Internal Impingement

Best Internal Impingement Treatment In Madinaguda, Hyderabad

What is it ?

The word impingement basically means ‘rubbing’ or ‘catching’ of structures. In this context, we refer to structures within the shoulder. It is the impingement of the rotator cuff (muscles and tendons within the shoulder which play a large part in lifting and twisting the arm) against other structures within the shoulder which form the basis of impingement syndromes.

Who gets it ?

The condition is mainly seen in athletes, where overhead activity is a major part of their sport, particularly throwing athletes. In-fact, the condition is sometimes called “The Throwers Shoulder” and is also seen in the “Swimmer’s Shoulder”. It is for this reason that it is mainly seen in a younger athletic population.


The main symptom patients with internal impingement usually complain of is pain. This is usually made worse by over-head activity or throwing. The pain is a result of inflammation and irritation to the tendons which are being impinged. This is called a tendonitis. Also affected is the bursa. This is a fat pad within the shoulder to allow tendons and muscles to glide over bones easily.


Internal impingement is usually diagnosed on clinical examination. 
Special tests such as a MR arthrogram may be useful. This is a specific type of MRI scan in which a dye is injected into the joint space to allow tears in the labrum to be seen. Fluid around tendons and in the joint could also point to impingement. It may also show up tears in the rotator cuff. Similar things may also be picked up on an ultrasound scan.


Joint replacement surgery, also known as replacement arthroplasty, is a surgical procedure for your joint where a dysfunctional or decayed joint is replace with an artificial joint made of metals or plastic. At Dr. Chakri’s Clinic, a joint replacement surgery is suggested only when the health issue is really big and cannot be cured with medicines and physiotherapy alone.

Going for any surgery is a matter of strength and courage. Going for a surgery that would replace your human parts for artificial parts is a very big decision. At Dr. Chakri’s Clinic, we make sure that you explore all your options before making this decision. We suggest that you take a joint replacement surgery if you have extreme difficulty in movement or unbearable pain in a particular joint. Dr. Chakradhar can check for any future potential damage that your current issue might pose. This might also require you to take an artificial joint.

You will require a joint replacement surgery for one of the two reasons – one, your joint is diseased; two, you have injured or broken your joint or a part of it. Dr. Chakradhar will assess you condition and let you know if a surgery will be required. Chiefly, he aims at giving you better mobility and reduced pain through a joint replacement surgery. He is also watchful of the cosmetic outcome.

Joint replacement surgery is a very complex and delicate procedure. Only a professional orthopaedic surgeon can perform such a surgery. At Dr. Chakri’s Clinic, Dr. Chakradhar takes care of the complicated surgeries. Having taken his qualifying exams from the best Universities from India and Europe and with an experience of 14 years, he is the Best Orthopaedic Surgeon in Hyderabad and beyond. To a surgeon like him, joint replacement surgeries – from knuckles to knees – are parts of his daily routine.

Knee and hip are the joints which suffer most damage since they carry most of the body weight. Hence, Knee Joint Replacement and Hip Joint Replacement surgeries are most commonly done at Dr. Chakri’s Clinic. These are followed by Shoulder Joint Replacement in Hyderabad. However, smaller joints like elbows, ankles, wrists and even knuckles can be replaced. With the right doctor and the right medical equipment, nothing is impossible.

Based on the extent of the damage, a joint replacement surgery can be of two types – total and partial. As the names suggest, in a total joint replacement, the entire joint is replaced and a partial joint replacement is performed when only a portion of the joint in damaged which the other portion is healthy and not in any risk of degeneration.

Another type, called revision surgery is performed if the first surgery fails or proves to be inefficient or wears off. It is a slightly more complex procedure.At Dr. Chakri’s Clinic, all the types of replacement surgeries are performed by our expert surgeon Dr. Chakradhar Reddy.

All surgeries involve certain degree of risks. Dr. Chakradhar is very cautious about the basic potential risks of bleeding, infection etc. He not only is careful with the surgery, he will also give you detailed suggestion on post-operative care so that you don’t develop complications later on. However, any good doctor will like you to be informed of your potential health risks and Dr. Chakradhar is no exception. Even though when a surgery is done after proper testing, since the implant is an artificial object, your body might reject the artificial joint and lead to a failure of the replacement surgery.

Dr. Chakradhar also insists that you take your medicines regularly and attend to physiotherapy seriously to avoid the chances of blood clotting.Dr Chakri’s Clinic is stocked with the most-updated medical tools and surgical equipment. Minimally invasive surgical techniques and computer assisted surgeries have raised the rate of success of joint replacement surgeries tremendously. You can now forget any form of disability – with joint replacement surgery, you will heal faster and move better.

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