Shoulder
Fellowship Trained Optim Orthopedic Surgeons
The shoulder joint is the most flexible joint in the entire human body. One of the most complex joints, the shoulder joint, is also one of the largest.
Optim Orthopedics Total Shoulder
Shoulder Pain can be caused by an Acute Or Chronic Injury. The Shoulder Specialists at Optim Orthopedics provide Diagnosis and both Surgical and Nonsurgical treatment options.
Total Shoulder addresses everyday disorders that affect the bones, joints, cartilage, muscles, ligaments and tendons. We handle the evaluation and management of degenerative diseases such as arthritis, care for fractures and complex joint replacement surgery. Our services are individualized to each patient’s needs.
Painful symptoms can be caused by a traumatic injury from an accident, sudden impact while playing sports, a fall, or strain to tendons and joints from repetitive work or sports activities. In older patients, as arthritis becomes more commonplace, pain may be prevalent simply with daily routine and activity.
Conservative care is always our first choice of treatment. We’re committed to working closely with you and your primary care physician to create the best treatment plan possible to fit your individual needs. Once we’ve diagnosed your condition, treatment plans may include: physical therapy, occupational therapy, injections and/or medications.
For those patients who require surgery, advancements in minimally invasive techniques are our practice’s specialty. Minimally invasive surgery means only tiny incisions are needed, along with the use of arthroscopes. This significantly reduces pain after surgery, shortens recovery time, and decreases scarring.
For joint replacements requiring open incisions, we use the newest techniques and technology to shorten recovery time, and get you back to your normal routine as quickly as possible.
01. Services Scaled To Your Needs
Our multidisciplinary teams offer a variety of non-invasive therapies as well as state-of-the-art surgical treatments for acute and chronic sports injuries.
02. Speedier Recoveries
Our efficient, coordinated approach means that we can expedite referrals and test results, offer same-day appointments and help facilitate your rapid recovery.
03. Athletes Training Athletes
As athletes ourselves, we can better identify and guide your unique path back to your favorite activities whether you are an elite or recreational competitor.
Optim Orthopedics Total Shoulder
Our People Make The Difference
Don Aaron, MD
Sports Medicine (Knee, Hip and Shoulder)
- Medical School - Mercer University School of Medicine (Macon, GA)
- Residency - Campbell Clinic (Memphis, TN)
- Fellowship - American Sports Medicine Institute with Dr. James Andrews (Birmingham, AL)
- Board Certification - American Board of Orthopedic Surgery
Delan Gaines, MD
Sports Medicine (Knee, Hip and Shoulder)
- Medical School - Medical College of Georgia (Augusta, GA)
- Residency - University Of Tennessee Chattanooga (Chattanooga, TN)
- Fellowship - Steadman Hawkins Clinic Of The Carolinas (Spartanburg, SC)
- Board Certification - American Board of Orthopedic Surgery
Thomas Alexander, MD
Sports Medicine (Knee, Hip, Shoulder and Elbow)
- Medical School - Medical College of Georgia (Augusta, GA)
- Residency - University of Tennessee: The Campbell Clinic (Memphis, TN)
- Fellowship - Steadman Hawkins Clinic of the Carolinas Fellowship in Shoulder Reconstruction and Sports Medicine
- Board Certification - American Board of Orthopedic Surgery
David Palmer, MD
Sports Medicine (Knee, Hip and Shoulder)
- Medical School - University of Florida (Gainesville, FL)
- Residency - University of Missouri at Kansas City (Kansas City, MO) Children’s Mercy (Kansas City, MO)
- Fellowship - Medical College of Virginia (Richmond, VA)
- Board Certification - American Board of Orthopedic Surgery
Amir Shahien, MD
Sports Medicine (Knee, Hip and Shoulder)
- Medical School - Louisiana State University School of Medicine (New Orleans, LA)
- Residency - Boston University School of Medicine/ Boston Medical Center (Boston, MA)
- Fellowship - American Sports Medicine Institute - Andrews Sports Medicine and Orthopedic Center (Birmingham, AL)
- Board Eligible - American Board of Orthopedic Surgery
- Society Memberships - Arthroscopy Association of North America (AANA)American Academy of Orthopedic Surgeons (AAOS) American Orthopedic Society for Sports Medicine (AOSSM)
George Sutherland Jr, MD
Sports Medicine (Knee, Hip and Shoulder)
- Medical School - Eastern Virginia Medical School (Norfolk, VA)
- Residency - Louisiana State University (Shreveport, LA)
- Fellowship - Sports Medicine Fellowship at the Hughston Foundation (Columbus, GA)
- Board Certification - American Board of Orthopedic Surgery
James Wilson Jr, MD
Sports Medicine (Knee, Hip and Shoulder)
- Medical School - University of North Carolina at Chapel Hill (Chapel Hill, NC)
- Residency - Parkland Hospital (Dallas, TX)
- Fellowship - Steadman Hawkins Clinic (Vail, CO)
- Board Certification - American Board of Orthopedic Surgery
What is Shoulder Pain?
The shoulder is a complex joint comprised of three bones: your upper arm bone (humerus), shoulder blade (scapula), and collarbone (clavicle). A group of muscles and tendons called the rotator cuff attaches the humerus to your shoulder socket while small, fluid-filled sacs called bursae cushion the joint.
Together, these structures allow you to perform a wide range of motions, from reaching for the top shelf to swinging a golf club. Injury or damage to any of the tissues can lead to pain and difficulty moving your shoulder. Common causes of shoulder pain include:
- Arthritis of the shoulder
- Bursitis or inflammation of the bursa
- Biceps tendinitis
- Biceps tendon tears
- Shoulder impingement
- Rotator cuff tendinitis
- Rotator cuff tears
- Shoulder instability
Fractures of the collarbone, humerus, or shoulder blade are also common sources of shoulder pain.
Treatment For Shoulder Pain
Once they diagnose your condition, the team at Optim Orthopedics Associates, develops a personalized treatment plan to relieve your shoulder pain. They always begin with the most conservative treatments possible.
Depending on your specific condition, treatment for shoulder pain may include:
- Pain-relieving medications
- Physical therapy
- Rest and activity modification
If your condition is severe or doesn’t resolve with treatment, the team at Optim Orthopedics, may recommend shoulder surgery followed by a shoulder rehabilitation program.
They specialize in the most advanced procedures, such as total shoulder replacement and minimally invasive arthroscopic surgery.
Get expert Orthopedic Medical Care for Shoulder Issues ranging from Arthritis to Dislocations and Fractures.
Rotator Cuff Surgery
Labral Repair
Shoulder Arthroscopy
Arthroscopic Rotator Cuff Repair
Dislocated Shoulder
The shoulder joint is capable of a wide range of motion, depending on a complex group of bones, ligaments, tendons, and other soft tissues for proper function.
A dislocation occurs when the top of the upper arm bone (humeral head) wholly or partially slips out of the cup-shaped shoulder socket (glenoid). A dislocation can cause considerable pain in the shoulder, as well as recurrent instability of the joint. A partial dislocation is called shoulder subluxation.
Shoulder Fracture Care
Reverse Shoulder Replacement
Understanding your shoulder joint is helpful when learning about reverse shoulder replacements. Your shoulder joint includes the ball (humeral head) at the top of your humerus (arm bone), scapula (shoulder blade), and clavicle (collarbone). The ball fits into the glenoid (socket) in your scapula and is held in place with your rotator cuff (a network of muscles and tendons), the glenohumeral ligaments, and the large muscles of the shoulder such as the deltoid, bicep, trapezius, and pectoralis major muscles.
During a reverse total shoulder replacement, your surgeon replaces the ball (humeral head) of your upper arm bone with an implant that includes a stem with a curved plastic tray. They replace the socket (glenoid) with a rounded metal head. It’s called a reverse shoulder replacement because the implants reverse the placement of the ball and socket of the shoulder joint. The reversal of the ball and socket allows the stronger deltoid muscles to take over for strength and function.
What are the Important Structures in the Shoulder Joint?
The anatomy of the shoulder joint includes structures that help the joint to move. Shoulder stability is a key element of a properly functioning shoulder joint and is achieved with the help of cartilage, ligaments, tendons and muscles, all working together to connect, cushion and rotate the shoulder joint.
The shoulder is a complex joint which makes work and play possible. However, this wide range of motion can come at a cost and shoulder injuries can be common. Any shoulder injury or problem should be evaluated by the shoulder specialists at Optim Orthopedics.
For more information on shoulder anatomy and the treatments available, please contact Optim Orthopedics, serving Savannah, Pooler, Rincon, Brunswick, Waycross, Vidalia, Statesboro, Reidsville, Claxton, Bluffton, Hilton Head Island and the surrounding communitites in the Low Country.
Labrum
The labrum keeps the ball of the humeral head (arm bone) in place and helps prevent dislocation. It is a piece of rubber-like cartilage that is attached to the rim of the shoulder socket.
Bursa
A small, fluid-filled sac, located between the bone and surrounding soft tissue, lubricates and cushions the rotator cuff tendon.
Rotator Cuff
The rotator cuff is a group of muscles and tendons that surround the shoulder joint. The rotator cuff holds the head of the humerus firmly within the shallow socket of the shoulder. The rotator cuff muscles and tendons contribute to shoulder stability and shoulder strength.