Shoulder Strains

Shoulder strains are very common conditions in which the area surrounding the shoulder tendons becomes irritated.  Many cases develop suddenly after increasing activity; others develop slowly over time as a result of degenerative changes around the shoulder.  Most patients describe a sharp pain in the upper/outer arm when lifting their arm overhead or trying to put on a jacket.  Strength and motion are preserved, but painful.  Initial treatment includes activity modification, anti-inflammatory medication and corticosteroid injection.  If the condition persists I add physical therapy.  In refractory cases, I proceed with an MRI and occasionally surgery is required to remove the inflamed bursa. This is done as an outpatient procedure with minimally invasive arthroscopic techniques.