Shoulder & Elbow

We can bend, flex, reach, and rotate our arms using our shoulder and elbow joints. Repetitive overhead movements, which are typical in various sports and vocations, can overstretch the elbow and shoulder joints, causing injury. When tendon tears, instability, fractures, arthritis, and other disorders obstruct movement, surgical and non-surgical treatments are sought to relieve discomfort and aid in movement restoration.

How does the
shoulder and elbow work?

The elbow is a complex synovial joint that allows for extensive mobility and function, largely in the form of extension and flexion. However, the elbow joint also allows for supination and pronation of the forearm, which aids motion in the hand. The osseous articulations of the trochlea of the humerus and the ulnar olecranon provide the main stability of the elbow joint. The olecranon is shaped like a scoop or a wrench, with a feature called the trochlear notch that fits around the trochlea of the humerus and serves as the major pivot point during elbow flexion and extension. The trochlear notch spans about 180 degrees around the humerus, and the trochlea of the humerus is wide with a central groove, allowing for tight fitting of the two components and increasing stability. After the osseous articulations of the humerus and ulna (ulnohumeral articulation), the rest of the major stability components of the elbow joint comes from two strong ligaments in the form of the medial collateral ligament (MCL) and the lateral collateral ligament (LCL).  Both the LCL and the MCL form into the joint capsule to provide further stability.

Although many disorders can cause pain, the most common cause of shoulder pain is rotator cuff tendinitis. The most common elbow disorder is epicondylitis (“tennis/golfers elbow”), and common wrist disorder is usually Carpal Tunnel Syndrome. These disorders can be from acute injuries but are more commonly from overuse or repetitive use. These conditions can also include other causes including:

  • Repetitive stress injuries
  • Tears
  • Poor posture
  • Overexertion
  • Aging
  • Osteoarthritis
  • Frozen shoulder

Rest, reduced activity, and ice should be used during the first 1-2 weeks of treatment at home. If there is no improvement, a thorough examination to discover the cause is recommended, and patients should consult a physician for a proper diagnosis and treatment alternatives.

Injuries are the most common cause of elbow pain. Some people may not recall having had a specific injury, especially if symptoms began gradually or during everyday activities.

Elbow injuries occur most commonly during:

  • Sports or recreational activities
  • Work-related tasks
  • Work or projects around the home
  • Falls

Because they lose muscle mass and bone strength as they age (osteoporosis), older persons are more vulnerable to traumas and fractures. They also have more eyesight and balance issues, which puts them at greater risk of harm. If you're suffering from arm pain, the professionals at Parvathy Orthopaedic Institute can help. They can treat any shoulder or elbow ailment.

Although Rothman specialists can offer the best shoulder surgery Philadelphia physicians can provide, it is best to avoid surgery altogether if possible. To avoid experiencing shoulder pain, Philadelphia patients should keep physically fit with a balanced program of aerobics, stretching and strengthening all body parts to help to prevent shoulder injuries. If you think you have injured your shoulder, consult a physician or physical therapist before starting an exercise program. Here are some specific tips for the shoulders:

  • Before exercising, warm up your shoulder muscles. Heat helps muscles and tendons to prepare for exercise.
  • When doing shoulder stretches, keep your arm below shoulder height.
  • During shoulder warm-up, gradually increase movements such as huge circles, across-body movements, trunk twists, shoulder blade rolls, and forward and backward squeezes.
  • The rotator cuff is relieved by doing pendulum stretching exercises. Keep your arm upright and close to your body while sitting or standing. Allow the arm to swing in a short circle back and forth (about 1 inch). The swing's diameter may be increased when symptoms improve. Perform the exercise using only your arm's weight at first. As your shoulder pain improves, gradually increase your weight—5 to 10 pounds at a time (a filled gallon container weighs 8 pounds). Once or twice a day, do 5 minutes of exercise.
  • After practising pendulum stretching exercises, muscle-strengthening activities can be done 1 to 2 weeks afterwards. For a range of arm exercises, use elastic exercise bands. Attach a band to a doorknob, for example. Then, with your elbow at a 90-degree angle to your side, grab the band and pull it toward your waist. Hold the position for 5 seconds. Every day, do 15 to 20 repetitions.

Elbow Conditions

  • Biceps Tendon Rupture
  • Bursitis
  • Elbow Arthritis
  • Elbow Dislocation
  • Elbow Spurs
  • Golfer's Elbow
  • Olecranon Fracture
  • Radial Head Fractures
  • Tennis Elbow - Lateral Epicondylitis
  • Throwing Injuries
  • Ulnar Collateral Ligament (UCL) Tear

Shoulder Conditions

  • Bankart Lesion
  • Biceps Tendon Rupture
  • Broken Collarbone
  • Bursitis
  • Labral Tear
  • Proximal Biceps Rupture
  • Rotator Cuff Tear
  • Shoulder Arthritis
  • Shoulder Dislocation
  • Shoulder Impingement Syndrome
  • Shoulder Separation
  • Sternoclavicular Joint Dislocation
  • Superior Labrum Anterior to Posterior (SLAP) Lesion Tear
  • Throwing Injuries

Elbow Treatments

  • Autograft (UCL Tear)
  • Biceps Tendon Rupture Surgery
  • Bursitis/ Impingement surgery
  • Closed Reduction (Elbow)
  • Elbow Arthritis Surgery
  • Elbow Arthroscopy
  • Elbow Surgery
  • Non-operative Biceps Tendon Rupture Treatment
  • Non-operative Bursitis/Impingement Treatment
  • Non-operative Elbow Bursitis Treatment
  • Non-operative Elbow Spur Treatment
  • Non-operative Golfer's Elbow Treatments
  • Non-operative Olecranon Fracture Treatment
  • Non-operative Radial Head Fracture Treatment
  • Non-operative Tennis Elbow - Lateral Epicondylitis Treatment
  • Non-operative Throwing Injury
  • Non-operative Ulnar Collateral Ligament (UCL)
  • Olecranon Fracture Surgery
  • Radial Head Fracture Surgeries
  • Tennis Elbow - Lateral Epicondylitis Surgery
  • Throwing Injury Surgeries

Shoulder Treatments

  • Biceps Tendon Rupture Surgery
  • Bursitis/ Impingement surgery
  • Non-operative Biceps Tendon Rupture Treatment
  • Non-operative Bursitis/Impingement Treatment
  • Non-operative Throwing Injury
  • Throwing Injury Surgeries
  • Acromioplasty
  • Biceps Tenodesis
  • Broken Collarbone Surgery
  • Closed Reduction (Shoulder)
  • Closed Reduction (Sternoclavicular Joint)
  • Labrum Surgery
  • Non-operative Bankart Lesion Treatment
  • Non-operative Broken CollarBone Treatment
  • Non-operative Labral Tear Treatment
  • Non-operative Proximal Biceps Rupture Treatment
  • Non-operative Rotator Cuff Tear Treatment
  • Non-operative Shoulder Arthritis Treatment
  • Non-operative Shoulder Separation Treatment
  • Proximal Biceps Rupture Surgery
  • Rotator Cuff Surgery
  • Shoulder Arthritis Surgeries
  • Shoulder Arthroscopy
  • Shoulder Impingement Syndrome Treatment
  • Shoulder Replacement Surgery
  • Shoulder Separation Surgery
Why the Parvathy Shoulder and Elbow Team?

Parvathy Orthopaedic Institute's Shoulder and Elbow programme, regarded as one of the best in Chennai and nationally for shoulder surgery, offers highly specialised care to patients suffering from arm pain. The program's patients benefit from the knowledge of physicians who execute over 1,000 surgeries per year and are pioneers in shoulder repair and replacement.

Shoulder & Elbow Programs
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“My initial fear of pain after surgery disappeared with the physiotherapy I received at Parvathy Hospital. I am now able to climb the stairs, cook for my family and live a life I love after my knee replacement surgery at the hospital.”

“I was confined to the bed for 5 years because of Rheumatoid Arthritis before the surgery. I thought I should not live. Knee replacement has given me a life and one worth living at age of 21.”

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