Shoulder Injury Prevention Tips

Shoulder Injury Prevention Tips: Overhand sports such as baseball, tennis, volleyball, swimming, and softball require a significant amount of shoulder use and it is important to keep in mind the best ways to maintain healthy shoulders.

  • Prior to activity, it is important to have enough time to warm up and cool down. Make sure that you get your heart rate up then stretch the major muscle groups, including your shoulders, back, and legs. Other ways to get your heart rate going is riding on an exercise bike and for the shoulders, arm circle exercises, alternating between small and large circles.
  • As you get older, it is important to have strong rotator cuff muscles. The main function of the rotator cuff is to rotate the shoulder and lift the arm both internally and externally. Overhand athletes use the rotator cuffs when in action and strength training is one of the best ways to ensure strong rotator cuffs. Also, elastic band exercises such as the T, Y, and I formations are proven to work well.
  • Between events, allow yourself appropriate time to recover. Whether you play tennis, volleyball, or softball, you should always find time to rest in between events.
  • Most importantly, listen to your body. If an area of your body starts to hurt during a workout, avoid the mentality of no pain, no gain and stop your workout. This mentality can lead to many problems such as soreness and injury. Painless clicking in the shoulders is not necessarily a cause for concern. However, it may very well be a sign from your body to allow yourself time to rest. And, if it becomes painful, the physicians at TOCA are here to help!

For more information visit: or call 602-277-6211!

#Recovery #Results #Relief



Shoulder Pain: When to Worry

[vc_row][vc_column][vc_column_text]Shoulder Pain: When to Worry! The shoulder is the most mobile joint in the body and because of its extensive range of motion it’s susceptible to injury and pain. While the shoulder is not thought of as a weight bearing joint, once you lift an object or roll over at night, the forces going through the shoulder joint exceed those of most joints due to the long lever arm of the outstretched arm. The shoulder can hurt after it has been injured or for no apparent reason. Most shoulder problems are relatively short-lived but sometimes the pain is indicative of a more complex issue.

No worries:

Slight pain with elevation and when playing overhead sports is common. The four tendons that make up the rotator cuff and the biceps tendon, (the combined musculature that drives the shoulder motions) can be inflamed by activities such as throwing, shooting basketballs, and lifting bags over head. The tendons are covered by a thin layer called a bursa, which swells when irritated. The bursitis is filled with inflammatory components that irritate the nerve fibers sending pain signals to the brain. Eliminating the overhead activities and mild use of anti-inflammatories usually cures the mild bursitis, or tendonitis, and solves the problem. Exercises to strengthen posture are also commonly used by our physical therapists to fix mild shoulder irritations. Slumping at your desk, reaching for your mouse, hunching over your keyboard, can all put extra strain on the shoulder, neck or back and may be the cause of your shoulder pain. Stand with your shoulders at or behind your hips with your belly button tucked in and notice the difference.

More worry:

Pain that does not go away or pain that occurs with every activity indicates that the key tissues are irritated enough that they are sending pain signals even without motion. This degree of inflammation precedes more structural injuries such as tears of the tissue or early arthritis. Treated fully, the tears and the arthritis can be prevented.

Real worry:

Pain at night or pain not improving with therapy after 4 weeks are red flags. Pain radiating down the arm or up to the neck or to the back are also worrisome for injuries not just in the shoulder but sometimes of the neck. These injuries need to be worked up with careful physical exams, x-rays and MRIs. A full tear of the rotator cuff often will present with night pain, since when you roll over you push the arm up into the socket through the rotator cuff tear. Pain radiating down the arm or up to the neck can sometimes be from the discs in the neck or the nerves at the front of the shoulder called the brachial plexus. Instability of the shoulder, with the shoulder popping in or out of the joint is another area that is best treated with early repair of the torn ligaments.

Fortunately most of the torn tissue problems in the shoulder can be repaired under a local block with an arthroscope as an outpatient procedure. The key is to treat them early before full tearing of tissues leads to disability.

Are you experiencing shoulder pain?

To speak to a Shoulder Specialist at TOCA call: 602-277-6211 or visit our shoulder specialty page to learn more.[/vc_column_text][/vc_column][/vc_row]

Dr. Lederman published in the Journal of Shoulder and Elbow Surgery

[vc_row][vc_column][vc_column_text]Dr Lederman is the lead author on the paper titled: “A Prospective, Multi-center Study to Evaluate Clinical and Radiographic Outcomes in Primary Rotator Cuff Repair Reinforced with a Xenograft Dermal Matrix.”

The manuscript has been accepted for publication by the prestigious Journal of Shoulder and Elbow Surgery.

This paper discusses the favorable results of rotator cuff repair reinforced with an extracellular matrix patch.

Dr Lederman’s co-authors are: Alison P Toth, MD; Gregory P Nicholson, MD; Robert J Nowinski, DO; George K Bal, MD; Gerald R Williams, MD; Joseph P Iannotti, MD

Read the abstract on PubMed »[/vc_column_text][/vc_column][/vc_row]

Dr. Evan Lederman discusses anatomic shoulder replacement techniques

[vc_row][vc_column][vc_column_text]Evan Lederman, MD, (Phoenix, AZ) discusses anatomic shoulder replacement with the Apex Humeral Short Stem and the Apex Subscapularis Repair Suture technique.

He presents the results of a study comparing double row subscapularis repair with the Apex Humeral Stem using the Peel Off method for subscapularis repair using a Lesser Tuberosity Osteotomy (LTO).

Dr. Lederman summarizes current short stem options, reviews the Univers™ Apex design rationale, and describes how the Apex design simplifies stem revision. The presentation concludes with an overview of the Univers Apex surgical technique and surgical outcomes.


Dr. Evan S. Lederman presents the Univers™ Apex shoulder replacement implant

[vc_row][vc_column][vc_column_text]Evan S. Lederman, MD, (Phoenix, AZ) presents the Univers™ Apex shoulder replacement implant. With the reduced diaphyseal stem length, rectangular stem body and removable trunion, the Apex restores normal patient glenohumeral anatomy while allowing for stem revision and minimizing bone loss. Dr. Lederman also demonstrates the specific suture pattern used in the new Apex Subscapularis Repair technique.

View Dr. Lederman’s presentation on the Arthrex website »[/vc_column_text][/vc_column][/vc_row]