Shoulder and elbow problems are a little bit different. You're not visibly limping when you have a shoulder or an elbow problem, but it's a quality of life issue. And night pain is a huge issue in shoulder problems. People don't sleep, their personality changes, they've stopped working out, or they've stopped doing something they love. So I try to educate them on why this may be happening and set up a treatment plan for them. Now the vast majority of people I see, we can get better with conservative management, but we give them the surgical options also. We can always improve our conservative management, our surgical technique, our surgical results. And at Midwest Orthopaedics at Rush, we have a tremendous translational research program where what we're doing in the bench lab, we can translate to the operating room - to the patient - but at the same time we're always clinically following our patients. So if we find a technique or result that's better than something else we can always improve. For me that's the satisfaction of it, to get somebody back and give them the options to do what they want to do, not this is the only thing you can do but to get back to do what they want to do.
Dr. Gregory Nicholson, MD is an orthopedic surgery doctor who practices in Westchester, IL. He is 57 years old and has been practicing for 31 years. Dr. Nicholson is affiliated with Rush Oak Park Hospital and Rush University Medical Center.