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Posts for category: Shoulder Conditions

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.

By ROGER G POLLOCK, MD
November 18, 2021
Tags: Shoulder Pain  

Find out the common causes of shoulder pain and when to see a specialist.

Our shoulders are surprisingly delicate, mostly because they are the most mobile joint in the body. While this means that shoulders have a very large range of motion it also places the shoulder at an increased risk for injury. If you are dealing with shoulder pain, you may be wondering whether it’s time to turn to our Paramus, NJ, orthopedic shoulder specialist, Dr. Roger Pollock, for care.

What causes shoulder pain?

The rotator cuff tendon is often to blame for shoulder pain. Tendinitis or bursitis of the rotator cuff is common; however, these aren’t the only causes for shoulder pain. Other causes include:

  • Shoulder separation
  • Frozen shoulder
  • Dislocation
  • Broken bone
  • Bone spurs
  • Arthritis
  • Overuse injuries
  • Rotator cuff tear
  • Poor posture

When should I seek medical attention for my shoulder pain?

Here at our Paramus, NJ, practice, we take shoulder pain seriously, especially if this is something that you’ve been dealing with for a while. It’s important that you don’t ignore your shoulder pain, as problems can often get worse if left untreated. While shoulder pain along with chest pain and difficulty breathing could signal a heart attack, which requires immediate medical attention, you should turn to our shoulder specialist for an immediate evaluation if:

  • You have persistent swelling and pain
  • You notice heat, redness, or tenderness around a joint
  • Your symptoms persist for weeks despite rest and home care
  • You also develop a fever along with shoulder pain
  • You have limited range of motion or mobility
  • You experience weakness, numbness, or tingling in the shoulder

If you are unable to move the shoulder or you notice a sudden deformity it’s important that you call us immediately.

How is shoulder pain treated?

Our shoulder specialist Dr. Pollock will create a treatment plan based on your symptoms and their cause. Sometimes simple lifestyle changes and home care is all that’s needed for minor issues such as overuse injuries or poor posture. These measures include:

  • Taking over-the-counter pain relievers
  • Improving ergonomics at the office or your workspace to improve posture
  • Performing exercises to retrain and strengthen the muscles
  • Icing the shoulder 2-3 times a day for up to 20 minutes at a time
  • Resting the shoulder as much as possible
  • Avoiding physical activities or heavy lifting

If your shoulder pain is due to a more severe condition or injury, our specialist will discuss other ways to treat your shoulder pain and other symptoms. These other treatment options may include:

  • Physical therapy and rehab
  • Therapeutic exercises to improve mobility and circulation
  • Steroid injections
  • Immobilization
  • Surgery

If you are dealing with shoulder pain and would like answers regarding your treatment options, our Bergen County and Paramus, NJ, orthopedic shoulder specialist, Dr. Pollock, is here to answer your questions and provide you with the individualized care you’re looking for. To schedule an appointment, call (201) 612-9774 today.

By ROGER G POLLOCK, MD
May 07, 2020
Tags: Shoulder Pain  

If you are uncertain about what’s causing your shoulder pain and you find that it’s limiting your mobility and daily activities, you can consult with Dr. Roger Pollock's Bergen County-area office in Paramus, NJ, to find relief.

Why Do I Have Shoulder Pain?

Shoulder pain radiating from the joint itself typically worsens with movement or activities that involve the use of the shoulder or arm. However, a variety of conditions and diseases that impact your abdomen or chest regions could likewise cause shoulder pain. With this in mind, the most common shoulder pain causes include:

  • Broken arm or collarbone
  • Frozen shoulder
  • Bursitis
  • Avascular necrosis (tissue bone death due to restricted blood flow)
  • Brachial plexus injury
  • Dislocated shoulder
  • Impingement
  • Osteoarthritis
  • Cervical radiculopathy
  • Rotator cuff injury
  • Rheumatoid arthritis
  • Sprains
  • Separated shoulder
  • Inflammatory joint diseases
  • Tendinitis
  • Torn cartilage
  • Ruptured tendon
  • Septic arthritis
  • Heart attack

At-Home Remedies for Shoulder Pain

For minor shoulder pain, you can try the following self-care practices to alleviate your symptoms:

  • Resting Your Shoulder: Refrain from using your shoulder in a manner that could worsen your pain.
  • Cold Therapy: Place an ice pack on the affected area no more than 20 minutes several times a day for relief.
  • OTC Pain Relievers: To ease pain, you can try OTC pain medications such as ibuprofen, naproxen sodium, or acetaminophen.

If these self-care measures don’t improve your symptoms after a day or two and/or if your shoulder pain comes with redness, warmth, swelling, or tenderness around the shoulder joint, consult your doctor in Bergen County, NJ.

When to Seek Emergency or Immediate Medical Help

Find someone to bring you to the emergency room or urgent care if the cause of your shoulder pain is an injury and it comes with sudden swelling, intense pain, a deformed joint, and/or if you can’t move your shoulder or arm.

Call for emergency help or 911 if you have shoulder pain and you have chest tightness or difficulty breathing since these could indicate a heart attack that requires medical help right away.

For Shoulder Pain Relief, We Can Help

Call (201) 612-9774 to arrange a consultation with Dr. Roger Pollock here in our Bergen County-area office.

By ROGER G POLLOCK, MD
April 13, 2020
Tags: Labral Tear  

Know the warning signs of torn shoulder cartilage.

The shoulder is very delicate and prone to injury. Older adults, particularly, may find that their shoulders become more susceptible to pain and other problems that limit their activities. The shoulder contains a ball-and-socket joint, and the labrum is rubbery tissue or fibrocartilage that helps to support and hold the ball in place. When a labrum is torn it’s important that you recognize the warning signs so that you can see our Bergen County, NJ, orthopedic shoulder doctor, Dr. Roger Pollock, as quickly as possible.

What are the signs of a labral tear?

One of the most obvious signs is severe shoulder pain that is worse with activity or at night. Along with pain you may feel weakness and instability, as well as a limited range of motion. You may experience intensified pain or weakness when performing certain overhead movements. The shoulder joint may also grind, lock, or pop when in motion.

Traumatic injuries and overuse can both be to blame for a labral tear. If you perform repetitive shoulder movements, you may be at higher risk. A torn labrum may also occur from a direct blow to the shoulder, a bad fall, or a serious accident (e.g. car accident). Athletes are at an increased risk for developing labral tears because of the risk of traumatic injury as well as wear and tear from repetitive motions (e.g. baseball; tennis).

How is it diagnosed?

Along with a comprehensive physical examination performed by our Bergen County, NJ, shoulder doctor, we will also recommend imaging tests such as an MRI or CT scan to look at the extent of the damage. From there, we will be able to create your treatment plan.

What are my treatment options?

So, you have a labral tear…now what? Your treatment plan will be designed to address the severity of your tear. Rest is the most important thing anyone with a torn labrum can do. You may also take over-the-counter or prescription pain relievers to help ease any pain and discomfort you may feel. Physical therapy can also help to retrain and restrengthen the muscles of the shoulder.

One thing to keep in mind is that a labral tear often won’t fully heal on its own. If limited mobility isn’t a major concern for you then you may choose not to undergo surgery; however, athletes and those who lead active lifestyle often consider surgery to repair the labrum. Arthroscopic surgery is often used to treat a labral tear, as it requires a smaller incision than traditional surgery, which means a faster recovery time and a less visible scar. It can take anywhere from two to four months to make a full recovery after surgery.
 

If you are experiencing shoulder pain, stiffness or weakness it’s important that you have a doctor that you can turn to in Bergen County, NJ, for immediate care. Call our office today at (201) 612-9774 to schedule an appointment with our shoulder specialist, Dr. Pollock.