What to Expect · Atlanta, GA

Your first shoulder appointment, step by step

Not knowing what a first appointment involves can make it more stressful than it needs to be. Here's a clear walkthrough of what happens when you see one of our Atlanta network physicians for shoulder pain.

6
Atlanta physicians
1
visit to evaluate
Ultrasound
confirms diagnosis

The Procedure

If TenJet® comes up in that conversation

It's one of the minimally invasive options your physician may mention. Manufactured by HydroCision, Inc., it's designed to treat degenerated rotator cuff tendon tissue in an office setting, using the same ultrasound imaging from your evaluation to guide the procedure itself.

Same ultrasound technology used for diagnosis guides the treatment
A high-pressure saline jet removes only the damaged tissue
Built-in suction clears debris immediately
Local anesthesia — no operating room
Widely covered by insurance, including Medicare
Full technical details at hydrocision.com →
The TenJet device's 12-gauge needle tip, used to selectively resect diseased rotator cuff tendon tissue
The TenJet needle tip: a dual-lumen, 12-gauge device that delivers a high-pressure saline jet while suction clears debris. Image courtesy of HydroCision.

Watch the Procedure

Official shoulder technique video from HydroCision, the manufacturer of TenJet. May include clinical imagery. Watch on YouTube.

What to Expect

Your visit, step by step

1. Intake and history

You'll describe when the pain started, what makes it worse, and what you've already tried.

2. Physical examination

The physician will test your shoulder's range of motion and strength to narrow down the likely cause.

3. Imaging if needed

Ultrasound is commonly used to directly visualize tendon tissue and confirm tendinopathy versus other causes.

4. Treatment discussion

You'll review the full range of options together, from conservative care to minimally invasive procedures.

Speak Directly With Each Physician's Office
Call the office below that matches the specialist you'd like to see.
CC
Dr. Clay Charles Guynn, DO
Sports Medicine & PM&R
Northside Hospital Orthopedic Institute
(770) 795-5620
MS
Dr. Matthew Simmons, MD
Non-Operative Orthopedics
Northside Hospital Orthopedic Institute
(770) 758-5059
KK
Dr. Kamal Kabakibou, MD
Interventional Pain Medicine
Center for Pain Management, Atlanta
(404) 882-9778
EO
Dr. Efosa Ogiamien, MD
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
OH
Dr. Omar Hajmurad, MD
Interventional Pain Medicine
OlympusMD Pain & Wellness
(770) 629-9023
UN
Dr. Usker Naqvi, MD, MS
PM&R & Spine
Resurgens Orthopaedics, Covington & Decatur
(404) 856-3706