How do you treat shoulder impingement?
Dr. Brown treats shoulder impingement in all patient populations and specializes in arthroscopic bursal and bone spur removal when necessary. With an initial evaluation including a thorough history and detailed physical exam, Dr. Brown will determine if imaging such as x-rays, or more advanced imagining such as MRIs are necessary for further diagnosis. Once a diagnosis of shoulder impingement is made, non-operative measures are usually the first step. Many conditions will become less painful with anti-inflammatory medications, rest, and a directed physical therapy program. The use of an injection of steroids may be utilized as well to help calm down inflammation. Often, Dr. Brown will utilize an ultrasound to perform a shoulder injection to ensure the precise placement of medication.
If the history, exam, and images reveal shoulder impingement and a rotator cuff injury, non-operative measures can still be utilized to treat this condition in certain circumstances. However, in many situations, surgery is the best option to fully restore function and eliminate pain. Dr. Brown will remove the painful bursal tissue, shave down any bone spurs, and repair the rotator cuff (if needed) using minimally invasive techniques that require a small camera, small instruments, sutures, and anchors.