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January 16, 2018
shoulder impingement syndrome

Shoulder impingement syndrome can best be described as a recurring ache/pain on the outside upper part of your shoulder when you raise your arm to shoulder height Sometimes referred to as swimmer’s shoulder, this syndrome is common with people who perform repetitive arm rotations when exercising or working. These types of repetitive stress injuries are also common in those with assembly line jobs. Impingement syndrome occurs due to pinching and inflammation of the rotator cuff tendon and bursa in the space below the acromion (see photo). The pain is worse when the arm is raised away from the body. It is a very common condition that, if diagnosed early, can be treated very effectively. Impingement usually occurs from repetitive and chronic compression of the rotator cuff tendons in the subacromial space. These tendons help hold your arm in place, provide shoulder stability and enable movement. Damage to any one of the four rotator cuff muscles could result in inflammation and swelling and general pain in shoulder, or cause shoulder impingement. Rotator cuff tears and impingement problems can exist separately or together. It is possible that rotator cuff tears are the result of impingement syndrome and age-related changes within the rotator cuff tendons. Additionally, aging patients may develop arthritis which can cause bone spurs (boney growths formed on a normal bone) these f

January 2, 2018

Many family members have asked us how to best prepare for post operative care of the shoulder. The key thing to remember about any healing process is to respect it. It takes time. The patient should have someone ready to help drive them home from the procedure and help at home for the first few days after surgery. Controlling pain during the first few days is essential. Most physicians send their patients home with a limited amount of pain medication. These should be taken according to the exact recommendations of the patient’s doctor. The patient should not drive while on pain medication. Be prepared to help with meals and/or run errands as needed. The most important way to control pain is to properly support the arm. Help the patient adjust the arm sling when they are standing up. Gravity will help, and the arm will hang comfortably. Most doctors recommend wearing the sling when walking around and while sleeping. They will be able to take it off while sitting, resting or showering. You don’t want the sling to be too tight. No pressure should be applied to the surgical sight. Ice is crucial for recovery and pain relief. Icing the surgical site for 15-20 minutes every few hours is highly recommended. We have had patients purchase in-home ice therapy pumps that can be very helpful with post-operative pain control. Showering can take place 24 hours after surgery. The patient sh

October 3, 2017

Richard Grell, Hudson, Ohio Facing the decision to have a total shoulder replacement surgery isn’t easy for anyone. For Richard Grell, the idea was very intimidating. As an expert Windsor chair maker for the last 45 years, Richard is completely reliant on having two strong shoulders to make a living. The detailed work involved in making these chairs in a traditional manner includes using a variety of specialized tools to cut and grate the wood evenly. The craftsmanship and work involved in the cutting of the timber, then splitting, shaping, steam bending, carving, turning, finishing and painting each piece is incredible. Many have compared this type of detailed and artistic carpentry work to a form of sculpting. Each of Richard’s hand-crafted pieces of furniture is shaped from solid pieces of wood, made straight from the trees and shipped to clients all over the world. When Richard injured his shoulder doing yardwork, it was immobilized to the point he couldn’t use it at all. He was relieved to learn from his primary care doctor that we had one of the best shoulder surgeons in the country living in Northeast Ohio. “When I first met Dr. Gobezie, I knew it was a great opportunity to meet someone who was passionate about what they do. He explained everything, and gave me great confidence in what I was about to undergo,” said Richard. Dr. Gobezie diagnosed Richard’s mas

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April 4, 2017
Shoulder pain relief

One of the most common complaints I hear in my office is that a patient cannot sleep due to shoulder pain. It may seem that no matter what side you try to sleep on, it still hurts. Your shoulder may feel stiff or a dull pain may become worse when you raise your arm or shift from side to side. You may also feel a muscle spasm or numbness and tingling in your fingers. The shoulder is one of the most agile joints of the body, allowing movement in all directions. Because of this, it can be more susceptible to injury. Painful conditions may also arise from overuse due to a specific activity or shoulder motion that you make repetitively. Racquet and ball throwing sports are some of the main culprits, but any repetitive shoulder motion can cause an overuse injury. Typically, shoulder pain that gets worse at night may be caused by bursitis, tendinopathy or an injury to the rotator cuff. Bursitis is an inflammation of the bursa, which is a fluid-filled pad that provides a cushion to the bones of the joint. When injured, fluid in the bursa increases and this swelling can be painful. Biceps Tendinopathy is usually the result of long term overuse and deterioration of the biceps tendon that connects muscles and bones in the shoulder joint. Tendons may also get less flexible as we age, and more prone to injury. Tendinopathy is often part of the aging process

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March 24, 2017
Golf Shoulder pain treatment

Though golf is considered a moderate risk activity, an in-depth look at golf reveals that overuse and poor technique can result in serious injury. At first glance, the golf swing may appear to be a relatively simple move. However, the swing requires a synchronized effort of muscle strength, timing, and coordination to generate high club-head speeds, often more than 100 mph. Golf injuries originate either from overuse or from a traumatic origin and primarily affect the elbow, wrist, shoulder and the lumbar area. In regards to shoulder injuries, the lead shoulder, or the left shoulder in the right-handed golfer, is particularly vulnerable to injury. Common shoulder problems affecting golfers include rotator cuff tears, long head of the biceps tendon injuries, shoulder impingement, osteoarthritis, and shoulder joint instability. Most patients sustaining a golf related shoulder injury will respond to nonsurgical treatment, such as rest and a physical therapy program including: (a) muscular strengthening and flexibility; (b) a pre-game warm-up routine; and (c) the adjustment of an individual’s golf swing to meet their physical capacities and limitations through properly supervised golf lessons. At the Cleveland Shoulder Institute, we highly encourage the adoption of our “Five Week Interval Golf Program.” This is a structured progressive rehabilitation program aimed at accelera

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March 8, 2017
Should Pain Treatment

Our patients are often surprised to learn the majority of shoulder surgeries performed here are now done outpatient. Reuben Gobezie, MD, is one of the most experienced and highest volume shoulder surgeons in the country – both inpatient and outpatient. A number of studies have shown that surgical volume, the number of surgeries a surgeon performs each year, is a strong predictor of patient outcome. Dr. Gobezie has found that patients recover better at home and are happier when able to check out sooner following a procedure. 

Dr. Gobezie has refined shoulder replacement surgery to the point that it often only takes 35 minutes in a highly-controlled environment and results in little blood loss. The less time the patient is under anesthesia, the better the recovery. There is less risk of infection, increased patient satisfaction, and higher quality outcomes based on function and pain with a home recovery. Patients walk out with their arm in a sling and are home the same day.

“We make shoulder replacement surgery as easy as possible for patients at Cleveland Shoulder Institute,” says Dr. Gobezie. “We cater to each patient and their caregiver in the weeks leading up to surgery with educational information, and a series of physical t

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July 19, 2016
How to Select a Surgeon
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