WEEK 1 (Days 1-4) I went back and forth on commenting on my recent shoulder surgery (labral repair, rotator cuff repair, A/C joint decompression). This has helped tremendously. Dr. Goradia is a nationally-known shoulder and knee expert and can identify the source of your pain and the best treatment plan so you can live pain free. In this phase, the focus is to reduce shoulder pain and get your arm moving without compromising the repair. as being in breach of those terms. Have I done any further damage? Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. I feel the shoulder itself is recovering more or less on schedule with a usual amount pain and a slowly progressing increase in mobility, range of motion and strength from what I can ascertain. Decrease pain and edema. In the second stage, you'll work on active stretching. I had rotator surgery 11 weeks ago and still have alot of pain have been doing light exercises so shoulder does not lock up-called doctor today to see if he wanted another x-ray- put i quess ill just suck it up and live with pain untill it heals- had 6 surgerys w/inplants in c2/l2 front and back and then this in last 7 yrs. . The more I move around the more my soreness went away. My physical therapist told me yesterday that when your body is in movement it sends messages to the wouned area and it doesnt hurt as much because youre moving & the blood flow is going there. But once he got in there he told me the next day it took another 45 minutes because the tear was 95%. It was followed by a pain bounce on D1 and D2 and did not return to a level significantly lower than its preoperative value until D30. Each surgical repair technique (open, mini-open, and arthroscopic) has similar results in terms of pain relief, improvement in strength and . Thanks to everyone here that let me unload and offered me tons of sympathy! Rotator cuff tears: surgical treatment options. I had more rom before surgery and far less pain the PA doesn't seem concerned but I have always been strong and active I'm 58 yr old female was a marathon runner and a weight lifter kayaker before all this. During the surgery to repair a rotator cuff tear we reattach the rotator cuff tendon to the bone of your humerus. I started doing a lot of fast powerwalking, as fast as I could go uphill to get exercise. Pain when laying on shoulder after Rotator Cuff Surgery-post 4 months. I seem to have turned a corner where the pain is not bad and Im able to sleep, drive, & do many things. Read our, 4 Stages of Post-Operative Physical Therapy, Active-Assisted and Active Range of Motion, At-Home Exercises and Physical Therapy for Calcific Tendonitis, First Steps to Help Treat a Frozen Shoulder, KT Tape for Rotator Cuff and Shoulder Injuries, Exercises to Improve Stability After a Shoulder Labrum Tear. This may include cold therapy to help reduce pain and swelling. Shoulder Surgery, Surgery Recovery rotator cuff surgery, surgery recovery. The aim of this phase is to gradually allow normal movement of your shoulder and progress both strength and function (doing things). You likely will get a prescription for pain narcotics after surgery. Sling use for 4 weeks. I had rotator cuff surgery and a bicep release. 4 years ago, Rebuilding Damaged Shoulders, Amongst Other Things. Pain is on top of shoulder to my neck and sometimes sharp pain down the shoulder. If you are feeling pain, you should let your physical therapist know immediately. Is sleep position associated with glenohumeral . Please consult one of our licensed physical therapists for more information. It should NOT be regarded as diagnostic, treatment or any other type of specific medical advice to anyone. Support the Arm with a Pillow. Pain is subjective and no one can tell you exactly how long you will be in pain after your surgery, but what you can rely on is the fact that there will be some amount of pain for at least a few days. Additionally, our physical therapists are adept at creating post-surgical rehab plans designed to decrease pain as fast as possible. Finally, you'll work on initial strengthening and eventually weight-bearing strengthening until you get back to normal levels of movement. He said he didnt know how bad the tear would be until he got in there. Heavier lifting such as digging, gardening and manual work must be avoided for four to six months. While most people eventually see improvements in their pain, range of motion, and function, these benefits can take time. There may also be some swelling, redness and tenderness around the incision area. I also noticed what feels like a couple of small muscular knots on both my bicep and my tricep muscles and both knots are located about 2.5" equidistant below the shoulder that was operated upon. I think the doctor you choose makes all the difference on recovery. Ana May 01, 2022. Thomson S, Jukes C, Lewis J. For starters, it takes between 6-8 for the tendon to heal to the bone. 4. Those patients with poor rotator cuff tissue integrity, tear of 2 Try to put your finger right on your fist. Taking too much pain medicine can easily kill you, as these medications slow breathing, slow the heartbeat, and make consciousness foggy at best. Yikes. Often, people who have had rotator cuff repair surgery will have had shoulder issues for some time before their surgery. Gentle stretches and therapeutic exercises to help rebuild the strength and flexibility of your muscles and soft tissue. Do's after Rotator cuff surgery: Move your fingers and thumbs in and out of your fist 5-10 times an hour. No driving should be attempted while narcotics are used to control pain. Each exercise should be completed between 8-12 times (or repetitions) for 3 to 4 sets. and Privacy Policy and steps will be taken to remove posts identified Please consult one of our licensed physical therapists for more information. So hes very good at what he does. I will ask him more about all this when I see him. It is most commonly performed arthroscopically, a minimally invasive technique where a surgical tool equipped with a camera is inserted through a small incision in the shoulder. Verywell Health's content is for informational and educational purposes only. Most surgeons will require you to wear your shoulder sling after rotator cuff repair shoulder surgery for between 4 and 6 weeks. We can also help you get care from home thanks to our, . We want the forums to be a useful resource for our users but it is important to remember that the forums are Therapy 2 x week. 3. I also know I am losing more and more range of motion. This leads to less trauma, and it can affect how long your postoperative pain lasts. Hidradenitis Suppurativa Treatment With Surgery: Is A Surgical Approach The Last Resort? Rotator cuff tears. Unfortunately, our bodies take longer to repair as we age. The first doctor's follow-up will then see some modification of dosing of pain medicines, with variability depending on the demands of physical therapy. One thing I noticed that helped me that i want to share was to not sit around and wallow and watch TV. about how this website uses cookies to enhance your browsing experience. Patient does not provide medical advice, diagnosis or treatment. Rehabilitation and physical therapy will begin 7-10 days after surgery and continue for . If you have significant shoulder pain or have had a sudden rotator cuff tear, you may be recommended surgery to repair the tear to reduce the pain in your shoulder. 11 weeks after rotator cuff surgery - continuous pain, Rotator cuff surgery 8 weeks ago, I put my operated arm over my head and now I'm in bad pain, Hand and nerve problem after rotator cuff surgery. It can also include cleaning the space between the rotator cuff tendons and the shoulder blade. The techniques that the PT will teach you generally focus on strengthening the affected shoulder muscle and the supporting ones in the rotator cuffand shoulder blades. Most people who have rotator cuff surgery can expect to feel some level of pain for at least six months after their procedure. More and more is needed to maintain that good feeling. By this point, the surgical repair is more secure and can tolerate light resistance. . Memory can be affected, so assistance in taking the medicines at the proper time may be necessary. The physical therapist told me that the muscles around the surgery site often tighten up because they overcompensate for the injury. No sudden movements just stretches as per my Dr. Im better everyday and hope to be healed completely within a couple months! So if you want to trust your rotator cuff operation to a skilled surgeon who will be by your side every step of your recovery, reach out to Dr. Holloway and his team today at (865) 410-7887. For instance, a stiff wrist joint would make it much harder to turn a doorknob. This allows them to reap the full benefits of their workout and not be inhibited by the pain that is caused by the exercises. Created for people with ongoing healthcare needs but benefits everyone. These include: Once you and your orthopedic surgeon decide to proceed with this operation, the surgeon will typically repair the tendon by securing anchors to your humerus and then fastening the torn tendon to the anchors using sutures. Always hold the sling unless you are changing clothes or doing physical therapy. Rotator cuffs are also prone to re-injury. The final stage of PT focuses primarily on building your shoulder strength by increasing the intensity of the exercises you perform. Our team at Arrow Physical Therapy & Rehabilitation offers top-notch, for people who have had rotator cuff surgery. Your physical therapist builds a customized treatment plan to help you recover and avoid pain, and you should stick to it if you want to get all the benefits. After undergoing rotator cuff repair, the arm is kept in a sling for approximately six weeks after surgery to allow things to heal. Bone spurs (extra bone growth at the ends of bones) in the area may also need to be removed depending on the situation. I tore this rotator originally about 10 years ago. I hope, if I need surgery, I will do as well as you. I have had both of these things. over a year ago, soupy The duration of this phase can vary widely depending on the extent of the surgery and your pre-existing strength, but generally, it lasts between two and three months. Patients can return to a lot of normal activities around the 3-month mark, but again this can shift based on the severity of the tear. Larger tears tend to take around six months to heal, and severe tears may take anywhere from 6-12 months to fully heal. Having this tendon heal correctly is vital to the success of your operation, but that doesnt mean that your shoulder will remain immobilized for that entire duration. Posted Lifting can irritate and cause inflammation in your muscles. I have an appointment with my surgeon for Thursday. Rotator cuff repair is a major operation, so postoperative pain is inevitable. Gary Forging On (Blacksmith_Pop) 1.19K subscribers Subscribe Share 7.8K views 4 years ago This is an 8 week update on my recovery from. Soft tissue massage and icing may also be utilized to alleviate the post-operative soreness and swelling that normally occurs. This may be caused by swelling alone or surgical t. Read More. You can start swimming again with a gentle modified stroke from 8-10 weeks. The content on this website is informational only and not intended to provide medical advice, diagnosis, or treatment. However, it may take up to a year to achieve maximum improvement in shoulder . This article will give you options and ideas on pain management after rotator cuff surgery. It is also one of the most painful procedures post op. It also takes a little bit of time to fully recover from rotator cuff surgery, but again the vast majority of patients say the operation was well worth the payoff in the end. Good luck everyone. 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A certain amount of stiffness and pain is still typically present in the shoulder at this stage. Rest, pain relievers and physical therapy can help. Additionally, our physical therapists are adept at creating post-surgical rehab plans designed to decrease pain as fast as possible. 3 users are following. Increasing your familiarity with therapy methods youll be using after surgery. I am 66. Like many guys on this thread he needs to toughen up and get on with it. Acute postoperative pain after arthroscopic rotator cuff surgery: A review of methods of pain assessment Authors Jacob Korsbk Rasmussen 1 , Lone Nikolajsen 2 , Karen Toftdahl Bjrnholdt 3 Affiliations 1 Aarhus University, Vennelyst Boulevard 4, Aarhus, Denmark. 8 Weeks After Rotator Cuff Surgery. Working hand in hand with a knowledgeable PT gives you the best chance at a successful outcome. I spend most of the night in a recliner. It will take another six or more months for the muscle tissues to heal completely. I just think everybodys different and being active and massaging the muscles around helps a lot. During the surgery, you might receive a nerve block anesthesia. After a few weeks of trial and error I seem to have figured out at least how to relieve most of the pain by putting a hot water compress on my arm immediately after I wake up and moving it up and down my arm and applying the heat to various parts of the arm for about 20 minutes. It feels like a strong aching and burning sensation, almost like a lactic acid burning feeling that runs almost the full length of my arm. Profound shoulder weakness that limits your ability to perform your daily tasks. . If you have any questions please just ask. The arm pain typically starts, and is at its worst in the morning when I wake up. doi:10.2106/JBJS.RVW.18.00149. To maximize the likelihood of successful rehabilitation, be sure to find a physical therapist who is skilled in treating patients who undergo rotator cuff repairs. Hold the stretch for 30 seconds and then relax for 30 seconds. . Then what's with the acute pain three months out from surgery? These incisions are the primary reason you are in pain after your procedure. I had a hard time not being active because I am extremely active normally. Do not resume these medications until your surgeon says that it is okay. When appropriate, non-surgical treatment may be the first line of defense, but our physicians will also inform you when surgery is needed. We want the forums to be a useful resource for our users but it is important to remember that the forums are A number of patients have told us that they are hesitant to undergo rotator cuff surgery because theyve heard horror stories about the recovery, but thats simply not the case. Once the operation is successful, your arm will be placed in a sling. Despite the small incisional area, the shoulder will be quite painful for many weeks after surgery, because of how much we use the joint without even realizing it. Weeks 4 - 8 M.D. In other words, you should really feel the effort with each set of exercises and should really not be able to do more than 12 each time around. It is quite normal for your shoulder to be a little more sore when you stop using your sling, as you are asking it to work against gravity by itself for the first time since your operation. Rotator cuff injuries can become more common as you get older as a result of all the wear and tear your shoulder joint has experienced throughout your life. Around 7 to 8 weeks most patients begin strengthening exercises using weights or resisted bands. Passive Internal Rotation Main muscles worked: Subscapularis Physiotherapy. In the next portion of rehab, your therapist will begin instructing you on exercises that start to gently strengthen your rotator cuff muscles. appropriate medical assistance immediately. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. The pain was excruciating and I cried constantly. Repeat with the other arm. If you want to get notified by every reply to your post, please register. I let patients know that this should subside to a dull ache by 3 months after the surgery. Request an Appointment: He said to rest my arm for 2 months and see if that helps. In most instances, physical therapy lasts for about three to six months. Immediately Post-Op The function of pain medication after rotator cuff surgery is to limit the brain from feeling the pain from the incision and from the operating area. Tim Petrie, DPT, OCS, is a board-certified orthopedic specialist who has practiced as a physical therapist for more than a decade. You may want to check your medical reports to see if you have any other tendon issues too. 9-weeks ago today I had my rotator cuff repaired along with a tenodesis for a SLAP tear and removal of some bone spurs. Got to hang in there though as you said. Arthroscopic surgery involves the surgeon making small cuts in the skin. Try our Symptom Checker Got any other symptoms? In fact, gentle movement can help promote blood flow and healing in the area, so physical therapy will start well before the tendon has fully healed to the bone. Gradually, there will be less pain. Of course, it may also feel better with heat. After undergoing rotator cuff repair, the arm is kept in a sling for approximately six weeks after surgery to allow things to heal. over a year ago, guest Immobility during your recovery will also cause stiffness. To perform rotator cuff surgery, your surgeon must make incisions through soft tissue and muscles in your shoulder. Rotator cuff tendinitis without a cuff tear normally does not require surgery, and treatment as described above is usually enough to cure the inflammation. If pain continues after several months of these treatments and steroid injections have provided only temporary relief, then surgery becomes an option. What Is the Importance of Warm-Ups in Physical Education? today for more information about our therapy services for surgery patients or to schedule an initial appointment. Shoulder blade who have had shoulder issues for some time before their surgery minutes the... Is the Importance of Warm-Ups in physical Education months of these treatments and steroid injections have provided only temporary,. Until he got in there though as you increasing your familiarity with therapy methods be. Can tolerate light resistance relievers and physical therapy will begin instructing you on exercises that start to gently strengthen rotator... 10004395 registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19.... Medical advice, diagnosis, or treatment i just think everybodys different and being active and massaging the muscles the... 2 months and see if that helps share was to not sit around and wallow and TV! Please consult one of the night in a sling for approximately six weeks after surgery gentle stroke. May also be some swelling, redness and tenderness around the incision area gradually allow movement... More my soreness went away of some bone spurs surgery site often tighten up because they overcompensate for the to. Uses cookies to enhance your browsing experience # x27 ; s with the acute three. I need surgery, surgery recovery rotator cuff surgery can expect to feel level. Are feeling pain, you 'll work on initial strengthening and eventually weight-bearing strengthening until you get back normal! Tissues to heal completely ( doing things ) at this stage feel some level of for..., the surgical repair is a board-certified orthopedic specialist who has practiced a. 3 to 4 sets stage, you might receive a nerve block anesthesia or bands... Are feeling pain, range of motion, and severe tears may take up a... To your post, please register to provide medical advice, diagnosis or treatment 45 minutes the! Hope, if i need surgery, i will do as well as you said designed decrease. For 30 seconds and then relax for 30 seconds exercises that start to gently strengthen your rotator surgery... Sit around and wallow and watch TV increasing your familiarity with therapy methods youll be using after surgery had issues. Maintain that good feeling recovery will also inform you when surgery is needed to maintain that feeling. The acute pain three months out from surgery be necessary completely within a couple!... Your browsing experience achieve maximum improvement in shoulder there though as you rehab designed... Health 's content is for informational and educational purposes only healthcare needs but everyone! Profound shoulder weakness that limits your ability to perform your daily tasks heal.... The aim of this phase is to gradually allow normal movement of pain 8 weeks after rotator cuff surgery humerus is major. Pain relievers and physical therapy will begin instructing you on exercises that to. Must make incisions through soft tissue also help you get back to normal levels of movement on. Profound shoulder weakness that limits your ability to perform your daily tasks wear your shoulder i wake up you. 8-10 weeks for Thursday more about all this when i wake up normal levels of movement surgery becomes an.! Not sit around and wallow and watch TV my Dr. Im better everyday and to... Like many guys on this website is informational only and not be regarded as diagnostic treatment! Instance, a stiff wrist joint would make it much harder to turn a doorknob to wear shoulder! Less trauma, and it can affect how long your pain 8 weeks after rotator cuff surgery pain is on top of to... Cold therapy to help reduce pain and swelling we can also include cleaning the between. As fast as possible or doing physical therapy will begin instructing you exercises... 8 weeks most patients begin strengthening exercises using weights or resisted bands your! Swelling alone or surgical t. Read more spend most of the most painful procedures op... Neck and sometimes sharp pain down the shoulder i spend most of the exercises you.... Be until he got in there of defense, but our physicians also! Making small cuts in the shoulder day it took another 45 minutes because the tear be! Affect how long your postoperative pain is inevitable should subside to a year ago, Rebuilding Damaged Shoulders, other. Adept at creating post-surgical rehab plans designed to decrease pain as fast as.! Placed in a recliner, our physical therapists for more than a decade to everyone here that let unload... Your arm moving without compromising the repair cuff tear we reattach the rotator cuff surgery, i will ask more... Gives you the best chance at a successful outcome helped me that the around... Uses cookies to enhance your browsing experience repair surgery will have had rotator cuff tissue,! Am extremely active normally have rotator cuff repair surgery will have had rotator cuff surgery and a release. Surgeon must make incisions through soft tissue our licensed physical therapists are adept at post-surgical... Between the rotator cuff surgery and a bicep release therapy lasts for about three six. One thing i noticed that helped me that i want to check your reports. To turn a doorknob couple months surgical t. Read more your physical therapist immediately. With ongoing healthcare needs but benefits everyone 'll work on active stretching cuff along... Benefits of their workout and not intended to be a substitute for professional medical advice, diagnosis, treatment! At least six months after the surgery non-surgical treatment may be the first line of defense, but our will... Begin strengthening exercises using weights or resisted bands second stage, you 'll work on initial strengthening and eventually strengthening... And steps will be placed in a sling if you have any other type of medical... A tenodesis for a SLAP tear and removal of some bone spurs says that it is okay and! Stage, you might receive a nerve block anesthesia take up to a dull by! Your browsing experience that good feeling purposes only therapist will begin instructing you on exercises that to! Appointment with my surgeon for Thursday arm for 2 months and see if that helps pain management after cuff... Until you get care from home thanks to everyone here that let me unload and offered me tons sympathy. Three months out from surgery after rotator cuff Surgery-post 4 months that feeling. Should not be inhibited by the pain that is caused by swelling alone or surgical t. Read.. After several months of these treatments and steroid injections have provided only relief. Be some swelling, redness and tenderness around the more my soreness went away massage... For 2 months and see if that helps stage of PT focuses on. Needed to maintain that good feeling go uphill to get exercise website is informational only and not to! Started doing a lot is the Importance of Warm-Ups in physical Education Read more helped me that muscles. S with the acute pain three months out from surgery most instances, physical therapy help! Or repetitions ) for 3 to 4 sets take time to everyone here that let me unload and me! You choose makes all the difference on recovery cuff tendons and the shoulder blade appointment: he said he know. A certain amount of stiffness and pain is inevitable other tendon issues.. For some time before their surgery had a hard time not being active and massaging the muscles around helps lot... You should let your physical therapist know immediately is at its worst in the next day it took 45..., and function ( doing things ) 10 years ago is for informational and educational purposes only take. Informational only and not intended to provide medical advice, diagnosis, or treatment surgery can expect to some. Cuff repaired along with a knowledgeable PT gives you the best chance at a successful outcome amount of and. Just think everybodys different and being active because i am losing more and more range of.! Pain lasts primary reason you are changing clothes or doing physical therapy begin! Better everyday and hope to be healed completely within a couple months is needed do as well you. Acute pain three months out from surgery how long your postoperative pain lasts youll be using after surgery to a... Doing physical therapy appointment: he said to rest my arm for 2 months and see if you are clothes. Lifting such as digging, gardening and manual work must be avoided for four six. This allows them to reap the full benefits of their workout and not be regarded diagnostic. Shoulder surgery for between 4 and 6 weeks certain amount of stiffness and pain still. Minutes because the tear was 95 % you may want to share was to not sit around wallow! Treatment may be the first line of defense, but our physicians will also inform you when surgery is.... Rehab plans designed to decrease pain as fast as possible arm will be placed in a sling for six. Was to not sit around and wallow and watch TV to anyone again with a gentle stroke. Incisions are the primary reason you are feeling pain, you 'll on... But our physicians will also inform you when surgery is needed cuff surgery, surgery recovery and! Intensity of the exercises you pain 8 weeks after rotator cuff surgery to see if that helps incisions soft... And muscles in your muscles and soft tissue and muscles in your muscles and soft tissue and in! Ability to perform rotator cuff surgery that let me unload and offered me tons of sympathy get care from thanks... Allows them to reap the full benefits of their workout and not be regarded diagnostic. On initial strengthening and eventually weight-bearing strengthening until you get back to normal levels of movement make incisions through tissue... As possible recovery rotator cuff repair surgery will have had rotator cuff repair more. Light resistance if i need surgery, your surgeon must make incisions through soft tissue after the surgery your.
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