• Bursitis or Tendinitis – Bursitis refers to inflammation of the bursa, a fluid-filled sac acting as a cushion between bone and other moving parts like tendons, skin, or muscles. Tendinitis, on the other hand, is the inflammation of the tendon. Bursitis and Tendinitis occur due to overactivity of the joint or because of repetitive activities like swimming, painting, etc. These repetitive activities lead to squeezing and rubbing off the rotator cuff (a group of muscles and tendons attaching your upper arm to the shoulder blade). Initially, the condition may be treated by activity modification for pain alleviation and shoulder rehabilitation. However, in complicated cases, surgery may be advised.
• Impingement & Partial Rotator Cuff Tears – The condition may be associated with chronic inflammation and spur formation on the underside of the Acromion or Acromioclavicular joint. The conservative treatment involves activity modification, cortisone injection, and light exercises. If the conservative treatment fails to relieve pain and symptoms, surgery is advised for the removal of spurs from the underside of the acromion, and the rotator cuff is repaired.
• Full Thickness Rotator Cuff Tears – Full Thickness Rotator Cuff tears happen due to partial thickness rotator cuff tears, falls, heavy weight lifting, and impingement. If non-surgical treatment for pain relief such as activity modification remains unsuccessful, surgery for the full-thickness rotator cuff tear may be required. To an extent, Arthroscopic techniques help in the shaving of spurs and, the evaluation and repair of rotator cuff tears. And, both techniques require extensive rehabilitation for the restoration of shoulder joint function.
• Shoulder Instability – Shoulder Instability occurs when the head of the upper arm is forced out of the shoulder socket owing to sudden injury or overuse of the shoulder ligament. The two types of dislocation are subluxation and dislocation. Subluxation means partial or incomplete dislocation whereas dislocation refers to the condition when the shoulder completely moves out of the shoulder joint. If subluxation remains untreated, it eventually gets dislocated. Patients who have recurrent shoulder dislocations usually require surgery. Open surgery is usually the preferred choice for treatment and requires a short hospital stay & arthroscopic surgery can be done on an outpatient basis.
• Fractured Collarbone & Acromioclavicular Joint – Fractures of the collarbone and acromioclavicular joint usually occur in children upon falling on the side of their shoulders while playing. Severe dislocations may require surgical repair also.
• Fractured Head of Humerus – Falling on an outstretched arm can lead to a fracture of the humerus (arm bone). It usually happens in older people with osteoporosis. If completely fragmented or displaced, a fracture of the shoulder joint may require an open surgical repair, and in complicated cases, it may require a prosthesis.
• Osteoarthritis & Rheumatoid Arthritis – Degenerative arthritis like osteoarthritis of the shoulder joint can lead to joint degeneration, and tearing of the capsule or rotator cuff. Rheumatoid arthritis of the shoulder joint involves synovial inflammation and such conditions may require surgery.

At CSI, we plan for a comprehensive Orthopaedic Evaluation which involves three main components:

1. Patient’s Medical History – The patient’s medical history is gathered to collect information about pain, injury, symptoms, and limitations. It also helps the doctors with the past medical/surgical history of the patient.
2. Physical Examination – This helps the doctor with the assessment of swelling, tenderness, joint range of motion, muscle strength, weakness, instability, or deformity of the shoulder.
3. Diagnostic Tests – Tests like X-ray, MRI, and CT for assessing the bony and soft tissue parts help with making an accurate diagnosis. CSI has a dedicated Imaging Center, DiagKnow that helps our doctors make an accurate diagnosis of sports/orthopedic injury and helps them with an informed decision about whether the person needs surgery or conservative treatment.

Types of Surgery – Orthopaedic surgery can be Arthroscopic or an Open Surgery

1. Arthroscopy – It is a procedure that involves the orthopedic surgeon inserting a pencil-thin device with a small lens and lighting system into a tiny incision in the joint. The images are relayed on a TV screen and help make an accurate diagnosis of the patient’s condition. The procedure may also involve inserting other surgical instruments to make repairs with the help of an arthroscope. Arthroscopy is usually done on an outpatient basis.
2. Open Surgery – Open surgery is a surgical procedure done by making small incisions of a few inches and performing the surgery on the exposed structure. It can have a better outcome than arthroscopy.

Recovery and rehabilitation depend upon the type of surgery performed on the shoulder irrespective of whether it was arthroscopic or open surgery.

The patient is advised to be Nil By Mouth before surgery. They are advised not to eat or drink anything after midnight before surgery. Discuss with your surgeon about the medication to be consumed during the morning. The patient undergoes a Pre-anaesthetic check-up before surgery to know about being favorable to undergo anesthesia during surgery.

• Rehabilitation
  • Non-Surgical
  • Post- Surgical
• PRP

CSI is a one-stop solution for the treatment and management of all sorts of orthopedic, musculoskeletal, and sports-related injuries. Right from the evaluation of the condition to assessments through imaging techniques to surgery and post-operative rehabilitation, CSI is the ultimate solution for all your orthopedic conditions.

CSI is one of the best orthopedic hospitals in South Delhi, India, run under the leadership of the best orthopedic and sports surgeon in Delhi – Dr. Pushpinder Singh Bajaj.