Howard D. Routman, DO

Conditions

What is going on with your shoulder

Short, plain explanations of the problems seen most often in this practice, each on its own page. None of this replaces an examination. If something here sounds like you, that is a good reason to be seen — not a diagnosis.

Start here

Seven things people come in about

If you are not sure which one describes you, call and say so. That is a normal way to start.

Most common

Rotator cuff tears

Pain reaching overhead, trouble sleeping on that side, an arm that feels weak. Therapy can improve the pain, but a full-thickness tear does not heal back to the bone on its own. The first job is finding out which kind of tear you have.

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Shoulder replacement

When arthritis has worn the joint out, the surfaces can be replaced. There is more than one kind of replacement, and the right one depends on the state of your rotator cuff.

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Reverse shoulder replacement

The operation that swaps the ball and the socket so the deltoid lifts the arm. It is what makes a shoulder with an irreparable rotator cuff treatable at all.

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Shoulders that still hurt after surgery

A replacement that never felt right, a repair that did not hold, an infection, or a shoulder nobody has been able to explain. A large part of this practice, and most of it referred in.

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Broken shoulders

A shoulder broken in a fall. Some are fixed, some are replaced, and some do best left alone and watched.

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Dislocation and instability

A shoulder that has come out of joint, or one that slips, catches, or feels like it is about to give way.

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Frozen shoulder

Adhesive capsulitis. The shoulder stiffens until tucking in a shirt or reaching for the seatbelt becomes difficult, and every attempt to push past it hurts.

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Getting a second opinion

What to bring, what the visit involves, and why bringing the actual images matters far more than bringing the reports.

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A word about what you have been told already

People often arrive with a report that uses words like tear, impingement, arthritis or bone-on-bone, and understandably read those words as a verdict. They are not. Two shoulders with the same words on the scan can need completely different things, because the decision turns on the size and pattern of the damage, on the muscle behind it, on your age, and on what you actually need the arm to do.

That is also why an examination matters. A great deal of what a shoulder surgeon needs to know comes from watching the arm move, not from reading about it.

Not sure which one is you?

That is a normal reason to call.

(561) 627-8500