Symptoms & Solutions


The location and severity of knee pain may vary, depending on the cause of the problem. Knee pain may be the result of an injury, a medical condition, gout or infection. If you have any of the below signs or symptoms you may require medical attention.

  • Inflammation
  • Pain
  • Stiffness
  • Nerve Pain
  • Limited Range of Motion
  • Muscle Spasms
  • Tingling
  • Swelling
  • Weakness

You need to contact Nix if you:

  • Experience pain from shoulder clicking or when lifting
  • Have a pinched/compressed nerve in your forearm or wrist
  • Are Unable to Fully Extend or Flex Your Elbow
  • Have difficulty grasping or holding objects
  • Have numbness or tingling in your fingers or thumb
  • Are experiencing stiffness, swelling or loss of movement in your arm, shoulder or hand

Common Hand, Shoulders & Arms Injuries & Issues:

  • Muscle Strains
  • Nerve Compression
  • Torn Rotator Cuff
  • Tendonitis and Bursitis
  • Sprains
  • Dislocations
  • Broken Bones
  • Osteoarthritis
  • Carpal Tunnel Syndrome

Common Arm, Shoulder & Hand Procedures:

Arthroscopy for Shoulder Dislocation:

A shoulder dislocation injury occurs when the ball of the shoulder joint comes out of the socket. There are several procedures available to correct this injury. For example, if the shoulder needs to be stabilized at the labrum, a procedure known as Bankart repair attaches the labrum to the joint capsule to hold the ball in its correct place. Another common dislocation of the shoulder occurs when there is a generalized instability of the shoulder ligaments; enabling the shoulder joint to come in and out of the socket with ease. In this case, surgery to tighten the joint capsule would be appropriate.

Arthroscopy for Frozen Shoulder:

Frozen shoulder occurs when the capsule that surrounds the shoulder joint becomes contracted and tight. Although it is a very common shoulder injury that can be treated nonsurgically, some cases require surgical treatment. During this procedure, the contracted tissue is loosened to regain movement in the shoulder. This is done by cutting the capsule all the way around the ball of the shoulder.

Arthroscopy for SLAP Repair:

SLAP stands for “Superior Labrum Anterior and Posterior,” thus a SLAP tear occurs in both of front (anterior) and back (posterior) of the labrum. This injury to the rim of cartilage that encircles the shoulder socket (or labrum) is problematic because the labrum is the attachment point of the biceps tendon. During SLAP repair surgery, the labrum is placed back into position at the rim of the shoulder socket with the aid of sutures securing the bone to the cartilage.

Rotator Cuff Repairs:

A rotator cuff injury usually occurs when part of the rotator cuff is damaged, resulting in torn or disconnected tendons. There are several procedures available to correct this common injury, so it is important to understand and discuss all available options with your surgeon. For example, open rotator cuff repair requires a long incision that detaches the surrounding muscle and allows for the rotator cuff to be directly repaired. Arthroscopic techniques are also available for smaller injuries.

AC Joint Repairs:

The AC Joint, or acromioclavicular joint, is where the end of the clavicle (or collarbone) and acromion meet. The AC joint can simply wear out, usually as a result of arthritis; or it can deteriorate as a result of repetitive use. In these instances, open surgery is a good option because it removes the end of the collarbone and widens the AC joint space.

Shoulder Replacement Surgery:

There are several conditions that cause shoulder pain and deterioration that lead patients to consider shoulder joint replacement surgery. Osteoarthritis, rheumatoid arthritis, and severe fractures are just a few conditions that may point to shoulder replacement surgery. Shoulder replacement surgery removes the damaged parts of the shoulder and replaces them with artificial components, called a prosthesis. Replacement of just the ball (humerus bone), or replacement of both the ball and socket (glenoid) are treatment options for this surgical procedure.

Biceps Tendon Surgery:

When pain, inflammation, torn tissues or problems with the rotator cuff occurs, surgery to repair the biceps tendon may be necessary. There are several procedures available to correct this injury, including soft tissue techniques and hardware fixation techniques. Soft tissue techniques stitch the end of the bicep or “tie” (using an interlocking pattern of sutures) the tendon into place. Hardware fixation techniques require the bicep tendon to be severed and reattached to the bone.

Surgery for Tennis Elbow:

Tennis elbow presents when you experience pain and swelling in your elbow, usually caused by damage to the tendons in your arm that connect your elbow bone to your muscles. This injury simply occurs when the elbow is overused in a repetitive manner; such as playing tennis. During surgery for tennis elbow, the damaged tendon is removed to relieve pain and restore maximum movement of the elbow.

Nerve Decompression Surgery:

Pressure and pain caused by a impinged nerve may be alleviated by decompression surgery. This surgery would occur after a period of conservative treatments. The manner of surgery depends on the location of the impinged nerve. For example, if there is ulnar neuropathy at the elbow, a surgeon would reposition the ulnar nerve to alleviate decompression. Surgical treatment for radial neuropathy in the arm expands the radial tunnel through which the nerve passes by cutting any parts of the tunnel pinching the radial nerve; widening the tunnel and decreasing nerve decompression.

Muscle Strain Surgery:

A muscle strain, or “pulled muscle” is an injury that typically results from overstretching or tearing your muscle. Often times, a popping or snapping sensation accompanies the muscle strain. Surgery is typically the last resort for muscle strains and are usually appropriate for Grade III strains, which are a complete rupture of a muscle.

Fusion or Replacement Osteoarthritis Surgery:

In rare instances, surgery to relieve or correct pain, deformity and disability to the hands as a result of osteoarthritis is performed. Fusion (or arthrodesis) and replacement (or arthroplasty) are the two main surgical options for hand arthritis. During fusion, the bones of the joint are fused together to create a h3er, pain-free knuckle. Fusion does limit flexibility and movement, however. Replacement requires damaged joints to be removed and replaced with an artificial implant. Replacement does not replicate normal finger motion, however.

Carpal Tunnel Release Surgery:

Carpal tunnel injury occurs when there is persistent loss of feeling in the fingers or hand, or no strength in the thumb. Surgery for carpal tunnel is considered after a long period of nonsurgical treatment, unless you are experiencing nerve damage in conjunction with carpal tunnel. During the surgery, the transverse carpal ligament is cut, which releases pressure on the median nerve. The skin is closed with stitches, and the area where the ligament was cut is left alone; eventually filling with scar tissue.

The arm,shoulder and hand are comprised of complex joints, muscles, fluid and cartilage that work together to allow you to perform various tasks and motions. The humerus (upper arm bone) and scapula (shoulder blade) fit together like a ball and socket to form the shoulder. The upper arm (shoulder to elbow), and forearm (elbow to wrist) comprise the arm. The hand consists of the wrist, the palm, and digits that allow us to take hold of objects. When injured, the arm, shoulder and hand require specialized care to correct damage and manage pain.

At Nix, we have experienced arm, shoulder and hand surgeons ready to meet your needs on your road to full recovery. Our specialized surgeons consider each individual case and develop a plan to restore maximum movement and improve quality of life.