Best Shoulder Surgeon in Pune | Dr Narendra Vaidya

Shoulder Arthroscopy

Shoulder arthroscopy is often used to visualize, diagnose, and treat various problems inside the shoulder joint and in the space surrounding the rotator cuff. The rotator cuff comprises a group of muscles and their tendons that form a cuff over the shoulder joint. These muscles and tendons hold the arm in the shoulder joint and help the shoulder move in different directions offering you immense flexibility. The tendons in the rotator cuff can tear when they are overused or injured.

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Arthroscopic shoulder surgery can treat a variety of common shoulder ailments, including arthritis, tendonitis, labral tears and shoulder instability among others. Usually, in cases where other treatment routes such as physical therapy, anti-inflammatory medications, rest, etc, do not show results, then arthroscopy can be considered.

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Speciality

Knee Treatment

Hip Treatment

Shoulder Treatment

Elbow Treatment

Common Shoulder Arthroscopy Treatments

An orthopedic surgeon may do one or more of these procedures during the shoulder operation subject to the damage in the patient’s joints. Common arthroscopic procedures include:

Removal or repair of the labrum which is the cartilage that lines the rim of the shoulder joint.
Repair any wear and tear in the Rotator cuffs.
Removal of any bony growth or ‘spur’ that can cause inflammation and pain in your shoulder.
Repair of damaged ligaments
Removal of inflamed tissue or loose cartilage
Fixing recurrent shoulder dislocation and frozen shoulders
Chondrolysis – damage to the cartilage of the joint surface that can lead to early progression of arthritis of the joint.

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Once the surgery is complete, the incisions will be closed with stitches and covered with a dressing or bandage. Most surgeons take pictures from the video monitor during the procedure to show you what they found and the repairs that were made.

Shoulder Replacement Surgery

While the Orthopedic Surgeon in Pune before recommending any surgery will try a range of non-surgical treatments such as anti-inflammatory medication, ice & heat application, physical therapy, ask you to follow a list of certain do's and don’ts, etc. But surgery may be advised if:

There is repeated dislocation of the shoulder which wears down the bones and makes them chip away.
The patient experiences constant and persistent pain, even while resting.
There has been no improvement in the shoulder even after 6 to 12 months of non surgical treatment.
You have lost shoulder strength and find it painful to move
There is extensive wear and tear in the cartilage or ligaments in the joint.
Swelling or any signs of severe infection
Injury that causes deformity of the joint

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Though experienced joint replacement and orthopedic surgeons will first opt for arthroscopic surgery as it is minimally invasive and offers quicker recovery, but in some cases if the joint is majorly affected, then open surgery where even total shoulder replacement will have to be done. A large incision is made in the shoulder wherein the shoulder muscle is detached to give the surgeon direct access to your tendon. This is helpful if your tendon or shoulder joint needs to be replaced.

Arthritis of the shoulder can be treated with a total shoulder replacement for patients who have severe shoulder pain and minimum ability of shoulder movement. The procedure involves removing the damaged and degenerated part of the shoulder and replacing them with artificial components, just as in other joint replacement surgeries such as hip or knee replacement surgery.

Reverse Shoulder

In recent years, a new type of shoulder replacement, the “Reverse Shoulder” has gained popularity amongst shoulder surgeons to treat arthritis. In some types of arthritis, these tendons are severely damaged, torn, or non functional. Because of this, an anatomic shoulder has no soft tissue to hold it in place and or to move it.

The design of the reverse shoulder puts the ball on the patient’s own socket, and it is the plastic socket which is placed on the humerus bone. The reverse design has more stability and does not need the tendons to hold it in place. It also is moved by the deltoid muscle, not the rotator cuff tendon, so it is an ideal choice when the damaged shoulder needs new surfaces, but does not have healthy enough soft tissues for stabilization and movement.

Recovery Period

Generally speaking, recovery from arthroscopic surgery is typically quicker than open shoulder surgeries. Although with modern technology and high grade infection control the results are good but few basic precautions have to be taken care of such as:

Do not exert pressure on the shoulder joint post surgery and will have to take care to not put weight while sleeping or performing any routine activity.
Wear a sling to support your shoulder joint and ensure restrictive movement.
Follow certain exercises that will help strengthen the muscles and aid quick recovery of the joint.
Physical therapy will help regain movements and motion in the shoulder joint.

Patients who religiously comply with all the therapies prescribed by their orthopedic surgeon will have the best medical results after surgery. Have a detailed discussion with the orthopedic doctor to ensure that one is able to take the best care of their joint after undergoing surgery.