Shoulder pain is any pain in or around the shoulder joint. Shoulder is the most movable joint in the human body. A group of four muscles and their tendons, called the rotator cuff, give the shoulder its range of motion. Swelling, damage, or bone changes around the rotator cuff can cause shoulder pain. You may have pain when lifting the arm above your head or moving it forward or behind your back.
The most common cause of shoulder pain occurs when rotator cuff tendons become trapped under the bony area in the shoulder. The tendons become inflamed or damaged. This condition is called rotator cuff tendinitis or bursitis.
Other causes of shoulder pain:
Cortisone injections make up a very important part of the treatment of shoulder injuries. In combination with an active rehabilitation program they may significantly reduce the need for surgery in shoulder impingement syndrome.
Cortisone is a potent anti-inflammatory medication and acts on both acute and chronic phases of inflammation to reduce tissue swelling and subsequent scar formation. Cortisone injections are useful in the treatment of various musculoskeletal conditions, particularly those of acute inflammation (such as acute bursitis), and degenerative joint and tendon conditions.
In the shoulder, they are particularly useful in the management of:
What is knee pain?
What are common causes of knee pain?
Your knee is made up of many parts, including bones, muscles, ligaments, tendons, and cartilage. The pain you experience may be due to disease or damage to one or more of those parts.
The most common causes of knee pain include:
How is it diagnosed?
Finding the underlying cause of your knee pain helps direct treatment. The experienced team at Advanced Pain Modalities conducts comprehensive examinations to find the source of your joint pain so they can develop the most effective and beneficial treatment plan.
During your evaluation, the pain management specialists review your symptoms and medical history. They also perform a physical exam that may include an assessment of the strength and function of your knee. To confirm or rule out a suspected diagnosis, the team may request diagnostic imaging, such as an X-ray or MRI.
What are the treatments for knee pain?
Your specific treatment plan depends on the cause of your joint pain, the severity of your symptoms, and your overall health.
Treatment options may include:
If your knee pain continues after conservative treatments, the team may suggest a peripheral nerve block (Genicular Nerve Block), which is an interventional pain management treatment that blocks pain transmissions to your brain and may provide pain relief for an extended period of time.
Knee pain is extremely common and can develop from a range of causes. For expert care of your knee pain, contact Advanced Pain Modalities by phone or online today.
What Are Viscosupplementation or Gel (Hyaluronic Acid) Joint Injections?
How They Work
What are Platelet-rich plasma (PRP) Joint Injections
How they work
Platelets are the part of the blood that contain growth factors and proteins. These are very important in the repair and regeneration of damaged tissue. PRP Therapy works by accelerating the body’s own healing process and bringing the healing to areas in the body that would not normally receive this healing. Your body’s joints, tendons and ligaments receive limited blood flow; therefore in most cases, it is very difficult for these areas to heal on their own. Injecting one’s own PRP directly to the injury site works by encouraging the growth and regeneration/healing of new, healthy cells.
At Advanced Pain Modalities, we are committed to reducing your pain and improving your overall quality of life. If you would like to discuss knee pain treatments, please give us a call and we would be happy to schedule an appointment to discuss your treatment plan.
The hip joint is the largest weight-bearing joint in the human body. It is also referred to as a ball and socket joint and is surrounded by muscles, ligaments, and tendons. The thigh bone or femur and the pelvis join to form the hip joint. Any injury or disease of the hip will adversely affect the joint’s range of motion and ability to bear weight.
Problems within the hip joint itself tend to result in pain on the inside of your hip or your groin. Hip pain on the outside of your hip, upper thigh or outer buttock is usually caused by problems with muscles, ligaments, tendons and other soft tissues that surround your hip joint.
Hip joint injections involve injecting medicine directly into the hip joint to diagnose the source of the pain or treat pain due to conditions which can cause inflammation in the hip such as arthritis, injury, or mechanical stress of the hip joint. The procedure is performed under fluoroscopic (X-ray) guidance.
The injection solution is a combination of a local anesthetic and a cortisone (anti-inflammatory). The numbing medicine delivers temporary pain relief, provided the hip is the source of the joint pain. It thus serves a diagnostic function and helps to confirm or deny whether the joint is the source of the pain. Cortisone serves to reduce the inflammation in the joint providing long term pain benefit.
Risks and Complications
The possible risks of hip injections include: swelling and pain in the hip joint after injection, and in rare instances infection or local skin depigmentation. If the injected hip joint is the source of the pain, the patient may notice a reduction in pain after two to five days of the hip injection. This is due to the delayed onset of action of cortisone. If no improvement is found within 10 days of the injection, further diagnostic tests may be required to ascertain the cause of the pain.