensifies with overhead movements
  • Experiencing pain while:
  • Moving the hand behind the back
  • Raising the arm
  • Lying on the shoulder
  • Swinging the arms
  • Lifting the arms


  • Rotator Cuff Tear

It can be further classified into 2 types. These are:

  • Partial tear: only a segment of the muscle is torn
  • Complete tear: the entire muscle is torn and can even cause damage to the tendon


It can be caused due to a direct or indirect blow on the shoulders or while lifting very heavy-weights. Continuous strain on the shoulders due to overuse and repetitive movements can also lead to this problem.


Although the symptoms of this shoulder problem are similar to the rotator cuff impingement, there is a slight difference. The patient may experience some weakness along with pain or/and a popping sound during any shoulder movement.

One may feel the weakness while performing the following movements:

  • Raising the arm
  • Lifting objects above his shoulder level
  • Punching any object

The torn rotator cuff can lead to a dark life and needs immediate medical help. So don’t neglect the shoulder pain and get a diagnosis made under expert supervision. It will help you to know the exact cause and its severity so that the doctor can plan the treatment procedure accordingly.

If you are looking for an experienced shoulder surgeon in Gurgaon, consult Dr. Reetadyuti Mukhopadhyay. He will try to heal the problem while following the most effective approach.

Homely ways of treating unstable shoulder

Homely ways of treating unstable shoulder

People are getting more aware of shoulder problems. One of the most common shoulder problems is shoulder instability and affects  the young and active population more when compared with other categories of the population.

Understanding about the shoulder joint & shoulder instability in depth

This ball and socket joint is complex, mobile and allows movement in 3 planes (frontal, sagittal, and transverse) along with rotational movement as well. It facilitates the movement of the arm in 360 degrees. The glenoid cavity is shallow when compared to the humeral head. Although many tissues and ligaments surround this glenohumeral joint for a stable and smooth functionality, but the joint capsule is somewhat lax. The range of motion of the shoulder joint is facilitated by  secondary movements from dynamic & synchronized articulation present at 4 different joints

  • Sternoclavicular
  • Glenohumeral
  • Scapulothoracic
  • Acromioclavicular


The medical condition that is known as ‘shoulder instability’ refers to the inability to sustain the ball of the joint intact in its socket. It happens due to the disruption of the integrity of the regular anatomy of the joint. You may feel like your shoulder is slipping from its location while moving the arm.

A well-planned exercise regimen can be useful in optimizing the functioning of your shoulder joint. But remember to consider an expert’s advice before starting this exercise program.


The 3-segment homely way for treating unstable shoulders

Segment 1: Exercises to prevent the popping out of the joint

The initial segment of the exercise program focuses on avoiding the popping out of the joint.

To perform such exercises, you may need help from others who can place their hands on the joint to maintain its placement. Try to move your arm slowly in different directions till the extent of not popping out of the place

Segment 2: Strengthen the rotator cuff & Deltoid

This segment of the reconditioning program focuses on the strengthening of the rotator cuff muscles by working against the resistance in the anterior-posterior rotation. It is crucial for your shoulder to have strength as well as endurance of internal & external rotation and hence should perform some exercises targeting the rotator cuff.


  1.  Hold your hands in front and pull the arm of the affected shoulder in towards the other side of the shoulder in the inward direction. Then move your arm in the outward direction slowly.
  2. Take an elastic band and fix it on a wall. Pull the band in inwards direction. Repeat it 3-5 times. Then hold the band in your hands in the front and try to stretch it as much possible. Repeat this movement 3-5 times.
  3. Take an object for weight like a small bottle filled with water and lie down. Hold the bottle in the affected arm and move your arm in the sideways direction. Repeat it for 5-8 times.


Segment 3: Train the scapular muscles

Usually, if your scapula is weak or loose, then it becomes unstable and the prime objective of this segment is to strengthen it and eliminate some problems that may have emerged due to lack of reconditioning and synchrony.

  1. Lie down straight and hold any object with your both hands and lift your hands straight up. Place your hands closer to each other and hold this posture for 5 seconds. Then repeat this exercise with a long object like a stick so that you can place your hands apart while holding it.
  2. Lie down and lift a small bottle filled with water at 90 degrees angle from your affected shoulder. Repeat this movement 5-8 times. Then, lie on a couch to elevate your back. Now perform the same movements so that your arm is lifted in more than 90 degrees. You can even perform it standing position.
  3. Take a bottle and lift it in the in-out direction slowly. Repeat it 8-10 times.
  4. Take an elastic band and place it under your foot of opposite side (it mean under left foot when performing the exercise with the right arm and vice-versa). Try to stretch the band by moving your arm in outwards direction.
  5. Do some cycling and aerobics every day to improve the endurance of your shoulder joint.

Moreover, never miss medical help and consult a shoulder specialist for the treatment of shoulder instability. In case if you are looking for a shoulder specialist in Gurgaon, then you can consult Dr. Reetadyuti Mukhopadhyay. He has treated many complex shoulder problems with effectiveness.


Age factor on Shoulder Dislocation

Age factor on Shoulder Dislocation

All the joints have a significant purpose and hence everyone needs to cherish them. Our shoulders are on the same list and need our special care. Working or driving for too long in the same posture can lead to shoulder pain. Similarly, kids getting a bang on the shoulder while playing can cause a shoulder dislocation. This shoulder problem is quite common in all age groups. Let’s discuss the age factor related to shoulder dislocation.

How shoulder dislocation occurs?

If the rounded upper end of the arm bone shifts out of its socket in the shoulder blade (scapula), then this condition is called dislocation. It limits the range of motion and causes pain in the joint. The cup-shaped socket of the shoulder is shallow as compared to other ball and socket joints, making it more vulnerable to dislocation.

Shoulder Dislocation and young kids

The joints of the kids are tender and prone to problems like dislocation. Being a parent, you may be worried about potential grave injuries like fractures and shoulder dislocation. Hence, raising your kid  as an athlete means a higher risk of shoulder dislocation. Especially when we discuss about the older teens, a dislocation can lead to recurrent dislocation which can complicate the situation and raise a question if the surgery is the right way to treat the problem.

According to a study, teenagers who suffer from shoulder dislocation once may suffer from the same problem again within 2 years. In the case of boys, the probability rate of recurrence is 86% and for girls, this figure is 54%.

For kids, this shoulder problem can even affect their mental & emotional well being. Your kid may feel alone and depressed because of the inability to play again with his friend. Moreover, we can’t forget that the shoulder is the core area for the development of the arm.

Important signs that you should monitor

There are many signs that you should watch for as they indicate shoulder dislocation.

  • Extreme shoulder pain
  • If your child is using his other arm to support his injured arm to take off the pressure and weight.
  • Tingling sensation or numbness in the arms or hand

Moreover, there can be a possibility of Rotator cuff tear in the process of pulling off the arm bone from its socket or while reducing it; particularly in the ageing population. Such a shoulder problem can affect the healing process of shoulder dislocation. Thus, it should be examined thoroughly.

Shoulder Dislocation and elderly people

Although the incidence of shoulder dislocation is the same for people of any age group, injuries in elderly people are usually neglected or misdiagnosed and it may lead to further complications. As per a study published in the Journal of the American Academy of Orthopaedic Surgeons, there is a slight difference in the dislocation injuries between older and younger patients and recommends a through examining the older patient that can help in improving the process of diagnosis and management of interrelated injuries. According to the conclusion of this study, there is a need to understand the different ways of dislocation and how it can affect patients who are above 40 years of age and it is the first step in making a precise diagnosis of injuries that are related to dislocation.

Due to aging, the rotator cuff tissues tend to become weaker and more prone to injuries and hence older patients are more likely to suffer from injuries related to the rotator cuff.

Some facts related to this subject as per the study:

  • One in five shoulder dislocation patients is aged 60 or more.
  • 90% of patients who faced the problem of multiple dislocations were in their 20s and 30s.
  • In older patients, the occurrence of rotator cuff tears in shoulder dislocation ranges from 35%-86%.

Treatment of shoulder dislocation

As we discussed how age can play an important factor in the occurrence of shoulder dislocation, the treatment approach is different for every patient. It depends on the age and complexity. So if you ever experience shoulder pain, then ask for medical help as soon as possible.

You can even consult Dr. Reetadyuti Mukhopadhyay, an experienced shoulder doctor in Gurgaon for the treatment of shoulder problems. He will try his level best to effectively heal your shoulder pain.

Problems faced during shoulder instability

Problems faced during shoulder instability

Shoulders are crucial joints and help in everyday activities. But shoulder problems can hamper our daily activities. Shoulder instability is the second most common problem after Rotator cuff tear. A patient suffering from shoulder instability may face difficulty in lifting the arm, throwing an object or even putting on clothes. So let’s discuss more shoulder instability and the problems associated with it.

Know more about the shoulder anatomy

The shoulder joint can be categorized as a ball and socket joint. It consists of the labrum (a type of fibrocartilage tissue) which supports in forming a suction cup for the humerus (arm bone), thus leading to stability and improved mobility of the joint. Ligaments bind the arm bone to the cup providing static stability. Rotator cuff and the muscles functioning to stabilize the Scapula and the arm bone on the scapula/cup facilitates in dynamic stability of the joint.

What does shoulder instability mean and what are its associated problems?

It is a condition wherein the structures near the shoulder joint don’t function properly and hold the ball of the joint firmly with the socket. When the joint is loose, then this condition is known as subluxation and if the joint comes out entirely from the place, then this medical condition is known as shoulder dislocation and it is an advanced stage of shoulder instability.

Another problem attached to shoulder instability is Superior Labrum anterior-posterior lesion which can be abbreviated as SLAP lesion. It develops in a situation when the arm is compellingly moved in a  direction that it tears the biceps tendons and Labrum cartilage from the socket in an anterior-posterior direction.

A tear on the anterior-inferior or posterior-inferior portion of the Labrum along with an anterior or posterior dislocation can lead to the development of Bankart lesion or reverse bankart lesion. It is usually observed in recurrent dislocation.

Patients who suffer from such medical problem often complain about the sensation of discomfort and shifting of the joint from its destined location. These feelings are termed as apprehension by medical experts.

Causes of shoulder instability

People who have suffered from shoulder dislocation are at a higher risk of developing chronic instability. If their ligaments get torn or heal too slackly, then it may lead to recurrent dislocation.

People who are involved in repetitive overhead activities along with some inhehert dysfunction of the tissues and muscle coordination may face the problem of multidirectional shoulder instability (abbreviated as MDI) or loosening of the joint.

Most of the athletes such as swimmers, basketball players, baseball/cricket pitchers, volleyball players, etc. overstretch their arms while playing and hence are at a higher risk of developing chronic shoulder instability. Moreover, people involved in professions like painting are also prone to this shoulder problem.

Usually, people with any connective tissue disorder have loose joints. So if the connective tissues present near the shoulder joint are weak or degenerated, then this will lead to a loose shoulder joint and it can cause joint laxity or double-jointedness. Eventually, it can become a cause for shoulder instability.

The treatment approach for healing such problems depend on the severity of the shoulder instability. You should seek medical help for a better clarification. You can contact Dr. Reetadyuti Mukhopadhyay, an experienced shoulder doctor in Gurgaon for help. He will try his best to cure your shoulder problem as soon as possible.

All About Shoulder Instability

All About Shoulder Instability

The human body is unique and enables us to do different types of movements like running, swimming & climbing, handstand,  rotating our shoulder, hanging off things. Our shoulders are designed in such a way to maximize our movements in various directions and to make the wide range of movements possible the shoulder joint has a small & shallow socket and big ball making it prone to dislocations.

  • Reasons for Shoulder Instability:

An acute dislocation often follows an injury that causes the shoulder to pop out from its normal position. The injury is significantly painful and makes any movement painful. The only solution is to relocate the shoulder back to its normal position. It is generally achieved by maneuvering the joint to put the ball back into the socket.  It’s highly recommended to get professional assistance to minimize the complications.

An episode of dislocation causes

  • The labrum to get torn away from the bone.
  • The ligaments and the capsule get stretched.

These changes predispose the joint to further dislocations.

The right treatment is important to avoid multiple episodes of dislocation that may occur during normal day to day activities.

shoulder specialist in Gurgaon

  • Types of Treatment:

It depends upon the type of dislocation. The advancement in medical knowledge provides better options to choose between. various advanced investigations when required allows for better planning and prognosticating the patients. this makes the patients better aware of the conditions and allows them to make an informed decision with regards to the treatment of the condition.

Shoulder dislocation may be treated by

  • Surgical treatment
  • Conservative treatment

It still remains one of the most crucial topics by comparing immediate or delayed surgery or non-surgical treatment.

The surgical treatment is advised for the younger and active people like athletes, and people around the age group of 20-45, while elderly patients may be offered a non-surgical treatment provided there is no other significant tissue tear.

  • Tips to keep shoulder healthy:

There are many ways you can keep yourself active, daily exercise will definitely reduce the chances of injury. Make sure you get professional assistance before starting any kind of exercise on your own.

Proper training is important for athletes, and gymnast,s and other people in contact sports or other forms of performing arts to build better strength and flexibility.

The training phases include:

  • Shoulder mobility:
  • Shoulder Strengthing:

Shoulder strengthening includes strengthening the shoulder blade muscles, the rotator cuff and the deltoid muscle. Two forms of strengthening are

  • Eccentric strengthening
  • Concentric strengthening

It is important to know the correct way of doing these exercises and also to know when to do which exercise. Professional guidance and supervision is advisable.

If you are looking for a trusted and experienced shoulder specialist in Gurgaon, then you may consult Dr. Reetadyuti Mukhopadhyay. He has many years of experience in treating shoulder problems and will try his best to help you in getting rid of shoulder pain.

Reverse total shoulder arthroplasty treatment and what to expect

Reverse total shoulder arthroplasty treatment and what to expect

The shoulder is a complicated joint and any injury or problem in this joint can hamper your day-to-day activities. With the evolution of technology in the field of medical science, many treatment procedures are introduced in this sector to treat shoulder problems and help patients regain good functionality. One such treatment method is Reverse Total Shoulder Arthroplasty. Let’s discuss more on this topic here.

What is reverse total shoulder arthroplasty?

Shoulder replacement can be a great option to treat arthritis but the case is not the same with large Rotator cuff tears. The rotator cuff may also become non-functional in long term arthritic shoulders. In such cases, Reverse Total Shoulder Arthroplasty is an effective surgical treatment procedure and can improve the range of motion as it uses different muscles to move the arm.

Usually, in a shoulder replacement surgery, the surgeon tries to recreate the actual anatomy of the shoulder with the help of the implants. Herein, a cup is fixed in the shoulder socket. Furthermore, a metal ball is attached to the humerus. On the other hand, in reverse total shoulder arthroplasty, the placement of the cup and the ball is switched and hence “reverse” word is added in the name.

The prime advantage of this treatment procedure is the fact that the centre of rotation is stimulated inferiorly and is medialized. It allows the deltoid muscle to align and sync with a longer fulcrum and provides more mechanical advantages for damaged rotator cuff muscles. Furthermore, it enhances shoulder abduction.

When do you need reverse total shoulder arthroplasty?

  • In case suffering from Cuff tear arthropathy, antero-superior escape, or pseudoparalysis,
  • Experiencing shoulder dislocation, severe rotator cuff tear
  • Failed shoulder replacement surgery
  • A complex fracture (proximal humerus fracture)
  • No response of the body on the non-surgical treatment procedure
  • Presence of a tumour in the joint


What should you expect?

This surgical process will be performed like other shoulder surgeries by making some incisions and implanting some man-made components to get back the shoulder mobility. The complete procedure may take around 1-2 hours. Usually, a patient is able to move his elbow and wrist soon (next day).

Your shoulder pain will not vanish suddenly after surgery and you need to follow a rehab plan for complete recovery.  After the surgery, you may experience a relief in pain but have to work on the mobility and strengthening of the tissues. There may be some preventive measures that your surgeon will recommend you to follow.  Moreover, you may be advised to take some sessions of physical therapy. So before going for the surgery, you should discuss the complete rehabilitation pan and timeline with your medical expert. If you are looking for an experienced shoulder surgeon in Gurgaon, then you can contact Dr. Reetadyuti Mukhopadhyay. He has many years of experience in treating shoulder problems and will try his level best to help you in getting rid of shoulder pain as soon as possible.

Top 5 Post shoulder replacement surgery suggestions that can be helpful

Top 5 Post shoulder replacement surgery suggestions that can be helpful

In the case of an irreparable shoulder injury or problem, your orthopedic surgeon may suggest you undergo reverse shoulder replacement surgery. But there are a few suggestions that will help you in faster recovery post-surgery.

  • Changes in swimming movements

If you love swimming, then post shoulder surgery, you may have to adapt some changes in your swimming movements. For instance, a butterfly and overhead crawl will be difficult to perform. But breaststroke movement will be fine and workable.

  • Avoid activities involving overhead movements during initial days post-surgery

If you are thinking to paint the wall or replace the bulb by overstretching your arm, then avoid doing it. Ask for assistance for performing such tasks.

  • Go easy on your shoulder joint while dressing up

Soon after the shoulder surgery, avoid overstretching your arms to button up the hooks at the back or insert a belt in the back.  Hopefully, these dress tips can be helpful:

  • Inserting the belt in the loops of the pair of trousers before wearing it
  • Wear something comfortable and loose at the shoulder joint
  • Put your affected shoulder in your jacket first and then the other one. You can also ask for help while wearing jackets and overcoats


  • Use a scrub brush to reach your back while bathing

Due to the replacement surgery, the range of the motion may get affected in the initial phase of rehabilitation. But with time, it will improve. So during the recovery phase, you may find it difficult to scrub your back while bathing. So, to overcome this challenge, you can try a scrub brush for scrubbing your back as it is more convenient.

  • Strengthen muscles with a rehab plan

It is suggested that you should participate in a physical therapy session that can help you in strengthening the muscles. Moreover, you will be able to improve the range motion and recover soon. Your rehab plan may include various things like a few exercises, a specified diet, and many more. So kindly follow it without a miss. Also, try not to lift heavy weights with a single hand in the initial phase of recovery.

So these were some suggestions that may be helpful. But for more information and personalized guidelines, you may ask your medical expert. If you are looking for an experienced shoulder doctor in Gurgaon, then contact Dr. Retadyuti Mukhopadhyay. He will try his best to heal the shoulder problem effectively and can guide you with the treatment for shoulder replacement surgery.  Hopefully, he will be able to help in curing your shoulder problems.

When is shoulder arthroscopy recommended?

When is shoulder arthroscopy recommended?

The shoulder is one of the crucial joints that is used in everyday activities. But there are times when one experiences severe shoulder problems. Immediate medical help is required to treat and cure such problems and the method to heal it depends on its intensity and cause. Shoulder arthroscopy is a surgical way to treat shoulder problems.

Arthroscopy word is derived from the conjunction of two Greek words. These words are “Arthro” (meaning joint) and “skopein” (which means to look). During shoulder arthroscopy, the surgeon inserts an arthroscope into the shoulder joint. An arthroscope is a device constituting of a small camera that can provide an insight into the body on the screen and guide the surgeon in the complete. Let’s discuss more on this surgical method.

When is Arthroscopy suggested for shoulders?

If your shoulder pain does not respond to the non-surgical treatment, then your doctor may recommend you to undergo this surgical process. The shoulder pain can be caused due to overuse, ageing, wear & tear, or any injury. Moreover, there are many shoulder problems that can be treated through this procedure. It includes damage to the labrum, rotator cuff tendons, articular cartilage, and other tissues of the shoulder joint.

Generally, the arthroscopic procedure can be helpful to treat the following problems:

  • Labrum repair
  • Repair of rotator cuff
  • Damaged tissues/lose cartilage removal
  • Recurrent shoulder dislocation repair
  • Bone spurs removal
  • Nerve release
  • Fracture repair
  • Cyst excision


How to decide if you need to go for it or not?

If you are not getting relief in the shoulder pain and after a thorough examination and your orthopedic doctor suspects that this condition can be improved with the help of surgery, then you should think about this treatment procedure. Although it is an elective method, if your body is ready for the surgery and it can be helpful heal the pain, then it will be great to go for it but in the end, it is completely your choice.

How to prepare yourself for it?

The foremost thing is to visit your surgeon and discuss the procedure, time is taken for recovery, and associated complications. This will help you to schedule your days accordingly and be mentally ready. It is advised to inform the surgeon about the medication or supplements that you are presently taking. There may be a chance that your doctor may recommend you to discontinue them for a short period depending on your current situation to prevent further complications. Moreover, a pre-anesthesia check-up will be conducted before surgery to check if the body is healthy enough or not.

Once it is clear that you are fit, then only surgery is scheduled. Also, follow all the instructions that your doctor has given to ensure great results from this arthroscopy. If you are looking for a shoulder specialist in Gurgaon, then you may contact Dr. Reetadyuti Mukhopadhyay. He will try his best to treat your shoulder pain in the most effective manner.

Arthritis & Bursities – a curse for your shoulders

Arthritis & Bursities – a curse for your shoulders

Your shoulder is a complex joint constituting some bones, muscles, ligaments, and tendons. But there are many reasons that can lead to shoulder pain and later become a hurdle in performing regular activities. Well, initially finding the root cause of the problem is not an easy task and needs proper evaluation and medical help.

The most common reasons for shoulder pain are arthritis and bursitis. Moreover, it is difficult to differentiate between the two due to a lot of similar symptoms. Today we will try to discuss these two in detail so that we can draw a line to distinguish between these two shoulder problems.

Digging info about Shoulder Arthritis

Arthritis is derived from a Greek word- Arthron that means joint and this orthopedic problem is defined as the inflammation or wearing & tearing of cartilage in the joints (one or multiple) of the body. But apart from joints, Arthritis can also affect the muscles, tendons, and ligaments. This shoulder problem can further be divided into 3 different forms. These are:

Osteoarthritis- degeneration of cartilage

It is one of the most chronic joint problems that is caused due to degeneration. Herein, the smooth articular cartilage decays which leads to pain and immobility. If it is left untreated, then the cartilage is completely worn away and this situation progresses to direct rubbing of the bones present in the joint

Post-traumatic arthritis- a problem that usually occurs due to an injury

This type of arthritis occurs when one suffers from an injury due to an accident or sports and it leads to damaged cartilage. A grave blow on the shoulder can also result in this shoulder problem.

Rheumatoid arthritis- an autoimmune ortho-problem

When the immunity of the body attacks the Synovium membrane (the membrane that aligns the joint’s cavities & other components together), then this situation is known as Rheumatoid arthritis. Gradually this damage progresses to adjacent cartilage & bone, worsening the pain and leading to loss of function. Usually, both the shoulders get affected by it.

What are its symptoms?

Pain and limited range of motion are common symptoms, but there are many more symptoms that depend on the type of shoulder Arthritis. The other symptoms are mentioned below:

  • Shoulder pain gradually becomes worse
  • Experiencing tenderness & sensitivity in the shoulders
  • Shoulder stiffness or observing the loss of mobility
  • Swelling or inflammation in the shoulder joint
  • Experiencing weakness in muscles present in the affected shoulder
  • Crunching or popping sensation in the shoulder

Getting to know about  shoulder Subacromial bursitis and impingement in-depth

This shoulder problem happens when the subacromial bursa gets inflamed. It is most likely to be affected by bursitis and is present below the acromion (shoulder blade). And this is the reason the majority of subacromial bursitis patients experience pain starting from the top & outside of the shoulder joint radiating down the arms. Bursitis can occur due to any acute trauma or chronic overuse. Moreover, if it does not get treated on time, then eventually it can affect the other bursae as well leading to a more complicated situation.

Shoulder impingement syndrome is a medical condition in which the rotator cuff tendons are jammed and compressed in the subacromial space.

What are its common symptoms?

  • You may experience pain at the top or outside of the shoulder joint.
  • Pain gets triggered after repetitive movements.
  • Experiencing muscle weakness, redness, or warmth at the affected shoulder joint.
  • You may observe sensitivity & tenderness on the shoulder.

Shoulder bursae do not have to be much swelled up or thicker than the normal for pain. It is a reason that in the majority of cases the swelling is not observed.

Athletes are at a higher risk of developing bursitis, especially tennis players, swimmers, and baseball pitchers. Moreover, wrong training techniques, decreased flexibility, overspecialization in any one activity can also increase the risk of bursitis for an athlete. Also, people who are into a profession that needs them to perform overhead motion repetitively are at a higher risk of developing bursitis.

Arthritis & Bursitis – interrelated conditions intensifying shoulder pain

As we discussed that arthritis affects the bones and cartilage whereas bursitis affects the bursae, tendons, and ligaments. But these two conditions are somewhat connected to each other and together can complicate the condition of the shoulder joint. So don’t neglect your lingering shoulder pain to avoid any medical condition.

In any condition, a proper diagnosis is required from an expert to confirm the exact cause of the shoulder and know the severity of the problem. You can contact Dr. Reetadyuti Mukhopadhyay– an experienced shoulder doctor in Gurgaon for shoulder pain treatment. He will try his best to cure the problem as soon as possible.

Everything about Frozen shoulder

Everything about Frozen shoulder

In today’s scenario, when everyone is working at their desk for 8 to 9 hours, it is quite common to experience stiffness in neck and shoulders. But if you are experiencing it frequently, then it is a red signal for your shoulders’ health. This stiffness can be a sign of Frozen shoulder.

This medical condition gradually affects the joint and intensifies the pain. Moreover, the shoulder capsule (tissues surrounding the shoulder joint) thickens, and it makes the movement of the affected joint a little difficult. Thereafter, the bands are formed of the scar tissues, and this can make the motion more difficult.

What are the signs of this painful shoulder problem?

Primarily, one may experience pain with stiffness in the shoulder, but at the initial stage, the pain is quite dull. The patient may feel pain in the muscles around the top of the arm and sometimes make it hard to sleep as well.

There are 3 phases through which this shoulder problem goes through and hence there are different symptoms which can help in identifying the intensity of the problem.

Phase 1: Freezing stage

  • Gradually your pain and stiffness become worse, especially at night
  • Experiencing extreme pain in the shoulder, whenever you try to move it
  • Limited range of motion
  • This phase lasts for around 6 to 9 months

Phase 2: Frozen stage

  • Moving shoulder becomes harder and it is difficult to perform daily activities
  • The pain becomes more intense
  • This phase may last for 4-12 months

Phase 3 : Thawing stage:

  • This phase is considered more tolerable as one gains range of motion
  • The thickened capsule gradually loosens with time
  • It is less painful and can last for anywhere from 6 months to 2 years.

Causes that can lead or increase the risk of frozen shoulder

Women who are in their 40s or 50s are more prone to develop frozen shoulder and it is observed that many women suffered from this shoulder and it coincided with their hormone replacement therapy, menopause, or perimenopause.

Moreover, if you are abstaining from shoulder movement due to any reason, then you are likely to experience this painful problem. People who are suffering from medical conditions like diabetes, heart disease, thyroid disease, Parkinson’s disease, etc. are at a higher risk of getting affected by this problem.

Is there a treatment to get rid of this painful shoulder problem?

Frozen shoulder can be treated through 2 approaches- surgical and non-surgical. Your shoulder specialist will examine your current condition to suggest you the most effective option. You are recommended to perform some exercises that can help in regaining mobility and strengthen the targeted muscles. The surgical method is rarely used when the condition is severe.

Why should you get professional help soon?

Frozen shoulder is not just related to shoulder pain but can lead to neck and back pain if left untreated as you would change the way to perform day-to-day activities due to stiffness and this will put more strain on your neck muscles. People who are suffering from the frozen shoulder are also prone to get affected by tendonitis or any other type of tendinopathy.

So it is important to seek medical help for frozen shoulder treatment to avoid complications and get rid of the pain. If you are looking for a trusted shoulder specialist in Gurgaon, then can contact Dr. Reetadyuti Mukhopadhyay. Being an experienced specialist in this area, he will try his best to help you.