Blog
By ROGER G POLLOCK, MD
October 13, 2022
Tags: Shoulder Pain  

Is it time to see a doctor?

Did you know that your shoulder is your body’s most mobile joint? Because it has such an incredible range of motion, it is also less stable. This makes the shoulder prone to certain injuries or diseases. If you are dealing with shoulder pain, our Paramus, NJ, orthopedic shoulder specialist Dr. Roger Pollock may be the first specialist you’ll want to turn to for customized care.

What Is Causing My Shoulder Pain?

Your shoulder consists of three bones which comprise the shoulder joint. These bones are the humerus, the scapula and the clavicle. Most causes of shoulder pain result from rotator cuff tears and other problems; however, there are many causes of shoulder pain. Our Paramus, NJ, team most often treats,

  • Shoulder impingement syndrome
  • Arthritis
  • Swimmer’s shoulder
  • Broken collarbone
  • Dislocated shoulder
  • Fracture
  • Arthritis
  • Tendonitis or bursitis
  • Overuse injuries
  • Bone spurs
  • Nerve injury
  • Tendon tear
  • Instability

When Should I Turn to an Orthopedist?

While not all shoulder pain will have you rushing into our Paramus, NJ, clinic for care, it’s important to recognize when it might be time to turn to our orthopedic team for an evaluation and care. You should turn to us if,

  • You are dealing with chronic shoulder pain that lasts more than a few weeks
  • Your shoulder pain isn’t responding or improving with rest and home care
  • Your shoulder pain impacts your sleep
  • You notice weakness, tingling or numbness in the shoulder, arms or hands
  • You see a visible deformity in the shoulder or arm
  • You hear a popping or clicking sound in your shoulder with movement

How Is Shoulder Pain Treated?

How our Paramus, NJ, orthopedic shoulder specialist treats your shoulder pain will depend on the cause. We will first examine the shoulder and perform imaging tests to diagnose the cause of your shoulder pain. From there, we will create a custom treatment plan that may include,

  • Lifestyle modifications
  • Medications to ease pain and inflammation
  • Other medications to manage chronic conditions such as arthritis
  • Stretching and strengthening exercises
  • Physical therapy and rehabilitation
  • Ergonomic recommendations and posture education
  • Anti-inflammatory injections
  • Surgery (when nonsurgical treatments aren’t working)

Don’t let shoulder pain impact your routine and doing the things you love. Our Bergen County and Paramus, NJ, orthopedic shoulder specialist Dr. Pollock and his team can provide you with the care you need to improve the health and function of your shoulder. Call (201) 612-9774 to schedule an evaluation.

By ROGER G POLLOCK, MD
August 25, 2022

Know the signs of shoulder dislocation.

Our shoulders are pretty delicate, which means they are at an increased risk for injury. That’s because they are the most mobile joint in our body. Therefore, shoulder dislocations are more common than you might realize. Whether you think you might be dealing with a partial or complete shoulder dislocation, it’s important to recognize when you need to turn to our Paramus, NJ, orthopedic shoulder specialist Dr. Roger Pollock for care.

What Are the Signs of a Dislocated Shoulder?

It’s essential to spot the warning signs of a shoulder dislocation so that you know when to turn to our Paramus, NJ, orthopedic team. If you’ve had a bad fall, car accident or sports injury and you notice any of these symptoms, then you could be dealing with a shoulder dislocation,

  • Severe pain
  • Swelling or bruising
  • Weakness or numbness that may radiate to the neck, arms and fingers
  • Muscle spasms
  • Difficulty moving your arm

If you notice any of these symptoms, do not put off care. You need to seek immediate medical attention. A simple x-ray can determine if you are dealing with a shoulder dislocation and the type you’re dealing with.

What Are the Treatment Options for a Dislocated Shoulder?

First and foremost, we will need to set the joint back into the socket. Once your shoulder is set, you shouldn’t be in pain. Next, you’ll need to immobilize the shoulder for days or even weeks (our team will give you a sling to wear). After the shoulder has had some time to heal, Dr. Pollock may recommend physical therapy, which can provide exercises to rebuild and strengthen the muscles, ligaments and other soft tissue around the joint while also improving mobility and range of motion. Dr. Pollock may also recommend surgical repair of the detached or stretched ligaments, especially if the instability (dislocation or subluxation) is a recurrent problem, as surgery will likely prevent further episodes of instability.

What Can Cause a Dislocated Shoulder?

Since the shoulder joint is so mobile, dislocation is more likely to happen due to a sports injury, accident or bad fall. Athletes and physically active individuals are at a higher risk for shoulder dislocation; however, older adults at higher risk for falls are also more likely to deal with a shoulder dislocation.

If you are dealing with recurring shoulder dislocations or experiencing pain, weakness or other shoulder issues, turn to our Bergen County and Paramus, NJ, orthopedic specialist Dr. Pollock for care. Call us at (201) 612-9774 to schedule a consultation.

By ROGER G POLLOCK, MD
August 25, 2022
Tags: Rotator Cuff Tears  

Are you dealing with a rotator cuff tear? Learn more about your treatment options.

Finding out that you have a rotator cuff tear can be distressing, but we also get that the most important thing is for you to know your treatment options to make the best decision for treating your rotator cuff tears. Here’s what our Paramus, NJ, orthopedic shoulder specialist Dr. Roger Pollock can do to treat your rotator cuff tear,

What Is the Rotator Cuff?

This group of muscles and tendons supports the shoulder and helps it rotate while keeping the joint stable.

What Leads to a Rotator Cuff Tear?

Extrinsic and intrinsic rotator cuff tears are the two types of tears. Wear and tear, as well as repetitive overhead motions, cause extrinsic rotator cuff injuries. Athletes are the ones who experience this most frequently. Age is the most common cause of intrinsic rotator cuff injuries.

What Are the Signs of a Torn Rotator Cuff?

It's critical to know whether you've injured your rotator cuff to obtain the proper treatment from our Paramus, NJ, orthopedic shoulder specialist as soon as possible. A rotator cuff tear can manifest itself in a variety of ways.

  • Shoulder pain that gets worse with activities or at night
  • Shoulder weakness, particularly during exercise or when carrying objects over your head
  • Limited range of motion in the shoulder, which can also result in shoulder pain

How Can You Know if You Have a Rotator Cuff Tear?

Our orthopedic staff can quickly identify the issue with a physical exam and imaging tests like an MRI or ultrasound if you think you might have a rotator cuff tear. An MRI can determine the location and degree of the tear.

How Are Rotator Cuff Tears Treated?

Both nonoperative and operative means can be used to treat rotator cuff tears. Nonoperative treatment, such as home stretching exercises or formal physical therapy, focuses on reducing pain and strengthening the undamaged musculotendinous structures. Surgical repair of the torn rotator cuff can more reliably relieve pain and restore strength.  A number of variables, including the size of the tear, the reparability of the tear, and the age and functional demands of the patient are all considered in the choice of treatment.

As a Shoulder Specialist,  Dr. Roger Pollock, has extensive experience in evaluating and treating rotator cuff problems. If you are experiencing the symptoms of rotator cuff disease, schedule a consultation with Dr. Pollock in Paramus, NJ by calling ( 201) 612-9774.

By ROGER G POLLOCK, MD
January 06, 2022
Category: General
Tags: Shoulder Doctor  

Has shoulder pain begun to interfere with your life? Dr. Roger Pollock, your Paramus, NJ, shoulder doctor, treats a variety of shoulder conditions and can help you manage pain and other symptoms.

Should I see an orthopedic shoulder specialist?

Get in touch with your shoulder doctor if you experience any of these symptoms:

  • Your shoulder looks deformed after an injury
  • You can't use your shoulder or have difficulty moving it
  • You have severe pain
  • You've been dealing with mild to moderate shoulder pain for more than two weeks
  • Your shoulder is red, warm, or swollen

What causes shoulder pain and mobility issues?

Shoulder pain can be caused by:

  • Rotator Cuff Tears: The rotator cuff is the collection of muscles and tendons surrounding the ball-and-socket shoulder joint. The rotator cuff holds the ball portion of the upper arm bone in the joint and makes it possible to lift your arms. A fall, injury, or repetitive arm movements can cause a tear in the tendons that connect muscles to bones in the joint. You're more likely to experience this type of injury as you get older, as tendons stiffen and degenerate as part of the aging process. Symptoms of a rotator cuff tear include shoulder weakness, difficulty lifting objects or raising your arms, and a popping sound when you move the joint.
  • Shoulder Tendinitis and Bursitis: Inflammation of any of the tendons or bursae in the shoulder joint can also cause pain, particularly at night, or make it difficult to move your shoulder in certain ways. Although an injury can cause shoulder tendonitis or bursitis, the conditions are common in people who frequently raise their arms over their heads, such as electricians, mechanics, and tennis and baseball players.
  • Arthritis: Arthritis might be the source of your shoulder pain and stiffness. Both osteoarthritis and rheumatoid arthritis can affect the shoulder joints. People who have had rotator cuff tears in the past are at increased risk of developing arthritis.
  • Fractures: A car accident or fall could fracture the bones in your shoulder joint. If you break your shoulder, you may notice that the joint is swollen, painful, and deformed. Fractures may make it difficult to move your shoulder.

During your visit to the Paramus, NJ, office, your shoulder doctor will diagnose the source of your shoulder issues and recommend treatments that will relieve pain, reduce stiffness and improve mobility.

Do you need to see the shoulder doctor in Paramus, NJ? Call (201) 612-9774 to schedule an appointment with Dr. Pollock.

Dr. Roger Pollock, your shoulder specialist in Paramus, NJ, is here to help you rehabilitate if you've dislocated a shoulder. We can help prevent, diagnose, and treat any shoulder condition. Keep reading about the shoulder joint, and come see us after any shoulder dislocation in Paramus, NJ.

Shoulder dislocation

Your shoulder joint is a ball-in-socket mechanism that allows for the maximum mobility of your arms. Because of all this mobility, it is the most likely joint to become dislocated. Shoulder dislocation occurs when the ball at the top of your arm bone leaves the shoulder socket. A dislocated shoulder is typically caused by a fall or a blow to the shoulder and can be a common sports injury.

What to expect

A dislocated shoulder can be extremely painful and that will, unfortunately, be your first sign of trouble. Other than extreme pain, you may experience:

  • Pain
  • Swelling
  • Muscle spasms
  • Numbness or tingling down the arm
  • Difficulty moving the arm
  • Shoulder visibly out of place

If you think you've dislocated your shoulder, the best thing you can do is try not to panic and call your doctor. Keep the arm close to your body and try not to move it. You can apply an ice pack or take anti-inflammatory medication for the pain on your way to the doctor or emergency room.

The doctor may perform a test or x-ray to confirm the shoulder is dislocated, and if muscle spams have started you may need muscle relaxers or sedation. When the muscles are relaxed the doctor can manipulate the bone back into place. You should feel the extreme pain subside almost immediately when the shoulder is back in its socket.

Rehabilitation

Once your shoulder is back in place, you still need to rehabilitate your injury. This typically includes wearing a sling for a period after the dislocation. While you heal your doctor may recommend using anti-inflammatory medications and icing the shoulder for any pain. You should do light exercises as you're healing to prevent the shoulder from getting tight. Once you have healed enough to be out of the sling, you'll begin a physical therapy regimen including specific exercises to stretch and strengthen muscles in the area to promote healing and prevent future dislocation.

When instability (dislocations or subluxations) becomes recurrent, surgical repair is often recommended to prevent further episodes and to restore normal function, including high-demand overhead sports activities.

Your shoulder specialist for a shoulder dislocation in Paramus, NJ, is Dr. Pollock. If you've dislocated your shoulder, contact us for an appointment at (201) 612-9774.





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