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Golytely Bowel Prep Instructions

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

GOLYTELY PREP INSTRUCTIONS

For your procedure, you will take one half of the prep the afternoon before the procedure, and the other half the day of the procedure.

One Day Before Colonoscopy

At 5 p.m.:  

  • Mix Golytely solution with lukewarm water to the fill mark (4 liters) on the jug. Do not add any other ingredients or flavors.

  • Place cap securely on the jug. Shake the jug very well several times to make sure the ingredients are well dissolved.

  • Begin drinking one 8 oz. glass of the prep every 10-15 minutes until half the container is gone. It is best to rapidly drink the whole glass rather than slowly sipping.

Continue to drink a variety of clear liquids ALL DAY.

DAY OF COLONOSCOPY

In the morning: Count back 6 hours from the time you are to arrive and finish drinking the last half of the container, ONE 8 oz. glass every 10-15 minutes, until gone. Be sure to finish ALL of the solution.

Please drink additional clear liquids (water, black coffee (without milk or cream), apple juice, soda or club soda) until 4 hours of ARRIVAL time.

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.

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Gavilyte Bowel Prep Instructions 

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

GAVILYTE PREP INSTRUCTIONS

For your procedure, you will take one half of the prep the afternoon before the procedure, and the other half the day of the procedure.

Make sure to purchase:

  • 128 oz. of Gatorade (not red, blue or purple), Propel or Smartwater
    It must contain electrolytes

Two days before colonoscopy
In the evening:

  • Mix the Gavalyte with 128 oz. (1 gallon) of Gatorade according to the instructions of the bottle.

  • Shake and stir well until the powder is dissolved.

  • Store the solution in the refrigerator.

One Day Before Colonoscopy

At 5 p.m.:  Begin drinking one 8 oz. glass of the prep every 10-15 minutes until half the container is gone. It is best to keep the solution cold and rapidly drink the whole glass rather than slowly sipping. When you complete the first half of the container, put it back in the refrigerator.

Continue to drink a variety of clear liquids ALL DAY.

DAY OF COLONOSCOPY

In the morning: Count back 6 hours from the time you are to arrive and finish drinking the last half of the container, ONE 8 oz. glass every 10-15 minutes, until gone. Be sure to finish ALL of the solution.

Please drink additional clear liquids (water, black coffee (without milk or cream), apple juice, soda or club soda) until 4 hours of ARRIVAL time.

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.

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Procedure Prep Instructions

What is a Colonoscopy?

A colonoscopy is a medical procedure used to examine the inner lining of the large intestine (colon) and rectum. This procedure helps in diagnosing, monitoring, and preventing various conditions, including colorectal cancer, polyps, and inflammatory bowel disease. During a colonoscopy, a flexible tube with a camera, called a colonoscope, is inserted through the rectum to visualize the colon’s interior.

Why is a Colonoscopy Performed?

Colonoscopy procedures are typically performed for the following reasons:

  • Screening for Colorectal Cancer: Recommended for individuals over 45 years of age or those with a family history of colorectal cancer.

  • Investigating Symptoms: To evaluate symptoms such as persistent abdominal pain, bleeding, or changes in bowel habits.

  • Monitoring Inflammatory Bowel Diseases: To assess the condition of patients with Crohn’s disease or ulcerative colitis.

  • Polyp Detection and Removal: To identify and remove precancerous polyps before they can develop into cancer.

After the Colonoscopy

Post-procedure, you might experience mild discomfort, bloating, or cramping, which should resolve within a few hours. Your doctor will discuss the findings with you and provide any necessary follow-up instructions. If any polyps or abnormal tissue were detected, further testing or treatment may be required.

Risks and Considerations

While colonoscopy is generally safe, there are some risks to be aware of:

  • Bleeding: Especially if a biopsy or polyp removal was performed.

  • Perforation: A rare but serious complication where a tear occurs in the colon wall.

  • Infection: Although uncommon, infections can occur.

Follow-Up and Results

Your doctor will provide detailed results and discuss any next steps based on the findings. If a follow-up colonoscopy is needed, your doctor will guide you on the appropriate timing and preparation.

Schedule Your Colonoscopy

Regular colonoscopies are vital for maintaining colon health and preventing serious conditions. If you’re due for a colonoscopy or have concerns about your digestive health, contact us today to schedule an appointment.

Body

Clenpiq Bowel Prep Instructions

Download Instructions

Medications:

  • Contact your prescribing provider for instructions regarding your blood thinning medications, such as: Aggrenox, Brilinta, Coumadin, Eliquis, Plavix, Pradaxa, and Xarelto, Warfarin etc.

  • Diabetic Patients: Contact your prescribing provider for directions regarding your diabetes medications.
    **DO NOT stop taking these mediations until directed by your prescribing provider**

One Week Prior:

  • Continue taking Aspirin products (including baby aspirin - 81 mg) unless directed otherwise by your provider or nursing staff.

  • Stop taking anti-inflammatory products such as: Aleve, Excedrin, Ibuprofen, Alk-Seltzer, etc. **Tylenol (Acetaminophen) is allowed if needed**

  • Stop taking ALL over the counter supplements and vitamins.

  • Stop taking GLP-1 medications (daily, weekly, oral, injectables) EXCEPT those mixed with insulin a minimum of 7 days prior to procedure (not including date of procedure).

    Phentermine

    Weqovy

    Ozempic

    Trulicity

    Mounjaro

    Saxenda

    Victoza

    Byetta

    Bydureon

    Others as directed by medical staff

  • Avoid eating: seeds, nuts, granola, corn, quinoa, and popcorn.

3-4 Days Prior:

  • Stop taking SLGT2 as listed below:

    • Jardiance

    • lnvokana

    • Farxiga

    • Synjardy

    • Steglatro (hold 4 days prior)

You are responsible for contacting your prescribing provider for holding instructions for all other prescription medications. 

One Day Before Procedure:

  • CLEAR LIQUIDS ONLY - no solid food

    • Allowed

      • Clear fat-free broth (any flavor)

      • Tea or coffee (no creamer or dairy) - sugar/honey are ok

      • Clear juices - apple, white grape

      • Carbonated beverages - Coke, Pepsi, Ginger-Ale, 7up, Sprite, Ice (flavored water)

      • Gatorade or other sports drinks

      • Flavored gelatin (Jello)

      • Popsicles (without milk or fruit pieces)

      • Electrolyte water (Propel, Smartwater, Fuji Water)

      • Clear Ensure - NOT chocolate, strawberry or vanilla

        NOTHING THAT IS RED, BLUE OR PURPLE

    • NOT Allowed

      • No dairy products (including oat and soy milk)

      • No alcohol

      • No juices with pulp (orange, pineapple, grapefruit, including lemonade)

It is important that you drink fluids and stay well hydrated prior to your procedure. 

You MUST remain on a clear liquid diet until after your procedure.

  • Medications

    • You must stop erectile dysfunction medications 24 hours prior - including Viagra and Cialis

Bowel Prep:

  • Follow these instructions - DO NOT FOLLOW INSTRUCTIONS ON THE BOX

CLENPIQ PREP INSTRUCTIONS

For your procedure, you will take one half of the prep the evening before the test, and the other half the day of the test.

ONE DAY BEFORE PROCEDURE

Dose one (Bottle #1): At 5 p.m., drink the entire Clenpiq Bottle #1. Follow by drinking five or more 8 oz. glasses (cup provided) of clear liquids (minimum 40 ounces) within 4-5 hours. Please continue to drink additional clear liquids before bedtime.

DAY OF PROCEDURE

Dose two (Bottle #2): 6 hours before your ARRIVAL TIME, drink the entire Clenpiq Bottle #2. Follow by drinking four 8 oz glasses (cup provided) of clear liquids (minimum 32 ounces). Please drink additional clear liquids (water, black coffee (without milk or cream), apple juice, soda pop or club soda) until 4 hours prior to your ARRIVAL time.

Day of procedure

  • Stop all nicotine products (including ZYN pouches), stop all vaping, do not chew gum, or have hard candies/mints

  • ONLY CLEAR LIQUIDS - no solid food

    • Water

    • Black coffee (no creamer or dairy products) - sugar/honey are ok

    • Apple juice

    • Clear soda (7up, Sprite, club soda)

NOTHING BY MOUTH 4 HOURS PRIOR TO ARRIVAL OR YOUR CASE WILL BE CANCELLED

You should expect to spend up to 2.5-3 hours in our procedures unit, longer if you are scheduled to have an additional test done on the same day.

Transportation:

  • Driving is not allowed after a procedure with sedation/anesthesia.

  • It is required that you identify a driver for transporting you home. If you are unable to identify a driver, please let us know as soon as possible as your procedure may need to be cancelled/rescheduled.

Care at home:

  • For your safety, it is recommended that you have a responsible adult with your for 8-24 hours after a procedure to support you in the case of a complication or medication side effect.

It is the responsibility of the patient to understand if your procedure is covered - including difference between screening and diagnostic. Please contact your insurance carrier for further benefit coverage information.

If you have questions or must reschedule/cancel your procedure, please call GI - 541-706-4220. We request a minimum 72-hour notice for all cancellations and reschedules.

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Community cooking class

Our St. Charles Heart Failure Nurse Navigators had a great time teaching at a community cooking demonstration with High Desert Food & Farm Alliance at the Cascade Culinary Institute.

The class taught individuals how healthy foods and whole ingredients can enhance your heart health, and participants learned simple, delicious recipes using locally sourced ingredients. 

The recipe for the Blueberry Spinach Salad pictured above was created by Aysegul Sanford. You can make it yourself by visiting the Fool Proof Living website.

 

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Vaccinations during pregnancy

More videos about vaccinations during pregnancy can be found on the ACOG website.

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Community members are invited to take part in the 25th annual Heaven Can Wait 5K fundraiser to support breast cancer in Central Oregon. Registration is open now for the event set Sunday, Oct. 6 at 10 a.m. at Redmond High School. Over the years, this family-friendly walk/run has raised hundreds of thousands for Sara’s Project, which helps provide vital support services to people in Central Oregon with breast cancer.

“Heaven Can Wait is a time to show love and support for the breast cancer community in Central Oregon, including patients, survivors, family members and caregivers,” said Jenny O’Bryan, Executive Director for St. Charles Foundation. “This year will be particularly special, as we celebrate the 25th anniversary of Heaven Can Wait.”

O’Bryan says organizers have a lot of fun extras in store and want to raise the bar for support.

“In honor of our 25th year, we hope to raise an additional $25K for patient support programs that help provide free wigs, post-surgical bras, transportation, education of early detection and massage therapies for those in need,” said O’Bryan.  

This year’s event will kick off at Redmond High School’s football stadium and will wind through Dry Canyon. Dogs are not permitted at the event.

Individuals can sign up online at HeavenCanWait.org. Individuals can also sign up to volunteer to support the event.

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Your total joint surgery is complete! It’s time to relax and focus on your recovery. You’ll be making progress day by day, but you’ll most likely have some questions come up along the way. Here are some of the questions we are frequently asked by patients after their joint surgery.

WHEN CAN I RETURN TO WORK?

This depends on the type of work you do. A walking or support cane may be required for up to four weeks after surgery, which may or may not affect your ability to perform your job. Many times, part-time work is recommended at first. Every person is different in their recovery rate and rehabilitation, so returning to work will differ patient by patient. Work with your surgical and physical therapy teams to determine a plan that will work for you and your recovery.

WHEN CAN I DRIVE?

You may not drive until your pain medications (opioids) are discontinued. Your orthopedic surgeon will also want you to have regained range of motion, strength, and reaction time before clearing you to drive.

CAN I RETURN TO SPORTING ACTIVITIES AND/OR HOBBIES?

After surgery, you should be able to return to walking, hiking, bowling, golf, horseback riding, hunting, and most of the other activities we enjoy as Oregonians. The goal of your surgery is to allow you to perform your favorite activities without pain, and staying active is important. Avoid strenuous, high-impact activities such as running and aggressive skiing until discussed with your orthopedic surgeon. https://www.youtube.com/shorts/MPay97E3aHU?feature=share

WILL I BECOME ADDICTED TO MY PAIN MEDICATIONS?

Be sure to take your pain medications as prescribed and taper back if your pain feels like it’s under control. It is uncommon for people to become addicted to pain medications following joint surgery, and most people will be off all pain medications within 2-3 months.

WHAT IS THE BEST WAY TO TAKE CARE OF MY JOINT REPLACEMENT?

Follow any surgical precautions as outlined by your surgeon or physical therapist. Working on strengthening and walking is key to a successful recovery. For knee replacements, work consistently on your range of motion exercises. Try to focus on a healthy, high fiber diet, drink plenty of fluids, and avoid smoking and tobacco products. In addition, maintaining a healthy body weight will reduce wear on your new joint.

WHAT ARE THE NORMAL SYMPTOMS I MAY EXPERIENCE AFTER SURGERY?

A low-grade fever, swelling, redness, clear drainage, and constipation are all common symptoms seen after surgery. Be sure to call your surgical team if you have any of the following:

  • Calf pain/swelling or inside thigh pain/swelling that does not decrease with elevation
  • Redness or drainage that does not decrease over time
  • A temperature of 101.5 degrees or higher
  • No bowel movement within 72 hours, or persistent nausea and/or vomiting

Don’t hesitate to contact your orthopedic surgeon or physical therapist with any other questions or concerns that may arise. Feel free to contact us here at the St. Charles Center. We’ve put together a free guide to help you better understand joint replacement preparation, orthopedic surgery, and recovery. If joint replacement surgery is the best solution for you, The Center’s orthopedic surgeons and support staff are ready to help you prepare for surgery and plan for a successful recovery. Click below to sign up and receive our free joint replacement guide.

JOINT REPLACEMENT GUIDE

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For Keith McCray, an attendant with St. Charles Bend’s Environmental Services team, the fulfillment he finds in his job comes not from his day-to-day tasks, but from the people he meets along the way.

“This is the best place I’ve ever worked, because I get to go into patient rooms and clean their rooms and talk with them,” he said.

“And they’re having a bad day, man. They’re in the hospital,” McCray continued. “So to bring them a little joy and a little conversation is fantastic to me. I wish I’d known about this job when I was 21 years old, because I would’ve been doing it all along.”

McCray brings to those patient rooms a sense of perspective and empathy that not everyone can provide. A few years ago, he was working at a national home improvement retailer when he fell off a truck and suffered a traumatic brain injury.

“I was in the hospital for a week and off work for two months, trying to relearn how to talk correctly and walk correctly,” he said. “So for me, especially when I’m working on the third floor (home to Bend’s Ortho/Neuro unit) and I’m meeting patients with head injuries, I feel like I know what they’re going through.”

Among other duties, McCray’s job is to empty the trash cans, change soiled linens and mop floors. But like many of St. Charles' EVS workers, he also gives patients a chance to talk with a non-clinical caregiver – someone who isn’t in the room to discuss test results or deliver potentially worrisome news.

“We were looking for something for Keith that would fit with his personality, and he always wanted to be able to connect with people,” said his wife of 26 years, Kelly. “He’s a chatty, outgoing guy, and he felt like he didn’t matter at his previous job. He feels like he matters here.”

A chance encounter brought McCray to St. Charles. In late 2021, when Kelly’s mother was in the hospital for surgery, she started talking to the guy who cleaned the room. Recognizing that working in the hospital would give her husband the kind of people- and service-driven work he needed, she encouraged him to apply for a job.

He was hired shortly after his interview.

“Moving 425-pound refrigerators starts to wear on your body after seven years,” McCray said. “So I gave my two-week notice and came to the hospital. It’s the best place I’ve ever worked.”

Before he worked at the home improvement retailer, McCray was a mechanic for more than 30 years.

“I was the kind of guy that I could pull your transmission out, take it apart and fix it, put it back together, and you're good for another 200,000 miles, but I couldn’t do that now to save my life,” he said with a laugh.

“But now, I wake up every morning and I’m excited to go to work,” McCray said. “I get to help people when they need it most. I get to work with a wonderful team of nurses and everyone else. I get to work in a positive environment where I have the support I need. And I like being a part of that.”

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Simply defined, arthritis is the inflammation of one or more of your joints. Although there is no cure for arthritis, The Center doctors offer treatment plans to help ease pain and get you back to your favorite activities.

Anatomy of the Shoulder

Your shoulder is made up of three bones: the humerus (upper arm bone), scapula (shoulder blade), and the clavicle (collarbone). There are also two joints in the shoulder. One is located where the clavicle meets the tip of the shoulder blade (acromion), called the acromioclavicular (AC) joint. The other is located where the humerus fits into the scapula, called the glenohumeral joint. To provide you with the best care, your physician will need to find which joint is affected and what type of arthritis you have.

Types of Arthritis that Affect the Shoulder

Osteoarthritis This condition is also known as “wear-and-tear” arthritis as it destroys the outer covering of the bone. As the cartilage wears away, it becomes frayed and rough causing the bones to rub against each other and resulting in a lot of pain. Osteoarthritis is most commonly found in people over the age of 50. Rheumatoid Arthritis (RA) Unlike osteoarthritis, which can occur in a single joint, rheumatoid arthritis usually affects the same joint on both sides of the body. RA causes the lining in your joints to swell that results in pain and stiffness in the joint. Known as an autoimmune disease, RA attacks its immune system causing damage to cartilage, ligaments, and softening bone. Posttraumatic Arthritis Posttraumatic Arthritis is a form of osteoarthritis caused by a traumatic injury such as a fracture or dislocation of the shoulder. Rotator Cuff Tear Arthropathy This can develop from a long-standing rotator cuff tendon tear. The torn rotator cuff can no longer hold the head of the humerus (upper arm bone), causing unwanted friction and ultimately resulting in arthritis. Avascular Necrosis Avascular Necrosis (AVN) occurs when a bone’s blood supply is disrupted. The bone cells die, and the dead bone weakens and may begin to fracture and collapse, leading to arthritis.

Symptoms of Shoulder Arthritis

The most common symptom of shoulder arthritis is, of course, pain. This can get progressively worse over time, especially after participating in an activity that aggravates the area. Another common symptom is having a limited range of motion, as arthritis causes stiffness in your joints.

Treatment Options for Shoulder Arthritis

Nonsurgical Treatment When a patient is ready to address their arthritis, treatment will first be approached from a nonsurgical standpoint. The orthopedic doctors at The Center have a number of different non-surgical options they will first discuss with their patients and have them try before considering surgical treatment options. These include physical therapy, injections, medication, etc. Surgical Treatment Should pain reach the point of disability for a patient and non-surgical treatment is no longer effective, a doctor may recommend surgery to help restore function. As with all surgeries, there are some risks. Your doctor will discuss the possible complications with you before your operation. Arthroscopy: Your doctor may recommend arthroscopy if your arthritis is unresponsive to non-surgical treatments such as physical therapy, medication, or injections. The surgical instruments used during this procedure are thin so your surgeon can use very small incisions. Pain relief is the main benefit of this procedure, although if it continues, further surgery may be needed. Arthroplasty: Advanced arthritis can be treated with arthroplasty, in which the damaged parts of the shoulder are replaced. There are several reasons your doctor may recommend a shoulder replacement, such as:

  • Severe shoulder pain that interferes with your daily activities
  • Loss of motion
  • Pain while resting, preventing a good night’s sleep

Advanced anesthesia techniques allow the vast majority of these procedures to occur in surgery centers, rather than in hospitals, going home the same day to recover. Dr. Jacobson, shoulder specialist at The Center, describes the anesthesia and pain management for patients during this procedure. This regimen creates a very smooth, safe, and efficient procedure for patients.

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