Treatment

Examination details

We provide specialized diagnosis and treatment for patients with shoulder pain and shoulder disorders. We provide a wide range of treatments from conservative treatment (excluding rehabilitation) to surgical treatment.

Frozen shoulder (Shoulder stiffness)

It is the most common disease of shoulder pain. Although imaging such as X-rays and MRIs does not show any significant abnormality, t this disease causes pain and limited range of shoulder motion, mainly in people between 40 and 60 years old. The cause is unknown, but symptoms get worse when inflammation occurs due to aging, overuse in daily life or at work, or injury. And then the inflammation spreads to the entire joint.

If you have been prescribed injections and painkillers at other clinics but are still unable to recover, please come to our hospital. In our hospital, we mainly use ultrasound for diagnosis and steroid injections. Once the pain subsides, we ask you to go to your local hospital or other facilities for physical therapy.

Rotator cuff tear

The shoulder joint has a muscle called the rotator cuff, which is prone to tearing with age. The frequency of tearing increases in people over 60 years old. The symptoms are pain and, if the tear size gets large, muscle weakness in the shoulder. In addition, some people who are diagnosed with frozen shoulder at other clinics evaluated by only an x-ray may also have a rotator cuff tear. If your symptoms do not improve, we recommend that you have an ultrasound or MRI.

Rotator cuff tears do not heal spontaneously, and surgery is recommended for patients under 60 years old or over 70 years old if the tear is large. If the tear is too large, we cannot repair it.

We perform arthroscopic surgery in our hospital.

The torn tendon is fixed by tying it onto the surface of the bone using a suture anchor.
In addition, for elderly patients (over 70 years old) whose cuff tears cannot be repaired, reverse shoulder arthroplasty can be performed to raise the arm.

Calcific tendinitis

Calcific deposits in the rotator cuff sometimes lead inflammation. There are an acute and chronic type. Calcification is relatively easy to diagnose since it shows up on x-rays, but the chronic type is difficult to treat. If you have been diagnosed with calcification and are suffering from chronic pain, please come to our hospital.

In our hospital, we use ultrasound to stimulate the absorption of calcification by pricking a needle into the calcification, called ultrasound-guided needling.

Ultrasound-guided needling: The calcification is pricked with a needle to promote its absorption.
(left)pre-surgery(right)post-surgery

Recurrent anterior dislocation of the shoulder

Recurrent dislocations and subluxations are the result of an injury (it does not include subluxations where the shoulder joint is naturally loose and uninjured). More than one dislocation or subluxation is likely to recur again in the future, and surgery is required to fundamentally fix the problem.

We perform arthroscopic surgery at our hospital.

Fix the displaced joint capsule in the correct position.

Rheumatoid arthritis, osteoarthritis of the shoulder

The shoulder is deformed due to bone destruction caused by synovitis in rheumatoid arthritis and damage to cartilage and bone caused by aging. The shoulder is not a weight-bearing joint like the knee or hip joint, so even if there is an abnormality on an x-ray, if the inflammation is controlled, the pain is relatively minimal.

At our hospital, we first provide conservative treatment with steroid injections. If there is still no improvement, arthroplasty is performed.

Operating results

Disease Average number of surgeries (cases/year)
Rotator cuff tears/ Small and medium tears 16
Rotator cuff tears/ large and massive tears 23
recurrent dislocation of the shoulder
Arthroscopic surgery
5
recurrent dislocation of the shoulder
Coracoid process transfer + capsular repair
1
Artificial shoulder joint replacement, artificial bone head replacement 4
Reverse shoulder arthroplasty 2