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(425) 899-4810 Kirkland

(360) 794-3300 Monroe

Shoulder & Elbow Pain and Injury

Is shoulder or elbow pain from trauma, chronic conditions or simple wear-and-tear keeping you from your work, your favorite activities or just getting out of bed in the morning without hurting?

We can help.

Our orthopedic experts will pinpoint the root cause of your pain, and then work with you to create an individualized treatment plan based on your diagnosis and your goals. Maybe your goal is to return to swimming, golf or tennis ... or just sleep better at night without pain.

We'll start you off with a program of conservative therapy options designed to meet your goals.

Should surgery be necessary, our surgeons are at the forefront of minimally invasive shoulder and elbow procedures.

How are shoulder and elbow problems diagnosed?

History and physical examination are most important.

X-rays can be helpful to rule out bone and joint problems and to confirm the diagnosis of arthritis. Calcium can be seen in x-rays in patients with calcific tendonitis.

For most soft tissue problems, such as rotator cuff tears, tendonitis and bursitis, MRI or high definition diagnostic ultrasound are helpful.

For labral tears, an injection of dye into the joint (arthrogram) is usually required.

How are shoulder and elbow problems treated?

Treatment typically begins with activity modification, rest, and use of modalities such as ice.

To treat pain, either Tylenol or NSAIDs (anti-inflammatories) such as ibuprofen or naproxen can be considered. If that does not help, manual treatment with a physical therapist, chiropractor, or massage therapist can be helpful in conjunction with therapeutic exercises to improve muscle control, flexibility, imbalance, and strength.

In resistant cases, injections of corticosteroids (steroids) and numbing agents may be considered. Surgery is an option for some conditions that don't respond to conservative care.

Are there alternative treatment options?

Some patients find benefit from acupuncture, dry needling and natural medications.

Injection of platelet rich plasma (PRP), one’s own blood cells that contains natural healing proteins called growth factors, has shown promise to treat certain peripheral joint conditions such as tendonitis and arthritis. Our physiatrists can perform PRP injections when indicated.


The EvergreenHealth Neuroscience, Spine & Orthopedic Institute

Dr. Mark Freeborn interviewed on New Day NorthwestDr. Mark Freeborn explains how the integrated care at the Neuroscience, Spine & Orthopedic Institute improves patient care. (interview on New Day Northwest)

EvergreenHealth Orthopedic Care is part of the EvergreenHealth Neuroscience, Spine & Orthopedic Institute. The state-of-the-art facility offers experts in orthopedics, comprehensive rehabilitation services and patient-friendly access.

By bringing our key services together under one roof, we are able to coordinate complex care issues with our network of specialty providers.

Take a virtual tour of the Institute

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