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Breakthroughs in shoulder
surgery

Exploring the latest advancements, techniques and
innovative approaches in Shoulder Surgery

Dr. Chintan Desai - MS Ortho, Shoulder Surgeon (USA, Australia, Korea, Portugal)
www.desaishoulders.com
desaishoulders@gmail.com
Appointments - 70453 47654

Shoulder pain has often always been labelled as frozen shoulder. This incorrect diagnosis is the
reason why shoulder pain becomes long standing and the standard approach to it’s treatment
fails.

However, let’s try and understand here that not all shoulder pain is due to a frozen shoulder.

Let’s breakdown why your shoulder is painful

The following are some causes where the shoulder is painful but the problem is elsewhere

• A heart attach - Chest pain that radiates to the left shoulder
• Cervical spondylosis - Neck pain that radiates to the shoulder arm and the arm with associated
tingling numbness
• Gall bladder inflammation - Irritation of the diaphragm due to an inflamed gall bladder radiates
to the right shoulder

The following are causes of shoulder pain and restriction of shoulder movements where the
problem is in the shoulder itself. The shoulder joint is made up of the ball and socket joint, the
capsule and the rotator cuff muscles and tendons. Conditions affecting any of these structures
cause shoulder pain.

• Adhesive capsulitis or frozen shoulder
• Shoulder Dislocations
• Rotator cuff Tendonitis or tendon inflammation
• Rotator cuff tears
• Shoulder joint arthritis

The first step towards treatment is to understand the cause of pain

Clinical examination and investigations like X-rays and MRIs help us get the accurate diagnosis.

Frozen shoulder or adhesive capsulitis
This is common cause of pain the 40 - 60 year old age group. These patients also have
associated diabetes or hypothyroidism. The reason for stiffness is thickening of the capsule. The
muscles and labrum structure are normal in MRI. It is only then that a diagnosis of a frozen
shoulder is confirmed. Traditional treatment in the form of physiotherapy and medication is time
consuming and takes upto 2 years for the shoulder movements to return. The latest and the most
successful treatment is a key hole surgery. The thicken capsule is released. The advantage is that
the movements return in 1 week and strength in 1 month.

Shoulder Dislocation
In a patient with shoulder dislocation the ball slips out of the socket. This is an emergency
situation when in happens and requires immediate treatment to put the ball back into the socket.
However, this is not the final treatment. Once the shoulder dislocates it causes a tear in the
labrum (miniscus like tissue in the shoulder). Hence the shoulder always remains unstable and has
a 90 percent chance of a repeat dislocation.
This condition can be permanently solved today with surgery. There are several procedures
described in studies, however the latest treatment that gives the best results where the
dislocations stop and the movements return normally are the following. Most patients are return
back to sport after this treatment.

Shoulder arthroscopy and Bankart repair
This is the latest keyhole surgery technique to repair the torn labrum after a dislocation. This is
most successful if done early after the first dislocation when the quality of the labrum is good.

Latarjet
This is the most successful operation in patients with recurrent dislocations and high demand
athletes like wrestlers or kabaddi players. This involves transferring a small piece of bone to the
front of the socket.

Rotator cuff
The rotator cuff are 4 muscles and tendons in the shoulder

Rotator cuff tendonitis/inflammation
This is the commonest cause of shoulder pain. The overhead movements are painful. The best
way to treat is with an Ultrasound guided injection to allow the medicine to be delivered exactly in
the inflamed tissues. Physiotherapy is recommended after the injection to improve strength.

Rotator cuff tendon tears
Tendon tears cause significant shoulder dysfunction. They occur after an injury like lifting weight
or after falls. They may also be age related wear and tear. Complete tears and >50 % partial
thickness tears are best treated by a key hole surgery called arthroscopic rotator cuff repair. The
results are excellent if done early. If these tears are left alone, they worsen and the quality of the
tissue deteriorates with time. This is when shoulder joint wear and tear begins and this condition
is call rotator cuff tear arthritis. Once a patient reaches this stage of the disease, the only option is
shoulder replacement.

Shoulder arthritis
A patient who is over 60 years of age with a painful and stiff shoulder should be investigated for
shoulder joint arthritis.

Yes SHOULDERS can also be successfully REPLACED.

Shoulder replacements are the only way to permanently treat a worn out joint. Shoulder arthritis or
wear and tear is of 2 types

1. Arthritis with normal muscles and tendons
2. Arthritis with torn muscles and tendons

The material or implant required for a successful surgery is different for these 2 types of arthritis

Broadly

1. Anatomical shoulder replacements means the ball is replaced with a ball and the socket
with a socket, are used for patients with worn out joints but have normal muscles and
tendons. Stemless shoulder replacements are a type of anatomical shoulder replacements
with a smaller implant to preserve native bone.

2. Reverse shoulder replacements are the latest advance in shoulder replacement technology.
Reverse shoulder means a ball in implanted in the socket and a socket at the ball side of the
joint. This reverses the geometry of the shoulder joint. This is required to bring back function in
a patients joint which has arthritis and torn rotator cuff tendons.

These new techniques and advances are now studied for over 20 years of research and are
improving the patients outcomes and the overall quality of life.

Breach Candy Hospital
Dr. Chintan Desai is now available at Breach Candy Hospital for surgeries and admissions.

FROZEN SHOULDER

Happy Makar Sankranti

Dr. Chintan Desai, Shoulder Specialist wishes you a very Happy Makar Sankranti

shoulder specialist

Shoulder Rehabilitation Workshop 1.0

Dr. Chintan Desai, top shoulder arthroscopy and replacement surgery specialist surgeon in mumbai and Manasi Rajadhyaksha, Sports Physiotherapist conducted a shoulder rehabilitation workshop for physiotherapist at Nirmala Hospital, Lower Parel, Mumbai. The worksop focussed on the surgeon therapist interaction and when they work together it leads to better patient outcomes.

Frozen Shoulder cured by Dr. Chintan Desai

Dr. Chintan Desai, best frozen shoulder doctor in mumbai, performed a shoulder arthroscopy and tissue release procedure on this patient suffering from severe frozen shoulder. The patient has severe shoulder pain and stiffness for several months. He had done exercises and physiotherapy but did not improve much. Dr. Chintan Desai, best shoulder arthroscopy and sports medicine doctor in mumbai, examined the patient and determined that he had a severe frozen shoulder. After the treatment patient got back to his normal activities in just 1 week. The patient talks about his experience in the video below.

Rotator cuff tear patient treated by Dr. Chintan Desai

Dr. Chintan Desai, Best Shoulder Surgeon and Sports medicine specialist and best arthroscopy surgeon in Mumbai, performed a shoulder arthroscopy and rotator cuff repair on this patient. The patient had a large rotator cuff tear which required repair. She had severe pain in her shoulder for several years. Physiotherapy and exercises done earlier did not help her with her pain. Dr. Chintan Desai, best shoulder arthroscopy surgeon and best frozen shoulder specialist, examined her and determined that she had a rotator cuff tear. This was confirmed on a MRI and a shoulder arthroscopy was planned. In the video below, the patient talks about her experience.

Dr. Chintan Desai, Shoulder Surgeon talks about Shoulder Problems

Dr. Chintan Desai, Best Shoulder Surgeon and Sports Medicine Specialist practicing in Mumbai gave a talk on Shoulder conditions and their treatment with the doctors of the "A" ward Medical Association at Hotel Diplomat.

Dr. Chintan Desai - best shoulder surgeon talks about shoulder problems
Dr. Chintan Desai - best shoulder surgeon talks about shoulder problems

Dr. Chintan Desai, Shoulder Surgeon gives best results for Frozen Shoulder

Dr. Chintan Desai, Best Shoulder Surgeon and Sports Medicine Specialist practicing in Mumbai performs shoulder arthroscopy for frozen shoulders. The results speak for themselves.

Frozen Shoulder best results

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Dr. Chintan Desai, Shoulder Surgeon gives a CME presentation with Indian Medical Associatioin

Dr. Chintan Desai, Best Shoulder Surgeon and Sports Medicine Specialist practicing in Mumbai was invited by the Indian Medical Association Ghatkoper Branch to give a CME presentation on Shoulder Surgery. Shoulder Arthroscopy and shoulder replacement surgeries and their advances were discussed.

Dr. Chintan Desai Best Shoulder Surgeon Mumbai talks about Shoulder arthroscopy and replacement surgery
Dr. Chintan Desai Best Shoulder Surgeon Mumbai talks about Shoulder arthroscopy and replacement surgery
Dr. Chintan Desai Best Shoulder Surgeon Mumbai talks about Shoulder arthroscopy and replacement surgery

Dr. Chintan Desai Live on Radio

Dr. Chintan Desai, Best Shoulder Surgeon and Sports Medicine Specialist practicing in Mumbai was live on 107.1 FM rainbow with RJ NITA. The interview was about shoulders conditions, Frozen Shoulders, rotator cuff tears and shoulder arthritis treatments. Sports injuries in athletes and preventing shoulder injuries methods were discussed.

Dr. Chintan Desai Best shoulder surgeon on Air on 107.1 FM rainbow.
Dr. Chintan Desai on radio

Talk on FROZEN SHOULDER for Patient Education by Dr. Chintan Desai 

Dr. Chintan Desai, Best Shoulder Arthroscopy and Shoulder Replacement Surgeon and Sports Medicine Specialist practicing in Mumbai gave a talk for patient education at Matunga Gymkhana on Frozen Shoulders.

Dr. Chinan Desai talk on frozen shoulder for patient education

Dr. Chintan Desai presented his research paper at The Shoulder Conference Sydney May 2018.

Dr. Chintan Desai, Best Shoulder Surgeon and Sports Medicine Specialist practicing in Mumbai was invited by Prof. George Murrell as a faculty to present his research paper at the Shoulder Conference in Sydney. He met with Prof. Russell Warren, Head of Shoulder Service at Hospital For Special Surgery New York and doctor for the New York Giants team and Prof. George Murrell, Head of the Orthopaedic Research Institute Sydney Australia.

Dr. Chintan Desai with Prof. Russell Warren and Prof. George Murrell

Dr. Chintan Desai was invited as a Faculty at The Shoulder Conference Sydney May 2018.

Dr. Chintan Desai, Best Shoulder Surgeon and Sports Medicine Specialist practicing in Mumbai was invited by Prof. George Murrell as a faculty to present his research paper at the Shoulder Conference in Sydney.

Dr. Chintan Desai Best Shoulder and Sports Medicine Surgeon Mumbai

Dr. Chintan Desai visits the Olympic Training Centre Norway

Dr. Chintan Desai, Best Shoulder Surgeon and Sports Medicine Specialist practicing in Mumbai visited the Olympic training centre Oslo Norway for the final exam of his Sports Medicine International Olympics Committee Diploma. It was a great opportunity to meet Prof. Lars Engebretsen the head of Sports Science research and medical service for the International Olympics Committee.

Best Shoulder Surgeon Visits Olympic training centre Norway

International Shoulder Patients Operated By Dr. Chintan Desai

Dr. Chintan Desai, Best Shoulder Surgeon and Sports Medicine Specialist practicing in Mumbai has operated international patients with severe shoulder pain and stiffness. The patients were from Iraq and Bahrain. The complained of severe shoulder pain and stiffness for several years. They had tried all types of therapies in the past with no relief. Dr. Chintan Desai found the cause for their stiffness and performed Shoulder Arthroscopy. The patients recovered their movements within 7 days. The results speak for themselves.

Patient from Iraq with severe shoulder pain treated by Dr. Chintan Desai - Best Orthopaedic Shoulder Surgeon Mumbai
Perfect result after shoulder arthroscopy by Dr. Chintan Desai - Best Orthopaedic Shoulder Surgeon Mumbai

Prevention of Injuries in Sports - Talk

Dr. Chintan Desai, Shoulder Surgeon and Sports Medicine Specialist presented a talk on Prevention of Sports injuries at Guru Nanak Khalsa College, Matunga. The talk was well received by Athletes, Coaches, Parents and Teachers.

Prevention of Sports Injuries
Dr. Chintan Desai - Best Orthopaedic Shoulder Surgeon

Dr. Chintan Desai was invited to the Norwegian School of Sports Medicine 

Dr. Chintan Desai, Best Orthopaedic Sports Medicine and Shoulder Surgeon was invited to the Norwegian School of Sports Medicine for the international Olympics Committee Sports Medicine Diploma final exam and workshop. It was a great academic feast to learn about sports injuries and sports medicine.

Dr. Chintan Desai best orthopaedic shoulder surgeon
Dr. Chintan Desai best orthopaedic shoulder surgeon  at Norwegian Olympic training center
Dr. Chintan Desai Best Shoulder surgeon

Hospitals in Mumbai Congratulate Dr. Chintan Desai, Shoulder Surgeon, Mumbai

Renowned hospitals in Mumbai, Nirmala Hospital, Lower Parel, Wockhardt Hospital Mumbai Central and Apollo Spectra Hospital, Tardeo congratulate Dr. Chintan Desai, Best Shoulder Arthroscopy and Replacement Surgeon, Mumbai, for being selected as a doctor at the Winter Olympics 2018, Korea.

Best Shoulder Surgeon, Mumbai
best shoulder surgeon mumbai
Best shoulder surgeon mumbai invited for the winter olympics

TALK ON RECENT ADVANCES IN SHOULDER SURGERY - ARTHROSCOPY AND REPLACEMENT SURGERY

Dr. Chintan Desai presented a talk on recent advances in shoulder arthroscopy and replacement surgery at the a CME organised by the General Practitioners Association of Greater Mumbai at the college of Physicians and Surgeons on 17th December 2017.

Shoulder Mumbai
Shoulder
Shoulder Mumbai

TALK ON RECENT ADVANCES IN SHOULDER SURGERY - ARTHROSCOPY AND REPLACEMENT SURGERY

Dr. Chintan Desai presented a talk on recent advances in shoulder arthroscopy and replacement surgery at the 47th Indian Medical Association Annual Conference at St. Regis Mumbai on 12th November 2017.

Shoulder
Shoulder

CME LECTURE ON SHOULDER REPLACEMENT - DR. CHINTAN DESAI

Dr. Chintan Desai presented a CME lecture on THE SHOULDER -ARTHROSCOPY AND REPLACEMENT SURGERY - RECENT ADVANCES at the Indian Medical Association, Mumbai Branch, Haji Ali on 30th July 2017

Shoulder replacement Dr. Chintan Desai
Certificate of appreciation Dr. Chintan Desai Shoulder Surgeon on CME lecture at Indian Medical Association at Haji Ali Mumbai
Certificate of appreciation Dr. Chintan Desai Shoulder Surgeon on CME lecture at Indian Medical Association at Haji Ali Mumbai

First Stemless Total Shoulder Replacement Surgery in India

Dr. Chintan Desai is the first Shoulder Surgeon in India to perform the Stemless Total Shoulder Replacement

First shoulder replacement in India
Dr. Chintan Desai Shoulder surgeon

WINTER OLYMPICS 2018, PYEONG CHANG, KOREA

Dr. Chintan Desai is the only Indian Sports Medicine and Shoulder Specialist Doctor to have been officially invited at the Winter Olympics 2018, Korea.

Best Shoulder Surgeon India

FIFA DIPLOMA IN FOOTBALL MEDICINE

Dr. Desai has successfully completed the FIFA Diploma in Football Medicine a sports medicine course organised by FIFA.

FIFA Diploma in football sports medicine

Presentation on THE SHOULDER - ARTHROSCOPY AND REPLACEMENT SURGERY

Dr. Chintan Desai - SHOULDER SURGEON at www.desaishoulders.in awarded by The Antophill Medical Association for his talk on THE SHOULDER - ARTHROSCOPY AND REPLACEMENT SURGERY

Shoulder Arthroscopy and Shoulder Replacement
Talk Ant Medical Association
Shoulder Replacement Doctor

Presentation at The Bombay D Ward Medical Association

Dr. Chintan Desai presented a talk on THE SHOULDER at the Bombay D ward Medical Association

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CONSULTANT SHOULDER SURGEON

Dr. Desai is now a consultant SHOULDER SURGEON at NIRMALA HOSPITAL, N M JOSHI MARG, MUMBAI

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CONSULTANT SHOULDER SURGEON

Dr. Desai is now a consultant Orthopaedic Shoulder Surgeon at Global Hospitals, Parel.

Global

CONSULTANT SHOULDER SURGEON

Dr. Desai acquired a Consultant Shoulder Surgeon position at Apollo Spectra Hospitals, Tardeo, Mumbai

Apollo

Fellowship Completion

Dr. Desai successfully completed his fellowship training in Sports Medicine and Shoulder Surgery in Sydney, Australia at St. George Hospital under the guidance of Prof. George Murrell.

Shoulder Mumbai

Publication

Dr. Desai published his paper titled "Preoperative evaluation of spinoglenoid ganglion cyst with MRI, EMG and isokinetic muscle test - Does size matter?" in the Asia Pacific Journal Of Sports Medicine, October 2016.

(Click the image to view publication)

Award

Dr. Desai won the best scientific paper award at the Asia Arthroscopy Congress, 2015 for his paper titled "Does size matter? - Preoperative evaluation of spinoglenoid ganglion cyst with MRI, EMG and isokinetic test."

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Fellowship in Shoulder Surgery - Korea

Dr. Desai completed his fellowship in shoulder surgery working under the guidance of his mentor Prof. Joo Han Oh at Seoul National University in June, 2016.

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Shoulder Mumbai

Publication

Dr. Desai published a chapter in the text book of Football Traumatology, Second edition titled "Knee medial collateral ligament injuries."

(Click on the image to view publication)

Scholarship in Sports Medicine

Dr. Desai completed his training in sports trauma, sports medicine and Knee arthroscopy from FIFA Medical Centre of Excellence, Porto, Portugal in December, 2014.

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Orthopaedic registrar

Dr. Desai worked as a registrar in the department of Orthopaedics at K. E. M. Hospital, Mumbai until July, 2014.

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Post Graduation

Dr. Desai completed his post graduation in Orthopaedic Surgery in 2014 from Gujarat University working in B.J. Medical College and Civil hospital, Ahmedabad.

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Graduation

Dr. Desai started his MBBS training from Seth G.S. Medical College and K.E.M Hospital, Mumbai in 2004 and graduated MBBS in 2010.

graduation