A Manchester and Cheshire based shoulder and elbow surgeon, with a specialist expertise in arthroscopic surgery, offering expert diagnosis and treatment for shoulder and elbow problems, including rotator cuff tears, arthritis, shoulder instability, frozen shoulder and sports injuries.
Mr Dilraj Sandher is Consultant Trauma and Orthopaedic Surgeon at Manchester Royal Infirmary. He provides private treatment for conditions affecting the shoulder and elbow at three independent hospitals in the Manchester area:
- BMI The Bridgewater Hospital, Manchester
- BMI The Highfield Hospital, Rochdale
- BMI The Alexandra Hospital, Cheadle
A highly trained shoulder and elbow specialist
A graduate of Manchester University, Mr Sandher trained on the North West Orthopaedic Rotation, going on to complete a surgical Fellowship in arthroscopic shoulder and elbow surgery at Monash University in Melbourne Australia. Offering all the latest open and arthroscopic surgical techniques, he has a particular expertise in upper limb trauma, rotator cuff surgery, shoulder stabilisation, shoulder and elbow replacement surgery, and the treatment of sports injuries and frozen shoulder.
Shoulder and elbow conditions treated by Mr Dilraj Sandher
Mr Sandher offers expert investigation and treatment for the full range of conditions affecting the shoulder and elbow, including:
- Frozen shoulder
- Rotator cuff tears
- SLAP tears
- Fractures and dislocations
- Shoulder instability
- Acromioclavicular joint (ACJ) disorders
- Shoulder impingement
- Tennis and golfer's elbow
Expert treatment for frozen shoulder in Manchester and Cheshire
Frozen shoulder is a relatively common condition affecting, in the main, people over the age of 40, and more commonly, women than men. It is caused when the strong connective tissue surrounding the ball and socket joint of the shoulder (the capsule) becomes inflamed resulting in pain, loss of motion and stiffness. The cause of a frozen shoulder is not always clear, but the condition may be associated with a previous injury or previous shoulder surgery, diabetes, Dupuytren's contracture and cardiovascular disease.
A frozen shoulder typically progresses through three stages: the 'freezing' phase where the shoulder will start to ache and become very painful; the 'frozen phase' where the shoulder becomes increasingly stiff but the pain does not tend to increase; and the 'thawing' phase where movement gradually returns, though not always fully. The length of the phases and severity of symptoms vary greatly from person to person.
Non-surgical treatments for frozen shoulder include pain relief, corticosteroid injections, shoulder exercises and physiotherapy, helping the shoulder to stay pain free and mobile whilst natural healing occurs. In very severe cases, or cases that fail to respond to conservative treatments, two surgical options are available:
Performed under general anaesthetic and often in conjunction with a corticosteroid injection, shoulder manipulation involves controlled movement and stretching of the joint followed by physiotherapy.
Arthroscopic capsular release
Arthroscopic capsular release is a minimally invasive arthroscopic (keyhole) procedure to remove bands of scar tissue from the shoulder capsule using specially designed miniature instruments. Sometimes performed at the same time as shoulder manipulation, it is also followed by a period of physiotherapy. Both surgical techniques are associated with good results in the majority of patients, although stiffness may return in some, necessitating further treatment.
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