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.View transcript
[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.