shoulder

Shoulder Pain

Hydrodilatation (For Frozen Shoulder)

Best Shoulder Pain Treatment in Chennai for Lasting Relief

With this treatment shoulder joint capsule is injected with saline to promote capsule dilatation. Frozen shoulder is treated by different specialists in different ways, where a bone specialist breaks this capsule manually under general anaesthesia in an operation theatre which requires admission and recovery from the sedation. A physiotherapist takes multiple sessions to break this capsule by manual therapy and exercise.

A pain specialist does this novel hydrodilatation procedure in a sophisticated OPD clinic by using Ultrasound imaging after giving a simple nerve block to make the procedure painfree. This procedure helps in reducing pain and improving mobility, and helps in faster recovery when combined with exercise therapy.

Regenerative Therapy — Platelet Rich Plasma (PRP), Prolotherapy

Partial rotator cuff tears respond very well to Regenerative Therapy which supports healing of the tear. Prolotherapy is a more cost effective option compared to PRP. This is followed by gradual strengthening exercises for best results. In this way lasting pain relief is ensured.

Prolotherapy is found to be effective to relieve shoulder impingement symptoms, where pain is due to friction between the bone and tendons. 

The Absolute Vital Health clinic takes an integrated holistic approach to shoulder pain treatment in Chennai, combining advanced interventional techniques with physical therapy for lasting relief.

Acromioclavicular (AC) Joint

What are common causes of shoulder pain?

Here are the common causes of shoulder pain:

1. Rotator Cuff Tears

The most common tendon involved is the supraspinatus tendon, but tears can also affect other parts of the rotator cuff. Many tears start as small frays or partial tears due to wear and tear over time, caused by repetitive overhead motions or aging-related degeneration.

2. Frozen Shoulder (Adhesive Capsulitis)

This is an inflammatory condition characterized by shoulder stiffness, pain, and significant loss of passive range of motion. It is often associated with underlying conditions such as diabetes mellitus, thyroid disease, hypertriglyceridemia, or cervical spondylosis.

3. Shoulder Impingement Syndrome

This occurs when the tendons of the rotator cuff muscles or the bursa become compressed or irritated as they pass through the narrow space between the bones in the shoulder. It can be caused by bone spurs, repetitive overhead movements, or shoulder instability due to muscle weakness.

4. Joint Inflammation

Inflammation of the shoulder joint or acromioclavicular joint can occur due to local or systemic causes, resulting in pain and restricted movement.

5. Arthritis (Shoulder / AC Joint)

Degenerative changes in the joint, such as osteoarthritis or rheumatoid arthritis, can cause pain and stiffness. AC joint arthritis is particularly common in weightlifters.

If you're experiencing shoulder pain, it's advisable to consult a specialist like Dr. Ayshvarya at Absolute Vital Health, the best Shoulder pain clinic in chennai for a proper diagnosis and treatment plan.

What are the Symptoms of shoulder pain?

  • Shoulder Joint pain
  • Swelling or inflammation
  • Stiffness in the shoulder
  • Pain with movement, Outer shoulder pain — worse with overhead activity
  • Weakness during lifting or overhead tasks
  • Progressive loss of range of motion
  • Restricted shoulder movement
  • Localized pain over the AC joint

 

If you are experiencing any of these symptoms, early diagnosis and treatment can change the outcome of your problem. Call +91 8248827895 to book an appointment with Dr. Ayshvarya Ramalingam is one of the best shoulder pain specialist in chennai

Hydrodilatation
Shoulder anatomy

What is Frozen Shoulder and Why Does It Happen?

Adhesive capsulitis, also known as frozen shoulder, is an inflammatory condition characterized by shoulder stiffness, pain, and significant loss of passive range of motion.

Your shoulder joint is surrounded by a soft tissue capsule — like a flexible bag that holds everything together. In the frozen shoulder, this capsule becomes inflamed and tightens around the shoulder joint.

Over Time:

  • The capsule shrinks and thickens
  • It loses its flexibility
  • The joint has less and less room to move
  • Every movement becomes painful and stiff

Frozen shoulder is often associated with underlying conditions such as diabetes mellitus, thyroid disease, drugs, hypertriglyceridemia, or cervical spondylosis.

 it tends to affect:

  • 🙋‍♀️ Women more than men
  • 🎂 People around 55 years of age
  • 🤚 The hand you use less (non-dominant side)

If you have any symptoms pertaining to frozen shoulder, visit ABsolute Vital Health for frozen shoulder treatment with novel techniques such as capsular hydrodilatation.

How is Shoulder Pain Diagnosed?

The first and most important step in diagnosing shoulder pain is a proper patient history where the doctor asks relevant questions regarding your shoulder pain and  thorough hands-on examination by the doctor.

During a physical exam, patients with frozen shoulders may exhibit a decreased Range of Movements (ROM) and experience pain during testing. 

AC Joint Separation

What the Doctor Does

Why They Do It

💬 Asks questions

To understand your pain history

🙌 Examines shoulder

To find where and what hurts

🔄 Tests arm movement

To identify the pattern of the problem

🦴 X-Ray

To check bones

🔊 Ultrasound

To check soft tissues quickly

🧲 MRI

To get a detailed picture

💉 Injection test

To confirm the exact source of pain

💡 The good news is – you don’t need all of these tests! The doctor at Absolute Vital Health, offers the best shoulder pain treatment in Chennai. They will choose only the tests YOU need based on your specific symptoms. Most cases are diagnosed quickly and accurately with just an examination and an ultrasound!

Frequently Asked Questions

When should I consider non-surgical treatment for shoulder pain?

Non-surgical treatment is the best approach for most shoulder problems: rotator cuff strains, bursitis, tendinitis, frozen shoulder, mild impingement, and minor tears. At Absolute Vital Health we offer non surgical treatment for shoulder pain in chennai, such as regenerative therapy, hydrodilatation.

Does poor posture cause shoulder pain?

Yes, poor posture can directly cause shoulder pain. When you slouch, the shoulder blades are pulled outward causing a stressed shoulder position. This puts excessive strain on the rotator cuff muscles, tendons, and surrounding soft tissues. Over time, the muscles responsible for stabilizing the shoulder become either overworked or weakened, leading to imbalances. Common culprits include prolonged desk work, phone use, and improper sleeping positions. So if you are looking for specialised shoulder pain treatment in chennai, to deal with posture related shoulder pain, then book your appointment at Absolute Vital Health, where we address the posture issues, release the trigger points in muscles, and advise on physical therapy also.

Can I recover from a frozen shoulder without surgery?
  1. A frozen shoulder does not require surgery. It usually progresses through 3 stages. Stage 1 is the most painful freezing stage, the movements of the shoulder gradually decrease with very bad stiffness of the joint during the frozen stage (stage 2). The last stage of Thawing or the recovery takes 6months to 2years. 

Breaking the capsule promotes early recovery and prevents wasting of the shoulder muscles and improves pain, stiffness and mobility. Dr.Ayshvarya Ramalingam treats frozen shoulders with capsule hydrodilatation.

How long does shoulder pain take to heal?

Depending upon the condition, the duration varies. For frozen shoulder recovery which takes 6months -2yrs can be speeded up with the capsule breaking techniques at Absolute vital health. For rotator cuff tears, 1-2sittings of regenerative therapy may be required at 4weeks gap. For arthritis depending on the stage more no.of sittings may be required.

When should I see a doctor for shoulder pain?

Pain that interferes with sleep, weakness when lifting or rotating the arm, pain that worsens with rest rather than activity, swelling, redness, or warmth around the joint.

  • Pain following a minor fall or strain that isn't settling Recurring shoulder pain that comes and goes
  • Stiffness that is gradually worsening over weeks
  • Pain interfering with daily activities like dressing or driving
  • You suspect frozen shoulder or a rotator cuff issue
  • Pain not responding to rest and basic over-the-counter medication.

When you have these symptoms do not hesitate to visit Absolute Vital Health, the best shoulder pain clinic in Chennai.