How to treat grinding in the shoulder?
Patient: My right shoulder grinds very bad. I always thought I just slept wrong, but I do not think this is the case. I have had 2 cortisone shots in my left shoulder due to sports and my bursa sac. I am only 24, yet have already had arthoscopic knee surgery, too. I guess you can say I am prone. I am just wondering if I should go and get a cortisone shot in my right shoulder. I feel like it is bone on bone, though or maybe loose cartilege. Please help! Doctor: Hello,It is very uncommon to have arthritis in such young age.If you are having such problem again and again in multiple joints then you should have to rule out your problem by having some blood tests like:CBC RA FACTOR ANTI CCP ANTIBODIES TESTS FOR RHEUMATIC DISEASES LIKE ANTI Sm ANTIBODY TEST LIVER AND KIDNEY FUNCTION TESTS  Till then you can have following to have relief:1. Avoid excessive strain during work or play.2. Take help of a physiotherapist.3. Frequent steroid shots in joint is also harmful so please take care.4. Take some joint supplements like glucosamine and chondroitin to help your joint cartilage. Hope I have answered your question. Let me know if I can assist you further.  Regards, Dr. Mukesh Tiwari, Orthopaedic Surgeon