{"id":29320,"date":"2014-01-30T21:49:19","date_gmt":"2014-01-31T02:49:19","guid":{"rendered":"http:\/\/thelehighacresgazette.com\/news\/?p=29320"},"modified":"2014-01-30T21:49:19","modified_gmt":"2014-01-31T02:49:19","slug":"shoulder-joint-and-rotator-cuff-disease","status":"publish","type":"post","link":"https:\/\/thelehighacresgazette.com\/news\/2014\/01\/shoulder-joint-and-rotator-cuff-disease\/","title":{"rendered":"Shoulder Joint and Rotator Cuff Disease"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-29321\" title=\"pap\" src=\"http:\/\/thelehighacresgazette.com\/news\/wp-content\/uploads\/2014\/01\/pap-300x295.png\" alt=\"\" width=\"210\" height=\"207\" srcset=\"https:\/\/thelehighacresgazette.com\/news\/wp-content\/uploads\/2014\/01\/pap-300x295.png 300w, https:\/\/thelehighacresgazette.com\/news\/wp-content\/uploads\/2014\/01\/pap.png 653w\" sizes=\"(max-width: 210px) 100vw, 210px\" \/>This month I&#8217;d like to discuss the Shoulder joint and Rotator Cuff disease. \u00a0The shoulder is complex ball and socket joint. \u00a0It is the most mobile joint in the body. \u00a0Because of this mobility it is subject to many different forces and makes it more susceptible to injury or damage. \u00a0The most common problem that I see in our southwest Florida \u00a0population is problems with the Rotator Cuff. \u00a0The Rotator Cuff is a group of four muscle-tendon units that surround the shoulder. \u00a0They provide the joint with dynamic stability so that the ball stays centered within the socket thus allowing full range of motion.<\/p>\n<p>The Rotator Cuff begins to show degenerative changes as we age. \u00a0Most people hear of the stories related to athletes sustaining tears. \u00a0This however is not the case. \u00a0The most common cause of Rotator Cuff disease is age related degeneration. \u00a0As we age past 50 the Cuff begins losing some of its blood supply. \u00a0Because of this it loses it&#8217;s ability to repair itself of the daily wear and tear to which it is subjected. \u00a0Also, \u00a0this tissue is sandwiched between an archway of bony structures that change with age causing impingement from bone spurs that happen to many of us with age.<\/p>\n<p>It is important to understand that as we get older we need to keep the shoulder healthy. Common signs of Rotator Cuff disease are shoulder pain at night. \u00a0Pain reaching above shoulder level and\/or behind the back. \u00a0 Weakness with arm elevation coupled with pain is also common. \u00a0Stretching and strengthening is an important part of maintaining Rotator Cuff health. \u00a0There are many great instructional \u00a0videos that can be seen on the Internet. \u00a0They are simple exercises with very low weights that I would recommend as a means of injury prevention. \u00a0This is the first line for preserving shoulder health. \u00a0If the Cuff does become diseased, exercise and rehabilitation are also important to restoring its health. \u00a0If this does not work, then we as joint specialists can assist. \u00a0Usually, the addition of a topical or oral anti-inflammatory medication coupled with a cortisone injection will remedy the problem. \u00a0Lastly, surgery is the ultimate option if all else fails. \u00a0Ninety-five percent of patients in my practice who fail non operative treatment can be cured with an outpatient arthroscopic surgery. \u00a0This avoids large incisions thus decreasing pain, making recovery more tolerable. \u00a0As an orthopedic physician, the shoulder is a joint that fascinates me. \u00a0It is extremely rewarding to see the passion that people put into their recovery and ultimately at the end of the journey returning to their everyday and recreational activities. \u00a0Call us or email us if you need more direction. \u00a0Remember that about 80% of your shoulder pain can be treated without surgery.<\/p>\n<p>Peter Curcione D.O.<br \/>\n<a href=\"mailto:drcurcione@bone-fix.com\">drcurcione@bone-fix.com<\/a><br \/>\n<a href=\"http:\/\/www.bone-fix.com\/\" target=\"_blank\">www.bone-fix.com<\/a><br \/>\nPh.\u00a0<a href=\"tel:239-368-8277\">239-368-8277<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This month I&#8217;d like to discuss the Shoulder joint and Rotator Cuff disease. \u00a0The shoulder is complex ball and socket joint. \u00a0It is the most mobile joint in the body.&hellip; <\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[130],"tags":[],"_links":{"self":[{"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/posts\/29320"}],"collection":[{"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/comments?post=29320"}],"version-history":[{"count":0,"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/posts\/29320\/revisions"}],"wp:attachment":[{"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/media?parent=29320"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/categories?post=29320"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/thelehighacresgazette.com\/news\/wp-json\/wp\/v2\/tags?post=29320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}