Concerned about surgery? Ask your doc specific questions

DEAR DR. GOTT: I am an active 50-year-old man with chronic shoulder pain. My doctor, a sports-medicine surgeon, wants to remove the bursa sac and maintains that the sac is not necessary. Because I would like to remain active — especially in the gym — I am quite skeptical.

DEAR READER: A bursa is defined as a small, fluid-filled sac whose purpose is to reduce friction between bodily tissues. There are 160 bursae throughout the body, all of which are located in areas of large joints, such as the knees, elbows, hips and shoulders.

 The main symptom of bursitis of the shoulder is severe pain, primarily on movement. Causes include arthritis, infection, injury to the site or, most likely in your case, overuse.

Symptoms are commonly treated by resting the affected joint, and with cold packs, anti-inflammatory over-the-counter medications, heat once any swelling disappears and antibiotic therapy for infection. Some cases don’t respond to simple treatment and require aspiration of the bursa fluid. This procedure is commonly performed in a physician’s office and may be followed by a cortisone injection into the affected area.

When inflammation in the subacromial bursa adds to pain experienced, the lubricating sack is often removed by a surgeon in a procedure known as bursectomy or debridement. Generally speaking, recovery is rapid, because range-of-motion exercises are begun soon after surgery in an attempt to accelerate rehabilitation.

Now comes the difficult part. You need to sit down with your specialist and explain that you want to remain physically active. Determine how long you might anticipate the recovery period to last and whether there will likely be any unwanted side effects. Your surgeon knows your case and should be able to predict the outcome based on your general health. Ask whether he plans to do arthroscopy, which will be less invasive and require less recuperation rather than make a larger incision, which will take longer to heal. You might also feel more comfortable requesting a second opinion.

To provide related information, I am sending you a copy of my Health Report, “An Informed Approach to Surgery.†Other readers who would like a copy should send a self-addressed stamped No. 10 envelope and a $2 check or money order to Newsletter, PO Box 167, Wickliffe, OH 44092-0167. Be sure to mention the title or print an order form off my Web site at AskDrGottMD.com.

Peter Gott practiced medicine in Lakeville for 40 years.

Latest News

A new life for Barrington Hall

A new life for Barrington Hall

Dan Baker, left, and Daniel Latzman at Barrington Hall in Great Barrington.

Provided

Barrington Hall in Great Barrington has hosted generations of weddings, proms and community gatherings. When Dan Baker and Daniel Latzman took over the venue last summer, they stepped into that history with a plan not just to preserve it, but to reshape how the space serves the community today.

Barrington Hall is designed for gathering, for shared experience, for the simple act of being together. At a time when connection is often filtered through screens and distraction, their vision is grounded in something simple and increasingly rare: real human connection.

Keep ReadingShow less

Gail Rothschild’s threads of time

Gail Rothschild’s threads of time

Gail Rothschild with her painting “Dead Sea Linen III (73 x 58 inches, 2024, acrylic on canvas.

Natalia Zukerman

There is a moment, looking at a painting by Gail Rothschild, when you realize you are not looking at a painting so much as a map of time. Threads become brushstrokes; fragments become fields of color; something once held in the hand becomes something you stand in front of, both still and in a constant process of changing.

“Textiles connect people,” Rothschild said. “Textiles are something that we’re all intimately involved with, but we take it for granted.”

Keep ReadingShow less

Sherman Players celebrate a century of community theater

Sherman Players celebrate a century of community theater

Cast of “Laughter on the 23rd Floor” from left to right. Tara Vega, Steve Zerilli, Bob Cady (Standing) Seated at the table: Andrew Blanchard, Jon Barker, Colin McLoone, Chris Bird, Rebecca Annalise, Adam Battlestein

Provided

For a century, the Sherman Players have turned a former 19th-century church into a stage where neighbors become castmates, volunteers power productions and community is the main attraction. The company marks its 100th season with a lineup that blends classic works, new writing and homegrown talent.

New England has a long history of community theater and its role in strengthening civic life. The Sherman Players remain a vital example, mounting intimate, noncommercial productions that draw on local participation and speak to the current cultural moment.

Keep ReadingShow less
google preferred source

Want more of our stories on Google? Click here to make us a Preferred Source.

Reimagining opera for a new generation

Reimagining opera for a new generation

Stage director Geoffrey Larson signs autographs for some of the kids after a family performance.

Provided

For those curious about opera but unsure where to begin, the Mahaiwe Theater in Great Barrington will offer an accessible entry point with “Once Upon an Opera,” a free, family-friendly program on Sunday, April 12, at 2 p.m. The event is designed for opera newcomers and aficionados alike and will include selections from some of opera’s most beloved works.

Luca Antonucci, artistic coordinator, assistant conductor and chorus master for the Berkshire Opera Festival, said the idea first materialized three years ago.

Keep ReadingShow less
BSO charts future amid leadership transition and financial strain

Aerial view of The Shed at Tanglewood in Lenox, Massachusetts.

Provided

The Boston Symphony Orchestra is outlining its path forward following the announcement that music director Andris Nelsons will step down after the 2027 Tanglewood season, closing a 13-year tenure.

In a letter to supporters, the BSO’s Board of Trustees acknowledged that the news has been difficult for many in its community, while emphasizing gratitude for Nelsons’ leadership and plans to celebrate his final season.

Keep ReadingShow less
A tradition of lamb for Easter and Passover

Roasted lamb

Provided

Preparing lamb for the observance of Easter is a long-standing tradition in many cultures, symbolizing new life and purity. For Christians, Easter marks the end of Lenten fasting, allowing for a celebratory feast. A popular choice is roast lamb, often prepared with rosemary, garlic or lemon. It is traditional to serve mint sauce or mint jelly at the table.

The Hebrew Bible suggests that the last plague God inflicted on the Egyptians, to secure the Israelites’ release from slavery, was to kill the firstborn son in every Egyptian home. To differentiate the Israelites from the Egyptians, God instructed them to mark their doorposts with the blood of a lamb. Today, Jews, Christians and Muslims generally believe that God would have known who was Israelite and who was Egyptian without such a sign, but views of God’s omnipotence in the Abrahamic faiths have evolved over the millennia.

Keep ReadingShow less
google preferred source

Want more of our stories on Google? Click here to make us a Preferred Source.

google preferred source

Want more of our stories on Google? Click here to make us a Preferred Source.