Hingarh Ortho T. Nagar · Chennai

Sports & Arthroscopy

Shoulder Pain & Dislocation Treatment in Chennai

Frozen shoulder, rotator cuff tears and recurrent dislocation — diagnosed precisely, then treated by cause rather than by label.

Dr. Pankaj Hingarh, MBBS, MS (Orthopaedics) T. Nagar, Chennai Digital X-ray on site

The shoulder trades stability for range of movement: no other joint in the body moves as freely, and none dislocates as readily. "Shoulder pain" is a symptom, not a diagnosis, and the four common causes — frozen shoulder, rotator cuff tear, impingement and instability — need entirely different treatment. Treating the wrong one wastes months.

Frozen shoulder in particular is over-diagnosed. True adhesive capsulitis restricts movement even when someone else moves your arm for you; a rotator cuff tear typically does not. That single examination finding separates two conditions with opposite treatment pathways, and it takes about a minute to check.

The clinic treats the full range of shoulder problems, including recurrent dislocation in young sportspeople, where each further dislocation erodes the socket rim and makes eventual surgery harder. Diabetic patients — a large group in Chennai — are at markedly raised risk of frozen shoulder and are managed with that in mind.

Shoulder problems we treat

  • Frozen shoulder — progressive stiffness and night pain, common in diabetics
  • Rotator cuff tears and tendinitis with weakness lifting the arm
  • Recurrent shoulder dislocation and instability after a first dislocation
  • Shoulder impingement causing a painful arc of movement
  • Labral and SLAP tears in overhead athletes and cricketers
  • Acromioclavicular joint injury after a fall on the shoulder
  • Shoulder arthritis and post-traumatic stiffness

How we treat the shoulder

1

Examination that separates the causes

Specific tests distinguish stiffness from weakness and instability from impingement. This is where most shoulder mismanagement begins and ends.

2

Imaging targeted to the question

X-ray for bone and arthritis; ultrasound or MRI where a cuff tear or labral injury is suspected and the answer would change treatment.

3

Frozen shoulder — structured, not passive

Managed with a defined stretching programme, pain control and, in resistant cases, hydrodilatation or an intra-articular injection. Most resolve without surgery, but it takes months and the programme has to be followed.

4

Rotator cuff — repair when it will hold

Small degenerative tears often do well with strengthening. Acute traumatic tears in younger patients are repaired arthroscopically, and earlier repair gives better tissue quality to work with.

5

Instability — stabilise before the socket wears

Recurrent dislocation is addressed with arthroscopic labral repair. Delaying while dislocations continue leads to bone loss and a bigger operation.

Questions

Shoulder Pain & Dislocation — your questions answered

Still unsure about something? Call +91 99622 45671 and ask.

How long does frozen shoulder take to recover?
Adhesive capsulitis classically runs eighteen to twenty-four months through freezing, frozen and thawing phases. Structured physiotherapy and appropriate injections shorten it considerably and make it far more tolerable. Diabetic patients often take longer, and controlling blood sugar genuinely affects the outcome.
Why does my shoulder keep dislocating?
A first dislocation usually tears the labrum — the cartilage rim that deepens the socket. If it does not heal in position, the shoulder stays vulnerable. In patients under twenty-five, recurrence rates after a first dislocation are high, which is why early stabilisation is often advised rather than waiting.
Does a rotator cuff tear always need surgery?
No. Many degenerative partial tears in older patients respond well to strengthening the surrounding muscles. Full-thickness traumatic tears in active patients are usually better repaired, and sooner rather than later — retracted, long-standing tears are harder to fix and heal less reliably.
Why is frozen shoulder so common in diabetics?
High blood glucose causes glycation of collagen in the joint capsule, making it stiffer and more prone to contracture. Diabetics have several times the background risk and tend to have a more resistant course, so we manage both the shoulder and the glycaemic control together.

Related treatments

Appointments

Get seen today — walk in or call ahead

Consultation runs morning and evening, Monday to Saturday, with digital X-ray on site. Most patients leave with a diagnosis and a written plan in a single visit.

Monday – Saturday

10:00 AM – 12:30 PM

6:00 PM – 9:00 PM

Sunday — Closed (emergency calls attended)

7B, 4B, Thirumurthy Street Parthasarathi Puram, T. Nagar
Chennai 600017
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