What Should I Expect From Shoulder Impingement Surgery?
People who have shoulder problems often endure chronic pain in their shoulder and surrounding areas. One common type of shoulder problem is shoulder impingement syndrome. A shoulder impingement happens when the rotator cuff impinges on part of the shoulder when the shoulder lifts. Doctors usually try conservative treatment first such as physical therapy and medication, but if not successful, patients may need shoulder impingement surgery.
The actual shoulder impingement surgical procedure is a shoulder decompression. Doctors perform shoulder impingement surgery on an outpatient basis and patients get to go home the same day. Patients cannot eat or drink the night before surgery because of anesthesia. Most surgeons also require patients to have bloodwork the day before to rule out underlying medical conditions.
In order to do the shoulder impingement surgery, the surgeon uses a microscopic camera or scope to look inside the person’s shoulder and analyze the extent of the damage. If possible, the surgeon will insert the instruments through a tiny incision and use the camera to direct him. Other times, the patient will need to have open surgery to fix the impingement.
Doctors can release the impingement by surgically removing the bone spur, acromion, or swollen ligament that is causing the impingement. Sometimes a bursa or fluid-filled sack has become wedged in between the shoulder and the rotator cuff. The doctor may remove the inflamed bursa and other tissue at this time.
After surgery, the surgeon will place the patient’s arm in a sling to wear for a few weeks. A surgical team will monitor the patient in the recovery room for a few hours and then allow him or her to go home. The doctor may also prescribe pain medication or anti-inflammatory for the patient to take.
Individuals who have had shoulder impingement surgery may need to remove the bandages daily to clean the wound and check for infection. Signs of infection include drainage, redness and swelling at the incision site. Other symptoms would include running a fever along with numbness and extreme pain.
Post-operatively, patients participate in physical therapy once the shoulder has healed from surgery. Physical therapy generally consists of strengthening and flexibility exercises. Individuals can usually resume normal movements as soon as the swelling goes away.
In most cases, shoulder impingement surgery, or subacromial decompression, is a success. Some people, however, may continue to experience pain in the same shoulder and the orthopedist may opt to do another surgery. The doctor may also assign temporary or permanent restrictions after the shoulder has healed, depending on the person’s physical condition.
Written by Erin Oxendine
