Doctor insights on:
Shoulder Arthroscopy Debridement
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. ...Read more
Arthroscopic surgery involves looking inside of a joint with a very small camera. The joint is filled with water and the camera is placed into the joint, using small incisions. Most orthopaedic surgeons utilize arthroscopic surgery to treat a variety of conditions, including: meniscal and rotator cuff years, joint infections and inflammation, removal of loose ...Read more
Orthopaedic surgeons: Orthopaedic surgeons treat a variety of musculoskeletal conditions. When the shoulder is affected, arthroscopy is a common operative solution. Physical therapy, nsaid's, and oral/injectable steroids are the initial treatments for many shoulder problems. If non-operative management fails, arthroscopic surgery is the next step. May sure your orthopaedic surgeon is board certified. ...Read more
Edema: After the scope there will be some swelling. As a result popping, snapping or clicking may be present. As time passes this will resolve. ...Read more
General or regional: Shoulder arthroscopy may be done under general anesthesia, meaning that you would be completely asleep. It can also be done with nerve block (interscalene), where local anesthesia numbs the shoulder and sedation is given to help the patient relax and doze off during the procedure. Both are safe in experienced hands, but have different risks and benefits. Discuss with your anesthesiologist. ...Read more
Knots vs knot-less: To fix a rotator cuff tear arthroscopically, you have to do 3 things. 1: identify the torn cuff. 2: mobilize the torn cuff toinge bone. 3: secure the torn tendon to the bone. Arthroscopic suture techniques are used to complete part 3. Suture, with or with-out an anchor, is placed into the rotator cuff. Sometimes the sutures are tied to a bone anchor (knot) or impacted into bone (knot-less). ...Read more
It means an examina-: Tion of the inside of a shoulder joint. Its done for diagnosing and treatment of shoulder problems. It requires a General Anesthetic and is done in a Hospital or a Surgery Center. Its done through small holes in the skin, called Portals, like in a Knee scope surgery. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
6-8 weeks: This depends on the procedures performed, but most people are able to return to most of their activities at 8 weeks. People are typically working with physical therapy for 6-8 weeks after surgery. People involved in heavy labor may take 3 months to return to work. Some people will still have gradual improvements 6-12 months after surgery. ...Read more
It depends.: There are different types of arthroscopic shoulder procedures like subacromial decompression, labral repair, rotator cuff repair, to name a few. Most take less than an hour to an hour, but more complex procedures or procedures on patients who have a large body habitus typically take longer. ...Read more
3 months: It depends on the exact procedure performed. If something is repaired like the rotator cuff or the labrum you have to wait for this tissue to heal. This lengthens the recovery. If all that is performed is a decompression, there are no real restrictions after surgery so recovery is faster. ...Read more
Scope: Evaluation and treatment of the shoulder joint and structures by means of a joint scope (arthroscope). ...Read more
Pain doesn't improve: A full thickness rotator cuff tear requires arthroscopic repair. Any other injury should be treated non-operative initially. Physical therapy, nsaid's and oral/injectable steroids are standard treatments. If these measures fail, shoulder arthroscopy is the next step. Make sure your orthopaedic surgeon is board certified. ...Read more
Rare but known risk.: Infection after shoulder arthroscopy is a rare problem, but is seen enough to have established treatment protocols. Propionibacterium acne is the typical culprit in these infections. Iv antibiotics are given initially and surgical lavage may be needed. Once culture results have been obtained, antibiotics can be customized to more effectively treat the infection. ...Read more
Many Options: You may find it interesting that many devices are available that allow surgeons to perform shoulder repairs without tying knots or suturing. Most good studies that compare the two find that tying knots and suturing results in much better healing so I would recommend you ask your surgeon about this instead...Do you use knotless anchors or do you place sutures and tie knots? How many have you done? ...Read more
Depends: Typically I recommend combination of general anesthesia with a regional block (inter scalene of supraclaviclar). Blocks do have risks, and these should be discussed with your anesthesiologist. However, there is very good evidence showing use of pre-op block lessens post-op pain. ...Read more
Different things: It could be scar tissue being freed up, hardware abutting other structures, etc. Typically if it doesn't hurt, it's nothing we get too worried about. If your pain was tolerable, but is now worse with the "popping, " that's a red flag. ...Read more
I'm getting a key hole surgery (shoulder arthroscopy) this saturday. I'm very scared of anestheisa. Can it hurt me?
Unlikely!: For an otherwise healthy person, anesthesia is very low risk due to excellent monitors and safe drugs. Talk to your anesthesiologist about the type of anesthesia that is planned. This could be general anesthesia, or a nerve block. Just be sure not to eat or drink after midnight. Arthroscopy is well tolerated by most people. Best of luck! ...Read more
I had a shoulder arthroscopy and I didn't complete physical therapy. Are there exercises I can do to make it better?
Yes: When surgery was done and what procedures were performed would determine the type of exercises to do. Typically 4-6 weeks I immobilization with simple passive exercises followed by progression to active assisted, and the active motion. After 10-12 weeks strengthening can commence. This is based on rotator cuff repair. ...Read more
Typically Not: Usually no. Arthroscopic surgery should be performed by orthopedic surgeons who have been appropriately trained. Further arthroscopic specialization is often even pursued in fellowships in sports medicine and arthroscopy. In a rare circumstance, it may be possible that a general practitioner may have sought further training, but this is unusual. ...Read more
I'm having shoulder arthroscopy and would like to know if I can take phentermine up until the day before the surgery.
Known hi grade partial distal supraspinatus tear poss labrum tear having pain above scapula & very tender to touch what could it be? Pending shoulder arthroscopy if don't have will it get worse?
Arthroscopy is minimally invasive joint surgery, commonly used for the knee & shoulder, but also for the ankle, hip, wrist, elbow and other joints. A camera with a fiber optic cable is attached to a video screen placed thru a 1 cm incision and other instruments are introduced thru other small incisions to do the work required. The small incisions allow for quicker ...Read more
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