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
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
Dr. Reuben Gobezie, MD, Founder Cleveland Shoulder Institute, GO Ortho, Regen Orthopedics
Cleveland Shoulder Institute patients are often surprised to learn the majority of shoulder surgeries performed here are now done outpatient. Led by nationally renowned orthopedic surgeon Reuben Gobezie, MD, Cleveland Shoulder Institute performs hundreds of shoulder surgeries every year. 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 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