Puget Sound Orthopaedics (PSO) board certified shoulder experts offer the most current treatment options for bone- and joint-related shoulder injuries, which may or may not include surgery. When surgery is necessary, PSO surgeons use state-of-the-art surgical techniques and new implant technology that can provide significant reduction in pain, restored functional ability and an improvement in their patients’ quality of life.

Shoulder Doctors


The shoulder is the most moveable joint in your body. It helps you lift and rotate your arm, reach over your head and turn in many directions.

Your shoulder is made up of three bones: the humerus, scapula and clavicle. The shoulder socket is called the glenoid. The rotator cuff, which is a critical part of the shoulder, consists of a group of muscles and tendons to keep the humerus in its socket. There are two joints in the shoulder: the AC joint and glenohumeral joint.


Injuries of the shoulder area can be exceptionally debilitating since properly functioning bones, joints and muscles of the shoulder are critical in the performance of nearly all activities of daily living. Common shoulder injuries occur most often as a result of athletic activities that involve excessive, repetitive overhead motion, such as swimming, tennis, golfing, pitching and weightlifting. However, everyday activities like washing walls, hanging curtains and gardening can also cause injury to the shoulder.

Most shoulder injuries involve the muscles, ligaments and tendons rather than bones and can lead to instability, limited mobility, arthritis, fractures, dislocation, or nerve injury (brachial plexus), and may include:

Rotator cuff tears – When the group of four muscles that come together as tendons to hold the upper arm (humerus bone) in the shoulder socket are “torn,” causing pain and decreased range of motion

Bicep tendinitis – An inflammation of the upper biceps tendon that connects to the shoulder bones causing pain

Frozen shoulder – A condition that prevents the ability to move your shoulder, either on your own or with help


  • If you are experiencing shoulder pain, continued swelling or discoloration from overuse or an injury that doesn’t improve or worsens within a few days
  • If you are unable to rotate your arm in all of the normal positions
  • If you feel that your shoulder could pop out or slide out of the socket
  • If you lose shoulder strength and the ability to carry out typical daily activities
  • If you are referred by your primary care physician or other specialist
  • If your current, conservative treatments including physical therapy are not helpful or make your condition worse


Your doctor will discuss all treatment options with you. The best treatment for your injury or condition will be determined in combination with your overall health.

There are several nonoperative treatment options for shoulder pain. These might include physical therapy or pain management in the form of over-the-counter or prescribed medications and/or anti-inflammatories. If surgery is necessary, PSO shoulder specialists can perform a wide variety of procedures ranging from minimally invasive to major reconstruction.

Patient Education

Rotator Cuff Repair

The bones that make up your shoulder and arm are connected in a ball-and-socket joint that is kept in place by the rotator cuff. The rotator cuff is an assembly of four muscles that cover the head of the humerus or the ‘ball’ part of the joint. Rotator cuff tears occur when a tendon or […]

Shoulder Replacement

The shoulder joint is compiled of three bones: the humerus, scapula and clavicle. These three (3) bones connect at the socket and are held firmly in place by tendons, muscles and ligaments. Unfortunately, due to repetitive use, and numerous conditions, severe damage can be done to this joint that can be unrepairable. The shoulder joint […]

Shoulder Locations