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Fellowship-Trained Shoulder Specialists for Complex Shoulder Conditions

Shoulder injuries often cause limited reach, loss of strength, catching, grinding, or pain that disrupts normal motion. These signs frequently point to involvement of the rotator cuff, labrum, or joint surfaces. We evaluate shoulder motion, stability, and imaging findings to identify the exact structure involved.

With clinics across New York and New Jersey, our fellowship-trained shoulder specialists determine whether targeted injections, minimally invasive procedures, or surgical repair is the most effective option for your injury.

Fellowship-Trained Shoulder Specialists For Complex Shoulder Conditions

Shoulder injuries often cause limited reach, loss of strength, catching, grinding, or pain that disrupts normal motion. These signs frequently point to involvement of the rotator cuff, labrum, or joint surfaces. We evaluate shoulder motion, stability, and imaging findings to identify the exact structure involved.

With clinics across New York and New Jersey, our fellowship-trained shoulder specialists determine whether targeted injections, minimally invasive procedures, or surgical repair is the most effective option for your injury.

When to See a Shoulder Specialist

You should see a shoulder specialist if shoulder pain, stiffness, or weakness doesn’t improve with rest or begins to interfere with your daily routine. Persistent pain often points to a tendon injury, joint irritation, or soft-tissue inflammation that needs proper evaluation to prevent worsening symptoms and protect shoulder function.

Common signs you shouldn’t ignore include:

  • Pain that lasts more than a few days or worsens with movement
  • Discomfort that disrupts sleep or daily function
  • Weakness or reduced control in the shoulder or arm
  • Clicking, catching, or grinding during movement
  • Swelling, bruising, or a visible change in the shoulder contour
  • Pain or instability after a fall or sudden impact

 

If you recognize any of these signs, don’t wait for them to worsen. Schedule your evaluation today with our shoulder specialist and take the first step toward lasting relief and restored motion.

Conditions We Treat

We diagnose and treat the full spectrum of shoulder injuries and degenerative conditions. From mild strains and tendon inflammation to complex rotator cuff tears, fractures, and shoulder arthritis, we provide targeted, evidence-based treatment to restore strength and function.

Osteoarthritis and Rheumatoid Arthritis

Osteoarthritis and Rheumatoid Arthritis

When arthritis affects the shoulder, cartilage loss or joint inflammation causes stiffness, swelling, and deep pain with movement. We use image-guided injections, medication, or surgery to ease discomfort, restore mobility, and improve shoulder strength.

Rotator Cuff Tears

Rotator Cuff Tears

A rotator cuff tear occurs when the tendon that stabilizes your shoulder separates or frays, causing pain and weakness during arm movement. To restore shoulder strength and rotation, our orthopedic shoulder surgeons repair the tendon arthroscopically with precise, minimally invasive techniques.

SLAP Tears

SLAP Tears

The labrum helps keep your shoulder stable during overhead motion. When this cartilage ring tears away from the socket, it can cause symptoms such as catching, clicking, or pain. Our shoulder specialists repair the tear using minimally invasive techniques to restore smooth, stable movement.

Shoulder Separation

Shoulder Separation

When the ligaments connecting the collarbone and shoulder blade stretch or tear, you may feel pain, swelling, or notice a bump over the joint. Treatment depends on the severity of the injury and may include targeted injections, bracing, or reconstructive surgery to restore normal shoulder movement.

Shoulder Fracture

Shoulder Fracture

When a fracture affects the collarbone, upper arm, or shoulder blade, it can cause sharp pain, swelling, and limited motion. Our specialists use imaging and precise fixation techniques to realign the bone and restore shoulder strength and function.

Frozen Shoulder (Adhesive Capsulitis)

Frozen Shoulder (Adhesive Capsulitis)

Frozen shoulder develops as the joint capsule thickens and tightens, limiting movement and causing persistent pain. We restore flexibility and comfort through image-guided injections and minimally invasive release procedures.

Post-Surgical Stiffness or Failed Repair

Post-Surgical Stiffness or Failed Repair

Persistent stiffness after shoulder surgery may result from scar tissue, incomplete healing, or tendon re-injury. Our surgeons identify the underlying cause and perform corrective procedures to restore motion, reduce discomfort, and improve overall shoulder function.

Our Approach to Shoulder Treatment

At Total Orthopedics & Sports Medicine, we follow a step-by-step approach designed to identify the source of shoulder pain and restore lasting function. From your first evaluation to full recovery, every stage of care is guided by experience, advanced techniques, and the goal of helping you move confidently again.

Here’s how our specialists deliver comprehensive shoulder care:

Step 1

Step 2

Step 3

Step 4

Diagnostic Evaluation

We begin with a focused physical examination and advanced imaging to identify the exact cause of the pain and establish a clear, evidence-based treatment plan.

Non-Surgical Management and Pain Relief

Once identified, we treat shoulder conditions with targeted non-surgical care that reduces inflammation, relieves pain, and restores motion.

Advanced Surgical Intervention

When conservative care no longer provides relief, we perform arthroscopic and reconstructive procedures to repair damage and promote lasting shoulder function.

Recovery and Follow-Up Care

After treatment, we continue care through follow-up visits that track healing, check shoulder function, and ensure a safe return to normal activity.

Our Approach to Shoulder Treatment

At Total Orthopedics & Sports Medicine, we follow a step-by-step approach designed to identify the source of shoulder pain and restore lasting function. From your first evaluation to full recovery, every stage of care is guided by experience, advanced techniques, and the goal of helping you move confidently again.

Here’s how our specialists deliver comprehensive shoulder care:

Step 1

Comprehensive Diagnostic Evaluation

We begin with a focused physical examination and advanced imaging to identify the exact cause of the pain and establish a clear, evidence-based treatment plan.

Step 2

Non-Surgical Management and Pain Relief

Once identified, we treat shoulder conditions with targeted non-surgical care that reduces inflammation, relieves pain, and restores motion.

Step 3

Advanced Surgical Intervention

When conservative care no longer provides relief, we perform arthroscopic and reconstructive procedures to repair damage and promote lasting shoulder function.

Step 4

Recovery and
Follow-Up Care

After treatment, we continue care through follow-up visits that track healing, check shoulder function, and ensure a safe return to normal activity.

Advanced Procedures We Offer

Our orthopedic shoulder surgeons perform a full range of advanced procedures to address complex injuries, instability, and joint degeneration. This includes arthroscopic repairs, tendon and labral reconstruction, joint preservation techniques, and shoulder replacement procedures performed with precise, minimally invasive methods.

Minimally Invasive Arthroscopic Procedures

Our surgeons perform shoulder arthroscopy through small incisions to visualize and treat joint problems. This approach minimizes tissue disruption and enables precise repair, resulting in faster recovery.

When instability follows a Bankart or labrum tear, we reattach the labrum to the socket. The repair restores stability and helps prevent recurrent dislocations.

Our surgeons perform arthroscopic shoulder debridement to remove damaged tissue and bone spurs, relieving pain, reducing irritation, and improving shoulder motion.

When frozen shoulder limits motion despite therapy, arthroscopic capsular release frees the tight joint capsule, reducing stiffness and restoring mobility with less soft-tissue trauma.

For patients with biceps tendon pain or tearing, we perform biceps tenodesis. This procedure relocates the tendon to relieve pain and improve arm function.

Our surgeons perform keyhole (arthroscopic) subacromial decompression to remove inflamed tissue or bone spurs, creating more space for the rotator cuff and relieving impingement pain.

When arthritis or overuse irritates the AC joint, distal clavicle excision arthroscopically removes the damaged bone end. It decompresses the joint, easing pain and restoring smooth shoulder motion.

Reconstructive & Replacement Surgeries

We perform total shoulder replacement using anatomic implant designs that restore natural motion, relieve arthritis pain, and improve long-term joint durability with precise surgical alignment.

When rotator cuff tendons can’t support the joint, we perform reverse shoulder replacement using advanced implant design to restore strength, stability, and arm motion.

If pain, stiffness, or instability develops after prior surgery, we perform revision shoulder surgery to correct failed repairs and restore balanced shoulder movement.

Our surgeons perform open reduction and internal fixation to reposition fractured shoulder bones and secure them with plates or screws, promoting healing and restoring shoulder stability.

Meet Our Shoulder Specialists

Our shoulder specialists at Total Orthopedics & Sports Medicine are recognized leaders in advanced shoulder care. Each physician is board-certified, fellowship-trained, and skilled in both non-surgical management and complex reconstruction. Their expertise and outcomes continue to set the standard for shoulder care across the region.

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Dr. Charles Ruotolo, M.D.

President Total Orthopedics and Sports Medicine

Internationally recognized innovator and founder of Total Orthopedics, advancing orthopedic surgery, sports medicine, and shoulder care.

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Richard McCormack, M.D.

Director of Department of Orthopedics

Harvard-trained surgeon and former pro team physician, delivering advanced joint care and surgical excellence in sports injuries and orthopedic trauma.

Jarret Boroniec, D.O. copy
Jarret Boroniec, D.O.

Sports Medicine Orthopedic Surgeon

Fellowship-trained orthopedic surgeon specializing in shoulder, knee, hip, and elbow care with a focus on sports injuries, arthroscopy, and personalized recovery.

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R. Champ Dengenis, D.O.

Sports Medicine and Fracture Surgery

Known for advanced care in fractures and sports injuries, achieving high-performance results through surgical precision and expertise in athletic injury recovery.

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Nicholas Montemurro, M.D.

Sports Medicine Orthopedic Surgeon

Board-certified sports medicine surgeon delivering high-level care in arthroscopy, hip preservation, and athletic injury recovery for both elite athletes and active individuals.

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Michael Shindle, MD

Orthopedic Surgeon • Sports Medicine

Nationally recognized sports medicine surgeon treating elite athletes with advanced arthroscopy, ligament reconstruction, and nonoperative therapies that enhance performance and recovery.

Why Choose Us

When shoulder pain starts to limit your movement or affect your daily routine, you need specialists who know how to restore it safely and effectively.

At Total Orthopedics & Sports Medicine, our fellowship-trained shoulder specialists bring advanced training and years of focused experience treating complex injuries and restoring healthy movement. Each treatment is carefully planned and performed to repair damage, prevent reinjury, and support long-term shoulder stability.

We offer convenient locations across New York, Long Island, and New Jersey, providing coordinated care that helps you move comfortably and stay active without pain.

Here is what defines our care:

  • Fellowship-trained shoulder and sports medicine surgeons
  • Extensive experience in complex and revision procedures
  • Advanced on-site imaging and surgical facilities
  • Clear recovery guidance and consistent communication
  • Same-week appointments for faster access to care

Call 855-321-6784 or visit us today to schedule your consultation with our shoulder specialists.

Frequently Asked Questions

A shoulder specialist focuses exclusively on diagnosing and treating shoulder conditions and injuries. Unlike a general orthopedist, these physicians complete advanced fellowship training dedicated to shoulder care. With this focused expertise, a specialist applies precise, evidence-based techniques that improve accuracy, speed recovery, and enhance long-term shoulder function.

Yes, shoulder injections are a safe and effective option, especially when administered by specialists. Using advanced image guidance, our specialists deliver the medication precisely to the affected area. This targeted technique reduces inflammation and relieves pain more efficiently.

Recovery time after shoulder surgery varies depending on your procedure, age, and overall health. Some patients regain movement within a few weeks, while others recover more gradually as the shoulder strengthens and flexibility improves. However, to support this progress, our specialists guide you throughout the process to help you heal safely and return to normal activity.

Shoulder surgery is generally safe when performed by experienced specialists. Although complications are uncommon, minor issues such as infection, stiffness, or temporary nerve irritation can occur. Our team minimizes these risks through precise techniques, sterile practices, and careful monitoring before and after surgery to support a safe and smooth recovery.

Yes, untreated shoulder pain can worsen over time. Ongoing inflammation may weaken tendons and restrict motion. As pain increases, you may adjust your movements to avoid discomfort, which can lead to increased strain on your shoulders. Therefore, it’s important to seek timely evaluation and begin appropriate shoulder pain treatment to prevent lasting damage and restore normal shoulder function.

No, not every torn rotator cuff needs surgery. Minor tears often heal with therapy, rest, and targeted injections. However, larger or persistent tears may require surgical repair to restore strength and motion. Therefore, our specialists carefully analyze your condition to determine the best treatment approach based on your tear, symptoms, and activity level.

Yes, many failed shoulder surgeries can be successfully repaired. Our specialists start by determining the specific problem with the previous procedure using advanced imaging and evaluation. Once the issue is identified, a revision surgery is performed to correct stiffness, instability, or ongoing pain. This approach helps restore smooth motion, shoulder strength, and lasting stability.

Arthroscopic shoulder surgery uses small incisions and a camera to repair damage with minimal tissue disruption. Because this approach is less invasive, recovery is typically faster and scarring is limited. Open surgery, on the other hand, involves a larger incision and is often required for complex repairs.

You can find a qualified shoulder doctor near you at Total Orthopedics & Sports Medicine. Our fellowship-trained specialists serve patients across New York, Long Island, and New Jersey. Each location offers advanced diagnostics and expert treatment for shoulder pain or injury. Book an appointment online or call 853-321-6784 to schedule your consultation today.