Shoulder and Knee

Iowa Orthopaedic Center, P.C, provides patients with a comprehensive, multidisciplinary approach for the evaluation, treatment, and management of shoulder disorders and injury. Our board-certified, fellowship trained, team of shoulder and upper extremity physician’s, assist patients in achieving success for the full spectrum of shoulder injury and disease.  Early diagnosis and treatment are crucial when patients begin to experience shoulder pain, weakness, or restriction of movement.Seeking early intervention reduces the potential of shoulder problems progressing with more serious consequences.

The shoulder is the most movable and flexible joint in the body, this also makes it one of the most potentially unstable joints. As a result, it is the site of many common shoulder problems including:

  • Sprains
  • Strains
  • Fractures
  • Dislocations
  • Separations
  • Rotator Cuff Disease; Tendonitis and Bursitis
  • Rotator Cuff Tears
  • Labrum Tears
  • SLAP Tears
  • Frozen Shoulder (known as Adhesive Capsulitis)
  • Arthritis

    The shoulder can be easily injured during sporting activities and manual labor, however, the primary source of shoulder problems appears to be the natural age-related degeneration of the surrounding soft tissues such as those found in the rotator cuff. 

    The shoulder joint can be extremely troublesome because it is a very fragile and vulnerable joint. This joint is susceptible to injury because of its structure. A little bony overhang that comes from the shoulder blade joins with the bone in the upper arm, called the humerus; however, there is not a direct attachment. Capsules, ligaments, and muscles, not bony structures, hold the bones of the shoulder in place. This relationship is why the force of gravity can easily pull the long arm bone down and cause problems.

    Common Injuries

    One shoulder problem is subluxation, which occurs when the bone in the arm pulls away from the little bony overhang. A little flat plate allows the bone in your arm to slide down as you lift your arm up. Many times, when people are struck in the shoulder joint, they are unable to move the arm bone down that little plate.

    The biggest problem in shoulders is overuse of the muscles, leading to tendonitis around the shoulder joint where the muscle begins. Bursae, little sacs that allow the muscles to slide smoothly over each other, can also become inflamed because of excessive motion; this condition is called bursitis. In addition, people can fall and tear the muscles around the shoulder joint, as in a rotator cuff tear.

    Other problems that may cause difficulty in shoulder motion are osteoarthritis and rheumatoid arthritis.

    Treatment
    Treatment generally involves altering your activities, rest and a physical therapy regimen to improve your strength and flexibility. Medication may be prescribed to decrease the inflammation and reduce your pain. Injections of drugs may also be used to treat pain.

    Ninety percent of patient problems will respond to conservative treatment. Surgery may be required to resolve problems such as recurrent dislocation and some rotator cuff tears.

    All treatments are generally accompanied by a physical therapy regimen specific to the injury.

    IOC is here for all of your orthopaedic shoulder care.  You can be confident of receiving excellent, comprehensive surgical and non-surgical treatment – from a shoulder sprain, steroidal injection, complex rotator cuff repair, or shoulder replacement.  Iowa Orthopaedic Center is committed to providing patients with excellent orthopedic care and unsurpassed personalized service.  We consider it a privilege to be selected as your orthopaedic providers.  Don’t suffer with unnecessary shoulder pain, call the experts at Iowa Orthopaedic Center, P.C., at 515-247-8400, or toll free 800-642-6381...you can place your trust in us.


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