Experienced Orthopaedic Specialists for Shoulder & Elbow Treatment

Dr. Athiviraham evaluates shoulder injury
Dr. Athiviraham evaluates a shoulder injury

Shoulder and elbow pain due to injuries or wear and tear on your bones, muscles or tendons can impact your arm's mobility and functionality. The most common cause of elbow and shoulder pain is tendinitis — an inflammation and injury to the tendons — that's caused by overuse. If you're experiencing pain when lifting your arm or moving it forward or behind your back, our expert orthopaedic specialists will be able to help assess your pain, diagnose your injury and develop a treatment plan.

Our shoulder and elbow specialists offer a complete range of non-surgical, minimally invasive (arthroscopic) and open surgery for teens and adults. We provide treatment for the following conditions:

  • Bone spurs
  • Frozen shoulder 
  • Fractures, including those that do not heal (non-union) or heal incorrectly (malunion)
  • Labrum tears including SLAP tear (injury at the top of the labrum)
  • Instability, separation or dislocation,

  • Nerve dysfunction
  • Repetitive motion injuries
  • Rotator cuff injury or tear/impingement syndrome
  • Scapula winging and abnormal movement of the shoulder blade
  • Shoulder and elbow arthritis
  • Shoulder muscle injury

  • Tendinitis and bursitis

Tailored Shoulder & Elbow Treatment

When using RICE (rest, ice, compression and elevation) and home remedies, such as exercise, medicines to reduce pain and swelling, are not enough, we design individualized treatment plans tailored to each patient’s needs and goals, and we maximize use of non-surgical options before considering surgery. When surgery is necessary, our orthopaedic surgeons offer innovative and advanced operative therapies to repair shoulder and elbow conditions, including both minimally invasive and open surgery options. We strive to help patients regain full function and return to their daily activities as soon as possible.

Surgical Services

  • Latarjet procedure (coracoid transfer for instability)

  • Revision surgery after prior operative treatment

  • Reverse shoulder replacement (when the patient has a rotator cuff tear, this procedure uses deltoid muscles to work and position the arm)

  • Shoulder arthroscopy for rotator cuff, biceps, labrum tear and bone injury

  • Tendon transfers 

  • Total shoulder replacement 

We work closely with your physical or occupational therapist to maximize results for non-operative, pre-operative and post-operative treatment.


Surgical Treatments

The shoulder is a ball-and-socket joint. The round end of the arm bone fits into the opening at the end of the shoulder blade, called the socket. During total shoulder replacement, the round end of the arm bone is replaced with an artificial stem that has a rounded metal head. The socket part (glenoid) of the shoulder blade is replaced with a smooth plastic shell or lining that is held in place with a special cement. If only one of these two bones needs to be replaced, the surgery is called a partial-shoulder replacement, or a hemiarthroplasty.

Patients with bone-on-bone osteoarthritis and intact rotator cuff tendons are generally good candidates for this type of surgery.

Another type of shoulder replacement is called reverse shoulder replacement surgery. It is generally used for people who have completely torn rotator cuffs with severe arm weakness; cuff tear arthropathy or severe arthritis with a torn rotator cuff; had a previous shoulder replacement that failed.

For these patients, a conventional shoulder replacement can still leave them with severe pain or unable to lift their arm up past a 90-degree angle. In the "reverse" procedure, the socket and metal ball are switched, meaning the metal ball is attached to the shoulder bone, and a plastic socket is attached to the upper arm bone. This allows the patient to use the deltoid muscle instead of the torn rotator cuff to lift the arm.

The Copeland™ Shoulder is a revolutionary surgery done on people with arthritic shoulders that in the past were only candidates for a total shoulder replacement. For patients are in the early stages of arthritis, this surgery preserves the bone in the shoulder and provides a secure fit for the new bone to grow into the implant.

The typical patient is someone who has had multiple surgeries on their shoulder and has been told they are too young to have a shoulder replacement. Unlike a total shoulder implant, the Copeland™ is designed to cap only the top of the humerus, requiring much less bone and cartilage removal.

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Sports medicine expert helps high school athlete prevent long-term elbow and shoulder injury

It was the second game of a double header and Brandon Kelly was 15 pitches in. The pitcher got the sign from the catcher and delivered a side arm slider.  "My elbow popped and my arm just 'fell,'" said Brandon, 14, who was pitching for a Marian Catholic High School baseball game in April when he was injured.