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What does my Recovery Look like?

Recovery from Arthroscopic Shoulder Surgery: A Comprehensive Guide

Introduction

Arthroscopic shoulder surgery is a minimally invasive procedure used to diagnose and treat various shoulder conditions. This report aims to provide you with a detailed understanding of the recovery process and the best practices to ensure optimal healing and return to function.

1. Immediate Post-Operative Period (First 24-48 hours)

– Rest and Immobilization:
• Keep your arm in the sling provided by your surgeon
• Minimize shoulder movement to protect the surgical site

– Pain Management:
• Take prescribed pain medications as directed
• Use ice packs for 15-20 minutes every 1-2 hours to reduce swelling and pain

– Wound Care:
• Keep the surgical site clean and dry
• Follow your surgeon’s instructions for dressing changes

2. Early Recovery Phase (First 1-2 weeks)

– Continued Use of Sling:
• Wear the sling as instructed by your surgeon, typically for 1-2 weeks
• Remove only for hygiene purposes and prescribed exercises

– Gentle Range of Motion Exercises:
• Begin passive range of motion exercises as directed by your physical therapist
• Focus on gentle pendulum exercises to prevent stiffness

– Pain Management:
• Continue with prescribed pain medications and ice therapy
• Gradually reduce medication as pain subsides

– Wound Care:
• Keep incisions clean and dry
• Watch for signs of infection (redness, warmth, increased pain, or discharge)

3. Progressive Recovery Phase (2-6 weeks)

– Gradual Increase in Activity:
• Begin to wean off the sling as directed by your surgeon
• Start active-assisted range of motion exercises

– Physical Therapy:
• Attend regular physical therapy sessions
• Focus on improving flexibility and gradually increasing strength

– Pain Management:
• Continue with ice therapy as needed
• Transition to over-the-counter pain medications if prescribed by your doctor

– Return to Daily Activities:
• Gradually resume light daily activities, avoiding heavy lifting or overhead movements

4. Strengthening Phase (6-12 weeks)

– Progressive Strengthening:
• Begin more intensive strengthening exercises under the guidance of your physical therapist
• Focus on rotator cuff and scapular stabilizer muscles

– Increased Range of Motion:
• Work towards full range of motion in all directions

– Functional Activities:
• Gradually reintroduce functional activities that mimic daily tasks and work-related movements

5. Advanced Recovery Phase (3-6 months)

– Sport-Specific Training:
• For athletes, begin sport-specific exercises and drills
• Gradually increase intensity and duration of activities

– Return to Work:
• Most patients can return to desk jobs within a few weeks
• Physical jobs may require 3-6 months before full return, depending on demands

– Continued Strengthening:
• Maintain a regular exercise routine to support long-term shoulder health

6. Key Factors for Optimal Recovery

– Adherence to Rehabilitation Protocol:
• Follow your surgeon’s and physical therapist’s instructions closely
• Attend all scheduled follow-up appointments and therapy sessions

– Proper Nutrition:
• Maintain a balanced diet rich in protein, vitamins, and minerals to support tissue healing
• Stay hydrated to promote overall health and recovery

– Adequate Sleep:
• Aim for 7-9 hours of sleep per night to support the body’s healing processes

– Stress Management:
• Practice relaxation techniques to reduce stress, which can impede healing

– Avoid Harmful Activities:
• Refrain from smoking, as it can delay healing and increase complication risks
• Avoid alcohol consumption, especially while taking pain medications

7. Common Challenges and How to Address Them

– Stiffness:
• Consistently perform prescribed exercises to maintain and improve flexibility
• Use heat therapy before exercises to improve tissue elasticity

– Persistent Pain:
• Communicate with your healthcare team if pain persists or worsens
• Modify activities as needed and use ice therapy for pain relief

– Weakness:
• Be patient with the strengthening process, as it takes time to rebuild muscle strength
• Consistently perform prescribed exercises to gradually improve strength

8. Long-Term Maintenance and Prevention

– Regular Exercise:
• Continue with a maintenance exercise program to support shoulder health
• Focus on maintaining strength and flexibility of the rotator cuff and scapular muscles

– Ergonomic Considerations:
• Optimize your work and home environments to reduce shoulder strain
• Use proper body mechanics when performing daily activities

– Balanced Fitness Routine:
• Incorporate overall body conditioning to support shoulder function
• Include exercises for core strength and posture improvement

9. When to Seek Medical Attention

Contact your healthcare provider if you experience:
• Increased pain, swelling, or redness around the surgical site
• Fever or chills
• Unusual drainage from the incision
• Numbness or tingling in the arm or hand
• Sudden loss of motion or strength in the shoulder

10. Managing Expectations

– Recovery Timeline:
• Full recovery can take 4-6 months or longer, depending on the specific procedure and individual factors
• Be patient and celebrate small milestones in your recovery journey

– Variability in Outcomes:
• Understand that each person’s recovery is unique
• Focus on your progress rather than comparing yourself to others

11. The Role of Mental Health in Recovery

– Emotional Well-being:
• Recognize that recovery can be emotionally challenging
• Seek support from family, friends, or a mental health professional if needed

– Goal Setting:
• Set realistic, achievable goals to maintain motivation throughout recovery
• Celebrate progress, no matter how small

12. Lifestyle Modifications for Long-Term Shoulder Health

– Posture Awareness:
• Practice good posture to reduce strain on the shoulder joint
• Use ergonomic tools and furniture to support proper alignment

– Activity Modification:
• Learn to modify activities that may stress the shoulder
• Use assistive devices when necessary to reduce shoulder strain

13. The Importance of Patience and Consistency

– Gradual Progress:
• Understand that recovery is a gradual process
• Avoid rushing through rehabilitation stages to prevent setbacks

– Consistency in Rehabilitation:
• Maintain a consistent approach to your exercises and therapy
• Even on days when you feel better, adhere to your prescribed program

14. Preparing for Future Physical Activities

– Gradual Return to Sports:
• Work with your healthcare team to develop a safe plan for returning to sports or high-demand activities • Incorporate sport-specific training gradually to ensure proper technique and strength

– Injury Prevention Strategies:
• Learn and implement strategies to prevent future shoulder injuries • This may include proper warm-up routines and technique modifications

15. The Role of Complementary Therapies

– Massage Therapy:
• Consider incorporating massage to help with muscle tension and circulation
• Always consult with your healthcare team before starting any new therapies

– Acupuncture:
• Some patients find acupuncture helpful for pain management
• Discuss with your doctor if this might be appropriate for you

Conclusion:

Recovering from arthroscopic shoulder surgery is a journey that requires patience, dedication, and a collaborative effort between you and your healthcare team. By following the guidelines outlined in this report, you can optimize your recovery process and work towards regaining full shoulder function. Remember that each person’s recovery is unique, and it’s essential to stay in close communication with your surgeon and physical therapist throughout the process. With proper care and adherence to your rehabilitation program, you can look forward to improved shoulder health and a return to your desired activities.

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Direct Booking Link for Consumers

Dr. McCormick schedules all virtual consultations through Best In Class MD. This is a separate service from Dr. McCormick’s in-office clinic. BICMD is a virtual platform that facilitates educational and informational sessions and can therefore be conducted for clients anywhere in the world. This comprehensive service includes a thorough review of your medical records and imaging, a 30 minute telehealth visit, as well as written recommendations provided in the form of an Expert Report. Due to the educational and informational nature of the visit, as well as the concierge nature of the booking process, insurance is not accepted for these consultations.
The BICMD care team is available to answer any questions about booking at CareTeam@bicmd.com or by calling
800-650-5907
(phone lines are open M-F 9am-5pm EST).