Shoulder Surgery


Dr. Jonathan Guevara discusses how arthritis and injury often lead to the need for shoulder surgery. This solution is only recommended after a detailed diagnostic process and a discussion of your goals and needs. If you've had multiple unsuccessful attempts to manage your condition without surgery, this solution may be right for you.

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[00:00:03.480] Hi, I'm Jonathan Guevara. [00:00:08.320] I'm the Shoulder and Elbow Specialist here at the Hand to Shoulder Center. [00:00:12.200] A lot of times people come to see me with shoulder pain or elbow pain. [00:00:16.640] That can be from arthritis or injury. [00:00:21.120] Sometimes they've had this condition for years, [00:00:23.480] sometimes is just a matter of a few weeks. [00:00:26.240] Another thing that can prompt a visit with an orthopedic surgeon [00:00:30.320] is a change in your function. [00:00:32.560] Maybe you had an injury and now you can't raise your arm anymore, [00:00:35.160] can't use your elbow normally. [00:00:37.440] You're developing pain in the upper back, on the side of the arm. [00:00:41.200] All those conditions, those are things that I treat. [00:00:45.480] In our office, when you get an appointment, [00:00:48.040] either referrals made and you're calling in [00:00:50.680] to get the appointment made or sometimes you've found us online [00:00:55.960] or your doctor told you about us. [00:00:58.040] As we get to know each other and we begin to learn [00:01:00.240] and review the X-rays to see what your condition is, [00:01:03.040] I will start talking about a treatment plan [00:01:04.360] and come up with some goals. [00:01:06.280] What are you looking for? [00:01:07.360] Pain relief? Improved function? Maybe you just want to sleep at night. [00:01:12.080] There's all kinds of different goals to think about, [00:01:15.280] and then we talk about it and come up with a plan together. [00:01:19.240] The way people find out if they're a candidate for surgery is [00:01:22.960] you've essentially had multiple attempts [00:01:26.880] at trying to manage your condition without surgery. [00:01:31.200] I try that with everybody. [00:01:32.520] That's something we go through at the very first visit. [00:01:35.600] We're usually doing injections, [00:01:37.600] therapy or some combination thereof, just to get your symptoms under control. [00:01:42.160] If that fails to work, we may start talking about surgery, [00:01:44.800] and when we do, [00:01:46.640] we'll have a plan that is goal-oriented [00:01:50.520] and pretty uniquely customized to the patient [00:01:52.680] in terms of what time of the year, what time of day, [00:01:55.600] what are we doing, when can we recover or how much help to have at home? [00:02:00.040] That's often a very one-on-one conversation [00:02:02.920] when we decide for surgery. [00:02:04.520] It's definitely a relationship-building process [00:02:07.640] to decide which surgery is the right surgery.

Hand to Shoulder team in the surgical suite

The Hand to Shoulder Center

At The Hand to Shoulder Center in Fort Worth, TX, our team of fellowship-trained hand, elbow, and shoulder surgeons treat any and all conditions from the shoulder to the fingertip. Our surgeons perform both elective and reconstructive procedures, including:

  • Joint Replacement
  • Traumatic Injury Surgery
  • Arthroscopic Surgery
  • Microsurgery
  • Minimally Invasive Surgery
  • Wide Awake Local Anesthesia Only Surgery

Our physicians are associated with the American Society for Surgery of the Hand and the American Board of Orthopaedic Surgery. For more information or to request an appointment, please contact us online or call (817) 420-9238.

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