Book an appointment

Advanced Arthroscopic Surgery Through Arthrex Synergy 4K Imaging Platform

Comprehensive Pain Management for No Pain No Inflammation

Only 24 Hours Stay.

Insurance, Cashless, Mediclaim Available.

Why Nexus Day Surgery Centre

Understanding Shoulder Injuries

Information on the causes and symptoms of shoulder injuries, as well as common types of injuries
such as rotator cuff tears and frozen shoulder.

The rotator cuff is a group of four muscles that surround the GH joint. The muscles attach to the bone by thickened portions of non-elastic tissue called tendons. The rotator cuff is responsible for the majority of motion that occurs at the shoulder. Tears can occur in any of the four tendons. In order of commonality, the supraspinatus is most often injured, followed by the infraspinatus, subscapularis and teres minor. Tears in the tendons can either be partial or complete.

Rotator cuff tears have multiple causes. Acute trauma, longstanding impingement syndrome (caused by abrasion on the acromion or bone spurs at the AC joint), repetitive overhead activities and degeneration in the older population are all common.

Rotator cuff tears cause pain, particularly on the side of the shoulder and at night, leading the patient to believe they slept wrong on their shoulder. Subacromial bursitis typically accompanies rotator cuff tears. Depending on the severity and location of the tear, loss of motion and strength can occur in a specific plane. This may be lifting the arm to the side, overhead or behind their back. Activities of daily living like reaching up to a cupboard, reaching for a wallet in a back pocket, brushing your hair or fastening a bra may be severely impacted when a rotator cuff tear is present. A massive tear of more than one tendon may result in pseudo-paralysis, an inability for the patient to move their arm away from their body. Pain may also radiate up the shoulder to the neck, as the patient attempts to move the shoulder using other muscles.

Your surgeon will perform a thorough history and physical exam including X-rays. Exam findings will consist of loss of active range of motion (you move your arm), preserved passive range of motion (the surgeon moves your arm), weakness and pain with muscle testing. X-rays may or may not demonstrate acromion abnormalities or AC joint bone spurs that may be causing impingement of the rotator cuff. Superior or anterior movement of the humerus (ball) on X-ray is a sign of a chronic rotator cuff tear that may not be amenable to repair. MRI is useful to quantify the size, severity and age of the tear. For patients that cannot have an MRI, CT/”CAT” scan with contrast dye may be helpful in assessing damage to the rotator cuff.

Tears that fail to improve with non operative treatments can be treated with minimally invasive arthroscopic surgeries. At Nexus we offer the latest & most advanced implants & techniques available in the market using a variety of Anchors (Knotted & Knotless FiberTak® Soft Anchor, Knotless SwiveLock® Suture Anchor, Knotted & Knotless Corkscrew® FT Anchor …), sutures (FiberWire® suture, SutureTape …) & Techniques (SpeedFix™ Single Row Technique & SpeedBridge™ Double-Row Technique).

Rotator Cuff Tear

The labrum is a soft cartilage structure on the socket of the “ball and socket” joint (GH joint). It acts as a cushion between the two bones and serves as an attachment for the ligaments that stabilize the GH joint and the long head biceps tendon. The labrum can be torn from its attachment anywhere on the socket.

Labral tears occur with acute (shoulder dislocations) or chronic, repetitive stresses to the GH joint. Athletes in collision sports, where the arm may be forced away from the body or with repetitive motion (baseball, volleyball, etc.) predispose the labrum to injury.

Labral tears may cause different symptoms depending on the area of torn tissue. Labral tears in the front of the shoulder (anterior) are usually due to dislocations, so patients may experience pain and laxity in the shoulder. Labral tears in the back of the shoulder (posterior) are typically caused by repetitive stresses forcing the ball to the back of the socket. Patients may experience pain with stressful forces but not laxity in the shoulder. Labral tears in the top of the shoulder (superior) typically have pain and weakness, particularly with overhead activities like throwing. Pain may also be referred to the biceps, as its insertion on the labrum may have damage. Patients with labral tears may experience clicking in the shoulder.

Your surgeon will perform a thorough history and physical exam with X-rays. The shoulder will be moved through a range of motion and stressed in certain ways to elicit pain or feelings of laxity. X-rays may or may not show damage to the bones of the GH joint, particularly after an acute injury or dislocation. MRI (with contrast dye) is helpful for evaluating the labrum, biceps and rotator cuff for damage.

Patients who have failed non-operative treatment require a minimally invasive arthroscopic surgery to repair and reapproximate the tissue .At Nexus we offer the latest & most advanced implants & surgical techniques using variety of latest anchors. Labral tears are sometime more degenerative in nature and do not need formal repair. In such cases, the damaged tissue is removed..

Instability & Labral Tear

Expert Arthroscopic Surgeon's Team

Professional Credentials of our Arthroscopic Surgeons and Physiotherapist.

Dr. Sanjay Desai
  • MS (Bom), MCh(Eng), DNB, DOrth Arthroscopy
  • Sr. Consultant Orthopaedics
  • Experience: 30 years
Dr. Yajuvendra Gawai
  • MBBS, MS Orthopaedics.
  • Sports Medicine & Shoulder Surgery, NYU (USA)
  • Specialist in Sports Medicine, Arthroscopy and Joint
  • Experience: 20 years
Dr. Manu Bora
  • MS - Orthopaedics Sports Injury, Arthroscopy & ACL EXPERT
  • Orthopaedic Surgeon
  • Experience: 15 years
Dr. Bhushan Sabnis
  • MBBS, MS (Orth), DNB (Orth), MRCS (Edinburgh)
  • Trauma & Orthopaedic Specialist
  • Experience: 23 years
Dr. Amyn Rajani
  • Orthopedic Surgeon
  • Knee Surgery Fellowship at Mount Sinai Hospital- Toronto
  • Experience: 20 years
Dr. Prasad Bhagunde
  • MBBS, MS - Orthopaedics, Diploma in Orthopaedics
  • Orthopaedic Surgeon & Sports Injury Specialist
  • Experience: 15 years

Patient Testimonial

Patients Success Stories

Suraj Dahiphale

Service and treatment is very good. Thank you for providing good treatment. All staff, nurses and doctors are excellent . I really appreciate all the doctors and nursing staff for their commitment. I feel that I'm improving and getting better with the medical facility you have provided. Excellent service.

Santosh Nirmal

With the highly advanced International based technology Nexus Day Surgery Centre provides minimally invasive procedures by the most professional surgeons of India. The Centre is extremely clean and hygienic. I would highly recommend Nexus if you are looking for speedy recovery and early rehabilitation from day 1 itself post-surgery.

Vikram Mistry

Couldn't expect a better experience than this! Have just been here for my chronic issue.Finally Getting very positive vibes about the end of my's worth your time,money and trust. Just go for it!!!

Rohit Kharose

Your service was very good. dr is active from time to time...... All times dr. And the nurse encouraged us in the right way Service is to good and comfortable...

Abhay Shukla

Very nice facility with great doctors and support I would recommend this to everyone...!!

Frequently Asked Questions

Have questions? We're here to help.

  • What is the most common cause of
    shoulder pain ?

    The most common cause of shoulder pain occurs when rotator cuff tendons become trapped under the bony area in the shoulder. The tendons become inflamed or damaged. This condition is called rotator cuff tendinitis or bursitis.

    Shoulder pain may also be caused by:

    • Arthritis in the shoulder joint.
    • Bone spurs in the shoulder area.
    • Bursitis, which is inflammation of a fluid-filled sac (bursa) that normally protects the joint and helps it move smoothly.
    • Broken shoulder bone.
    • Dislocation of the shoulder.
    • Shoulder separation.
    • Frozen shoulder, which occurs when the muscles, tendons, and ligaments inside the shoulder become stiff, making movement difficult and painful.
    • Overuse or injury of nearby tendons, such as the bicep muscles of the arms.
    • Nerve injury that leads to abnormal shoulder movement.
    • Tears of the rotator cuff tendons.
    • Poor shoulder posture and mechanics.

  • Few common symptoms may be present which might indicate towards instability like:-

    • Repeated shoulder dislocation.
    • Shoulder pain.
    • A shoulder joint that feels loose.
    • A feeling that your arm bone is slipping from its join.

  • Sudden shoulder pain is always because of some trauma to the joint. And chronic shoulder pain usually gradually increases in intensity over the period of time, usually increases on movement and relief on rest. Chest pain can start suddenly and can turn severe in intensity depending on underlying condition , and it is not relieved at rest. Chest pain also also accompanied by other symptoms Sweating, Anxiety, Discomfort in breathing, dizziness and pain may even radiate to inner side of arm or neck.

  • The longer you wait, the more damage you could do to the joints and tendons. Because the pain can easily be ignored and doesn't always affect your quality of life, it's easy to put off, but the quicker you see a specialist, the higher your chances of non-surgical treatment will be.