COVID-19 (coronavirus) TeleMedicines

In recognition of ongoing news reports and the continued spread of the COVID-19 (coronavirus), we realize our patients may have questions.

The use of TeleMedicine will be used if you would like to speak with the doctor or nurse about your condition by phone and prefer not to come into the office with a non-emergent case. All routine visits can be done via TeleMedicine. If you would like to schedule a TeleMedicine visit, please call the office to schedule. We will remain open for all acute and urgent orthopedic conditions including post-operative care, fractures, sprains, and tendon tears/injury that require in person evaluation and treatment.

As of right now, all elective surgeries are cancelled until April 1st, 2020. This date can be extended if governing bodies along with local hospitals and outpatient centers decide it is in the best interest of the public to do so.

The office phones will be answered Monday - Friday. Please feel free to call if you have questions regarding your upcoming appointment, medications, or orthopedic related questions. If you have a pressing orthopedic issue, call the office. If we do not answer or it is after hours, you can speak to a doctor through the answering service, or go to the emergency room. You can also leave a message and we will get back to you within 24 hours.

We continue to ask that anyone with a scheduled appointment that has traveled outside the United States in the past 14 days to please reschedule their appointments. The CDC recommends that patients reschedule their appointments if they have the following symptoms: fever, cough, or shortness of breath. Please seek medical advice from your primary care physician, if you develop any of these symptoms.

We will take every precaution to make sure our patients and staff members remain safe during this time. We are here for you and will answer any questions you may have.

Munster Orthopedic Surgeon Helps Take Pain, Limitations Out of Rotator Cuff Injuries

Dec 3, 2020 | News

Omar M. Perez, MD

Omar M. Perez, MD

Are you experiencing shoulder pain? It could be your rotator cuff, and you’re not alone in your suffering. According to the American Academy of Orthopaedic Surgeons, almost 2 million people per year visit their doctors due to a rotator cuff problem in the U.S. alone.
Dr. Omar Perez, a board- certified orthopedic surgeon at North Point Orthopaedics in Munster, diagnoses rotator cuff issues most often in patients in their 50s and 60s, with a small percentage of younger people experiencing pain. In addition, he performs three to four arthroscopic rotator cuff surgeries per week in his practice.

“Rotator cuff pain is usually caused by overuse of the shoulder joint, which, along with the tendons, begins to degenerate,” he says. “Patients can have an asymptomatic tear, which then progresses and becomes painful. That’s when they seek medical attention.”

According to the Mayo Clinic (mayoclinic.org), “the rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of your upper arm bone firmly within the shallow socket of the shoulder. A rotator cuff injury can cause a dull ache in the shoulder, which often worsens with use of the arm away from the body.”

Harvard Health Publishing at Harvard Medical School (health. harvard.edu) defines the type discomfort caused by rotator cuff injuries as “pain in your shoulder and upper arm. The pain may be most noticeable when you reach up or out. n you turn your arm as you l
it, the tendons are more l to rub against surrounding structures. For this reason your shoulder symptoms may be worst when you try to comb your hair or slip your arm into a sleeve. You also may have dull, aching shoulder pain at night.”

Dr. Perez explains that there are two types of rotator cuff tears: Chronic and traumatic. A chronic tear is common among manual laborers, such as painters and carpenters, who do a lot of heavy lifting and make repetitive, overhead motions.

This is also referred to as a “working tear.” Chronic tears, he said, may be managed without surgery by utilizing physical therapy to improve flexibility and strengthen the muscles surrounding the shoulder joint.

“The first line of treatment in chronic rotator cuff tears is physical therapy to strengthen the muscles of the rotator cuff, and medications and steroid injections may be added to control the pain,” Dr. Perez notes. “Patients receive non- operative treatment for three months and two out of three of them improve with physical therapy. However, if physical therapy fails to relieve pain after that period of time, the patient becomes a surgical candidate.”

The traumatic rotator cuff tear is common in patients who fall frequently. “Those who develop traumatic dysfunction of the rotator cuff may not be able to lift their arms at all,” says Dr. Perez. He added that traumatic tears require surgery, which is typically arthroscopic, done by making a few small incisions around the shoulder joint. A small camera – or scope – is inserted so the surgeon can see inside the shoulder joint. Then he or she repairs the tear by reattaching the tendon to the bone with series of implants and sutures.

Dr. Perez said the rotator cuff surgery’s success rate is around 80%, measured by the patient’s lack of pain and ability to perform we either do revision surgery or reconstruction of the rotator cuff tendons with a biologic implant or patch. If the patient is older than 70 years of age and has arthritis, we perform a reverse total shoulder replacement or joint replacement surgery.”

Joint replacement surgery entails removing the damaged parts of the shoulder and replacing them with artificial components, called a prosthesis. Either just the head of the humerus bone (ball) is replaced or the ball and socket (glenoid) are replaced.
Dr. Perez specializes in arthroscopic surgery, open surgical techniques to treat sports-related injuries and joint replacement,
with a special focus on complex shoulder procedures and regenerative medicine.

Dr. Perez has served the Northwest Indiana community since 2016, providing high quality patient care and excellent surgical outcomes.
His passion is preserving and restoring motion because, he says, “movement is often the best medicine for creating positive change in a person’s physical and emotional state.” In addition to his work with the North Point Orthopaedics practice, Dr. Perez is affiliated with Community Hospital in Munster and Methodist Hospital in Merrillville. North Point Orthopaedics is at 801 MacArthur Blvd., in Munster.

For more information about the practice and Dr. Perez, call 219-836-1060 or visit nportho.net.

Contact Us For An Appointment Today: 219-836-1060

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