Albyn Hospital21-24 Albyn Place, Aberdeen, AB10 1RW Directions
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Struggling with a shoulder or elbow problem? We can help
The most flexible joint in your body, the shoulder can be prone to all kinds of injuries. The third most common musculoskeletal (MSK) reason to seek medical help – according to an Arthritis Research UK study in 2017 – shoulder pain can affect a person’s day-to-day activities quite significantly.
With around three out of 10 people experiencing shoulder-related symptoms at some point in their lives, our clinic is a busy one – and there are a wide range of treatment modalities available.
People who visit our consultant orthopeadics surgeon with shoulder pain may have one of many conditions. Shoulder pain can be caused by a number of factors; from wear and tear to chronic overuse and acute injuries, with conditions affecting the muscle, tendons or other soft tissues and bone leading to a host of symptoms.
Lots of people see us with shoulder impingement, which is shoulder pain caused by the rotator cuff tendons rubbing on nearby bone or tissues.
Some patients may have inflammation of a bursa – a closed, fluid-filled sac that acts as a cushion. This condition is called bursitis.
You may also have heard of tendonitis, which is inflammation of your rotator cuff and or biceps tendon. Frozen shoulder is another common condition, whereby the patient experiences a reduction in movement due to tightening of the joint capsule.
Rotator cuff injuries are also common, as the rotator cuff can become injured due to chronic overuse.
Shoulder dislocation is where the upper arm bone pops out of the cup shaped socket that is part of the shoulder blade – usually following an injury. Shoulder joint instability, meanwhile, is where the ligaments supporting the shoulder have become torn, stretched or detached, which allows the shoulder to become dislocated.
Arthritis is another condition we see a lot of in clinic, and this can lead to restricted movement in the shoulder, and pain. Shoulder arthritis is quite a painful and debilitating condition that limits shoulder movements. For those suffering from the condition, treatment can ensure a full range of motion and an improved quality of life.
Frozen shoulder is another common condition seen within our shoulder injury clinic. Causing severe pain and limitation of motion in the shoulder, if left untreated, it can go on for 18 months. In the initial stages, steroid injections and physiotherapy may help.
Other common treatments include arthroscopic subacromial decompression, which treats shoulder impingement, as well as Arthroscopic Stabilisation of shoulder (bankart repair), which can prevent recurring anterior shoulder dislocations due to instability.
A total shoulder replacement or reverse shoulder replacement may be offered, if needed – and our consultant can also help treat conditions involving other areas of the body affected by pain or reduced mobility.
This includes the elbow (people with tennis elbow or golfer’s elbow, for example), those with ulnar nerve entrapment, loose bodies in the elbow, a stiff elbow or elbow arthritis.
Issues with hands can also be alleviated. Anyone with carpal tunnel syndrome, Dupuytren’s contracture, thumb arthritis or carpal tunnel decompression can also be treated.
Regarding shoulder conditions specifically, most can be treated with arthroscopy (keyhole techniques), with the advantage being minimal soft tissue damage, minimal access, a faster recovery time and a reduced risk of infection. Most can be performed as a day case procedure for optimum convenience for the patient.
Your consultant may suggest some imaging or other diagnostic tests – and there are certain things you may be able to do to help ease the pain yourself. This can include gentle exercises, improving your posture and taking pain medication.
Although most diagnoses can be made clinically, in a lot of patients an X-ray of the affected area is required, and further imaging may be needed – including MRI scans, ultrasounds and CT scans.
In some cases, an operation may be required, and this is generally performed as a 'keyhole' procedure - an arthroscopy. During this investigation, if the shoulder is affected, the parts of the shoulder joint can be examined to see what the cause of the problem is, with any damaged tissues being repaired or removed.
A surgical option used for shoulder pain caused by impingement is subacromial decompression. This means removing bone spurs and soft tissue through a thin telescope introduced through the keyhole cut.
Other types of surgery to repair tears in the rotator cuff may also be offered if that is the issue you are experiencing – and you will have chance to discuss different treatment options with your consultant.
There are lots of reasons to choose Albyn Hospital for shoulder or elbow surgery.
The hospital offers fast, private healthcare with a diagnosis and treatment when you need it. You can select a consultant of your choice, and you can spread the cost of your treatment – on an interest-free basis, if needed.
Diagnostics like X-rays can be performed on the same day as your consultation, with most other scans available within a short time frame too. It’s also only a matter of weeks between your first consultation and any surgery needed; if a consultation is urgent, you will usually be seen within a week.
Below is an at-a-glance look at some of the reasons you might choose Albyn Hospital for shoulder-related injuries and treatment: