Common Shoulder Injuries: Rotator Cuff Tears vs. Shoulder Impingements

Common Shoulder Injuries: Rotator Cuff Tears vs. Shoulder Impingements

Rotator Cuff Tears vs. Shoulder Impingements | Las Vegas OrthopedicsDo you have pain in your shoulder that just won’t go away? It could be due to a rotator cuff tear or a shoulder impingement, two of the most common shoulder injuries. While they are both similar, there are some key differences between a rotator cuff tear and a shoulder impingement. In this blog post, we’ll explore what a rotator cuff tear and a shoulder impingement are, what causes them, and how they are treated. At the practice of Steven C. Thomas, MD and Gregory T. Bigler, MD. Our board certified surgeons specialize shoulder surgery in the Las Vegas area.

What is a Rotator Cuff Tear?

A rotator cuff tear is a common shoulder injury that occurs when the tendons in the shoulder become damaged or torn. This can happen due to repetitive motion, overuse, or a traumatic event. A rotator cuff tear can cause pain, weakness, and limited range of motion in the shoulder. If conservative treatments like rest, physical therapy, and medication do not improve symptoms, shoulder surgery may be recommended. An orthopedic surgeon is a specialist who can diagnose and treat rotator cuff tears using surgical techniques if necessary.

Symptoms and causes of a Rotator Cuff Tear

Symptoms of a rotator cuff tear may include pain, weakness, and limited range of motion in the affected shoulder. This can make it difficult to lift objects or even perform everyday tasks. The tear can be caused by repetitive overhead motions or sudden trauma, such as a fall or lifting a heavy object. If you experience these symptoms, it is important to see an orthopedic surgeon to diagnose the injury and determine the appropriate treatment plan. In some cases, shoulder surgery may be necessary to repair the tear.

Diagnosing a Rotator Cuff Tear

If you suspect you may have a rotator cuff tear, it is important to seek a professional diagnosis from an orthopedic surgeon. During the diagnostic process, your doctor will conduct a physical examination of your shoulder and may order imaging tests such as an MRI or ultrasound. These tests will help your doctor determine the severity of the tear and the best course of treatment. In some cases, surgery may be necessary to repair the tear. It is important to follow your doctor’s recommendations closely to ensure a successful recovery.

Treating a Rotator Cuff Tear

In most cases, non-surgical treatments are initially recommended for rotator cuff tears. These may include rest, physical therapy, and medication to manage pain and inflammation. However, if the tear is severe or doesn’t respond to conservative treatment, surgery may be necessary. During the procedure, the torn tendon is reattached to the bone with sutures or anchors. The type of surgery and recovery time can vary depending on the severity and location of the tear, as well as other individual factors. It’s important to consult with a medical professional to determine the best course of treatment for your specific case.

What is a Shoulder Impingement?

A shoulder impingement occurs when the tendons of the rotator cuff become irritated and inflamed as they pass through the narrow space between the shoulder bones. This can lead to pain, weakness, and limited range of motion in the shoulder. Causes of shoulder impingement can include overuse, repetitive overhead movements, and muscle imbalances. Diagnosis is typically made through a physical examination and imaging tests such as an MRI. Treatment options may include rest, physical therapy, anti-inflammatory medication, and in some cases, shoulder surgery.

Symptoms and causes of a Shoulder Impingement

A shoulder impingement occurs when the rotator cuff tendons or bursa become compressed and pinched between the bones of the shoulder. This can cause pain, weakness, and limited range of motion in the shoulder. Symptoms of a shoulder impingement include pain when reaching overhead, difficulty reaching behind the back, and pain that worsens at night. Causes of a shoulder impingement can include repetitive overhead activities, poor posture, and bone spurs. If left untreated, a shoulder impingement can lead to more serious shoulder injuries and may require shoulder surgery.

Diagnosing a Shoulder Impingement

Diagnosing a shoulder impingement typically involves a combination of a physical examination, medical history review, and imaging tests. During the physical examination, your healthcare provider will assess your range of motion and look for signs of tenderness, inflammation, or weakness in the shoulder. They may also perform specific maneuvers to reproduce symptoms or evaluate the impingement. Imaging tests such as X-rays, MRI, or ultrasound may be ordered to get a more detailed view of the shoulder joint. It is important to obtain an accurate diagnosis before proceeding with any treatment options, such as shoulder surgery.

Treating a Shoulder Impingement

The treatment options for a shoulder impingement depend on the severity of the injury. In mild cases, rest, ice, and physical therapy can be effective in reducing pain and inflammation. Pain medications and corticosteroid injections may also be recommended. However, if the impingement is severe or has caused significant damage to the rotator cuff or bursa, surgery may be necessary. The most common type of shoulder surgery for impingement is called arthroscopic surgery, which involves small incisions and the use of a camera to repair the damaged tissue. Your doctor will be able to determine the best course of treatment for your individual case.

Contact Board Certified Surgeons Dr. Bigler or Dr. Thomas at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada

How an Orthopedic Surgeon Can Help You Decide if You Need a Knee Replacement

How Your Surgeon Can Help Decide if You Need a Knee Replacement | VegasKnee replacement surgery is a significant decision that should be made with care. An orthopedic surgeon is the best person to help you decide if a knee replacement is necessary for your situation. In this blog post, we will discuss the factors an orthopedic surgeon considers when determining if a patient needs a knee replacement. We will also discuss how an orthopedic surgeon can help you make the best decision for your health. At the practice of Steven C. Thomas, MD and Gregory T. Bigler, MD. Our board certified surgeons specialize in knee replacement surgery in the Las Vegas area.

How an Orthopedic Surgeon Can Help You Decide if You Need a Knee Replacement

When it comes to deciding if a knee replacement is necessary, a knee specialist, such as an orthopedic surgeon, can provide valuable guidance. They will thoroughly evaluate your symptoms, medical history, and conduct imaging tests to assess the extent of the damage. Based on their expertise, they can help determine if conservative treatments, like physical therapy or medication, will be effective or if a knee replacement surgery is the best course of action. Trusting in the expertise of a knee specialist is crucial in making an informed decision about your knee health.

Preparing for Knee Replacement Surgery

Before undergoing knee replacement surgery, it is important to adequately prepare for the procedure. One crucial step in this process is consulting with a knee specialist, such as an orthopedic surgeon. The knee specialist will thoroughly assess your condition and determine if a knee replacement is the best course of action for you. They will discuss the potential benefits and risks of the surgery, answer any questions you may have, and provide recommendations on how to prepare both physically and mentally for the procedure. This consultation is essential in ensuring that you make an informed decision about your knee health.

The Knee Replacement Surgery Procedure

During knee replacement surgery, the orthopedic surgeon will make an incision and remove damaged cartilage and bone from the knee joint. They will then place the artificial joint, which consists of metal and plastic components, in the knee. The surgeon will ensure proper alignment and stability of the artificial joint before closing the incision. The procedure typically takes a few hours and is performed under general anesthesia. The surgeon may use minimally invasive techniques, resulting in smaller incisions and quicker recovery time. Overall, the surgery aims to alleviate pain and restore functionality to the knee joint.

Recovering from Knee Replacement Surgery

Recovering from knee replacement surgery is a crucial phase in the overall success of the procedure. The immediate post-surgery period involves pain management, physical therapy, and gradually regaining strength and mobility. Patients will be encouraged to engage in specific exercises to promote healing and restore function. While everyone’s recovery time may vary, most patients can expect to use crutches or a walker initially, gradually transitioning to a cane or walking independently. Follow-up appointments with the orthopedic surgeon are necessary to monitor progress and address any concerns. It’s important to follow all post-operative instructions to ensure a smooth and successful recovery.

Contact Board Certified Surgeons Dr. Bigler or Dr. Thomas at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada

When and How to Return to Work After Knee Replacement Surgery

When and How to Return to Work After Knee Replacement Surgery | VegasKnee replacement surgery is a major procedure with a long recovery process. As a result, patients who have undergone knee replacement often find themselves wondering when they can return to work. It’s important to consult a knee specialist to determine the best timing for your return to work, as well as the steps involved in the process. In this blog post, we’ll discuss when and how to return to work after knee replacement surgery. At the practice of Steven C. Thomas, MD and Gregory T. Bigler, MD. Our board certified surgeons specialize in knee replacement surgery in the Las Vegas area.

Why Knee Replacement Surgery is Common

Knee replacement surgery has become increasingly common in recent years. In fact, it is one of the most commonly performed orthopedic procedures in the world. There are several reasons why this type of surgery is so prevalent.

First and foremost, knee replacement surgery is typically recommended for individuals who suffer from chronic knee pain or have significant knee damage due to injury or arthritis. As we age, the cartilage in our joints wears down, leading to pain, stiffness, and limited mobility. When other treatments like physical therapy or medications fail to provide relief, knee replacement surgery may be necessary.

Secondly, advances in medical technology have made knee replacement surgery safer and more effective than ever before. Orthopedic surgeons are able to use minimally invasive techniques that result in less scarring, reduced blood loss, and faster recovery times. This means that more individuals are able to undergo knee replacement surgery and experience successful outcomes.

Finally, an aging population and increasing rates of obesity have also contributed to the rise in knee replacement surgeries. Both of these factors can put extra strain on the knees and increase the risk of knee damage and degeneration.

Overall, knee replacement surgery has become a common procedure due to a combination of medical advances, demographic shifts, and the need to provide relief to individuals who suffer from chronic knee pain and injury.

Postoperative Recovery: Initial Period

The initial period of recovery after knee replacement surgery is critical to ensure a successful outcome. Your orthopedic surgeon will typically prescribe a comprehensive rehabilitation program, including exercises to strengthen your muscles and improve your range of motion. The program may also include pain management strategies and a postoperative diet plan.

During this time, it is important to adhere to the prescribed rehabilitation plan and follow your surgeon’s instructions carefully. You may be required to use a walker or crutches initially to help you move around. It is essential to keep the surgical site clean and dry to prevent infection. 

Your surgeon may also prescribe pain medication or anti-inflammatory drugs to help manage your pain during the initial recovery period. Ice packs or a cold compress may be recommended to reduce swelling and relieve pain.

Your surgeon may also recommend certain lifestyle modifications during this period, such as avoiding high-impact activities or sports that put undue stress on the knee joint. It is important to follow these recommendations to ensure that your knee joint fully heals and avoids further damage.

With proper care and adherence to your rehabilitation plan, you can typically expect to resume normal activities within six weeks after knee replacement surgery. However, the actual time required for recovery can vary depending on individual factors such as age, overall health, and the extent of the surgery.

It is important to remember that postoperative recovery is a gradual process that requires patience, persistence, and dedication. It is normal to experience some pain and discomfort during this period, but with proper care and management, you can minimize these symptoms and speed up your recovery time. Your orthopedic surgeon will be your best source of guidance and support throughout the recovery period.

How to Plan for Returning to Work

After knee replacement surgery, returning to work is a crucial aspect of resuming normal life. It’s essential to have a well-thought-out plan to make the transition as smooth as possible. Here are some tips for planning your return to work:

  1. Talk to Your Surgeon: Your surgeon is your best resource when it comes to determining when it is safe to return to work. They will take into account your progress during rehabilitation and assess your overall physical condition.
  2. Talk to Your Employer: Talk to your employer about your return to work plans. It’s essential to communicate the timeline for your return, the type of work you do, and any accommodations that may be necessary to help you do your job.
  3. Prepare Your Work Environment: If possible, try to prepare your work environment before you return. You may need special equipment, accommodations, or modifications to help you do your job.
  4. Gradual Return: Depending on the nature of your job, your surgeon may recommend a gradual return to work. This may include a gradual increase in the number of hours worked or a reduced workload until you are fully recovered.
  5. Work with a Physical Therapist: If your job is physically demanding, it may be beneficial to work with a physical therapist to prepare for your return to work. They can help you build strength, endurance, and flexibility.
  6. Communicate with Your Doctor and Employer: If you experience any pain or discomfort while working, communicate with your surgeon and employer. It’s essential to address any issues promptly to prevent further injury.

Returning to work after knee replacement surgery requires careful planning and preparation. With the right mindset, tools, and support, you can successfully return to work and resume your daily routine.

Managing Pain and Discomfort While Working

Returning to work after knee replacement surgery can be a daunting task, especially if you are still experiencing pain and discomfort. However, it is important to keep in mind that with the right management and planning, you can get back to your routine and start being productive again.

To manage your pain and discomfort while working, consider the following strategies:

  1. Take breaks: One of the most effective ways to manage pain and discomfort while working is to take regular breaks. Get up, move around, and stretch your legs. Doing this will help prevent stiffness and improve blood flow.
  2. Use heat or ice therapy: Depending on your specific needs, you may benefit from either heat or ice therapy. For instance, applying ice can help reduce inflammation and swelling, while heat therapy can ease muscle tension.
  3. Practice good posture: Make sure to sit or stand up straight and keep your knees and hips aligned. Doing this will help take pressure off your knees and improve your overall comfort level.
  4. Wear supportive footwear: The right footwear can help support your knees and provide additional comfort while walking or standing for extended periods.
  5. Consider over-the-counter pain relievers: If you are experiencing mild to moderate pain, you may find relief by taking over-the-counter pain medications like ibuprofen or acetaminophen. However, always speak with your doctor first before taking any medications.

Overall, managing pain and discomfort while returning to work after knee replacement surgery is possible. By taking these steps, you can ease your symptoms and continue to be productive at work.

Timing Considerations for Returning to Work

After knee replacement surgery, it’s essential to give yourself enough time to heal properly before returning to work. Returning to work too soon can put you at risk of complications, slow down your recovery process, and even lead to additional knee injuries.

Your surgeon will give you an estimated recovery timeline that will depend on several factors, including your age, general health, and the severity of your knee damage. On average, it can take up to six months to make a full recovery from knee replacement surgery, though you may be able to return to work earlier.

It’s crucial to follow your doctor’s recovery plan and keep track of your progress as you heal. Start by focusing on activities of daily living like walking and bathing and gradually increase your activity level as you heal. Your doctor will likely recommend physical therapy to help you regain strength and mobility in your knee joint, which can be particularly helpful in preparing you for your return to work.

When you feel ready to return to work, make sure to discuss your plans with your surgeon and your employer. You may need to request accommodations or a reduced workload to prevent overworking your knee. Additionally, it’s essential to be aware of the physical demands of your job and adjust your expectations accordingly.

Lastly, make sure to listen to your body and avoid pushing yourself too hard too soon. If you’re experiencing pain or discomfort, speak with your surgeon or therapist and consider adjusting your work schedule as needed. Remember, returning to work after knee replacement surgery is a gradual process, and patience and caution are key to a successful recovery.

Contact Board Certified Surgeons Dr. Bigler or Dr. Thomas at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada

The Timing and Steps Involved in Returning to Work After ACL Surgery

Timing and Steps Involved in Returning to Work After ACL Surgery | VegasReturning to work after ACL Surgery can be a long and challenging process. The timing of when you can go back to work depends on several factors, such as the severity of the injury, the type of surgery, and the demands of your job. It’s important to understand the steps involved in your ACL Surgery Recovery and to talk to your doctor about when it’s safe for you to return to your job. In this blog post, we’ll discuss the timing and steps involved in returning to work after ACL Surgery. At the practice of Steven C. Thomas, MD and Gregory T. Bigler, MD. Our board certified surgeons specialize in ACL and MCL surgery in the Las Vegas area.

The Importance of Recovery After ACL Surgery

ACL surgery is a major procedure that requires significant recovery time. While many patients may be eager to return to work, it is important to take the time needed to allow for a full recovery. Following the surgery, your orthopedic surgeon or knee specialist will provide you with specific instructions to help facilitate your recovery process.

One of the most important aspects of ACL surgery recovery is rest. Your body needs time to heal, and pushing yourself too hard too soon can cause complications and even set your recovery back. This means taking time off from work, especially if your job requires physical activity.

In addition to rest, physical therapy is a critical component of ACL surgery recovery. A physical therapist can help you regain strength, flexibility, and range of motion in your knee, as well as provide you with exercises to help you continue to build your strength and endurance. By working with a physical therapist, you can ensure that you are not pushing yourself too hard, while still making steady progress toward a full recovery.

Ultimately, the importance of recovery after ACL surgery cannot be overstated. Taking the time needed to rest, work with a physical therapist, and follow your orthopedic surgeon or knee specialist’s instructions will help ensure that you can return to work safely and confidently. Remember, the goal of ACL surgery is to restore full function to your knee, and rushing back to work too soon could compromise your recovery and put you at risk for future complications. Be patient, follow your doctor’s orders, and you’ll be back on the job before you know it.

The Role of Physical Therapy in ACL Surgery Recovery

ACL surgery is a major procedure that requires careful rehabilitation in order to recover successfully. After surgery, it’s important to work with an orthopedic surgeon or knee specialist to create a customized recovery plan. One of the key components of this plan will be physical therapy.

Physical therapy plays a crucial role in ACL surgery recovery by helping patients regain strength, flexibility, and mobility in the affected leg. A physical therapist will work with the patient to create a tailored exercise program that gradually increases in intensity over time. This may involve exercises such as leg lifts, calf raises, and knee bends.

In addition to helping with physical recovery, physical therapy can also be instrumental in preventing future injuries. By strengthening the muscles and tissues in the leg, patients can reduce their risk of re-injuring the ACL or developing other knee problems down the line.

It’s important to work closely with a physical therapist throughout the recovery process, as they can provide guidance, support, and encouragement as the patient works to regain their strength and mobility. With consistent effort and guidance, most patients are able to return to their normal activities, including work, within a few months after ACL surgery. 

However, it’s important to remember that each person’s recovery journey will be unique, and it’s essential to follow the specific recommendations of your medical team and physical therapist. With time, patience, and diligence, most patients are able to make a full recovery and return to their daily lives with confidence and strength.

A Typical Timeline for Returning to Work After ACL Surgery

ACL surgery is a major operation, and your body needs ample time to recover fully. This means that returning to work after ACL surgery should not be rushed, and your doctor’s advice should be followed strictly.

Typically, most people can return to light office work within two weeks after their ACL surgery. However, it is essential to remember that every individual’s recovery is different. Therefore, your timeline may differ from someone else’s, depending on the nature of your work and the type of surgery you had.

After the first two weeks, most people will need to spend some time in physical therapy to regain strength and range of motion in the affected knee. Your therapist will likely work with you for several months to ensure that you can walk, squat, and jump safely. Depending on your progress and the demands of your job, you may be cleared for full-duty work anywhere from two to six months post-surgery.

It’s crucial to take things slow and not rush back into a demanding work environment too quickly. Returning too early or doing too much too soon can delay your recovery and put you at risk for reinjury. Listen to your body and communicate with your employer about your needs, such as extra breaks or reduced hours, during your recovery.

In summary, returning to work after ACL surgery requires a thoughtful approach and open communication with your healthcare team and employer. Take your recovery one step at a time, be patient with yourself, and follow the advice of your doctor and physical therapist. With the right mindset and a bit of patience, you can successfully return to work after ACL surgery.

How to Communicate With Your Employer About Your Recovery Needs

When it comes to returning to work after ACL surgery, communication with your employer is key. You want to make sure they are aware of your recovery needs and any accommodations you may require in order to make a smooth transition back to work.

Here are some tips for communicating effectively with your employer:

  1. Be open and honest: Let your employer know what kind of surgery you had and what your recovery timeline looks like. Share any restrictions or limitations your doctor has given you and how that may affect your ability to perform certain tasks at work.
  2. Provide regular updates: Keep your employer in the loop about your recovery progress. Let them know when you are cleared for light duty or full duty, and if there are any changes in your recovery plan.
  3. Discuss any necessary accommodations: If you need accommodations such as modified work hours, ergonomic equipment, or a temporary change in job duties, be upfront about it. Your employer may be willing to work with you to make sure you are able to do your job effectively while still recovering from your surgery.
  4. Ask for support: If you are feeling overwhelmed or need extra support during your recovery, don’t hesitate to ask. Your employer may be able to offer additional resources such as counseling or assistance with medical appointments.

Remember, your employer wants you to be successful and return to work in good health. By communicating your needs clearly and regularly, you can ensure a smooth transition back to work after ACL surgery.

Contact Board Certified Surgeons Dr. Bigler or Dr. Thomas at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada

Next steps when a cortisone shot doesn’t relieve your shoulder pain

Next steps when a cortisone shot doesn't relieve your shoulder pain | VegasIf you are suffering from shoulder pain that has not been relieved by a cortisone shot, you may be considering what your next step should be. In this blog post, we’ll discuss the potential options available when a cortisone shot doesn’t relieve your shoulder pain, such as shoulder surgery or orthopedic surgery. Whether you are experiencing shoulder pain due to an injury or a medical condition, we’ll explore how you can find relief. Read on to learn more about the various next steps to take when a cortisone shot doesn’t alleviate your shoulder pain.  At the practice of Steven C. Thomas, MD and Gregory T. Bigler, MD. Our board certified surgeons specialize shoulder surgery in the Las Vegas area.

Rest, Ice, and Heat

When a cortisone shot doesn’t relieve shoulder pain, the next step is to focus on non-invasive treatment options like rest, ice, and heat. Resting the affected shoulder allows it to heal and reduce inflammation. Applying ice can help reduce pain and swelling, while heat can promote blood flow and speed up the healing process. 

If these methods don’t provide relief, it may be time to seek out a shoulder specialist. A specialist can evaluate the shoulder and recommend a personalized treatment plan based on the severity and underlying cause of the pain. 

In some cases, non-invasive treatments may not be enough to relieve shoulder pain. In these instances, arthroscopic surgery may be necessary. During this minimally invasive surgery, a small camera is inserted into the shoulder joint to assess and repair any damage. Recovery time for arthroscopic surgery is typically shorter than traditional open surgery. 

It’s important to keep in mind that each individual case is unique and requires a personalized treatment plan. Consulting with a shoulder specialist can help determine the best course of action to alleviate shoulder pain.

Physical Therapy

If a cortisone shot doesn’t alleviate your shoulder pain, the next step is physical therapy. A physical therapist will work with you to develop an exercise regimen that can help improve shoulder strength and flexibility. This approach can help reduce pain and improve function.

It’s essential to seek out a shoulder specialist when undergoing physical therapy. A specialist can provide individualized treatment and customize the exercises to fit your specific needs. The therapist will work with you to develop a comprehensive rehabilitation program, which may include stretches, resistance exercises, and range-of-motion exercises.

It’s crucial to attend all of your physical therapy sessions to ensure that you get the maximum benefit from treatment. Your therapist will provide guidance on how to perform exercises correctly and monitor your progress. Your progress will dictate if further treatments, such as arthroscopic surgery, are required.

Physical therapy can be a helpful alternative to surgical procedures. However, in some cases, surgical intervention may be necessary. A shoulder specialist will be able to assess your condition and determine whether arthroscopic surgery is the right option.

Steroid Injections

If the initial cortisone shot didn’t work, your doctor may recommend trying steroid injections. Steroid injections use a different type of steroid than cortisone to reduce inflammation and pain. These injections are usually given directly into the joint or the surrounding tissue.

Similar to cortisone shots, steroid injections may provide temporary relief. However, they can also have potential side effects like joint damage, infection, and thinning of nearby bones and skin. This is why they are not typically used as a long-term solution for shoulder pain.

If your doctor does recommend a steroid injection, they will likely limit the number of injections you can receive. It’s important to discuss the risks and benefits of steroid injections with your doctor to make an informed decision about whether they are the right treatment option for you. 

Ultimately, the goal is to reduce pain and inflammation in the shoulder so you can return to your normal activities. If steroid injections don’t work, there are still other options to consider. Next, we’ll discuss surgery as a potential treatment option for shoulder pain.

Surgery

In some cases, surgery may be necessary to relieve shoulder pain that is not responding to other treatments. This may be the case if you have a tear in your rotator cuff or a bone spur that is causing irritation. Surgery may also be recommended if you have a frozen shoulder that is not improving with other treatments.

There are several types of shoulder surgery, depending on the underlying cause of your pain. Some surgeries involve repairing or removing damaged tissue, while others involve joint replacement or reconstruction. Your doctor will help you determine the best type of surgery for your specific needs.

As with any surgery, there are risks involved, including infection, bleeding, and complications related to anesthesia. You may also need to undergo physical therapy or other forms of rehabilitation to help you regain full use of your shoulder.

If you are considering surgery for your shoulder pain, be sure to talk with your doctor about all of the options available to you. It’s important to fully understand the risks and benefits of each option before making a decision. With the right treatment, you can relieve your shoulder pain and get back to enjoying your life.

Contact Board Certified Surgeons Dr. Bigler or Dr. Thomas at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada

How Many Cortisone Injections Should You Get for Shoulder Pain?

How Many Cortisone Injections Should You Get for Shoulder Pain? | VegasWhen it comes to shoulder pain, cortisone injections can be an effective way to reduce inflammation and pain. But how many cortisone injections should you get for your shoulder pain? This is a question that should be answered by your orthopedic surgeon. In this blog post, we will discuss the number of cortisone injections you may need for your shoulder pain, as well as the potential risks and benefits.  At the practice of Steven C. Thomas, MD and Gregory T. Bigler, MD. Our board certified surgeons specialize in treating the shoulder in the Las Vegas area.

How Often Can I Receive a Cortisone Injection?

Cortisone injections can be an effective treatment option for those suffering from shoulder pain. However, it’s important to know how often you can receive them.

Generally, it’s recommended that patients receive no more than three to four cortisone injections per year. This is due to the potential for negative side effects such as joint damage, weakened ligaments, and osteoporosis with repeated use.

It’s important to work closely with your healthcare provider to determine the appropriate number of injections for your individual case. They will take into consideration factors such as the severity of your pain and any underlying conditions you may have.

If your pain persists or returns after the maximum number of injections, your healthcare provider may explore alternative treatment options. It’s important to remember that cortisone injections are not a permanent solution and should be used in conjunction with other forms of treatment such as physical therapy and lifestyle modifications.

How Much Does a Cortisone Injection Cost?

If you are considering getting a cortisone injection for your shoulder pain, you may be wondering about the cost. The cost of a cortisone injection can vary depending on a few different factors. 

First, the cost may vary depending on your location and the healthcare provider you choose. In general, cortisone injections can cost anywhere from $100 to $500 or more. This price may or may not include any associated fees, such as the cost of an office visit or follow-up appointments. 

Another factor that may impact the cost of a cortisone injection is whether or not you have insurance. Some insurance plans may cover the cost of a cortisone injection, while others may not. If you have insurance, be sure to check with your provider to see what your plan covers.

Lastly, the cost of a cortisone injection may also depend on how many injections you need. If you only need one injection, the cost may be lower than if you need multiple injections over a period of time. 

In summary, the cost of a cortisone injection can vary depending on your location, healthcare provider, insurance coverage, and the number of injections needed. Be sure to check with your provider to get an accurate estimate of the cost before moving forward with the procedure.

Are There Any Side Effects from a Cortisone Injection?

While cortisone injections can be effective in reducing inflammation and pain in the shoulder, there are some potential side effects to be aware of. 

One of the most common side effects is pain and swelling at the injection site. This is usually mild and goes away on its own within a few days. Other possible side effects include temporary increases in blood sugar levels, thinning of the skin and tissue around the injection site, and allergic reactions.

In rare cases, cortisone injections can cause more serious side effects such as nerve damage, infection, or even death. It’s important to discuss any concerns with your doctor and follow their instructions for post-injection care. 

It’s also important to note that while cortisone injections can provide temporary relief, they don’t treat the underlying cause of your shoulder pain. Your doctor may recommend additional treatments or physical therapy to address the root cause of your pain and prevent it from returning.

Overall, cortisone injections can be a useful tool in managing shoulder pain, but they should be used judiciously and with caution. Always talk to your doctor about the potential risks and benefits of this treatment option before moving forward.

Contact Board Certified Surgeons Dr. Bigler or Dr. Thomas at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada

A Torn ACL vs. a Torn MCL: How to Tell the Difference

A Torn ACL vs. a Torn MCL: How to Tell the Difference | Las VegasIf you have suffered a knee injury, it is important to know the difference between an ACL tear and an MCL tear. ACL stands for anterior cruciate ligament and MCL stands for medial collateral ligament. Both of these ligaments are located in the knee and they serve different purposes, so it is important to understand the difference between an ACL tear and an MCL tear in order to properly treat the injury. In this blog post, we will discuss the differences between an ACL tear and an MCL tear and provide tips on how to tell the difference. At the practice of Steven C. Thomas, MD and Gregory T. Bigler, MD. Our board certified surgeons specialize in ACL and MCL surgery in the Las Vegas area.

Symptoms

A torn ACL (anterior cruciate ligament) is often characterized by a sharp pain that occurs suddenly in the knee area, often following a sudden twist or pivot of the knee. You may also experience swelling and joint instability, as well as difficulty bearing weight on the affected knee. An MCL (medial collateral ligament) tear, on the other hand, is typically accompanied by pain along the inner side of the knee joint, as well as swelling, tenderness and possibly bruising. Depending on the severity of the tear, you may also experience instability in the knee joint.

It’s important to note that not all knee injuries require ACL or MCL surgery. If you suspect you have torn one of your knee ligaments, it’s best to visit an orthopedic surgeon who can diagnose and treat your injury accordingly. The surgeon will likely recommend rest, icing, compression and elevation to reduce inflammation and pain. For more severe injuries, he or she may suggest ACL or MCL surgery in order to repair or reconstruct the torn ligament.

Causes

ACL tears can be caused by a variety of activities. The most common cause is when a person makes a sudden change in direction while running or jumping. This sudden shift can put too much stress on the ACL and cause it to tear. In some cases, ACL tears may be caused by a direct blow to the knee, such as during a tackle in sports.

MCL tears are usually caused by a direct blow to the outside of the knee. This often occurs during contact sports, such as football, soccer, or skiing. Injuries to other ligaments in the knee can also lead to MCL tears. 

In both cases, surgery is typically required to repair the injury. An orthopedic surgeon will examine the knee and determine the extent of the injury. Afterward, they will determine if ACL surgery or MCL surgery is needed to repair the tear. Depending on the severity of the tear, a full or partial reconstruction of the ligament may be necessary. In some cases, a complete replacement of the ligament may be needed.

Recovery

Recovery from an ACL tear requires surgery, which is typically performed by an orthopedic surgeon. The goal of the ACL surgery is to reconstruct the ligament using a tendon graft taken from another part of the body or a donor. After the surgery, it is important to do physical therapy to strengthen the muscles around the knee and rebuild range of motion. Depending on the severity of the injury, recovery time for ACL surgery can range from three months to one year.

For a torn MCL, recovery can take up to eight weeks depending on the severity of the tear. The primary treatment for a torn MCL is rest and physical therapy. During the recovery process, a brace may be used to limit the movement of the knee and reduce swelling. Physical therapy may involve exercises to help strengthen the leg muscles and restore range of motion. If the injury is severe enough, surgery may be required to repair the damaged ligament.

Prevention

There are several ways to reduce your risk of an ACL or MCL tear. Strengthening the muscles around the knee, especially the quadriceps and hamstrings, can help support the ligaments and protect them from injury. Additionally, it is important to warm up properly before physical activities and avoid any sudden, awkward movements while playing sports. Wearing appropriate protective gear, such as knee pads and braces, can also help reduce your risk of ACL and MCL tears. Lastly, it is essential to stay well hydrated and rest adequately between workouts to ensure proper recovery. Taking all of these precautions can help keep you safe and prevent ACL and MCL tears.

Contact Board Certified Surgeons Dr. Bigler or Dr. Thomas at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada

Knee Replacement: How long until I can play golf or jog?

Knee Replacement: How long until I can play golf or jog? | Las VegasKnee replacement surgery is a big step for many people, and the thought of being able to play golf or jog after the procedure can be motivating. But how long does it take to recover from a knee replacement? To get the best answer, it’s important to talk to a knee specialist about your individual case. In this blog post, we’ll discuss the healing process after knee replacement surgery, as well as when it’s safe to resume activities such as golf and jogging. At the  Knee and Shoulder Institute, the practice of Steven C. Thomas, MD and Gregory T. Bigler, MD they specialize in total knee replacement in the Las Vegas area.

How long until I can play golf or jog after a knee replacement?

The length of time it takes to recover from a knee replacement can vary depending on the individual and their overall health. Generally, however, it is recommended to wait at least 6-8 weeks before attempting any strenuous physical activity such as golf or jogging. It is important to always consult with your orthopedic surgeon for specific advice on what activities are safe to resume and when. 

Your doctor may suggest physical therapy as part of your recovery plan, which can help strengthen the muscles surrounding your knee and improve your mobility. Depending on your progress and the severity of your knee replacement surgery, physical therapy may begin between 2-4 weeks after your procedure.

It is important to avoid any activities that cause excessive strain or discomfort on your knee during your recovery. Instead, you should focus on activities that do not require a lot of weight bearing, such as swimming, cycling, and light stretching. You may also be able to engage in low-impact sports such as tennis or basketball as you continue to build up your strength.

Why is it important to wait?

It is important to wait until your orthopedic surgeon clears you for activities such as golfing or jogging after a knee replacement. This is because the healing process of your knee joint is not complete immediately after surgery and you risk further injury if you return to these activities too soon. It is important to follow your orthopedic surgeon’s instructions and ensure that your knee joint has healed properly before engaging in any physical activity. Your orthopedic surgeon will provide you with a timeline of when it is safe to return to certain activities, and will typically advise waiting at least 6-8 weeks before playing golf or jogging.

When can I start physical therapy?

When it comes to physical therapy after a knee replacement, the timing varies from patient to patient. Generally speaking, physical therapy can begin as soon as two to three days after surgery. Depending on your specific recovery process, you may begin physical therapy as early as the day of the surgery. 

The first type of physical therapy you will receive is passive physical therapy, which includes the use of modalities such as electrical stimulation, ice and heat therapy, ultrasound, and more. The purpose of this type of physical therapy is to reduce inflammation and swelling in the area and to prevent the formation of scar tissue.

Your physical therapist will then move onto active physical therapy, which consists of range of motion exercises, strength exercises, balance training, and flexibility training. This type of physical therapy is designed to help you regain your strength and mobility as quickly as possible. 

Your physical therapist will work with you to create an individualized treatment plan that takes into account your medical history, post-operative restrictions, and personal goals. Depending on your recovery process, it is possible to begin golfing or jogging a few weeks after the surgery, but it is important to consult with your doctor or physical therapist first. 

It is important to stay patient and follow the instructions given to you by your doctor or physical therapist during the recovery period. Taking things slow and listening to your body are key to a successful recovery.

What other activities can I do during my recovery?

Recovering from a knee replacement is an important and challenging process, but it doesn’t mean that you have to stay completely inactive. Depending on your surgeon’s recommendation, there are several other activities that you can do during your recovery period, such as:

  • Walking – A great way to stay active and help with your recovery, walking allows you to keep moving without putting too much strain on your knee. Start slowly and gradually increase your distance as you become more comfortable.
  • Swimming – Swimming is a low impact activity that helps strengthen the muscles surrounding your knee. Water buoyancy helps take pressure off of your joints, allowing for a smooth range of motion.
  • Cycling – Like swimming, cycling is a low impact activity that helps you stay active during your recovery. Just make sure to start off with short distances and slow speeds and build up from there.
  • Yoga – This ancient practice can be an excellent way to improve flexibility and strength in your leg muscles, which can help to speed up your recovery.
  • Light weight training – Lifting light weights can be beneficial as long as it is done safely and with proper form. Focus on strengthening the muscles around your knee to help protect the joint and give it support.
  • Pilates – Pilates is great for increasing core strength and stability in the lower body. It also helps to improve posture and balance, which can be especially helpful after a knee replacement.

By staying active during your recovery period, you can help speed up the healing process and get back to your regular activities in no time. Talk to your doctor or physical therapist before beginning any exercise program to make sure you don’t injure yourself further.

Contact Board Certified Surgeons Dr. Bigler or Dr. Thomas at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada

Treatment For Greater Trochanteric Bursitis Pain

Treatment For Greater Trochanteric Bursitis Pain | Las Vegas OrthopedicGreater Trochanteric Bursitis (GTB) is a common condition that affects the hip and causes pain on the outer side of the hip. The condition is caused by inflammation of the bursa on the greater trochanter, which is a bony protrusion on the femur bone. GTB can be very painful and limit a person’s mobility. Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler provides treatment of greater trochanteric bursitis to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.

What is Greater Trochanteric Bursitis?

Greater Trochanteric Bursitis is a condition that causes pain and inflammation in the bursa located on the outer side of the hip. The bursa is a small sac filled with fluid that helps to reduce friction between the bone, tendons, and muscles. When this bursa becomes inflamed, it can cause pain and discomfort.

GTB is a common condition that affects people of all ages, but it is more prevalent in women than men. The condition can also be associated with other medical conditions, such as rheumatoid arthritis, gout, and diabetes.

Causes

There are several causes of GTB, including overuse of the hip joint, injury to the hip, and medical conditions that cause inflammation. Overuse of the hip joint can be caused by activities such as running, cycling, or standing for long periods. Injury to the hip can be caused by falls, car accidents, or sports injuries.

Medical conditions that cause inflammation can also contribute to GTB. These conditions include rheumatoid arthritis, gout, and diabetes. In some cases, GTB can also be caused by infection or tumors.

Symptoms

The symptoms of GTB can vary, but the most common symptom is pain on the outer side of the hip. The pain may be sharp or dull and can be worsened by activities such as walking, running, or climbing stairs. Other symptoms may include:

  • Stiffness in the hip joint
  • Swelling on the outer side of the hip
  • Tenderness when pressure is applied to the hip
  • Difficulty sleeping on the affected side

If you are experiencing any of these symptoms, it is important to see an orthopedic surgeon for a proper diagnosis.

Treatment

There are several treatment options available for GTB, including non-surgical and surgical options. Non-surgical treatment options include:

Rest and Activity Modification

Resting the hip joint and avoiding activities that worsen the pain can help to reduce inflammation and promote healing. Modifying activities can also help to reduce stress on the hip joint and prevent further injury.

Physical Therapy

Physical therapy can help to strengthen the muscles around the hip joint and improve flexibility. This can help to reduce pain and improve mobility.

Pain Medication

Over-the-counter pain medication, such as acetaminophen or ibuprofen, can help to reduce pain and inflammation.

Steroid Injections

Steroid injections can be used to reduce inflammation and relieve pain. However, they are not a long-term solution and should be used sparingly.

Surgery

If non-surgical treatment options do not provide relief, orthopedic surgery may be necessary. The type of surgery will depend on the severity of the condition and may include:

  • Bursectomy – removal of the bursa
  • Tendon release – release of the tendons around the hip joint
  • Hip Replacement – replacement of the hip joint

Contact Us

Greater Trochanteric Bursitis can be a painful and debilitating condition that can limit a person’s mobility. However, there are several treatment options available that can help to reduce pain and improve mobility. If you are experiencing symptoms of GTB, it is important to see an orthopedic surgeon for a proper diagnosis and treatment plan. With the right treatment, you can get back to your daily activities and enjoy life without pain. Board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler provides treatment of greater trochanteric bursitis to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.

Contact Board Certified Surgeons Dr. Bigler or Dr. Thomas at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada

What Is Greater Trochanteric Bursitis?

What Is Greater Trochanteric Bursitis? | Las Vegas Orthopedic SurgeryGreater trochanteric bursitis is a condition that affects the bursa sacs, which are small fluid-filled sacs that cushion the joints, tendons, and muscles. The greater trochanteric bursa is located in the hip, near the top of the femur bone. When this bursa becomes irritated or inflamed, it can lead to greater trochanteric bursitis. Thomas & Bigler Knee & Shoulder Institute, led by board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler provides treatment of greater trochanteric bursitis to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.

Causes of Greater Trochanteric Bursitis

There are several causes of greater trochanteric bursitis. One of the most common causes is repetitive stress on the hip joint. This can occur in athletes who participate in activities that require repetitive hip movements, such as running or cycling. Another cause of greater trochanteric bursitis is trauma to the hip, such as a fall or a direct blow to the hip.

Other factors that can contribute to the development of greater trochanteric bursitis include:

  • Poor posture
  • Tight hip muscles
  • Bone spurs
  • Arthritis
  • Infection

Symptoms of Greater Trochanteric Bursitis

The symptoms of greater trochanteric bursitis can vary from person to person. Some common symptoms include:

  • Pain on the outside of the hip
  • Pain that increases when lying on the affected side
  • Pain that radiates down the thigh
  • Stiffness in the hip joint
  • Swelling over the hip joint
  • Tenderness when pressing on the hip joint

If left untreated, greater trochanteric bursitis can lead to chronic pain and discomfort, which can impact a person’s ability to perform daily activities.

Treatment Options for Greater Trochanteric Bursitis

There are several treatment options for greater trochanteric bursitis. The first step in treating this condition is to rest the affected hip joint. This can help to reduce inflammation and pain. Ice packs and anti-inflammatory medications can also be used to reduce pain and swelling.

Physical therapy is another treatment option for greater trochanteric bursitis. A physical therapist can help to improve hip strength and flexibility, which can reduce the risk of future injuries. They may also use techniques such as massage and stretching to relieve pain and discomfort.

In some cases, orthopedic surgery may be necessary to treat greater trochanteric bursitis. This is especially true if the condition is caused by bone spurs or other structural issues in the hip joint. An orthopedic surgeon can evaluate the hip joint and determine if surgery is necessary.

If you are experiencing symptoms of greater trochanteric bursitis, it is important to consult with an orthopedic surgeon or other healthcare professional. They can provide a comprehensive evaluation and recommend the best treatment options for your specific needs. Board certified orthopedic surgeons Dr. Steven C. Thomas and Dr. Gregory T. Bigler provides treatment of greater trochanteric bursitis to patients in Las Vegas, Nevada as well as greater Pahrump, Bullhead City, Lake Havasu, and Mesquite, NV.

Contact Board Certified Surgeons Dr. Bigler or Dr. Thomas at the Knee and Shoulder Institute in Las Vegas, NV to Schedule an Appointment:

If you would like to schedule an appointment or learn more about the Knee and Shoulder Institute procedures & treatments performed by Las Vegas, Nevada board-certified surgeons Steven C. Thomas, MD and Gregory T. Bigler, MD. Contact the office today click here.

Serving patients from and around greater Las Vegas, Lake Havasu, Bullhead City, Mesquite, Pahrump, Nevada