Saturday, April 13, 2024

3 Months After Shoulder Surgery

First 12 Months After Surgery

JAKE MARSHALL back in the water after 3 months recovering from shoulder surgery

Your shoulder will still be healing even a year after surgery, so its important to be cautious and take steps not to re-injure your shoulder. Youll be able to perform regular activities around the house and at work and return to sports activities, but dont push yourself too hard. Ask your physical therapist if youre not sure if you can safely perform an activity.

What Are The Symptoms Of A Rotator Cuff Tear Or Injury

Rotator cuff tear symptoms include the following.

  • Immediate pain: A single injury causes an acute rotator cuff tear. You will likely be able to pinpoint the exact injury because it will involve a quick, sharp pain in the shoulder. Heavy lifting and falls are common causes of an acute tear.
  • Dull pain: In cases of rotator cuff tears that happen as a result of overuse, you likely won’t be able to isolate one incident that started the pain. Instead, you will probably notice a continuous, dull ache in your shoulder.
  • Pain while lying down: Whether acute or the result of repetitive motion, most rotator cuff injuries come with pain while lying down on the affected shoulder. You may notice this pain while you are trying to fall asleep.
  • Weakness and restricted range of motion: Weakness in the affected arm is another of the common torn rotator cuff symptoms. Injury to the rotator cuff can make it difficult to move your arm in different positions. These muscles and tendons play a significant role in allowing you to move your arms above your head. If you have this type of injury, you may find it difficult to perform simple tasks that involve lifting and rotating the affected arm.

Timing Of Retears At Different Follow

The elapsed time between the RC repair and follow-up of structural integrity examination by diagnostic imaging ranged from 1month to 60months . The percentage of RCR after surgery was 15% at 3months follow-up , 21% at 36months follow-up , 16% at 612months follow-up , 21% at 1224months follow-up , 16% at follow-up longer than 24months .

Fig. 2

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How Much Therapy Should I Have After Surgery

Your surgeon can answer this since they are the ones who know how much work had to be done to repair the tendons. The doctors can prescribe therapy based on the work done during the operation. If more than one tendon had to be repaired or if the tendon tear is a big tear, the surgeon may recommend that the therapy progress slower to allow more time for healing on the other hand, if the tear is small, they may allow a little more motion earlier than usual after the surgery.

Talk To A Doctor About Rotator Cuff Surgery

Pain After Arthroscopic Shoulder Surgery

If youre struggling with shoulder pain and cant find relief, its time to talk to a doctor. Letting an injury go untreated may only make it worse in the future. An orthopedic specialist can help you understand the extent of your injury and find a treatment plan that works best for youwhether it involves surgery or not.

At Florida Medical Clinic, our orthopedic doctors are dedicated to creating individualized plans for each patient that maximize positive outcomes and minimize recovery times. Orthopaedic surgeon Dr. Casey Gaskins specializes in advanced, minimally-invasive shoulder surgical techniques with shorter recovery times so that patients can spend more time doing the activities they love, pain-free.

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Basics Of Failed Shoulder Surgery And Revision Shoulder Surgery

A shoulder surgery has failed when it does not achieve the expectations of the patient and the surgeon. Failure can result from stiffness, weakness, instability, pain or failure to heal, and from complications such as infection or nerve injury. Every surgery has a risk of failure whether it is an operation for dislocation, rotator cuff tear, arthritis or fracture. Because fracture fixation, Bankart repairs, rotator cuff repairs, shoulder joint replacements and reverse total shoulders are performed commonly, a substantial number of patients have experienced these failures.

The evaluation begins with a history of the shoulder problem starting before the surgery, a review of the report from the surgery, a physical examination, high quality X-rays, and a complete assessment of the overall health of the patient. This evaluation enables the experienced revision shoulder surgeon to discuss the different treatment options with the patient, including the potential risks and benefits.

Revision shoulder surgery is rarely an emergency. Substantial thought should go into considering the pros and cons of additional surgery and when and where it can be best performed.

Data Collection And Analysis

Studies selection process

After duplicates removal, two reviewers performed the titles and abstracts screening independently. The subsequent screening of the full-texts was carried out separately by the same two reviewers to examine in detail if studies met the inclusion criteria in case of disagreement, a third reviewer made the final decision. The reference list of the included studies was manually screened to retrieve additional studies, not resulting in the first search.

Data extraction

Data extraction was performed independently by two authors using a predetermined checklist. The following data were extracted from studies that met the inclusion criteria: first author and year of publication, study design and level of evidence, randomization groups, basic patients demographic information , postoperative rehabilitation protocol, i.e., immobilization and correspondent duration , beginning of passive ROM , active assisted ROM , full active ROM , strengthening exercises , surgical technique , preoperative tears size according to Cofield classification as small , medium , large , massive , RC repair , diagnostic imaging tools , number of patients undergoing postoperative diagnostic imaging and follow-up , number of retears either in each single randomization group than overall and correspondent retear rate, fatty infiltration of cuff muscles before surgery.

Risk-of-Bias assessment

Data analysis and statistical methods

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Manage Your Symptoms On A Daily Basis To Prevent Re

It’s simple to manage long-term health of your shoulder with conservative treatment methods that can be used in the comfort of your own home. If you’re looking for an all-natural form of pain management and long-term recovery solution for long-lasting relief, seriously consider the benefits of incorporating the Shoulder TShellz Wrap into your treatment plan.

A Cold Therapy can help you to decrease post-operative pain and swelling while also managing any pain from occasional inflammatory flare-ups . Consistent treatment with a Cold Compress or Ice Pack will effectively reduce your inflammation, draw the pain out of your shoulder and gently numb the nerve endings in your tissue for rapid, long-lasting pain relief.

During your last few stages of rehabilitation, while you’re undergoing PT and focusing on improvements to your range of motion, it’s important to maintain healthy blood flow in your shoulder. Strong and healthy tissues need a solid local circulatory sytem, and this is exactly what our TShellz Wraps are made for.

Reduced blood flow slows down your recovery process. If your tissue remains in this condition, you’ll always be at risk of a re-injury that will severely set back your healing progress.

Regular treatments with Circulatory Boost will help you increase blood flow for up to 4 hours with just one 20 minute application.

How Much Does Rotator Cuff Surgery Cost

Shoulder surgery rehab (4 weeks post-op)

The price of rotator cuff surgery will depend on several factors. Estimates range from $6,628 to $11,180, but talking to your insurance carrier is the best way to get an accurate estimate for you. The price of the surgery will hinge on variables such as your insurance coverage, your annual deductible, your coinsurance and your out-of-pocket maximum. The cost of the surgery will include the surgeon, anesthesia, imaging, lab tests and the hospital. You could receive separate bills for each of these services. When talking to your insurance company, it can be helpful to reference specific codes related to shoulder arthroscopy. Commonly used codes for arthroscopic rotator cuff repair include:

  • 29821: Shoulder arthroscopy

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How To Prepare For Shoulder Surgery

There are several types of surgery to suit the needs and pain of people. The good thing is that you prepare yourself well for shoulder surgery by bringing specific helpful tools to your homefor instance, a detachable showerhead to clean yourself without touching the affected shoulder area.

A shower chair to be comfortable and safe, mainly because of the pain medication which causes dizziness. You can also buy pumps, soap, pillows, high-fibre food, medicine box, laxatives, bandages, toiletries, etc., to feel more comfortable as you heal.

How Do You Describe The Size Of Tendon Tears

The first way to describe tears of the rotator cuff tendons is whether tears are part of the way through or all the way through the tendon or they can progress to tears all the way through the tendon . Once a tear is all the way through the tendon , the next issue to consider is the size of the hole in the tendon. As the tendons tear more, they can be of any size .

The normal anatomy of the shoulder and rotator cuff tendons are demonstrated in Figure 6. Full thickness tears of the rotator cuff are described as small, medium, large or massive . Since most rotator cuff tendons are about as wide as three of your fingers, a small tear would be one the size of your fingernail or smaller . A moderate size full thickness tear through the tendon would be one that is the size of three fingernails . Usually tears of this size mean the whole tendon width is pulled off of the bone . A large tear is one that would mean the tendon is torn from the knuckle to your fingertip this is called a large or massive tear . It is also possible to tear more than one tendon completely. The size of the tear is very important as it determines the chances that the tendon will heal with surgery.

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Retear Rate And Not Patient

Latarjet Procedure

During these periods, patients compliance with immobilization and prescribed movements should be analyzed . Monitoring patients using wearable technologies could be a plausible alternative if compared to a questionnaire-based investigation . As highlighted previously, tendons healing is strictly associated with factors that surgeons could not handle totally because of dependence from patients biological characteristics, as age, tear size, muscles fatty degeneration, and atrophy. Due to the heterogeneity of the included studies and insufficient available data, a stratified analysis for the determination of the independent effect of each factor was not possible to carry out.

In the last decades, arthroscopic RC repair supplanted previous techniques thanks to progress in surgical and technological instrumentations . Faster recovery and better cosmetic results have been the main reasons to prefer the arthroscopic approach. Further studies also supported good clinical outcomes and a low retear rate . The present investigation did not show statistically significant results comparing the retear rate associated with arthroscopic or open and mini-open RC repair .

Double-row RC repair has been described as biomechanically superior compared with single-row . According to our study, numerous systematic reviews and meta-analyses have shown lower postoperative retear rate after double-row repair.

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When To Use A Shoulder Tshellz Wrap:

  • Once the swelling is gone .
  • BEFORE getting out of bed in the morning. BEFORE going to bed at night.
  • BEFORE exercise, workouts or activity of any kind to increase elasticity of shoulder tendons, ligaments and muscles and decrease the chance of re-injury.
  • AFTER surgery to boost blood circulation, helping surgically repaired tissues rebuild for long-term health and minimize scar tissue growth at the surgery location.
  • Anytime BEFORE you feel you might undertake activity that will put significant strain on the injury area.

Sixth Week To Three Months

This is the full-recovery phase of the patient. This is the time when most people start ignoring their exercise and therapy routine but shouldnt. While you can go back to work, start driving, move things with your arms, etc., it is essential to give complete rest to your shoulders as well.

Also, it is recommended to visit your doctor at least once a month to make sure that your recovery is in full swing. Please note that you must still avoid lifting heavy pounds, participate in sports, and notice any pain at the time of changing weather. This will all help you fully recover from the surgery.

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Getting Started With Your Post

If you have undergone surgery on your rotator cuff injury then your physician will quickly get you on the path to rehabilitation. Now, your desire have your shoulder back to normal, will greatly depend on your rehabilitation efforts. Your injury’s ability to heal will depend on a variety of factors including :

  • your age, overall health and activity level
  • the state of your injury before surgery
  • the type of surgery you have undergone
  • how soon you must return to normal activity

No two rehabilitation plans are alike – The less invasive your surgery is,the quicker your road to recovery will be.

The goal of a rehabilitation plan is to manage pain and swelling while improving function, strength, and range of motion. Ultimately, you will regain strength in your shoulder and rotator cuff tendons to be able to use your shoulder normally and return to full activity. You will most likely spend a lot of time with a physical therapist after your surgery, but as your healing progresses, emphasis will be placed on your personal, at-home treatment. The success of your rehabilitation will depend on your dedication to working with your doctor and physical therapist while also managing your recovery on a daily basis at home.

Have You Found That Your Rotator Cuff Pain Has Really Kicked Up Since You Began Your After Surgery Rehabilitation

4 months post shoulder surgery update – when to start physical therapy

There are reasons for this.

Okay, so its been around three months since you had your rotator cuff surgery, and you now have new-onset pain for seemingly no reason.

And at times, it hurts to high heaven, making you wonder if your surgeon indeed butchered you.

Pain following rotator cuff repair is very common, begins John-Paul H. Rue, MD, orthopedic sports medicine surgeon with Orthopedics and Joint Replacement at Mercy Medical Center in Baltimore, MD.

Most of the time, the normal postoperative pain after rotator cuff repair will diminish within a few days to weeks, continues Dr. Rue.

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Why Is This Patient Having Pain Years After Shoulder Surgery

Posted August 18, 2017

This 61-year-old female presents with right shoulder pain for 2-3 months. She has a history of surgery on the same shoulder 3-4 years prior, and is being evaluated for a rotator cuff re-tear.

Q1 Is the rotator cuff torn?

Q2 What is the name of the sign highlighted by the red arrow on image 1?

Q3 What is indicated by the pink arrows on image 2?

Q4 What is the most likely diagnosis?

Q5 What is the differential diagnosis?

Coronal T2

Coronal T2

A1 The rotator cuff is intact, as highlighted by the green arrows on images 1 and 2, and it has a straight course. No perforation or defects are identified.

A2 The red arrow depicts distention of the subacromial and subdeltoid space containing synovial hypertrophy, a so-called rice body sign of hypertrophic synovial reaction.

A3 The pink arrows on image 2 depict areas of intermediate signal intensity along the margins of the capsule and bursa. The highest of the three pink arrows points to a coalescent area of pannus!

A4 The most likely diagnosis in this 61-year-old female is rheumatoid arthritis.

For more shoulder case review, check out MRI Online.

Are There Options To Manage Shoulder Pain

Pain relievers like aspirin, naproxen, and ibuprofen can ease the pain and swell from your shoulders.

Also, regular exercise and physical help in the restoration of shoulder health and remove the pain. An ice-pack in the area also helps many people. When you regularly follow the steps above, your pain might ease or disappear entirely.

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If Surgery Is Required

Surgery may be neccessary if you have exhausted all forms conservative treatment options and you still find yourself in pain and have limited use of your shoulder for daily activities. You and your doctor may decide to move forward and have you undergo surgery. This will trigger the next chapter of your shoulder recovery journey. Your post surgery rehabilitation efforts will have an important impact on how soon you can return to living and enjoying your normal daily life.

The surgery that your surgeon will recommend for you will depend on the level of your pain and the type of injury to the shoulder and the amount of damage from your physical exams, x-rays and MRI results.

It is always highly recommended that anyone considering surgery always have a clear understanding of the risks as well as the benefits of elective surgery. In addition, one should also be aware of the success rate of the particular surgery in question combined with the post-surgical recommendations that will typically have an impact on your chances of success. As an example, in nearly all cases of rotator cuff repair surgery , immediate postoperative physiotherapy is initiated generally lasting from 12 to 16 weeks. Your surgeon should provide a treatment plan to help you regain normal use of your shoulder as soon as possible.

The rotator cuff surgery to repair a torn rotator cuff muscle or tendon usually involves one or more of the following surgical goals:

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