Dr. Greene discusses “Surfers Shoulder”

ShoreOrtho Sports Performance
& Injury Prevention Tips


A monthly
series
presented by:
Damon A. Greene, MD
Board Certified Orthopaedic Surgeon
Shore Orthopaedic University Associates

November 2019

“Surfers Shoulder” also known as Shoulder Impingement is a common overuse injury of the shoulder.

When we paddle we use the front of our shoulder the pectoralis major, pectoralis minor and anterior aspect of our deltoid. We also strengthen shoulder elevators the trapezuim and levator scapula among others. This causes a net upward and anterior directed force across our shoulder. This then leads to impingement of the rotator cuff on the acromion (the roof of the shoulder).  Intern the tissue around the rotator cuff becomes inflamed which then will lead to bursitis.

If left unaddressed scar tissue can form in the capsule causing a loss of a range of motion and chronic shoulder pain and ultimately rotator cuff tears. In order to prevent this proper paddling technique is crucial. Secondly learning to activate the posterior and inferior aspects of our shoulders while preforming activities will help keep us paddling stronger and out of pain.

While there are many different exercises that can achieve this, one of my favorites is an exercise called Wall Angels. 


To begin, plant yourself against a nice, roomy wall space. Elbows start at a 90 degree bend, with the elbows parallel to the ground. Hips, spine, shoulder blades…all against the wall! To get to the stretch-and-strengthen part – although you might already feel some tension while holding the arms at 90 degrees – begin to straighten the arms directly overhead, trying to at least keep the elbows sliding up against the wall. As you get stronger and looser, maybe the forearms and back of the hands will be able to stay in contact with the wall, as well.

 

Dr. Greene is a Sports Medicine Fellowship-Trained, Board Certified Orthopaedic Surgeon.
He specializes in; acute and chronic ligament, tendon, or cartilage injuries to all major joints; primarily shoulders, elbows, knees and hips. He treats fractures surgically when necessary, but performs casting, bracing, and other non-operative treatments such as specialized injection therapies.

 

Dr. Greene discusses a common surfing injury

ShoreOrtho Sports Performance
& Injury Prevention Tips


A monthly
series
presented by:
Damon A. Greene, MD
Board Certified Orthopaedic Surgeon
Shore Orthopaedic University Associates

October 2019

It’s finally fall and time for surfing season especially here in South Jersey.

So let’s discuss a surfing injury that commonly gets overlooked the “Hips Flexors”. When we are surfing the front foot and hip rotate forward this puts stress across the spine, hip, knees and even ankles. The back foot turns out because the gluteal muscles (buttock muscles) contract and shorten rotating the back hip out. This means that unless we stretch and strengthen to our hip flexors, we are setting ourselves up for other injuries and limiting our ability to enjoy the waves. One stretch that I like is called the Lizard. This stretch predominately targets the hip flexors but also targets the groin and glutes. Draw one foot to the outside of your arms and place both hands flat on the ground. Bring your forearms to the floor or as far as your body allows. Your back leg stays off the ground. Hold the stretch for approximately 30 seconds and repeat.

 

 

 

ROTATOR CUFF INJURIES ARE NOT JUST FOR ATHLETES

Gene J. DeMorat, MD

Weekend warriors’ watch out, rotator cuff injuries happen from simple yard work more often than they do from pitching nine innings

Rotator cuff injuries
The sharp pain in your shoulder that wakes you up when you roll over in the middle of the night might be your rotator cuff or several other things. Orthopedic Surgeon Dr. Gene DeMorat of Shore Orthopaedic University Associates, who works with local athletes and was a physician for the U.S. Olympic ski, snowboard and speed skating teams, works with many patients suffering with shoulder pain. “I work with athletes who have shoulder and rotator cuff problems due to injuries related to their sport. But more than athletes, I have weekend warriors who do a lot of damage to their shoulder in their own backyard,” said DeMorat.

Weekend Warriors are frequent patients
Spring is here and it is prime season for rotator cuff injuries according to Dr. DeMorat. “I see so many patients who come in with shoulder pain and it is not because they just pitched nine innings. It is because they have not done any exercise over the winter and there is a nice sunny day and they decide to go for a run even though they have been rather sedentary, not working out over the winter and they find themselves hurting. We see a lot of weekend warriors that come out with the good weather, doing a sudden burst of work, whether it is raking leaves, digging, lifting heavy objects or they decide to do some painting and they find themselves in some pretty significant discomfort.”

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