Contrary to popular belief, shoulder problems stem from more than just injury and overuse. Age, diet, genetics, and chronic inflammation can contribute to shoulder problems. If not treated properly, these conditions can lead to chronic pain and dysfunction. Fortunately, Dines Orthopedic can help treat many of these problems. When surgery is necessary, you want to make sure you consult with the experts. Our team at Dines Orthopedic has performed thousands of procedures, so you are in good hands.
David Dines, MD
David Dines, MD, has built his practice based on decades of clinical experience and research focusing on the shoulder and related injuries. He is the Medical Director for the ATP World Tennis Tour and has operated on thousands of shoulders throughout his career while publishing many of the most important research articles and textbooks on shoulder surgery.
Joshua Dines, MD
Joshua Dines, MD provides a full range of Sports Medicine services, including surgical and non-surgical treatments for injuries to the shoulder, knee, and elbow. He works with the NY Mets and NY Rangers as well as college athletes, high-school athletes, weekend warriors, and those patients just looking to get back to performing their everyday activities without pain. Together, Dines Orthopedics offers offices in two convenient locations in New York City at Hospital for Special Surgery and in Uniondale Long Island, offering their patients surgical and non-surgical options in both locations.
Contact Us For Frozen Shoulder Treatment
Our Manhattan Locations
Frozen shoulder is a condition in which the shoulder joint’s tissues become inflamed, resulting in restricted motion, stiffness, and pain in the shoulder. This condition can cause scar tissue to form and lead to tightening in the shoulder capsule. Frozen shoulder can be extremely debilitating for some patients and affect their ability to function daily. Symptoms tend to begin gradually, with limited range of motion and pain during movement. While the pain can diminish over time, the shoulder can become increasingly stiff.
At first, our team at Dines Orthopedic usually treats frozen shoulder using nonsurgical options to manage pain and restore motion in the shoulder. Ibuprofen can be used to reduce swelling and pain. If pain persists, we may recommend steroid injections into the shoulder. Physical therapy is also recommended to help the patient regain mobility in their shoulder.
If conservative treatments do not improve the patient’s condition, Dr. Dines can manipulate the shoulder under anesthesia to remove the scar tissue. Arthroscopic surgery can also be performed to remove scar tissue in the joint with minimal invasiveness. It typically takes six weeks to several months to recover from this surgery, and physical therapy is recommended during this time.
Frozen Shoulder Specialist Manhattan
Specialists in your local area are your best friend if you need substantial orthopedic treatment done efficiently, done with trust, and, most importantly, done well. Dines orthopedics are the frozen shoulder specialists Manhattan and pride themselves on excellent care for patients of any kind that are looking to relieve their pain or have any questions regarding the orthopedic field and treatment. If you’re looking to hit the ground running on relieving your shoulder ailments, look no further than Dines Orthopedics; for more information, contact us and see what services we provide and how we can care for you today!
Understanding Frozen Shoulder
Specialists can agree that Frozen shoulder, or adhesive capsulitis, is a relatively common ailment that affects people between the ages of 40 and 60. Clinically, the injury is described in three phases. The first is when patients start to experience pain. Both the first and second phases are where patients complain of pain. The difference being the second phase typically consists of the patient starting to feel an extreme amount of stiffness towards the joint of the afflicted shoulder, hence the ‘frozen’ in frozen shoulder. From there, we enter the third or ‘thawing’ phase. The thawing phase is where the affliction starts to naturally go away, and the range of motion slowly returns to the shoulder. However, the third phase can take up to two years to see promising results.
Frozen Shoulder Prevention
This affliction can be limiting, as an increase in shoulder stiffness and a decrease in range of motion can affect those who work with their hands, or can impact anyone’s day-to-day activities as a whole. The easiest way to avoid most of the affliction is to receive an early diagnosis. Knowing the proper signs and a little bit of luck, patients who would normally have to endure an extensive recovery can avoid this by receiving an early diagnosis by a professional. If you’re experiencing any pain or markedly stiff shoulder, consult a specialist like the Frozen Shoulder Specialist of Manhattan, and you may avoid the ailment as a whole.
Frozen Shoulder Recovery
Unfortunately, some cases of this ailment are unavoidable. However, there are loads of treatments for this injury, so there is no need to panic over your markedly stiff shoulder. Patients at Dines Orthopedics can expect a thorough history search to best look at how the injury will affect you later on during your recovery.
This will be coupled with a physical examination to best determine the steps moving forward towards your recovery process. Anti-inflammatory medication may help relieve some stiffness and pain caused by inflammation, but the real treatment starts at gentle physical therapy. The key to the therapy is to gently urge the stiffness from the joint.
The therapy can be administered by the specialist like the Frozen shoulder specialist of Manhattan or can be administered at home under the direction of the self or a loved one to maintain your range of motion. Corticosteroid injections are used in mild to extreme cases to relieve stiffness in the joints.
After some time, when the patient has experienced little to no help from physical therapy, the surgery that will relieve tension from the tendons surrounding the joint may be possible for some patients.
Dines Orthopedic – Frozen Shoulder Specialist Manhattan
From this, we’ve acquired an understanding of Frozen Shoulder, how it can be prevented via an early diagnosis of the ailment, and what treatment is out there to recover from the injury. If you or a loved one is experiencing chronic pain or joint stiffness, there is no reason not to contact the frozen shoulder specialist Manhattan At Dine Orthopedics today!
You can be going about your day, maybe having a nice workout, when all of a sudden your shoulder starts to act up. It could be a painful snap, and it could be red and swollen, bruised, arm becoming numb, etc. So many different signs for so many different issues that all point to one thing are wrong with your shoulder. With all these different symptoms, it can be possible to identify what kind of injury it is. Some of these issues can be resolved with a little treatment at home; others will require treatment from trained professionals, like the frozen shoulder specialist Manhattan.
Common Causes Of Shoulder Issues
As stated before, there are many potential causes of shoulder issues for a person, but some are far more common than others. Some of these causes include:
- Dislocation- can occur when the shoulder is popped out of its socket due to a blow to the arm. It will be painful, and it will be a struggle to move the arm if it’s even possible to move it.
- Fracture- Like dislocations, this occurs due to a hard hit, but the difference is that with fractures, the bone takes damage, whether it be a crack or a much more serious break.
- Rotator Cuff Tear is more common in those who partake in athletic activities and are above 60. The tear occurs due to injury to the shoulder or the weakening of the tendons. It’s not always clear that a tear has occurred, but some signs include sounds being made when the affected arm is moved and carrying things that were once easy becoming a struggle.
How To Treat Shoulder Issues At Home
If it’s a minor issue, a shoulder injury can be treated at home without any need for a doctor. Some include:
- Ice Packs- In the occasions that swelling is the problem, ice packs can provide relief. Putting one onto the affected area a couple of times a day, with at least one layer between the skin and the ice pack, can help get the swelling under control.
- Heat- Using a hot pad can finally get those tight muscles to loosen up.
- Over the Counter Medications- Pain medication can help make the issues more manageable as it resolves, though one should be aware of the potential side effects of taking them.
Common Shoulder Procedures
But sometimes, at-home remedies aren’t enough. Whether it be the issues not resolving after some time or the pain is too much to handle, a medical professional should be sought out. With their training, these orthopedists will alleviate any shoulder issues. Some of the more common procedures include:
- A Shoulder Replacement– When other physical therapy methods fail to resolve a shoulder injury painful enough to make using an arm difficult, a shoulder replacement could be recommended. The procedure involves replacing parts or the entirety of the shoulder with artificial material and will require several days of recovery in a hospital followed by weeks of exercises to strengthen the arm once again.
- Arthroscopy– A procedure intended to identify and or treat issues with joints, including the shoulder. The doctor will use several tools that allow them to look inside a person’s joint to figure out the issue and, if needed, what surgery to perform to resolve the condition. For the most part, it’s a relatively easy procedure for the patient, with recovery time being far shorter than open surgery.
- Rotator Cuff Repair– A surgery for when there’s a tear in the rotator cuff that is more effective if the injury is recent. The arm will likely need to be immobilized for a few weeks and a couple of months of physical therapy before it’s back to its former strength.
Frozen Shoulder Specialist Manhattan
For those in need of a frozen shoulder specialist Manhattan that will perform a shoulder procedure, look no further than Dines Orthopedics. Whether it be David Dines, MD, or Joshua Dines, MD, only the best care will be provided to all that enter Dines Orthopedics. It might be confusing to do as a new patient, so a little guide on scheduling, what to bring, and directions are provided at this link. So if a frozen shoulder specialist Manhattan is needed for any shoulder issue, Dines Orthopedics can be contacted at this link.
Treating Frozen Shoulders
Frozen shoulder sounds like a symptom of hypothermia. In reality, “Frozen Shoulder” or Adhesive Capsulitis, is when the shoulder joint is stiff and in pain. Usually, people with “Frozen Shoulder” are less inclined to move their shoulder, lending it its name. Thankfully, there are treatments available! If you’re thinking of the four words: Shoulder Specialist UES NYC, contact Dines Orthopedics today!
What is “Frozen Shoulder”?
Also called Adhesive Capsulitis, “Frozen” shoulder is when an injury or strain results in the stiffness and pain of the shoulder joint. Often, the shoulder is difficult to move without causing pain, meaning that most people simply choose not to move it. This is where the name “Frozen Shoulder” comes from. Sometimes, a frozen shoulder even results from an unrelated injury, such as a stroke, that prevents moving the shoulder. This lack of movement can then cause a frozen shoulder.
Stages Of A “Frozen Shoulder”
The process of a frozen shoulder is usually broken into three main parts: freezing, frozen, and thawing. Each of these parts categorizes altered motion capabilities in the shoulder.
- Freezing Stage – The Freezing Stage usually follows the cause of the frozen shoulder, e.g. a stroke, and takes some time to complete. Typically, patients will begin to notice a declining ability to move their shoulder, progressively getting worse.
- Frozen Stage – The Frozen Stage occurs when the freezing stage has climaxed. Usually, the patient reports no change (decrease or increase) in shoulder mobility, signaling this stage. Often, the patient’s shoulder will be stiff and painful when attempting movement too. It is important to understand that nothing is broken causing this immobility. The joint simply becomes restricted when the connective tissue toughens and becomes inflamed.
- Thawing Stage – The Thawing Stage is when shoulder mobility begins to return. Traditionally, shoulder mobility returns after the patient has undergone physical therapy to increase the shoulder’s range of motion. Usually, the thawing stage will oppositely mirror the freezing stage, as the shoulder becomes progressively easier to move. Even after the patient has regained full mobility, physical therapy may be necessary to prevent the return of the frozen shoulder. Still if you’re thinking of the four words: Shoulder Specialist UES NYC, contact Dines Orthopedics today!
Physical Therapy For Frozen Shoulder
Physical therapy is the most common way to progress out of a frozen shoulder. The physical therapist may offer:
- Pain Medication – Used in conjunction with physical therapy if the shoulder pain becomes unbearable. This is not a permanent solution.
- Home Exercise – Very simple exercises that can be performed at home to increase shoulder mobility. Typically involves using furniture or other common around-the-house items to aid in the exercises.
- Modalities – Varying temperature treatments may be used. For instance, the physical therapist may use ice or heat treatments to loosen the tissue or reduce pain altogether. This is sometimes preferred over the risk of painkillers.
- Exercises/Manual Therapy – These are the exercises that are done with your physical therapist, or under their supervision. Sometimes, they require potentially challenging movements that are difficult to complete by oneself at home.
- Strengthening and Stretching – Strengthening exercises help prevent a relapse of a frozen shoulder. It also generally helps prevent injury. Stretching increases blood flow to the shoulder, which aids in healing and regaining mobility.
- Starting anew – Your physical therapist will likely begin suggesting you return to work or the exercise that caused the frozen shoulder after physical therapy. This is necessary to strength test and overcome what might have caused a frozen shoulder. Realistically, it’s also a major increase in the quality of life for many people.
Having a frozen shoulder can be painful and annoying. Luckily, there are solutions. If you’re thinking of the four words: Shoulder Specialist UES NYC, contact Dines Orthopedics today!