Shoulder Arthroscopy: Recovery Tips and Concerns - Orthopedics

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Shoulder arthroscopy issues?


Due to ligament laxity, the preoperative explanation for the endoscopic surgery indicated that a backpack-like brace should be used for stabilization on the side.
However, I have been using a regular arm sling hanging in front of my chest during the six weeks of immobilization.
What impact could this have? Does applying heat help with ligament recovery? I also feel that the hand that underwent surgery is slightly lower than the other hand; is this normal? Thank you for your response!

Nìmíng, 10~19 year old female. Ask Date: 2017/10/03

Dr. Li Yongheng reply Orthopedics


Using a standard arm sling provides less stabilization than a brace; however, since you have been using the sling for six weeks, there is no need for a brace at this point.
Postoperative rehabilitation is equally important as the surgery itself, so you may ask your attending physician for a referral to a rehabilitation specialist.
Regarding the sensation that the operated hand feels slightly lower than the other hand, this feeling can be alleviated with appropriate rehabilitation therapy.
Wishing you a happy Mid-Autumn Festival and a speedy recovery.

Reply Date: 2017/10/03

More Info


Shoulder arthroscopy is a minimally invasive surgical procedure used to diagnose and treat various shoulder conditions, including rotator cuff tears, shoulder impingement, and labral tears. Recovery from shoulder arthroscopy can be a gradual process, and it is essential to follow your surgeon's recommendations closely to ensure optimal healing and regain full function.


Recovery Tips
1. Follow Post-Operative Instructions: After surgery, your surgeon will provide specific instructions regarding immobilization, pain management, and rehabilitation. It is crucial to adhere to these guidelines to promote healing and avoid complications.

2. Use of Sling or Brace: If your surgeon recommended a specific type of brace or sling, it is important to use it as directed. Using a standard arm sling instead of the prescribed brace may not provide adequate support and could lead to improper healing. The brace is designed to stabilize the shoulder and limit movement, which is vital during the initial recovery phase.

3. Physical Therapy: Engaging in physical therapy is often a critical component of recovery. A physical therapist will guide you through exercises that promote flexibility, strength, and range of motion. Early rehabilitation can help prevent stiffness and improve outcomes.

4. Pain Management: Managing pain effectively is essential for recovery. Your doctor may prescribe pain medications or recommend over-the-counter options. Additionally, applying ice to the shoulder can help reduce swelling and discomfort.

5. Heat Therapy: While heat can be beneficial for muscle relaxation and pain relief, it is generally recommended to use it after the initial swelling has subsided (usually a few days post-surgery). Heat can promote blood flow and aid in the healing process, but it should be used cautiously and not applied directly to the surgical site.

6. Monitor for Complications: Be vigilant for signs of complications, such as increased pain, swelling, redness, or fever. If you notice any concerning symptoms, contact your healthcare provider promptly.


Concerns About Recovery
- Feeling of Asymmetry: It is not uncommon to feel that the operated shoulder is lower or different compared to the non-operated side during the early stages of recovery. This can be due to swelling, muscle weakness, or the effects of immobilization. As you progress through rehabilitation and regain strength, this asymmetry should improve.

- Long-Term Recovery: Recovery from shoulder arthroscopy can take several months. Full recovery may vary depending on the specific procedure performed, the extent of the injury, and your adherence to rehabilitation protocols. Patience and consistent effort in physical therapy are key to regaining function.

- Importance of Communication: Keep an open line of communication with your surgeon and physical therapist. If you have concerns about your recovery or experience unusual symptoms, do not hesitate to reach out for guidance.

In summary, proper adherence to post-operative instructions, including the use of the recommended brace, engaging in physical therapy, and managing pain effectively, are crucial for a successful recovery from shoulder arthroscopy. While some asymmetry or discomfort is normal initially, consistent rehabilitation efforts will help restore function and strength to your shoulder over time. Always consult your healthcare provider for personalized advice and to address any specific concerns you may have during your recovery journey.

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