Shoulder Pain

When your shoulder hurts, you might not be able to move your arm or complete your daily tasks. At Interventional Orthopedics of Washington in Bellevue, Washington, expert interventional orthopedist Otoño Silva, MD, alleviates your shoulder pain by identifying, eliminating, and healing the cause. If you have shoulder pain, contact Interventional Orthopedics of Washington by phone or by using the online request form.

Shoulder Pain Q & A

Why do I have shoulder pain?

The socket of your shoulder joint is shallow so that you can move your arm in many directions. However, the shallowness increases stress on your labrum and rotator cuff, which is made up of tendons, and muscles. It’s easy to injure your rotator cuff or injure, sprain, or strain your tendons and ligaments when you:

  • Raise your arms repeatedly
  • Throw an object, such as a ball
  • Swing an object, such as a bat
  • Are in a car accident
  • Fall on your shoulder
  • Suffer a blow or trauma to your shoulder

You can also develop shoulder pain if you have:

  • Arthritis
  • A pinched nerve
  • A fracture
  • A rotator cuff tear

Some types of shoulder pain don’t start in the shoulder but radiate downward from tense neck muscles. Dr. Silva takes the time to do a thorough physical exam and perform a diagnostic ultrasound to determine the underlying cause or causes of your shoulder pain.

What happens if I don’t treat shoulder pain?

Treating shoulder pain as soon as you feel it increases your chances of being able to heal the underlying injury. If you ignore shoulder pain, you can develop complications, such as worsening tears, osteoarthritis or “frozen shoulder,” which keeps you from moving your arm.

How does an interventionalist treat shoulder pain?

Dr. Silva avoids the “band-aid” approach to pain and never attempts to mask it with long term use of painkillers or steroid injections. Instead, he views the body as a sophisticated machine that relies on the health of its interrelated parts for optimal function.

Dr. Silva’s aim is to identify all of the factors that contribute to your pain, and then heal them with lifestyle changes, supportive therapies, and regenerative medicine. Frozen shoulder (adhesive capsulitis) can be treated without surgery using a few simples injections. Rotator cuff tears can heal with stem cells or PRP and help you avoid surgery and a slow and painful recovery.

What kinds of therapies help shoulder pain?

Dr. Silva customizes treatment based on your physiology, the types of injuries you have, and your lifestyle. Treatment can include:

  • Eating a healthy diet
  • Adding to or modifying your exercise regimen
  • Acupuncture, massage or chiropractic care
  • Beneficial supplements
  • Physical therapy

He might also recommend minimally invasive procedures like:

  • Prolotherapy
  • Platelet-rich plasma (PRP) injections
  • Stem cell therapy

Dr. Silva injects regenerative therapies directly into the site of injury, using ultrasound or x-ray to guide him. Regenerative therapies stimulate your body’s own healing capabilities to heal injured tissue, and restore comfort and mobility.

To address the underlying cause of your shoulder pain, contact Interventional Orthopedics of Washington at 425-326-1665 or use the “Book Appointment” button.

Shoulder Conditions

Adhesive Capsulitis (Frozen Shoulder)
Rotator Cuff Tear
Biceps Tendinopathy or Partial Tear
Labral Tear and Degeneration
Osteoarthritis of the Shoulder (GH or AC joint)
Acromioclavicular Joint Pain
Acromioclavicular Instability
Multidirectional Glenohumeral (Shoulder) Instability
Subdeltoid Bursitis
Bicipital Tendinitis
Biceps Tendon Tear
Supraspinatus Syndrome
Deltoid Syndrome
Teres Major Syndrome
Scapulocostal Syndrome
Supraspinatus Tendinitis or Tendinopathy
Infraspinatus Tendinitis or Tendinopathy
Subacromial Impingement
Pectoralis Major Tear
Suprascapular Neuritis
Snapping Scapula Syndrome
Quadrilateral Space Syndrome
Post Surgical Pain

Treatment Areas

Suprascapular Nerve
Glenohumeral Shoulder Joint
Injection Intra-Articular of Glenohumeral Joint
Acromioclavicular (AC) Joint, Injection and Aspiration,
Acromioclavicular (AC) Joint Capsule
Axillary Nerve
Coracoacromial/Coracoclavicular Ligaments
Superior Glenohumeral Ligament
Middle Glenohumeral Ligament
Inferior Glenohumeral Ligament
Posterior Capsule of Glenohumeral Joint
Posterior and Superior Labrum
Biceps Attachment to Labrum
Long Head Biceps Tendon
Biceps Tendon at Radial Head
Shoulder Intra-Articular Hydrodilatation (Capsular Distension) For Frozen Shoulder
Subdeltoid Bursa (Subacromial Bursa)
Humerus Bone Intraosseous
Nerve Blocks for Procedural Comfort
Rotator Cuff Tendons: Supraspinatus, Infraspinatus, Subscapularis, Teres Minor

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