Shoulder Specialists

Shoulder Injuries in Frisco, TX

Shoulder pain is most often the result of injury or arthritis of the shoulder.  Because most shoulder injuries and arthritis occur in the joints, ligaments, and tendons, we recommend you consult one of our orthopaedic surgeons when experiencing pain or discomfort of the shoulder.  The orthopaedic team at Performance Orthopaedics and Sports Medicine has the experience and expertise to properly diagnose and treat injured shoulders.

Types of Shoulder Injuries

There are many different types of shoulder injuries; however, there are a few that are more common than others. 

Common types of shoulder injuries are:

  • Rotator Cuff Tears
  • Biceps Tendon Rupture
  • Bankart Lesions
  • Superior Labrum from Anterior to Posterior (SLAP) Lesions

Many of these injuries can occur from long-term overuse, such as repetitive lifting, pushing, pulling, and throwing.  For this reason, athletes and skilled workers are particularly prone to shoulder injuries.

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Rotator cuff injuries are a very common sport-related injuries, especially in sports that require repetitive overhead arm motions.  The group of muscles and ligaments in the shoulder is called the rotator cuff.  This cuff is located near the underside of the shoulder blade and provides stability and range of motion to the joint whenever it moves.  Symptoms may show up immediately or gradually, depending on the extent of the injury.

Symptoms of Rotator Cuff Tears can include:

  • Pain
  • Weakness
  • Tenderness in the shoulder when reaching overhead or behind the back and when pulling and lifting items.

A Bicep Tendon Tear can occur from lifting heavy objects, falling on an outstretched arm or playing contact sports.  The bicep tendon attaches the bicep muscles to the shoulder, providing leverage for lower arm movement.

Symptoms of Bicep Tendon can include:

  • Pain
  • Swelling
  • Weak Muscle Movements

A Bankart lesion tear is a common cause of instability in the shoulder.  This kind of tear can occur from:

  • Dislocation
  • Stress from Overhead Activities (like playing tennis)

Symptoms of a Bankart Lesion tear often include:

  • Instability and aching
  • Repetition of the dislocation or a catching sensation

A Superior Labrum from Anterior to Posterior (SLAP) lesion tear is usually seen in athletes required to throw things overhead, such as baseball players and tennis players.  An injury to this part of the body typically happens due to overuse, trauma, and accidents like falling onto an outstretched hand.

Symptoms of a SLAP lesion include:

  • Pain and soreness in the front of the shoulder when bending the elbow or turning the wrist
  • A click or snap with the movement of the shoulder and it may feel like the shoulder is being dislocated

Arthritis, or inflammation of the joint, affects millions of people every year. If you are experiencing painful, stiff, or swollen joints, you may have arthritis.  Our orthopedists have extensive experience treating arthritis patients and can give you relief from shoulder pain.

There are three types of arthritis that generally affect the shoulder. They are:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Post-traumatic arthritis

Osteoarthritis, the most common form of arthritis, results in the wearing out of the cartilage that protects the joints. Once cartilage is damaged or destroyed, it cannot be repaired or replaced.  Cartilage wears away over time as we age, and if it wears away completely, the exposed bone in the joint can be quite painful when moved or when bearing weight.  We cannot cure this disease, but we can help you experience relief from pain and increased range of motion.  Osteoarthritis may be the result of:

  • Injury to the joint
  • Excess body weight
  • Years of wear and tear on the joint cartilage

Common symptoms for Osteoarthritis of the shoulder can include:

  • Severe, grinding pain that limits movement
  • Pain that causes sleeplessness
  • Chronic swelling
  • Morning stiffness
  • Locking of shoulder

This type of arthritis is an inflammatory condition where the body’s immunological system attacks healthy tissue and destroys it.  When rheumatoid arthritis is present in the shoulder, the cartilage is not being provided with enough lubrication and nourishment. This leads to loss of motion and pain.

Post-traumatic arthritis is a form of osteoarthritis that occurs after an injury like a fracture, a dislocation, or a rotator cuff tear.

Shoulder Treatments

  1. Some treatments may include physical therapy, bracing, or injections.  If conservative treatments have not improved your condition to a satisfactory level, shoulder surgery may be necessary.  If you choose to explore shoulder surgical treatments, our highly-trained orthopaedic doctors will take great care in explaining surgical shoulder procedure options such as:
    • Minimally-Invasive Surgery
    • Arthroscopic Surgery
  2. Additional Orthopaedic Conditions Include:
    • Knee
    • Hip
    • Hand and Wrist
    • Elbow
    • Foot and Ankle

Wonderful Client Feedback

Dr. Diehl always listens and takes the most conservative approach for the injury rather than surgery first. He’s taken care of several of my sprains & falls. Highly recommend.


I really like Dr. Maurer. He is so down-to-earth and honest. I’ve learned to trust his advice and guidance because he cares about his patients.


Scheduling was quick, office staff was friendly and efficient and nurse and x-ray tech were friendly and thorough. Dr. Lessner was prompt and friendly. He made us feel comfortable and explained everything clearly and thoroughly.


This has been one of the best medical care experiences I’ve had, from our initial consultation to post-op visits to physical therapy. Dr. Diehl and his team are a very caring, friendly, and professional group. I had a left knee injury (meniscus and ACL tears). Thank you!!


Very impressed with Dr. Lessner. Very thorough and listened to me. He gave me multiple treatment options and involved me in the decision making. Highly recommend!


Dr. Diehl was very kind and caring. I don’t think there is a person in this office who is not professional and personable. They go above and beyond for their patients.