Dr. Ivan Aguila treats shoulder injuries in Tijuana, starting with a full evaluation and conservative options as the first step.
What it is
Arthroscopic shoulder surgery uses a small camera and fine instruments through small incisions. These are the shoulder conditions treated in consultation:
- Rotator cuff injury: arthroscopic rotator cuff repair.
- Recurrent shoulder dislocation: arthroscopic stabilization of the labrum and joint capsule.
- Subacromial impingement: arthroscopic decompression of the subacromial space.
- Rotator cuff tendinitis: stepped treatment with targeted physical therapy, guided injection and surgery only when necessary.
Common signs to see a specialist
These signs are a reason to see a shoulder specialist:
- Pain lasting more than 3 weeks
- Pain with movement or when lifting
- Catching or the shoulder giving way
- Weakness lifting the arm overhead
- Shoulder stiffness
How it is diagnosed
Diagnosis starts with a detailed history and a physical exam with specific tests of strength, mobility and stability.
Depending on the case, shoulder X-rays and an MRI are requested. Imaging is reviewed in consultation and the plan is decided together with the patient.
Treatment options, conservative first
Every treatment starts with a full evaluation. Before surgery is discussed, non surgical options such as guided physical therapy, activity modification and injections when indicated are considered. Surgery is considered when it is the most appropriate option for that specific case.
Many shoulder problems improve with targeted physical therapy, activity modification and a guided injection when indicated.
When arthroscopic surgery is considered
Arthroscopy is considered when conservative care has not been enough, when dislocations keep happening or when there is a structural injury that requires repair.
The decision depends on the type of injury, the symptoms and each person's activity.
Recovery
Recovery time depends on the procedure, the type of injury and each patient. Dr. Aguila explains the expected timeline in consultation.
FAQ
Does every shoulder problem end in surgery?
No. Many shoulder injuries are managed with targeted physical therapy, activity modification and injections when indicated. A full evaluation defines the plan.
What studies should I bring?
If you already have shoulder X-rays, an MRI or an ultrasound, bring the images and the reports. If you have no studies yet, Dr. Aguila will indicate which ones are needed.
Do you see patients in English?
Yes. Dr. Aguila sees patients in English and Spanish, from the first consultation through follow up.
How do I schedule?
Through WhatsApp at +52 664 283 6582 or on Doctoralia. The office is at Torela, Agua Caliente 9955, Planta Mezzanine, Tijuana.