Dr Marouane Hand to Shoulder

Tendon pain can improve before the tendon has fully regained its ability to handle load.
So if you return to the same activity too quickly, the pain may come back.
Recovery is not just about getting rid of pain. It is also about gradually rebuilding tendon strength and load tolerance.

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Calcific tendonitis is not always just about the calcium deposit.
The tendon around it can also be inflamed or damaged, which is why treatment needs to be based on the condition of the whole shoulder.
PRP may have a role in selected patients, depending on what is driving the pain.

A normal MRI can be reassuring, but it does not always explain why your shoulder hurts.
Sometimes, the answer becomes clearer when we look at the full picture, how the shoulder moves, where the pain occurs and what the clinical examination shows.

Because treating shoulder pain starts with understanding the problem, not just reading the scan.

Not every painful wrist has the same underlying problem.
Some wrists become painful because the joint is wearing and stiffening. Others remain painful because the ligaments are no longer controlling the joint properly.
That distinction matters because the treatment pathway can be completely different.
My priority is to identify whether the problem is degenerative, ligament-related, or mechanically unstable before deciding what comes next.
A good wrist treatment plan starts with understanding the mechanics.

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To every young doctor still finding their way through medical training and surgical residency, remember that expertise is built slowly.
The long hours, difficult cases, mistakes, feedback, and constant learning are all part of becoming a confident specialist.
You may feel like you still have a very long way to go. But keep going. One day, the knowledge you are building today will become the expertise someone else trusts tomorrow.

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Pain can be very specific, but the diagnosis often requires a wider look.
When I assess shoulder or elbow pain, the aim is not simply to name the painful area. It is to understand which structure is actually responsible and why it is being overloaded or irritated.
That distinction matters because tendon problems, joint problems and mechanical issues are not treated in the same way.
The right treatment starts with the right diagnosis.
Watch the reel to understand how I approach shoulder and elbow pain before deciding on treatment.

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