Contact Us
Mumbai : +91 22 6767 6767
Visakhapatnam : +91 891 2525757

Thursday, March 30, 2017

Shoulder Popping?? Permanent solution for your frequent shoulder problem!

Rotator cuff is a group of muscles that surrounds the shoulder joint and gives it mobility and stability.  Due to age related degeneration, injury, overuse the muscles of the rotator cuff can tear. If rotator cuff tears are neglected, over a period of time they can progress and involve multiple tendons and may lead to permanent disability. The shoulders of these individuals can pop out with minor force application.

Signs & Symptoms Of Rotator Cuff Tear:-
Individuals with rotator cuff tears have following symptoms:-
  • Pain in the shoulder when lifting and lowering your arm or with specific movements.
  • Restriction of movement, 
  • Difficulty in performing daily activities 
  • Resting pain while sleeping at night, particularly if lying on the affected shoulder.
  • Weakness when lifting or rotating your arm.
  • Crackling sensation when moving your shoulder in certain positions.

Risk factors:-

The following factors may increase your risk of having a rotator cuff injury:-
  • Age- As you get older, your risk of a rotator cuff injury increases. Rotator cuff tears are most common in people older than 40.
  • Certain sports- Athletes who regularly use repetitive arm motions, such as baseball pitchers, archers and tennis players, have a greater risk of having a rotator cuff injury.
  • Construction jobs- Occupations such as carpentry or house painting require repetitive arm motions, often overhead, that can damage the rotator cuff over time.
  • Family history- There may be a genetic component involved with rotator cuff injuries as they appear to occur more commonly in certain families.
The management of these massive irreparable rotator cuff tears in middle aged (55-65yrs) individuals is challenging and with very few treatment options. 
  • Till now we had the option of muscle transfer surgeries that requires intensive physical rehabilitation after the surgery without which the results are poor.
  • The other option is of shoulder replacement which gives good results, but its use as a treatment option in individuals < 65 yrs is controversial.

Novel surgical technique for rotator cuff repairFirst of its kind Patient Case Report:-
Recently we had a 58 yrs female patient complaining of severe pain in the right shoulder since past three years and was unable to lift her shoulder. She had multiple episodes of the shoulder popping out in the past year and she had consulted many orthopedic surgeons for her problem, with no resolution in symptoms. Her arm had been in a protective sling since three months to prevent pain and dislocation.

Considering her age and minimal arthritis orthopedic surgeon was keen on a joint preserving option for her shoulder problem. The option of muscle transfer was excluded, as it would require extensive and dedicated physiotherapy from the patient. It was decided to go ahead with a novel technique called superior capsular reconstruction by taking tissue from the patient’s thigh. The joint was reconstructed and was fixed to the bone with biodegradable screws that melt over a period of time in the body. On follow-up the patient experienced minimal pain and is currently on physiotherapy for regaining strength for her hand & shoulder movements.

This procedure is a first of its kind to be performed in India.

Long time prognosis:-
  • Superior capsular reconstruction recreates the torn rotator cuff of the shoulder to give additional stability to the shoulder joint.
  • Patients get good pain relief with the procedure and are generally able to lift the arm till the shoulder level.
  • The main aim of the surgery is pain relief in this subset of patients.
  • Patient recovery is usually uneventful recovery from the surgery and was and can be discharged few days post surgery.
  • Long term patient has to undergo physical therapy and rehabilitation to regain strength of hand & shoulder.

Blog by Dr Aditya Sai (Consultant Orthopaedic Surgeon at SevenHills Hospital)


  1. Hi, i think that i saw you visited my web site so i came to “return the favor”.I am attempting to find things to enhance my site!I suppose its ok to use some of your ideas!!Nice tips dear. Thanks for sharing it.. Orthopedic Hospital in Hyderabad

  2. Your blog is really good and it helps others. It's a perfect solution for those who search for it. Please share more information like this. Chiropractor Phoenix AZ

  3. Clearly, It is an engaging article for us which you have provided here about shoulder popping. This is a great resource to enhance knowledge about it. Thank you. San Antonio arch supports

  4. This post that you simply have shared is attractive. I want to be finding out about these kinds of blogs. Many thanks for sharing this blog. Physical Therapy back

  5. I prefer high-quality content, which I discovered in your article. The information you've provided is useful and important to us. Continue to post articles like these. Thank you very much. Surgery Specialist in Bakersfield CA

  6. The content you've posted here is fantastic because it provides some excellent information about Pain Manage Near Me that will be quite beneficial to me. Thank you for sharing that. Keep up the good work.

  7. A tremendously amazing blog passage. We appreciate your contribution to the blog. a battle, and the use of the law After you've arrived at your destination, you'll discover a wide range of tactics regarding Physical Therapy Bryan Ohio. I was looking for it with a vengeance. All of us owe you a debt of gratitude for such a post, and please keep it up. It's a mind-blowing piece of work.

  8. I liked your work and, as a result, the manner you presented this content about hangover powder. It is a valuable paper for us. Thank you for sharing this blog with us.

  9. It is very important to go to the best plastic surgeon so that you get the best, perfect shape for your buttock! Hips enlargement

  10. The information you've provided is quite useful. It's incredibly instructional because it provides some of the most useful information. Thank you for sharing that. gastroenterology doctor los angeles

  11. The article you have shared here about this topic is really significant for us. I'm happy that you have shared this great info with us. Keep posting, Thank you.Sanjivani Vitalife Hospital Aundh

  12. I am heartily thankful to you that you have shared this type of information with us. I got some different kind of knowledge from your webpage, and it is essential for everyone.headache san antonio

  13. You have done good work by publishing this article here. I found this article too much informative, Online synthesis of monoclonal antibodies and also it is beneficial to enhance our knowledge. Grateful to you for sharing an article like this.

  14. You've written a fantastic article. This article provided me with some useful knowledge. Thank you for providing this information. Best feet spa callous peeling Hong Kong

  15. I truly value your work which you have shared here. The article you have shared is extremely enlightening and the focuses you have referenced are exceptionally useful. Much obliged to you for sharing this post. chiropractor kl

  16. Caesars Rewards Casino App | The Motley Fool
    Find out why our readers think Caesars 경주 출장안마 Rewards 영주 출장샵 is 청주 출장샵 a great casino app. 이천 출장마사지 Caesars Rewards Casino App Caesars 서산 출장안마 Rewards Casino app.

  17. This blog is really helpful to deliver updated affairs over internet which is really appraisable. pain clinic toronto

  18. You have done good work by publishing this article here.Chiropractic Therapy Panorama Hills I found this article too much informative, and also it is beneficial to enhance our knowledge. Grateful to you for sharing an article like this.

  19. It is what I was searching for is really informative.Trusted Pain Management Clinic Calgary It is a significant and useful article for us. Thankful to you for sharing an article like this.

  20. Such an explanatory post you have shared here about cloud solutions. I really need this type of knowledge. Thanks for posting it. Home Healthcare Agency in Virginia Keep it up. Cloud PBX Houston.

  21. Excellent post. I really enjoy reading and also appreciate your work. This concept is a good way to enhance knowledge. Keep sharing this kind of articles, Thank you.physiotherapy for shoulder pain in Milton

  22. I read the above article and I got some knowledge from your article. It's actually great and useful data for us. Thanks for share it.Sports Injury Ayurveda Treatment in Banglore

  23. A counselor can also help you overcome obstacles that are preventing you from achieving your goals. If you are struggling with depression, anxiety, or other mental health issues, counseling can help you cope with these problems and improve your overall well-being. success counseling

  24. massage again increases blood flow, this time to help remove the build up of toxins from within the muscles. Recent research울진i스파
    함평i스파 has shown deep muscle massage after a workout can cause muscles to enlarge and grow new mitochondria

  25. This is really an amazing article. Thanks a lot for sharing a piece of wonderful information keep it up and best of luck for your future article and posts동해출장마사지

  26. This post is so useful and valuable to increase our knowledge. I am happy that you have shared great info with us. Grateful to you for sharing an article like this.Pain management in Bakersfield ca

  27. I read the above article and gained some knowledge from your post Emsella calgary. It's fantastic and helpful information for us. Thanks for sharing it.

  28. Extremely helpful which you have actually shared below Acupuncture For Migraine Relief in Calgary AB. I am excited by the information, and additionally, it is a significant write-up for us. Continue presenting this kind of detail, Thanks.


SevenHills Hospital