Category: Arthritis Treatment

Dr. Manu Mengi – Best Orthopedic Doctor in Mohali

When Shoulder Ages - The Complete Guide to Shoulder Arthritis - The Brigit Clinic

When Shoulder Ages – The Complete Guide to Shoulder Arthritis

Shoulder arthritis affects up to 32.8% of adults over the age of sixty, making it one of the most common causes of shoulder pain and disability in older adults. When your shoulder joint’s smooth cartilage wears down, the resulting condition can severely limit your comfort and function. Most often occurring in people over age 50, shoulder arthritis can also develop in younger individuals following an injury or trauma, such as a shoulder fracture or dislocation.

Pain is the most common symptom you’ll experience with shoulder arthritis, often accompanied by stiffness, weakness, and a noticeable grinding sensation during shoulder movement. However, you don’t need to simply accept these limitations as inevitable. From non-surgical approaches like gentle stretching and anti-inflammatory medications to surgical options for severe cases, effective treatments are available. Throughout this guide, we’ll explore everything you need to know about shoulder arthritis, including its various types, how it differs from other shoulder conditions, and the best strategies for managing your symptoms and maintaining your quality of life.

Understanding Shoulder Arthritis

The degradation of cartilage within your shoulder joint defines shoulder arthritis. Your shoulder contains two primary joints, but shoulder arthritis typically refers to the larger ball-and-socket glenohumeral joint that connects your upper arm bone (humerus) to your shoulder blade (scapula). This protective cartilage covers both the ball (humeral head) and socket (glenoid), allowing smooth movement.

What is shoulder arthritis?

Shoulder arthritis occurs when the smooth cartilage lining your joint surfaces begins to break down, eventually leading to bone-on-bone contact. This cartilage breakdown creates a rough, uneven surface that causes pain, stiffness, and reduced function. As the condition progresses, bone spurs may form, further limiting motion. Patients often report that shoulder arthritis impacts their quality of life comparably to serious conditions like congestive heart failure or diabetes.

Types: Osteoarthritis, Rheumatoid, Post-traumatic

Several distinct types of shoulder arthritis exist, each with different origins:

  • Osteoarthritis – The most common form, primarily affecting people over 50, this “wear and tear” arthritis gradually degrades cartilage through normal ageing processes. It affects up to 32.8% of patients over sixty and appears more common in women than men.
  • Rheumatoid Arthritis – An autoimmune condition where your body attacks the synovial lining of joints, causing inflammation that damages cartilage. Unlike osteoarthritis, rheumatoid arthritis often affects both shoulders simultaneously.
  • Post-Traumatic Arthritis – Develops after shoulder injuries like fractures or dislocations, which damage the cartilage surface.

Additional types include rotator cuff tear arthropathy (occurring after large rotator cuff tears) and avascular necrosis (when blood supply to the humeral head is disrupted).

Shoulder arthritis vs frozen shoulder

Despite being commonly confused, shoulder arthritis and frozen shoulder (adhesive capsulitis) are entirely different conditions. The primary distinction lies in their underlying mechanisms:

Frozen shoulder specifically involves joint stiffness and chronic pain due to thickening and tightening of the joint capsule. In contrast, shoulder arthritis stems from cartilage deterioration. Furthermore, while arthritis causes pain but still allows some joint movement, frozen shoulder severely restricts mobility regardless of pain levels.

Understanding these differences is crucial since their treatments differ significantly, despite some overlapping symptoms.

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Recognising the Signs and Symptoms

Recognising symptoms early helps manage shoulder arthritis effectively. Symptoms vary between individuals, with severity not always matching the degree of cartilage damage.

Early signs of shoulder arthritis

Initially, you might notice a dull ache in your shoulder that worsens after activities like lifting or reaching. Pain typically begins intermittently, appearing only during certain movements before becoming more constant as the condition progresses. Another early indicator is mild stiffness, particularly after periods of inactivity such as sleeping. Some individuals report occasional clicking sounds when moving their arms, even without pain.

Common symptoms: pain, stiffness, grinding

Pain remains the most common symptom of shoulder arthritis. As your condition advances, discomfort may occur at rest or during the night, making sleep difficult. The pain typically feels deep within the joint and can radiate down your arm toward your elbow or wrist.

Stiffness and reduced range of motion gradually increase, making everyday tasks like bathing or dressing challenging. Many patients experience crepitus—grinding, clicking, or popping sensations—when moving their shoulders. This occurs because cartilage loss creates uneven joint surfaces where bones rub together.

Shoulder arthritis vs rotator cuff tear

Although these conditions can coexist, they affect different structures. Shoulder arthritis primarily involves cartilage deterioration, whereas rotator cuff tears damage the tendons that position and power your joint. With rotator cuff tears, you’ll typically experience more pronounced weakness, especially during overhead activities. Moreover, rotator cuff tear arthropathy represents an advanced condition combining both problems, causing severe weakness, pain, and grinding.

Shoulder arthritis vs bursitis and tendinitis

Distinguishing between these conditions requires careful assessment. Bursitis involves inflammation of fluid-filled sacs (bursae) that cushion your joints. Comparatively, tendinitis affects the tendons connecting muscles to bones. Both can cause pain similar to arthritis, but differ in several ways:

  • Location: Bursitis pain typically occurs at the top and outside of your shoulder, whereas arthritis pain originates within the joint itself.
  • Duration: Bursitis generally resolves within weeks with proper care, while arthritis progressively worsens over time.
  • Onset: Tendinitis often develops suddenly after repetitive activities, unlike the gradual onset of arthritis.
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Diagnosis and Imaging Techniques

Accurate diagnosis forms the cornerstone of effective shoulder arthritis treatment. Your doctor will employ a series of progressive diagnostic steps to pinpoint the exact nature and extent of your condition.

Physical examination and history

The diagnostic journey typically begins with a detailed conversation about your symptoms and medical history. Subsequently, your physician will conduct a thorough physical examination, checking for muscle weakness, tenderness to touch, and limited range of motion. They’ll assess both passive (assisted) and active (self-directed) shoulder movements. Notably, the doctor will listen for crepitus—a grinding sensation inside the joint during movement—which often indicates cartilage damage. The examination may include specific manoeuvres to evaluate your shoulder from multiple angles, including having you place your hands behind your head and back to assess rotation.

X-ray findings in shoulder arthritis

X-rays remain the first-line imaging technique for diagnosing shoulder arthritis. Key findings visible on X-rays include:

  • Joint space narrowing (indicating cartilage loss)
  • Bone spurs (osteophytes) along joint margins
  • Subchondral sclerosis (increased bone density)
  • Bone cysts beneath the joint surface

The axillary view provides the best angle to evaluate joint space narrowing, accordingly helping rule out dislocations. Your doctor may use the Kellgren-Lawrence score or Samilson and Prieto classification to grade the severity of your condition.

Shoulder arthritis MRI findings

Although not always necessary, MRI offers an exceptionally detailed evaluation of both soft tissues and bone. Typical MRI findings include cartilage thinning, bone marrow oedema, synovial thickening, and joint effusion. Furthermore, MRI excels at detecting rotator cuff tears that often accompany shoulder arthritis. This comprehensive assessment proves invaluable for surgical planning and detecting underlying causes of your condition.

When to consider lab tests

Laboratory tests become essential primarily when inflammatory arthritis is suspected. In certain cases, your doctor may analyse blood, urine, or joint fluid samples. Joint fluid analysis involves numbing the area before inserting a needle to withdraw fluid. These tests help differentiate between various forms of arthritis, particularly identifying inflammatory conditions like rheumatoid arthritis or ruling out infection.

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Treatment Options and Management

Treatment approaches for shoulder arthritis range from conservative options to surgical interventions, depending on pain severity and functional limitations. A comprehensive management plan typically begins with the least invasive methods first.

Non-surgical management of shoulder arthritis

First and foremost, optimising your overall health can improve the quality of life with shoulder arthritis. Regular aerobic exercise, maintaining a healthy weight, and avoiding activities that worsen pain form the foundation of management. Gentle stretching exercises help maintain range of motion, thus preventing further stiffness. Applying ice reduces inflammation, while heat can loosen stiff joints. Physical therapy often plays a crucial role in preserving mobility without aggravating symptoms.

Shoulder arthritis injection – Steroid, PRP, Hyaluronic Acid

Corticosteroid injections can provide significant short-term relief by reducing inflammation. Nevertheless, most doctors limit these to three injections yearly to prevent cartilage damage. Hyaluronic acid injections mimic your joint’s natural lubricant, potentially offering pain relief lasting up to six months. Meanwhile, platelet-rich plasma (PRP) therapy uses your own blood components to potentially promote healing, though research shows mixed results.

Pain relief for shoulder arthritis

Over-the-counter medications like acetaminophen offer basic pain control with fewer side effects than other options. Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen reduce both pain and inflammation. Certainly, medication should complement rather than replace other treatment approaches. For nighttime pain, icing the shoulder before bed may improve sleep quality.

Shoulder arthritis supplements

Certain supplements show promise for arthritis management. Glucosamine and chondroitin have produced mixed research results. In fact, turmeric/curcumin demonstrates anti-inflammatory properties, with one study showing effectiveness comparable to ibuprofen. Additionally, fish oil contains omega-3 fatty acids that help block inflammatory compounds. Remember to discuss any supplements with your physician, as they may interact with medications.

Shoulder arthritis surgical options

When conservative measures fail, surgical options include arthroscopic debridement for early arthritis, which removes loose tissue fragments. Total shoulder replacement replaces both the ball and socket with artificial components, effectively eliminating arthritis pain. For patients with combined rotator cuff tears and arthritis, reverse total shoulder replacement may provide better outcomes.

Shoulder arthritis recovery time and prognosis

Recovery from shoulder replacement typically requires wearing a sling for 4-6 weeks. Most people resume light activities after 2-3 weeks. Physical therapy continues for approximately 12 weeks, focusing initially on flexibility, then progressing to strength. Fortunately, 95% of patients experience pain-free function one year after surgery. Many prosthetic shoulders last at least 15 years, often for the remainder of a patient’s life.

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Conclusion

Living with shoulder arthritis certainly presents challenges, but knowledge empowers you to take control of your condition. Throughout this guide, we’ve explored how shoulder arthritis develops when protective cartilage deteriorates, leading to pain, stiffness, and reduced mobility. Remember that several types exist—osteoarthritis, rheumatoid arthritis, and post-traumatic arthritis—each requiring specific approaches.

Early recognition of symptoms allows for prompt intervention. Pain, stiffness, and grinding sensations warrant medical attention, especially when they persist or worsen. Your doctor will likely use physical examinations, X-rays, and sometimes MRIs to accurately diagnose your condition.

Treatment options span a wide spectrum based on your specific needs. Conservative approaches like gentle stretching, heat and ice application, and physical therapy often provide significant relief. Medications and injections serve as effective tools for managing pain and inflammation. When these methods prove insufficient, surgical interventions such as debridement or joint replacement can dramatically improve your quality of life.

Many patients worry about their future with shoulder arthritis. However, modern treatment approaches yield excellent outcomes. After surgery, most people return to normal activities within weeks, and the long-term prognosis remains positive with proper care. Whether you’re newly diagnosed or have battled shoulder pain for years, effective management strategies exist.

Shoulder arthritis doesn’t need to define your life. Armed with proper information and working alongside healthcare providers, you can minimise pain, maintain mobility, and continue enjoying meaningful activities despite this condition. Your journey with shoulder arthritis may require adjustments, but it need not end the activities that bring you joy.

Key Takeaways

Understanding shoulder arthritis empowers you to recognise symptoms early and pursue effective treatment options that can significantly improve your quality of life.

• Early recognition matters: Watch for persistent shoulder pain, stiffness after inactivity, and grinding sensations during movement—these often signal developing arthritis.

• Multiple treatment paths exist: From gentle stretching and anti-inflammatory medications to injections and surgery, effective options are available for every severity level.

• Conservative care works first: Physical therapy, ice/heat application, and maintaining a healthy weight can provide significant relief without invasive procedures.

• Surgery offers excellent outcomes: 95% of patients experience pain-free function one year after shoulder replacement, with most prosthetics lasting 15+ years.

• Don’t accept limitations: With proper diagnosis and treatment, shoulder arthritis doesn’t have to prevent you from enjoying meaningful activities and maintaining an active lifestyle.

The key is working with healthcare providers to develop a personalised management plan that matches your specific type of arthritis and lifestyle needs. Whether through conservative care or surgical intervention, effective relief is achievable.

FAQs

Q1. At what age does shoulder arthritis typically develop?

A1. Shoulder arthritis most commonly affects individuals over 50 years old. However, it can also occur in younger people, particularly following shoulder injuries or trauma. The condition tends to progress gradually over time.

Q2. What are the early warning signs of shoulder arthritis?

A2. Early signs include a dull ache in the shoulder that worsens with activity, mild stiffness (especially after periods of inactivity), and occasional clicking sounds during arm movement. As the condition progresses, pain may become more constant and affect sleep.

Q3. How is shoulder arthritis diagnosed?

A3. Diagnosis typically involves a physical examination, review of medical history, and imaging tests. X-rays are the primary diagnostic tool, showing joint space narrowing and bone spurs. In some cases, MRI scans may be used for a more detailed evaluation of soft tissues and bone.

Q4. What non-surgical treatments are available for shoulder arthritis?

A4. Non-surgical options include gentle stretching exercises, physical therapy, ice/heat application, and pain relief medications. Corticosteroid injections can provide short-term relief. Some patients find benefit from supplements like glucosamine or turmeric, though results vary.

Q5. What is the recovery process like after shoulder replacement surgery?

A5. After shoulder replacement, patients typically wear a sling for 4-6 weeks. Light activities can often resume after 2-3 weeks. Physical therapy continues for about 12 weeks, focusing first on flexibility, then strength. Most patients experience pain-free function within a year, with prosthetic shoulders often lasting 15 years or more.

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September 15, 2025 / by Manu
Why Dr. Manu Mengi is the Best Orthopedic Doctor in Mohali for Rheumatoid Arthritis

Why Dr. Manu Mengi is the Best Orthopedic Doctor in Mohali for Rheumatoid Arthritis

Simple daily tasks can feel overwhelming when you live with joint pain and morning stiffness. Many people in Mohali and Chandigarh who struggle with Rheumatoid Arthritis (RA) need the right medical care to maintain their quality of life.

Dr. Manu Mengi, the Best Orthopedic Doctor in Mohali, offers hope to patients like you. His specialised expertise in RA management and auto-immune diseases has helped countless patients reduce joint pain and regain their mobility through individual-specific treatment plans.

As I wrote in this piece, Dr. Mengi’s reputation as a leading Arthritis Specialist in Mohali speaks for itself. His patient success stories, innovative treatment methods, and integrated approach to managing Rheumatoid Arthritis set him apart from others.

Patient Success Stories

Seema Sood’s life story is proof of Dr. Mengi’s expertise in treating Rheumatoid Arthritis. She needed a walking stick at just 28 years old, and her health declined until she became bedridden.

Her life changed when she received proper medical care. She regained her ability to walk and found that there was a new passion for painting that helped her cope with pain. “I could almost feel its scent. My friends saw it and encouraged me to do some more works,” Seema recalls about her first painting of a red rose.

This patient’s recovery isn’t unique. Research shows that this is a big deal as it means that remission rates can exceed 80% in RA patients who receive early and aggressive treatment. Dr. Mengi’s approach to RA management has showed excellent results consistently. His patients report major improvements in their daily lives.

Patient satisfaction rates reflect how well the treatment works. Dr. Mengi’s patients have shared inspiring stories: “He gets deep into the problem and treats with utmost care and responsibility”. Another patient adds, “Experience with the doctor has been incredible…. His medicines have really proved as blessings”.

These stories highlight a vital point – Rheumatoid Arthritis creates major challenges, but proper diagnosis and treatment can lead to substantial improvement in patients’ lives. Dr. Mengi’s expertise and focus on patient care have helped many people return to an active lifestyle.

Innovative Treatment Methods

Dr. Manu Mengi, the Best Ortho Doctor in Mohali, leads our facility with advanced treatment methods. He combines traditional and innovative approaches that work against Rheumatoid Arthritis. Our complete treatment arsenal has disease-modifying antirheumatic drugs (DMARDs). These drugs have shown great success to prevent and relieve disease activity in RA patients.

Our treatment approach has:

  • Conventional Synthetic DMARDs: Including methotrexate, hydroxychloroquine, and sulfasalazine.
  • Biological DMARDs: Advanced treatments like adalimumab and tocilizumab.

Our combination therapy makes us unique. Research shows that patients who receive methotrexate with glucocorticoid often find relief within six months – about 25% of cases show improvement. This approach works well and goes together with physical therapy and rehabilitation programs.

Dr. Mengi’s expertise goes beyond managing medications. RA treatment needs an all-encompassing approach, so we use advanced medical technologies with customized treatment plans. Many patients have achieved remission through early diagnosis and consistent treatment, thanks to our focus on innovative therapeutic options.

Holistic Patient Care Approach

Our clinic believes that Rheumatoid Arthritis treatment needs more than just medication. Dr. Manu Mengi leads with a detailed care approach that addresses every aspect of patient well-being. We create tailored care plans that evolve with our patients’ needs.

Our all-encompassing approach has:

  • Detailed Diagnosis: Using advanced diagnostic tools to accurately assess RA progression
  • Regular Monitoring: Tracking treatment response and making timely adjustments
  • Lifestyle Integration: Incorporating diet, exercise, and stress management
  • Physiotherapy
  • Patient Education: Giving patients the ability to understand their condition

Recovery paths differ for each person. We keep close track of progress and adjust treatment plans. Our patient-centric approach has earned many positive testimonials. A patient shared, “He gets deep into the problem and treats with utmost care and responsibility”.

Early intervention and consistent support make us different. Research indicates that patients can achieve remission with early diagnosis and consistent treatment. Medical treatments work better when combined with non-pharmacologic therapies like physiotherapy and lifestyle modifications.

Dr. Manu Mengi brings his expertise in pain management and rheumatology to our practice. His certification from John Hopkins University helps us provide detailed care for immediate symptoms and long-term management. We help patients maintain their quality of life through medical intervention and lifestyle adjustments.

Conclusion

Dr. Manu Mengi has become the most trusted name for Rheumatoid Arthritis Treatment in Mohali. His patient’s success stories speak volumes. Take Seema Sood, who went from being bedridden to walking again – that’s how proper RA care can change lives.

Dr. Mengi’s certification from John Hopkins University backs our individual-specific care plans. Each patient gets treatment that matches their needs perfectly.

Patients see remarkable improvements through our all-encompassing approach. We blend medical expertise with lifestyle changes and ongoing support. The numbers back our methods – early diagnosis and the right treatment can lead to remission rates that go beyond 80%.

We help our patients take back control of their active lives and manage RA better. Our complete care and regular monitoring have helped countless people reduce pain and live better lives.

FAQs

Q1. How can Dr. Manu Mengi help patients with Rheumatoid Arthritis?

A1. Dr. Mengi offers personalised treatment plans combining innovative therapies, medication management, and lifestyle modifications to help patients reduce pain, improve mobility, and potentially achieve remission.

Q2. What makes Dr. Manu Mengi stand out as an orthopedic specialist?

A2. Dr. Mengi’s expertise in RA management, certification from John Hopkins University, and holistic approach to patient care, including advanced treatments and personalised support, set him apart in the field.

Q3. What types of treatments does Dr. Mengi offer for Rheumatoid Arthritis?

A3. Dr. Mengi provides a range of treatments including conventional and biological DMARDs and combines these with physical therapy and rehabilitation programs.

Q4. Can Rheumatoid Arthritis be effectively managed with proper treatment?

A4. Yes, with early diagnosis and consistent treatment under specialists like Dr. Mengi, many patients can achieve significant improvement in symptoms and quality of life, with remission rates potentially exceeding 60%.

Q5. How does Dr. Mengi’s clinic approach patient care for Rheumatoid Arthritis?

A5. The clinic takes a holistic approach, offering comprehensive diagnosis, regular monitoring, lifestyle integration, and patient education, along with personalised care plans that evolve with patients’ needs.

December 11, 2024 / by Manu

Navigating daily life with Rheumatoid Arthritis

Rheumatoid Arthritis (RA) is unpredictable; even if you feel better today, you never know what may happen tomorrow. Common concerns include discomfort and the condition’s physical impact daily. Furthermore, some people with RA are concerned about the long-term consequences, such as illness problems that could reduce life expectancy, such as heart disease and dangerous infections. People with rheumatoid arthritis want normalcy just like everyone else. However, it can be disruptive. No matter how much you try to withstand the changes RA brings along with it, the disease will progress.

As RA worsens, it weakens and destroys cartilage and bone. It gradually weakens the supporting tendons, ligaments, and muscles, resulting in a reduced range of motion or trouble moving the joints appropriately. Joints may eventually become deformed, causing pain, particularly when wearing closed-toe shoes.

Rheumatoid Arthritis also increases the risk of developing osteoporosis, a condition that weakens bones and increases the likelihood of fractures. Chronic inflammation in the wrists can cause carpal tunnel syndrome, which makes it difficult to use your wrists and hands. Chronic discomfort can result from weakened or injured bones in the neck or cervical spine. RA in the cervical spine also increases the risk of spinal cord compression, which can cause discomfort and paralysis in the arms or legs.

Fortunately, rheumatoid arthritis is treatable. Although it might put some limitations, it does not have to dominate your life. Even as the disease progresses, it becomes easier to recognize changes, adapt to limitations, and enjoy life both with and despite RA.

Innovative therapeutic options have dramatically altered the course of rheumatoid arthritis. Many patients can attain remission if the disease is diagnosed early and treated consistently. Rapid diagnosis along with close monitoring and control can boost the likelihood of remission in rheumatoid arthritis patients. Rheumatoid arthritis treatment is hampered by delayed diagnosis, restricted access to specialists, and difficulties in applying treat-to-target principles.

Pharmacologic Treatments

The treatment for rheumatoid arthritis (RA) focuses on symptom management, inflammation reduction, joint and organ damage prevention, and improved physical function and quality of life. Primary treatments include disease-modifying antirheumatic medications (DMARDs).

Non-pharmacological Treatments

Non-pharmacologic therapies, such as physical and occupational therapy, as well as lifestyle changes like regular exercise and smoking cessation, are critical in the overall care of RA. Additionally, patient education and support groups can help people cope with the sickness.

Overall, the primary goals of treating rheumatoid arthritis are to control symptoms, reduce inflammation, avoid joint and organ damage, improve physical function and general well-being, and limit long-term consequences. Typically, achieving these goals requires a mix of medicine, lifestyle adjustments, and, on occasion, surgery.

If you seek a Rheumatoid Arthritis Specialist in Mohali, go no further than Dr. Manu Mengi. He is committed to delivering excellent care to individuals suffering from this ailment, drawing on his significant experience and kind demeanour. He provides tailored treatment regimens and comprehensive assistance on your path to better health.

For Arthritis Treatment in Mohali, choose no one other than Dr. Manu Mengi. Renowned for his expertise and commitment to patient care, he offers personalised treatment plans and comprehensive support. Trust Dr. Manu Mengi to provide the highest quality care and help you manage arthritis effectively, improving your overall well-being.

July 18, 2024 / by Manu