Ashvin K. Dewan, MD

Ashvin K. Dewan, MD Dr Dewan is a fellowship trained Orthopedic Surgeon and Sports Medicine Specialist that treats compl

When surgery is required to treat a rotator cuff tear, a surgeon can administer several treatment methods depending on t...
12/16/2022

When surgery is required to treat a rotator cuff tear, a surgeon can administer several treatment methods depending on the circumstances and severity of the particular case. Rotator cuff tear surgeries typically involve re-attaching the torn tendon to the head of the humerus. On the other hand, partial tears may only require smoothing or trimming procedures known as debridement. When you sustain a complete tear, the surgeon will repair it by stitching the tendon to the original site on the humerus so you can effectively raise, rotate, and regain the function of your arm.

The three well-known surgical techniques used to treat rotator cuff repairs are mini-open, arthroscopic, and traditional open repair surgeries. Regardless of the method, patients experience pain relief, increased strength in their operated shoulder, and the satisfaction of knowing they'll eventually return to their ordinary standards of living.

Surgeons consider open repair surgeries for large or complex tears that are several centimeters long or if additional reconstruction is required, like a tendon transfer. Initially, this was the only form of treatment before the advancements in technology which have created less invasive means of carrying out the surgery successfully.

Arthroscopic surgery is an outpatient procedure and is the least invasive. During surgery, your surgeon inserts a small camera known as an arthroscope into your shoulder joint. The camera displays a live video on a monitor, and the surgeon uses the video to guide the movements of the miniature surgical instruments. The incision for arthroscopic surgeries is thinner and smaller than other treatment methods, allowing the body to recover faster.

Mini-open repairs incorporate open surgery and arthroscopic treatment methods, making the incision smaller than traditional open surgeries. Initially, the arthroscopy assesses and treats the damage sustained to other structures in the joint. After this, the surgeon continues to repair the rotator cuff through the mini-open incision, repairing the tendon by looking at the shoulder structure directly instead of the video monitor.

The human body is remarkable. It can carry out countless functions effectively and sustain itself over a long time.Thoug...
12/15/2022

The human body is remarkable. It can carry out countless functions effectively and sustain itself over a long time.

Though you may get injured or break a bone, the others around it still perform their duties, so your body can continue operating as effectively as possible.

Ulnar Collateral Ligament Reconstruction surgeries repair torn ulnar collateral ligaments within the elbow. The function...
12/14/2022

Ulnar Collateral Ligament Reconstruction surgeries repair torn ulnar collateral ligaments within the elbow. The function of a UCL ligament is to support and secure your elbow joint and resides within the inner side of your elbow.

UCL tears are most common among athletes who perform sports that typically rely on throwing, like a javelin, shotput, baseball, or basketball. Once torn, the UCL tear will require surgery to repair the ligament. Symptoms typically involve swelling and bruising, numbness or tingling of the ring finger, little finger, and hands, loss of function of your arms and elbow, elbow pain and stiffness, and a weakened grip.

When a UCL reconstruction surgery occurs, a tendon is harvested from the patient or donor and attached to act as a new UCL. Once complete, athletes would typically require more than a year of physiotherapy to return to their standard level of athletic performance where they once were before sustaining the injury.

UCL surgeries are also known as Tommy John surgeries because Tommy John was a baseball pitcher and the first to have the surgery and successfully return to baseball.

Among the many bright and gifted youth I have had the pleasure of treating, Adriano has been among those that have worke...
12/13/2022

Among the many bright and gifted youth I have had the pleasure of treating, Adriano has been among those that have worked hard and shown how committed he is to improve his health.

We're proud of his efforts and commitment and are glad to report another smooth and successful recovery.

Your “why” can be the most significant motivating factor in moments of doubt or when you feel uncertain about whether yo...
12/12/2022

Your “why” can be the most significant motivating factor in moments of doubt or when you feel uncertain about whether your current path is right for you.

Regardless of your goal, every road has its ups and downs. It's part of the journey and is necessary for you to achieve your goals and become the person you want to be, but whether you succeed ultimately depends on if you can hold on to why you started and whether you can persevere through the hardships.

Previously, we dived into the difference between acute and chronic rotator cuff tears, why they occur, and how the metho...
12/09/2022

Previously, we dived into the difference between acute and chronic rotator cuff tears, why they occur, and how the methods of treatment for each condition. Similarly to both types of rotator cuff tears, Rotator cuff tendinitis is caused by repetitive overhead activities that are physically demanding, like throwing a ball or swinging a bat.

Those affected by rotator cuff tendinitis will experience swelling, inflammation, and discomfort caused by the pinching of tendons in the rotator cuff. Aside from athletes, laborers such as plumbers, carpenters, or construction workers may be at higher risk of experiencing rotator cuff tendinitis than others.

If left untreated, rotator cuff tendinitis, also known as shoulder bursitis or impingement syndrome, can lead to bony spurs, resulting in weakened mobility and strength of your arm.

To treat rotator cuff tendinitis, you can use ice therapy, over-the-counter medicine, and above all, refraining from extensive activity that will irritate your shoulder. If you haven't sustained a rotator cuff tear, you typically won't require surgery, and if you treat your injury effectively, you'll recover within two to four weeks.

Only 1% of people in the world are born with 13 ribs.Though exceedingly rare, those with the extra rib known as the cerv...
12/08/2022

Only 1% of people in the world are born with 13 ribs.

Though exceedingly rare, those with the extra rib known as the cervical rib are likely to experience neck pain. For this reason, those born with an extra rib often have them removed.

Rheumatoid Arthritis is a form of arthritis that affects numerous joints within the body, particularly in your wrists, h...
12/07/2022

Rheumatoid Arthritis is a form of arthritis that affects numerous joints within the body, particularly in your wrists, hands, and fingers. Rheumatoid arthritis is an autoimmune disease which means that your body attacks the cells within your joints, leading to joint inflammation, and can permanently damage your body due to the changes in your bones caused by your loss of cartilage.

Those affected by rheumatoid arthritis will experience pain, swelling, and stiffness of the joints, especially morning stiffness. If untreated, the symptoms may extend to deformity of the joints. Other symptoms include weight loss, fever, and fatigue. In some cases, the symptoms may flare and affect other areas of the body, like the heart, lungs, skin, eyes, and nervous system.

To counter the effects of rheumatoid arthritis, you can take anti-inflammatory medicine for short-form treatment, but the most effective treatment is known as DMARDs (disease-modifying antirheumatic drugs). Rheumatologists prescribe DMARDs, but a sports medicine physician can refer the patients to one of these specialists.

Anya is celebrating her recovery from knee surgery! For a long time she struggled with severe knee pain and kneecap inst...
12/06/2022

Anya is celebrating her recovery from knee surgery! For a long time she struggled with severe knee pain and kneecap instability. So young she was missing out on a lot of activities. After careful consideration of her options she decided to proceed with surgical stabilization. Fast forward a few months and she is thrilled to report she is enjoying her pain free knee! We are proud of her dedication and hard work to get to this point.

Success is merely the result of knowledge and experience acquired through extensive trials and errors.Though failure has...
12/05/2022

Success is merely the result of knowledge and experience acquired through extensive trials and errors.

Though failure has negative connotations, it is an essential tool that can guide you toward a bright and successful path if you are willing to self-reflect, learn from your mistakes, and push forward.

Rotator cuff tears can range from minor to chronic injuries that may require treatment to remedy the painful symptoms an...
12/02/2022

Rotator cuff tears can range from minor to chronic injuries that may require treatment to remedy the painful symptoms and decreased grip strength.

The two main types of rotator cuff tears are acute tears and chronic tears. Acute tears consist of common symptoms like intense pain that stems from muscle spasms and bleeding, severe pain in the upper shoulder that travels down to the elbow, and in extreme scenarios with major tears, significant pain accompanied by the inability to move your arm.

Orthopedic surgeons typically recommend surgery to treat acute rotator cuff tears unless they are seventy or older.

Chronic tears consist of symptoms that occur for prolonged durations, like pain that worsens at night and interrupts the quality of your sleep, and limitation on the mobility of your arm. In addition, those with chronic rotator cuff tears suffer from weakened arm strength, which continues to decline, shoulder pain that increases with time, and issues lifting your arm above your shoulder. Treatments for chronic rotator cuff tears include ice therapy, physiotherapy, or surgery. Minimally invasive arthroscopic surgeries treat chronic rotator cuff tears, but the case may alternatively require an open tendon repair, tendon transfer, or shoulder replacement surgery instead.

Most forms of Arthritis occur due to a fault in the body’s immune system that causes the body to attack its tissues in t...
12/01/2022

Most forms of Arthritis occur due to a fault in the body’s immune system that causes the body to attack its tissues in the joints.

Arthritis usually develops during people’s mid-40s. There is no cure for Arthritis, but the pain and symptoms caused can be reduced by living a healthy lifestyle and exercising regularly.

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16811 Southwest Freeway, Suite #200
Sugar Land, TX
77479

Opening Hours

Tuesday 1pm - 9pm
Wednesday 1pm - 5pm
Thursday 1pm - 9pm
Friday 8am - 5pm

Telephone

+12816904678

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