Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
The rotator cuff is the group of four tendons that stabilize the
shoulder joint. The tendons hook up to the four muscles that move
the shoulder in various directions.
There are four muscles whose tendons form the rotator cuff: the subscapularis muscle, which moves the arm by turning it inward
(internal rotation); the supraspinatus muscle, which is responsible
for elevating the arm and moving it away from the body; the
infraspinatus muscle, which assists the lifting of the arm during
turning the arm outward (external rotation); and the teres minor
muscle, which also helps in the outward turning of the arm.
Shoulder bursitis is inflammation of the shoulder bursa. Bursitis may be caused by injury, infection, or a rheumatic condition. Symptoms include pain, swelling, tenderness, and pain with movement of the shoulder joint. Treatment may involve ice compresses, rest, and antiinflammatory medications and depends on whether there is an infection.
A frozen shoulder (adhesive capsulitis) is when the shoulder joint experiences a significant loss in its range of motion due to inflammation, scarring, or injury. Treatment involves anti-inflammatory medication, cortisone injections, and physical therapy.
Post-polio syndrome (PPS) is a group of signs and symptoms that show up two to four decades after the initial polio infection. Symptoms of PPS include fatigue, pain, sleep disorders, muscle twitching, gastrointestinal problems, and weakness. Treatment focuses on slowing down to conserve energy and relieving symptoms with pain relievers.
Calcific bursitis is the calcification of the bursa caused by chronic inflammation of the bursa. Calcific bursitis most commonly occurs in the shoulder. Calcific bursitis treatment includes medication for inflammation, ice, immobilization, cortisone injections, and occasionally surgical removal of the inflamed bursa.
Hydroxyapatite crystal disease is the inflammation caused by hydroxyapatite crystals. These tiny crystals of hydroxyapatite deposit by mistake in or around joints and may cause inflammation of the joints and nearby tissues such as the tendons and ligaments (particularly causing rotator cuff problems in the shoulder). Treatment options include rest, cold application, medications to reduce inflammation, and cortisone-related medication injections.
Frozen shoulder is the result of scarring,
thickening, and shrinkage of the joint capsule.
Any injury to the shoulder can lead to a frozen
shoulder.
A frozen shoulder is usually diagnosed during an
examination.
A frozen shoulder usually requires aggressive
treatment.
What is a frozen shoulder?
A frozen shoulder is a shoulder joint with
significant loss of its range of motion in all directions. The range of
motion is limited not only when the patient attempts motion but also when the
doctor attempts to move the joint fully while the patient relaxes. A frozen
shoulder is medically referred to as adhesive capsulitis.
What causes a frozen shoulder?
Frozen shoulder is the result of inflammation, scarring, thickening, and
shrinkage of the capsule that surrounds the normal shoulder joint.
Any injury to the ...
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