Covington Orthopedic and Sports Medicine Institute provides both non-surgical and surgical treatment for shoulder conditions resulting from injury or trauma, as well as the treatment of chronic shoulder disorders which produce pain, limiting range of motion, or contributing to shoulder instability. The more common causes of shoulder conditions are the result of injury, trauma, excessive range or repetitive shoulder motion, or excessive or repetitive shoulder motion frequently associated with sports activities. Repetitive occupational movement, particularly overhead movement can also lead to should conditions.
Proper diagnosis of shoulder injuries and conditions, as well correct treatment such as physical therapy are necessary to assure correct function of the shoulder joint into the future. Inadequate treatment may result in stiffness, limitation of motion – as in frozen shoulder – or improperly healed muscle, tendon, ligament, and soft-tissue leading to chronic pain or increased frequency of dislocation of the shoulder joint.

Shoulder Injuries

Shoulder Burners and Stingers
Characterized by a surge of pain traveling from the shoulder down to the hand – in a burning or stinging sensation – burners and stingers are the result of an applied force driving the individual’s head downward and sideways away from the shoulder. This forced, stretching head motion impinges on the surrounding nerves supplying the upper arm. Contact sports and injury are the leading causes of burners and stingers.
Rotator Cuff Tear
The covering composed of both muscle and ligament securing the head of the upper arm bone (humerus) into the shoulder socked is known as the rotator cuff. The rotator cuff is susceptible to tearing as a result of overuse sustained for a period of years, as well as injury, trauma, fracture, and dislocation. Rotator cuff tears can result in either acute or chronic pain. Athletes, weightlifters, and workers participating in activities with a great range of shoulder motion – or overhead shoulder motion in particularly – are susceptible to rotator cuff tears. The frequency of tears among individuals in excess of forty years of age increases.
Dislocated Shoulder
A shoulder dislocation is the result of the head of the upper arm bone (humerus) becoming either partially (subluxation) or entirely dislodged from the shoulder socket (glenoid). Resulting symptoms may include painful shoulder spasms, shoulder swelling, shoulder numbness, shoulder weakness, and bruising. More aggressive shoulder dislocations may also result in ligament tears, tendon tears, shoulder nerve damage, and damage to the shoulder socket’s soft fibrous tissue rim (Labrum). Many dislocations are the result of sustained wear on the cuff through lifting and repetitive motion. Accurate diagnosis – including the identification of tendon, ligament, nerve and tissue damage – as well as the cause and direction of the dislocation are important factors in determining the best course of treatment. Improper or insufficient treatment may lead to shoulder instability; the propensity for additional dislocations.
Chronic Shoulder Instability
As the shoulder’s rotator cuff muscles, ligaments, and tendons are loosened or weakened through wear, damaged by injury, tear, or dislocation they may become less effective in keeping the upper arm bone correctly seated in the shoulder socket. Dislocation of the shoulder can increase in frequency, or dislocation may result from less range or frequency of motion, or milder injury than initially experienced producing a dislocation. This ongoing reduction in the shoulder’s capacity to correctly confine the humerus within the rotator cuff is referred to as chronic shoulder instability.
Shoulder Joint Tear
As much as fifty-percent of the shoulder socket is comprised of a soft fibrous tissue (labrum), which aids in securing the upper arm bone in place. The shoulder’s range of rotational motion and use in activities and repetitive motion, as well as susceptibility to acute injury and trauma can expose the labrum to tissue damage and tears. Continued wear through athletics or weightlifting can increase the likelihood of labrum damage.
Shoulder Impingement
An impingement of the shoulder is a common condition producing a painful limit to the range of shoulder motion. The shoulder impingement condition is the result of the front edge of the shoulder blade compressing against the rotator cuff during shoulder motion or rotation.
Frozen shoulder
Frozen shoulder produces pain and stiffness, as well as a limitation in the shoulder joint’s range of motion. The condition is the result of the thickening and shortening of the muscles, ligaments, or tendons (contracture) of the shoulder joint’s rotator cuff and is associated with aging, and in some cases, failure to employ physical therapy for the shoulder joint following the treatment of a condition or injury.


Covington Ortho has the happiest patients in the Greater New Orleans North Shore Market

The staff were absolute angels. They were very friendly and informative. I definitely recommend that anyone needing care to go to the first, you’ll be glad you did. They are really concerned about getting you better.

Mark Flaugher

7 months ago

Dr Bonvillain and his staff did an amazing job leading up to and after my surgical procedure. Dr Bonvillain did not hesitate to take on my complex foot and ankle case and the results exceeded my expectations as I am now pain free. If you have foot and ankle problems, the choice is easy. Go see the only board Certified and Fellowship Trained Orthopaedic Surgeon on the Northshore, Dr. Bonvillain!

Jeremy James

A year ago

Just have to say how pleased I am with Dr. Darr and all the staff. In September, after years of putting it off, I had total knee replacement. It went very well and so well in fact that I decided to get the other knee replaced in December. This procedure actually came out even better than the first.

My physical therapist says that I am a poster child for knee replacement. I owe it all to the skill of Dr. Darr and his caring staff. I highly recommend him.

Frank Good

10 months ago

I have received care from Covington Orthopedic for over ten years and have never failed to be impressed by the smooth running of the office and the care received from the medical staff. My provider, Dr. Reiss Plauche, and his nurse, Michelle, are a dream team. Dr Plauche is very personable and so easy to talk to. He takes his time with you and does an excellent job of explaining what is causing your problem and the options to treat it. He surgically repaired a torn meniscus in my knee in August 2019 and had me up and running in time to take a two week vacation at the end of September. Michelle went out of her way to get me scheduled for physical therapy to make sure I was in shape to enjoy that vacation. They are the absolute best of the best and so obviously care deeply about their patients.

Lauren Michaud

5 months ago

I love the Dr’s and staff at Covington Orthopedic. Your always greeted with a warm comforting welcome and a smile. The nurses treat you with compassion and kindness. The X-ray tech is always patient when your hurting and having difficulty holding a position. Finally I love Dr. Rolling. Not only does he treat you for your physical movements, but he always encourages a better healthy lifestyle, such as exercise and eating habits. He cares about your overall health. I am confident that my quality of life is much better because of the Dr’s and staff at Covington Orthopedic Clinic !!

Joe Jarrell

6 months ago