Aquatic exercise boosts recovery from
Shoulder Surgery And Injury
Shoulder pain is very common and includes a whole spectrum of disorders from rotator cuff impingement, acute tears involving the rotator cuff or labrum, long-term degenerative tears and shoulder joint degenerative conditions.
What are some of the different types of shoulder surgery?
Subacromial impingement occurs when the tendons of the rotator cuff muscles become irritated and inflamed as they pass beneath the acromion and through the subacromial space. Most cases respond well to conservative treatment of Physiotherapy, modification of activity and non-steroidal anti-inflammatory medications. Surgical intervention, either through open or arthroscopic approaches may be indicated in patients who fail a 3 to 6 month course of nonsurgical management.
Arthroscopic subacromial decompression (ASAD) aims to give pain relief by removing the inflamed subacromial bursa and shaving the bone on the under-surface of the acromion. This surgery may or may not include the removal of the anterolateral part of the acromioclavicular joint and/or calcification within the tendons. The arthroscopic approach to subacromial decompression provides adequate visualisation and access to the acromial undersurface and its advantages over an open approach include deltoid preservation, decreased blood loss, lower levels of postoperative pain and faster recovery.
Rotator Cuff Repair
Acute rotator cuff tears can occur by falling on an outstretched arm or sudden lifting particularly under load. Degenerative tears can occur as a result of wear and tear as a normal part of the aging process. Surgery is usually considered for acute tears. Depending on the severity of your tear, your surgeon may recommend one of the following procedures:
- Open Repair: If your tear is particularly complex or large, your surgeon will likely choose this option to fully detach the shoulder muscle and better see the torn tendon. Bone spurs are usually removed and additional reconstruction may be performed.
- Arthroscopic Repair: Using a small camera in your shoulder through a small incision, instruments are used to repair the tear. This method is less invasive and usually means quicker recovery.
- Mini-Open Repair: With a 3 to 5 centimetre incision, an arthroscope is used to remove bone spurs and treat damage. After this portion of the procedure, the rotator cuff is repaired via the incision while viewing sutures directly (without a camera).