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Expert Shoulder Pain & Rehabilitation Specialist – Dr. Aayushi Choudhary

Dr. Aayushi Choudhary, a gold medalist in MD PMR and an internationally recognized specialist, has saved over 1,000 patients from unnecessary surgeries through her holistic and patient-centered approach. Her protocols do not just treat symptoms; they address the underlying causes of pain and dysfunction, offering patients long-term recovery and preventing future issues.

Choosing Dr. Aayushi Choudhary and Purple Heron Hospital means choosing a team that is dedicated to your overall well-being. Renowned as the Best Shoulder Pain Doctor in Jaipur, Dr. Aayushi Choudhary believes in empowering patients with knowledge, guiding them through every step of their healing journey, and providing innovative and compassionate care. While we prioritize early intervention, regeneration, and rehabilitation, we also excel in surgical reconstruction when necessary, ensuring that patients receive the most appropriate and effective treatment for their needs.

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Best Shoulder Pain Doctor in Jaipur

Shoulder pain can result from numerous conditions, each with distinct symptoms and treatment needs. Understanding the root cause of your shoulder pain is essential for effective management.

Below are the most common causes of shoulder pain that patients in India and worldwide search for online:

Causes of Sholulder Pain

1. Cervical Radiculopathy and Spinal Issues

  • Cervical Radiculopathy: Often referred to as a “pinched nerve,” this condition occurs when a nerve root in the cervical spine is compressed, leading to pain that radiates from the neck to the shoulder. It is commonly associated with herniated discs or cervical spondylosis.
  • Thoracic Outlet Syndrome: This condition involves the compression of nerves or blood vessels between the collarbone and the first rib, leading to shoulder pain, numbness, and tingling in the arm. It is often linked to poor posture and repetitive strain.

2. Shoulder Impingement Syndromes

  • Subacromial Impingement: This occurs when the rotator cuff tendons are compressed under the acromion (part of the shoulder blade), leading to pain and inflammation. It is a common cause of shoulder pain in athletes and individuals who engage in repetitive overhead activities.
  • Internal Impingement: Common in athletes, particularly those involved in sports requiring repetitive throwing motions (like cricket or baseball), internal impingement occurs when the rotator cuff tendons are pinched between the humeral head and the glenoid, causing shoulder pain and instability.

3. Osteoarthritis of the Shoulder

  • Glenohumeral Osteoarthritis: This form of shoulder arthritis involves the degeneration of cartilage within the shoulder joint, leading to chronic pain, stiffness, and decreased range of motion. It is more prevalent in older adults and those with a history of shoulder injuries.
  • Acromioclavicular (AC) Joint Arthritis: Pain in the AC joint is often the result of wear and tear, particularly in individuals who perform heavy lifting or repetitive shoulder movements.

4. Frozen Shoulder (Adhesive Capsulitis)

  • Frozen Shoulder: This condition is characterized by stiffness and severe pain in the shoulder joint, often making it difficult to move the arm. It typically develops gradually and can significantly limit shoulder mobility. Frozen shoulder is more common in individuals with diabetes and thyroid disorders.

5. Rotator Cuff Injuries

  • Rotator Cuff Tears: Partial or complete tears of the rotator cuff tendons are common in both acute injuries and chronic overuse. Symptoms include weakness, pain when lifting the arm, and difficulty performing overhead activities.
  • Rotator Cuff Tendinitis: Inflammation of the rotator cuff tendons leads to pain and restricted shoulder movement. This condition is often exacerbated by repetitive overhead activities and is common among athletes and manual laborers.

6. Repetitive Stress and Overuse Injuries

  • Shoulder Bursitis: Inflammation of the bursa, a fluid-filled sac that reduces friction between shoulder structures, can lead to significant pain and swelling. Shoulder bursitis is frequently caused by repetitive motions or overuse, common in professions like painting or carpentry.
  • Tendinopathy: Chronic degeneration of shoulder tendons, often resulting from repetitive stress, leads to persistent pain and reduced shoulder function. This condition is prevalent in individuals with physically demanding jobs or athletes involved in sports like swimming and tennis.

7. Occupational and Lifestyle Factors

  • Occupational Shoulder Pain: Certain jobs, such as those involving heavy lifting, repetitive shoulder movements, or prolonged periods of poor posture, can increase the risk of developing shoulder pain. For example, office workers may experience shoulder pain due to poor ergonomics and prolonged computer use, while construction workers may develop pain from repetitive lifting and overhead tasks.
  • Athletic Shoulder Injuries: Athletes involved in sports that require repetitive shoulder movements, such as cricket, badminton, or weightlifting, are at a higher risk of developing conditions like rotator cuff tears, impingement syndrome, or shoulder instability.

8. Traumatic Shoulder Injuries

  • Shoulder Fractures: Fractures of the clavicle (collarbone), scapula (shoulder blade), or humerus (upper arm bone) can cause severe shoulder pain and require immediate medical attention. These injuries are often the result of falls, sports injuries, or accidents.
  • Shoulder Dislocations: Occurs when the head of the humerus is forced out of the shoulder socket, often leading to severe pain, swelling, and an inability to move the shoulder. Shoulder dislocations are common in contact sports and accidents.

9. Systemic Conditions

  • Rheumatoid Arthritis: This autoimmune disease causes chronic inflammation in the shoulder joints, leading to pain, stiffness, and swelling. Unlike osteoarthritis, rheumatoid arthritis affects the joint lining, causing painful swelling that can result in joint deformity.
  • Infections: Though rare, bacterial infections can occur in the shoulder joint, leading to severe pain, fever, and swelling. Prompt medical treatment is essential to prevent the spread of infection and further complications.

Comprehensive Shoulder Rehabilitation at Purple Heron Hospital

At Purple Heron Hospital, shoulder rehabilitation is a comprehensive program designed to restore strength, mobility, and confidence in patients. Our multi-faceted approach combines physiotherapy, advanced therapies, orthotic support, ergonomic guidance, and mental health care to ensure complete recovery.

after care

Customized Physiotherapy forms the foundation of treatment, with targeted strengthening, flexibility exercises, and robotic-assisted training to aid post-surgical and sports-related recovery.

Physical Modalities such as heat/cold therapy, ultrasound, TENS, and laser therapy complement recovery by reducing pain, improving circulation, and promoting tissue healing.

Orthotic Management uses braces and posture correctors to stabilize the joint, protect post-surgical shoulders, offload rotator cuff injuries, and improve alignment.

Ergonomic Counseling ensures safe workplace, household, and athletic practices, helping patients avoid repetitive strain and maintain recovery.

Podiatric Consultations address posture and gait issues with custom insoles and footwear, reducing strain on the shoulders.

Mental Health Support through CBT, mindfulness, stress management, and interventional pain care addresses the emotional impact of chronic pain.

For athletes, Sports-Specific Programs integrate robotic-assisted drills and performance training, ensuring safe return to competition with enhanced resilience.

Image-Guided, Precise, Minimum Interventions in Shoulder Pain Management

Shoulder pain, particularly from repetitive stress injuries and chronic conditions, demands a targeted approach that emphasizes precision, effectiveness, and minimal invasiveness. At Purple Heron Hospital, Dr. Aayushi Chaudhary provides advanced, image-guided, and highly precise minimum interventions aimed at addressing the root cause of shoulder pain while promoting long-term healing. These interventions integrate the latest advancements in regenerative medicine and pain management, ensuring that patients receive the most effective treatment with minimal disruption to their daily lives.

Image-Guided Minimum Interventions for Shoulder Pain

At Purple Heron Hospital, Dr. Aayushi employs a cutting-edge, image-guided, minimally invasive approach to manage shoulder pain.
This comprehensive protocol integrates the latest advancements in regenerative medicine, nerve blocks, and other targeted interventions to address the diverse causes of shoulder pain, ensuring precise treatment and promoting long-term healing. Here’s an overview of these advanced interventions:

1. Image-Guided Intra-Articular Interventions

Intra-Articular Blocks: Utilizing advanced imaging techniques such as ultrasound or fluoroscopy, intra-articular blocks deliver therapeutic agents directly into the shoulder joint. This approach is particularly effective for conditions like glenohumeral osteoarthritis and adhesive capsulitis (frozen shoulder), helping to reduce inflammation and pain, improve mobility, and potentially delay the need for surgical intervention.

Intra-Articular Viscosupplementation: This procedure involves injecting hyaluronic acid into the shoulder joint under ultrasound guidance. It serves as a lubricant and shock absorber, providing significant relief for patients with osteoarthritis by enhancing joint function and reducing pain.

2. Image-Guided Nerve Blocks

Suprascapular Nerve Block: This intervention targets the suprascapular nerve, a common source of shoulder pain in cases of rotator cuff injuries and shoulder arthritis. Guided by ultrasound, this nerve block provides precise and effective pain relief.

Cervical Plexus Block: Ideal for shoulder pain that radiates from the neck, such as in cervical radiculopathy, this block targets cervical nerves contributing to shoulder discomfort.

Interscalene Brachial Plexus Block: Often used for postoperative pain management or severe shoulder pain, this block addresses the brachial plexus nerves under ultrasound guidance, offering extensive pain relief.

3. Image-Guided Hydrodissection

Hydro dissection: This minimally invasive technique is used to treat nerve entrapments and adhesions around shoulder tendons, particularly effective in cases of adhesive capsulitis and rotator cuff tendinitis. Guided by ultrasound, hydro dissection helps to free nerves or tendons from surrounding tissues, alleviating pain and restoring mobility.

4. Image-Guided Regenerative Medicine Protocols

Prolotherapy: This regenerative treatment involves the injection of a proliferant solution into damaged shoulder tendons or ligaments to stimulate healing. Under ultrasound guidance, prolotherapy effectively addresses conditions like chronic tendinopathy and partial rotator cuff tears, promoting tissue regeneration and pain relief.

Growth Factor Concentrate (GFC) Therapy: GFC therapy uses concentrated growth factors derived from the patient’s blood to enhance tissue healing. Whether administered intra-articularly or intratendinously, GFC is particularly beneficial for treating rotator cuff tears and labral injuries.

Stem Cell Therapy: Stem cells, sourced from the patient’s bone marrow or adipose tissue, are injected into the shoulder joint or tendons to promote the regeneration of damaged cartilage and other tissues. This therapy is highly effective for conditions such as osteoarthritis and rotator cuff injuries.

5. Management of Shoulder Effusions and Calcifications

Ultrasound-Guided Shoulder Joint Aspiration: This procedure removes excess fluid from the shoulder joint to relieve pain and improve function, particularly useful in cases of inflammatory arthritis or injury-related fluid buildup.

Calcific Tendinitis Treatment: Ultrasound guidance is used to dissolve calcium deposits in the shoulder tendons, a common source of severe pain, restoring mobility and reducing discomfort.

6. High-Volume Image-Guided Injection (HVIGI)

HVIGI for Tendinopathy: This technique involves the injection of a large volume of saline solution around the affected shoulder tendon to break down adhesions and scar tissue, promoting healing and reducing pain. Image guidance ensures precise delivery, making it highly effective for chronic shoulder tendinopathy.

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