What can you do before shoulder arthroscopy ?

Question

What is the recovery time for shoulder arthroscopy?

Answer 1

Clarification needed: Do you mean to prevent the need for surgery? Or pre-operatively? To prevent surgery I have personally used prolotherapy to help my patients avoid surgery.

Answer 2

Other treatment: You can try physical therapy, anti-inflammatory medication, or a cortisone injection depending on the reason for your pain.

Answer 3

Shoulder arthroscopy: Ensure that all your muscles --both scapular and cuff musculature are firing in synchrony. May want to go over the list of exercises you will be performing with your physical therapist post op and have some sense of what it is like to use a sling. Educate yourself about the anatomy of the shoulder so you have better understanding of what is being repaired and/or removed.

Answer 4

Lots: Physical therapy. Cortisone injections. Anti inflammatories. Ice. Activity modification. Massage.

Answer 5

MRI findings: The MRI or mr arthrogram is usually done before considering performing an arthroscopy. This will show certain pathology that may be amendable to surgical arhtroscopy. Findings include tears of the rotator cuff or tears of the labrum most commonly.

Answer 6

After failed therapy: For most shoulder injuries or conditions, surgery is an option, but only after an adequate amount of time has been allowed for the condition to resolve, and conservative treatment with physical therapy, anti-inflammatory medication and activity modification have been tried. However, surgery might be the best option for painful rotator cuff or cartilage tears, instability, or impingement.

Answer 7

Depends......: Typically the decision for surgery is made by most patients when the level of pain and debility is no longer tolerable despite allowing the appropriate time for healing and also no improvement with a well designed conservative management program. Shoulder arthroscopy is only one tool available and it is always most important to establish a clear and correct diagnosis first and then the treatment.

Answer 8

Shoulder arthroscopy: Immediate needs for a shoulder arthroscopy could be a septic (infected) joint, a history of recurrent shoulder instability (repeated shoulder dislocations and/or subluxations) with associated labral tearing, mechanical locking from floating loose bodies, painful and weak arc of motion with an associated full thickness rotator cuff tear. These are but a few reasons to have a shoulder arthroscopy.

Answer 9

Surgery: Shoulder arthroscopy is a minimally invasive surgery done with very small incisions, through which instruments and cameras can be placed to perform procedures on the shoulder including rotator cuff repair, bone debridement/shaving, and clean up of the subacromial space. Depending on the procedure performed, you may require immobilization and/or therapy after surgery.

Answer 10

Usually very minimal: The standard risks of any procedure are possible, such as: infection, nerve or vessel damage, and clot. These potential complications are rare and occur generally less than 1% of the time. Other procedure/disease specific complications may include persistent pain, stiffness, weakness, and a need for further surgery. Discuss your surgery thoroughly with your surgeon.

Answer 11

Pain and stiffness: The most common complications of shoulder scopes would be pain and stiffness, or a frozen shoulder. Good post-op therapy should help prevent this. Other less likely complications include nerve injury about the shoulder, infections, and anesthesia reactions. Relative complications include failure of surgical repair or recurrent tears.

Answer 12

Pain and stiffness: The most common complications are pain and a failure to return to your prior full range of motion. General surgical complications, such as infection, bleeding (hematoma formation), or damage to surrounding nerves or blood vessels are all possible but occur less commonly with arthroscopic surgery. Other possible complications depend on what procedure you are having done with the arthroscopy.

Answer 13

Depends: As a rule of thumb, failure of surgery to fix the problem is usually the number one complication. Infection, nerve, or vessel injury is another complication. The good news is that these complications are relatively rare when it comes to shoulder arthroscopy.

Answer 14

Several: Overall rate recently reported 4.6-10.6%; comps include nerve traction injuries, spinal or cerebral ischemia (rare but serious), complications from nerve blocks, chondrolysis or other cartilage injury, nerve injury, infection, blood clots (dvts); other issues are repair failures/re-tears, postop stiffness (frozen shoulder)... Overall they are safe, most comps are transient; talk to your surgeon.

Answer 15

More Information: Along with the other excellent answers, here is more information on this topic for you: http://www.Theshouldercenter.Com/shoulderpain/2010/shoulder-surgery/shoulder-surgery-complications-an-ounce-of-prevention/.

Answer 16

See below: Complications can include nerve injury, failure of repair, persistent pain, blood clot, anesthesia complications, infection. All of these are very rare but surgery is surgery an there is no way to eliminate risk. E can just work hard to minimize it as much as possible!

Answer 17

None: Shoulder arthroscopy is performed when the surgeon feels, based on the history, physical exam, x-ray and advanced imaging that conservative treatment has failed or is futile. If you get to that point there are no alternatives to surgery. You always have the option of no surgery, but then the most likely result will be continued symptoms.

Answer 18

Shoulder Arthroscopy: It depends what the shoulder arthroscopy is treating. Some shoulder issues can be treated without surgery by doing therapy and or injections. Some shoulder surgeries are done with open incisions instead of through a scope. The advantages of arthroscopic shoulder surgery are: smaller incisions and usually a faster recovery.

Answer 19

Alternatives : Alternatives to shoulder arthroscopy are dependent on what your shoulder problem is. You can try physical therapy, injections, and anti-inflammatory drugs. However if you have significant pathology in the shoulder then these may just be temporary relief measures.

Answer 20

Diagnosis?: This really depends on the diagnosis and the reasons you are contemplating having an operation. Rest, activity modification, and rehabilitation are possibilities depending on the specifics of your case. You can learn more here: http://www.Theshouldercenter.Com/shoulder-specialist.Htm.

Answer 21

Shoulder arthroscopy: Alternatives include pt, massage, acupuncture, chiropractic art and a thorough work up of the neck and chest. An injection can be performed as well if pain is refractory to a nsaid.

Answer 22

Depends: This is an open ended question. Really depends on what you are treating. If for a torn rotator cuff, nothing outside of surgery will heal the tendon. These other modalities mentioned can help with pain but will not fix the tear. If dealing with just inflammation/bursitis/tendonitis/ would agree with other nonoperative modalities as first line of treatment.

Answer 23

Many: Injection, physical therapy, ice, activity modification, anti-inflammatories, massage, acupuncture. Ultimately, certain types of pathology are best treated with surgery. Find a shoulder specialist to evaluate and treat you! don't be afraid to see a couple of orthopedic surgeons. Make sure you trust the person and that you have confidence in their decision making.

What can you do before shoulder arthroscopy ?

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