ABOUT THE DOCTOR


Dr. Apoorva R. Patwardhan

Shoulder Specialist

M.S. (Ortho)(KEM Mumbai)

A.F.A.O.A., Sydney, Australia
REG. No. 2009/04/1557

+91 99235 30011

apoorvrp@gmail.com

PROFESSIONAL BACKGROUND

  • Completed M.S. (Ortho) and M.B.B.S. from the prestigious Seth G.S.M.C. and K.E.M. hospital.
  • Australian Orthopaedic Association Accredited Fellowship in Shoulder surgery under the aegis of Dr. Herald in Sydney, Australia.
  • US patent in process for a novel instrumentation in the field of arthroscopic surgery
  • Designer surgeon for Australian based Implant manufacturing company

CORE COMPETENCE

  • Arthroscopic Bankart Repair for Instability
  • Arthroscopic Rotator Cuff Repair
  • Arthroscopic SLAP repair/ Biceps Tenodesis
  • Shoulder fracture Reconstruction
  • Total Shoulder Arthroplasty
  • Reverse Shoulder Arthroplasty

Dr. Apoorva R. Patwardhan, completed both his MBBS and MS Orthopaedics from the prestigious Seth GS medical college and KEM Hospital, Mumbai, India While doing his residency he was awarded the B Braun Resident of the year award in the field of Orthopaedic surgery. He also had several international publications during his tenure as a Resident. Soon after completing his residency,he was offered  Australian Medical Council Accredited  fellowship in Shoulder Surgery with Orthoclinic Sydney. Owing to its big sports culture, his experience in Australia taught him a comprehensive approach towards Sports Injuries and it's Rehab. During his time in Australia, he was also an integral part of a sports medicine Implant company's research and development team.  Soon after his return to India he began practicing his subspeciality of Shoulder surgery.   Apart from practicing Orthopaedics, the creative edge in him has always pushed him towards invention of newer instrumentions and techniques in Orthopaedics. He has a US registered patent revolutionising the drilling technique used in ACL reconstruction. With his compassionate attitude and consistently good post operative results, Dr. Apoorva hopes to provide a comprehensive solution to shoulder problems.


ABOUT THE SHOULDER

Shoulder Pain and Common Shoulder Problems


What most people call the shoulder is really several joints that combine with tendons and muscles to allow a wide range of motion in the arm — from scratching your back to throwing the perfect pitch.

Mobility has its price, however. It may lead to increasing problems with instability or impingement of the soft tissue or bony structures in your shoulder, resulting in pain. You may feel pain only when you move your shoulder, or all of the time. The pain may be temporary or it may continue and require medical diagnosis and treatment.

Anatomy

Your shoulder is made up of three bones: your upper arm bone (humerus), your shoulder blade (scapula), and your collarbone (clavicle).

The head of your upper arm bone fits into a rounded socket in your shoulder blade. This socket is called the glenoid. A combination of muscles and tendons keeps your arm bone centered in your shoulder socket. These tissues are called the rotator cuff. They cover the head of your upper arm bone and attach it to your shoulder blade.

Cause

Most shoulder problems fall into four major categories:

  • Tendon inflammation (bursitis or tendinitis) or tendon tear
  • Instability
  • Arthritis
  • Fracture (broken bone)

Other much less common causes of shoulder pain are tumors, infection, and nerve-related problems.

Bursitis

Bursae are small, fluid-filled sacs that are located in joints throughout the body, including the shoulder. They act as cushions between bones and the overlying soft tissues, and help reduce friction between the gliding muscles and the bone.

Sometimes, excessive use of the shoulder leads to inflammation and swelling of the bursa between the rotator cuff and part of the shoulder blade known as the acromion. The result is a condition known as subacromial bursitis.

Bursitis often occurs in association with rotator cuff tendinitis. The many tissues in the shoulder can become inflamed and painful. Many daily activities, such as combing your hair or getting dressed, may become difficult.

Tendinitis

A tendon is a cord that connects muscle to bone. Most tendinitis is a result of inflammation in the tendon.

Generally, tendinitis is one of two types:

  • Acute. Excessive ball throwing or other overhead activities during work or sport can lead to acute tendinitis.
  • Chronic. Degenerative diseases like arthritis or repetitive wear and tear due to age, can lead to chronic tendinitis.

The most commonly affected tendons in the shoulder are the four rotator cuff tendons and one of the biceps tendons. The rotator cuff is made up of four small muscles and their tendons that cover the head of your upper arm bone and keep it in the shoulder socket. Your rotator cuff helps provide shoulder motion and stability.

Learn more Biceps Tendinitis, Shoulder Impingement/Rotator Cuff Tendinitis

Tendon Tears

Splitting and tearing of tendons may result from acute injury or degenerative changes in the tendons due to advancing age, long-term overuse and wear and tear, or a sudden injury. These tears may be partial or may completely separate the tendon from its attachment to bone. In most cases of complete tears, the tendon is pulled away from its attachment to the bone. Rotator cuff and biceps tendon injuries are among the most common of these injuries.

Learn more Rotator Cuff Tears, Biceps Tendon Tear at the Shoulder

Impingement

Shoulder impingement occurs when the top of the shoulder blade (acromion) puts pressure on the underlying soft tissues when the arm is lifted away from the body. As the arm is lifted, the acromion rubs, or "impinges" on, the rotator cuff tendons and bursa. This can lead to bursitis and tendinitis, causing pain and limiting movement.

Learn more Shoulder Impingement/Rotator Cuff Tendinitis

Arthritis

Shoulder pain can also result from arthritis. There are many types of arthritis. The most common type of arthritis in the shoulder is osteoarthritis, also known as "wear and tear" arthritis. Symptoms such as swelling, pain, and stiffness, typically begin during middle age. Osteoarthritis develops slowly and the pain it causes worsens over time.

Osteoarthritis, may be related to sports or work injuries or chronic wear and tear. Other types of arthritis can be related to rotator cuff tears, infection, or an inflammation of the joint lining.

Often people will avoid shoulder movements in an attempt to lessen arthritis pain. This sometimes leads to a tightening or stiffening of the soft tissue parts of the joint, resulting in a painful restriction of motion.

Learn more Arthritis of the Shoulder

Fracture

Fractures are broken bones. Shoulder fractures commonly involve the clavicle (collarbone), humerus (upper arm bone), and scapula (shoulder blade).

Shoulder fractures in older patients are often the result of a fall from standing height. In younger patients, shoulder fractures are often caused by a high energy injury, such as a motor vehicle accident or contact sports injury.

Fractures often cause severe pain, swelling, and bruising about the shoulder.

Learn more Shoulder Trauma (Fractures and Dislocations)
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