NOMS shoulder surgeons offer advanced arthroscopic and open surgical techniques to restore damaged joints, ligaments and bones. That the shoulder is one of the most moveable joints in the human body, also makes it vulnerable to instability. Common issues NOMS shoulder experts resolve include: sprains, strains, dislocations, separations, tendonitis, bursitis, torn rotator cuffs, frozen shoulder, fractures, and arthritis. Because the joint is held in place by major muscles, ligaments and tendons, often problems are associated with the breakdown of soft tissue in the joint’s vicinity. NOMS orthopedic shoulder specialists offer world-class care and the latest advances in the diagnosis, treatment and rehabilitation of shoulder conditions, for best patient outcomes and highest-possible quality of restored active life.
Regenerative MedicineThrough advanced regenerative medicine treatments, your body’s own platelets, stem cells and growth factors can stimulate healing and enable your body to repair injured tissues, reduce inflammation and ultimately heal itself.
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Shoulder Instability TreatmentThe shoulder is the most mobile joint in the human body, with a complex arrangement of structures working together to provide the movement necessary for daily life. Unfortunately, this great mobility comes at the expense of stability. Initial treatment for recurrent instability of the shoulder centers on physical therapy. The goal of surgery is to return stability to the shoulder with the least loss of motion.
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Glenohumeral joint arthritis is caused by the destruction of the cartilage layer covering the bones in the glenohumeral joint. This creates a bone-on-bone environment, which encourages the body to produce osteophytes (bone spurs). Friction between the humerus and the glenoid increases, so the shoulder no longer moves smoothly or comfortably. As osteophytes develop, motion is gradually lost. READ MORE >
AC separation is a very frequent injury among physically active people. In this injury the clavicle (collar bone) separates from the scapula (shoulder blade). It is commonly caused by a fall directly on the "point" of the shoulder or a direct blow received in a contact sport. READ MORE >
Bursitis is the inflammation of the bursa, tiny sacs of fluid that help to reduce the friction between moving parts around the shoulder. Bursa serve as a cushion for the moving rotator cuff tendons. The bursa can become painful when inflamed due to an injury, overuse or condition such as rheumatoid or osteo- arthritis.
Biceps tendinitis is the inflammation of the tendon that connects your biceps muscle in the upper arm to the glenoid socket in the shoulder. Also called the long head of the biceps tendon, this cord-like structure enables your arm to bend and rotate. READ MORE >
Cartilage is a tough, flexible tissue found throughout the entire body. It acts as a shock absorber covering the surface of joints, allowing bones to slide over one another. It can become damaged as a result of a sudden injury, such as a sports injury or gradual wear and tear.
The clavicle, also known as the collar bone, is the bone that connects the breastplate to the shoulder. It is a very solid bone that has a slight S-shape and generally can be easily seen. A clavicle fracture is one of the most common types of broken bones.
Frozen shoulder, or adhesive capsulitis, is a condition that begins with a gradual onset of pain and a limitation of shoulder motion. The discomfort and loss of movement can become so severe that even simple daily activities become difficult. Although much is known about this condition, there continues to be considerable controversy about its causes and the best ways to treat it. READ MORE >
Shoulder impingement syndrome occurs when the tendons of the rotator cuff and the subacromial bursa are pinched in the narrow space beneath the acromion. This causes the tendons and bursa to become inflamed and swollen. This pinching is worse when the arm is raised away from the side of the body. Impingement may develop over time as a result of a minor injury, or as a result of repetitive motions that lead to inflammation in the bursa. READ MORE >
Labral tear is a tear of the labrum, a disk of cartilage on the glenoid, or "socket" side of the shoulder joint. The labrum helps stabilize the joint and acts as a "bumper" to limit excessive motion of the humerus, the "ball" side of the shoulder joint. READ MORE >
Shoulder instability develops in two different ways: traumatic onset (related to a sudden injury) or atraumatic onset (not related to a sudden injury). Understanding the differences is essential in choosing the best course of treatment. As a rule, the patient with atraumatic onset instability has general laxity (looseness) in the joint that eventually causes the shoulder to become unstable, whereas traumatic onset instability begins when an injury causes a shoulder to develop recurrent (repeated) dislocations. READ MORE >
Shoulder instability starts when an injury causes a shoulder to develop multiple dislocations. Looseness in the joint develops causing the joint to become unstable. It is most common in young athletes. After the first dislocation, chances of future dislocations are likely.
Shoulder fractures are broken bones involving at least one of three bones: the shoulder blade (scapula), collar bone (clavicle) or upper arm bone (humerus). All three types of fractures can cause shoulder pain, swelling, tenderness, and limit the shoulder’s range of motion.
"Doctor Gobezie performed three surgeries on my shoulders. He is an excellent doctor, he is a compassionate person. I had 100% trust in his ability and I recommend him to anyone I know needing orthopedic surgery."
- Denise B.
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