Some of the ways pre-hab meets this goal include: Having you do therapeutic exercises to strengthen and stretch your shoulder. 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. Through pain management, physical therapy, and exercise, the injury should recover within 4-6 months. Pain is there to tell you you're doing something wrong! I'm really worried about our two week cruise as I'm still unable to sleep for more than two hours in the bed. Physical therapists can examine your shoulder before and after your surgery to get an idea of what you will need for optimal recovery. Do's after Rotator cuff surgery: Move your fingers and thumbs in and out of your fist 5-10 times an hour. Rotator cuff tears: surgical treatment options. once I broke my wrist waited a week before going to get casted. The Surgery-Free Gastric Band That Could Beat Type 2 Diabetes. Thank you for sharing. I had a cuff tendon repair and double joint decompression 2 weeks ago. Keep communicating with your doctor and your therapist about your concerns and they will get you through it I've talked to many other PT patients in my personal quest to get better and this is a very long painful recovery. 4 years ago, Rehabilitation following surgical repair of the rotator cuff: a systematic review. If you know me, attention is never my modus operandi, and using personal story is not something I come by comfortably. The Scap Wrap: How To Fix Your Shoulder Posture. This treatment may decrease pain, swelling, and muscle spasms. 6 weeks out and still needing pain medication to function? 8397 Highway 23 #101 I will ask him more about all this when I see him. 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. Individuals should always consult a licensed and qualified health care provider for evaluation, diagnosis and treatment recommendations regarding their specific medical problems. Try our Symptom Checker Got any other symptoms? You should check with your surgeon or your physical therapist. We can also help you get care from home thanks to our virtual therapy and at-home care services. Doing great. Weeks 4 - 8 M.D. Pain medications block the pain receptors and dull the messages being sent from the nerves to the brain. The length of your rehabilitation will also be affected by the severity of your tear, as that can impact tendon healing. This protocol is designed for the patient following arthroscopic rotator cuff repair. I am 59 years old. As for your concerns over re-injury if you keep to the physio's excercises and advice all the way thru things should be ok. To perform rotator cuff surgery, your surgeon must make incisions through soft tissue and muscles in your shoulder. What Is It Like to Have Cataract Surgery? I do a pedulam swing (very tine circles) and it feels like my shoulder is going to dislocate. If you are feeling pain, you should let your physical therapist know immediately. 2019;7(6):e9. With physical therapy that involves stretching and strengthening exercises, you can slowly restore the shoulder's function. After undergoing rotator cuff repair, the arm is kept in a sling for approximately six weeks after surgery to allow things to heal. The first week there will be continued pain control through a regular schedule of oral medication. Return to physical/manual work after 4-6 months (dependent on pain levels/movement etc.) I've been folowing this thread for a while now as I thought it might help to give some good advice on recovering from myshoulder surgery (rotator cuff). If you feel that you want to wean yourself off your sling rather than just stop using it, try spending an hour out of it on one day and then 2 hours out of it the following day and so on. You will also be cleared to discontinue the use of your sling and to start actively moving the arm as much as you can tolerate. 2016;102(1):20-28. doi:10.1016/j.physio.2015.08.003, Edwards PK, Ebert JR, Littlewood C, Ackland T, Wang A. In this article, youll learn about factors that can affect how long you will be in pain after rotator cuff surgery. It can also include cleaning the space between the rotator cuff tendons and the shoulder blade. While sleeping, rest a pillow under the arm to support the shoulder. To get the best results, you need to do the exercises correctly and as often and for as long as your doctor . did you ever get an answer to your question? But, I still hurt. Additionally, our physical therapists are adept at creating post-surgical rehab plans designed to decrease pain as fast as possible. Medicines such as morphine and injectable anesthetics are given during this time period, while the body adjusts to the surgery and begins the healing process. Even more important, you can start seeing us before or after surgery if you dont have a doctors referral. Ditto on all 8 points here. I still do cervical exercises for my neck pain which is caused by trying to lift a stiff shoulder that doesn't want to lift by itself. 9-weeks ago today I had my rotator cuff repaired along with a tenodesis for a SLAP tear and removal of some bone spurs. Before the patient is sent home, he will have been transitioned from injections to oral medications. Does Frozen Shoulder Sound Familiar To You? The timeline for this portion of PT is variable, but it can take several months before you are fully discharged from therapy. However, your surgery and recovery are likely to take longer if you have a larger tear. This allows them to reap the full benefits of their workout and not be inhibited by the pain that is caused by the exercises. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Hi, may I ask your age please ? visit at Week 4 post-op and will usually be progressed to increase range of motion/ discharge sling. 4. 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. Location: Southeast, US. The first 2 to 5 weeks were the worst pain. This is part of the healing process and will subside eventually. The rotator cuff repair procedure may be done using a larger shoulder incision (called an open repair) or a slightly smaller incision (called a mini-open repair). I did not start PT until about 3-weeks after my surgery, and even then, was only doing light stretching to about 90 degrees flexion. Here's a breakdown of the timeline for rotator cuff surgery recovery. Every patient who has surgery is different, and how long youll be in pain after rotator cuff surgery will be different from friends or other people who have had this surgery. Working hand in hand with a knowledgeable PT gives you the best chance at a successful outcome. Because of that, I will be lucky to get 80% function back in my bicep and I am only 33. But the arm pain seems untypical and is in addition to the shoulder pain. Every surgery carries some discomfort, but it will pay off in the end in the form of improved function and decreased pain. help. 3 users are following. over a year ago, Steve D He said to rest my arm for 2 months and see if that helps. This sling stops your arm from moving. In most instances, your arm will be put in a sling to limit movement and stress on the area before you are discharged from the surgical center. Posts: 2. I couldnt move, I couldnt sleep, I couldnt do anything. This study in AJSM 2018 looked to evaluate the clinical and radiological outcomes after revision rotator cuff repair surgery. The first 2 to 5 weeks were the worst . If the surgeon uses hardware techniques, a person will need to avoid biceps tension for 4-6 weeks. over a year ago. Therapy 2 x week. Not sure what to expect at my age. Pain medication slows your reaction, and impairs your judgement. 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. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in If a return to athletics is desired, sport-specific exercises for throwing may also be introduced during this stage. There will be bad days where you may need more, but there should be good days when you need less. (732) 352-9270. ( 3) Join Date: Jan 2012. (Rest, Ice, Compression, Elevation). My PT told me yesterday thats probably why Im healing quicker because Im loosening it up so blood flow can get there. It freaks me out! Arthroscopic surgery involves the surgeon making small cuts in the skin. It is responsible for carrying out a number of basic arm movements. 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. Additionally, our physical therapists are adept at creating post-surgical rehab plans designed to decrease pain as fast as possible. 5 users are following. Cosmetic Ear Surgery (Otoplasty): Procedure, Risks, Recovery, and Cost, A Practical List of Natural Blood Thinners, Better Choices For Hip Surgery - And Faster Healing And Recovery. Weve provided a selection of exercises at the bottom of the page for you to explore. He sees patients in his Glen Allen and Midlothian, VA office. Got to hang in there though as you said. The sling holds the arm in a relaxed yet restrained position, so the rotator cuff can be in a still position while it heals. (732) 352-9270, 453 Amboy Ave 9 weeks after rotator cuff surgery. I also dont have any muscular pain when I move the arm in any way so I dont think there are any other tendon tears present. I feel inspired by your words and will take them to heart. ), Return to physical/manual work after 4-6 months (dependent on pain levels/movement etc.). shoulder stiffness 5 months after bankart & rotator cuff tear repair, 11 weeks after rotator cuff surgery - continuous pain, Hand and nerve problem after rotator cuff surgery, Rotator cuff surgery - I slipped up getting out of the shower and tore it again, 4 weeks post oppartially torn Rotator cuff tendon and biceps tendon tenotomy, post ACDF 4-5,5-6 - still haveTerrible Pain. Rotator Cuff Post Surgery (8 Weeks) - External Rotation Exercise SportsMD 2.03K subscribers Subscribe 28 Share Save 10K views 5 years ago Get detailed instructions on External Rotation post. Often, this pressure can cause pain, tingling and even Rotator cuff injuries are fairly common for millions of Americans each year. I had rotator cuff surgery on 08/27/2012 surgery went well, but still have pain and can not sleep very uncomfortable. However, you won't need to take 5 months off from work to recover. Is sleep position associated with glenohumeral . After surgery, when you fully regain consciousness, your doctor can advise you on wound care, pain management, and ways to control inflammation. Oluseun Olufade, MD, is a board-certified orthopedist. Shoulder weakness after an acute injury or fall. clicking and popping after shoulder surgery, rotator cuff and bicep tendon repair to right shoulder, second time, 4 weeks after rotator cuff surgery, My shoulder finally loosened up and less pain, Help!!! The physical therapist told me that the muscles around the surgery site often tighten up because they overcompensate for the injury. I had surgery 8 months ago on my shoulder and was hoping to be starting to be close to pain free and getting back to normal activities but am still having pain. Most people who have rotator cuff surgery can expect to feel some level of pain for at least six months after their procedure. Repeat with the other arm. I am post op 3 1/2 months; the orthopod is letting me swim the breast stroke and the side stroke; I got permission to try an abbreviated version of the crawl on Tuesdayno good! Dr. Darren Corteen answered. Most people are in pain after surgery for up to two weeks. Wondering how long your pain will last after your surgery? Always speak to your doctor before acting and in cases of emergency seek Guilty here! When the arm is positioned in an unstable manner from the shoulder, it can cause excess strain and result in pain. This normally gets rid of 85%-95% of the pain, but if I don't use the hot water then the pain often persists most of the day. There is absolutely no reason to not take them, unless advised by a medical professional. 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. The cause of radiating arm pain can arise from the one of many sources: inappropriate or prolonged positioning, cervical injury or aggravation, and hematoma. Ill keep reading other posts but this will probably be my last post here! Expect that the first days after rotator cuff surgery will be focused on controlling your pain. Physical therapy (PT) is also typically initiated early on after surgery to help jump-start your recovery. This muscular group surrounds the head of the humerus (the ball-shaped top of the arm bone) and helps to elevate and rotate your shoulder. We can perform a free screening that can narrow down how long your pain could last. Today marks 5 weeks since rotator cuff repair surgery! Open surgery involves the surgeon making a large incision in your shoulder. Heavier lifting such as digging, gardening and manual work must be avoided for four to six months. Are You A Candidate For Knuckle Replacement Surgery? Try our Symptom Checker Got any other symptoms? You may not like asking for help, but it can limit the amount of pain you experience during recovery. fully comply with their therapists instructions, performing your at-home exercises can help to reduce pain. It can take a few months to regain the complete use of your arm after your surgery. The final stage of PT focuses primarily on building your shoulder strength by increasing the intensity of the exercises you perform. If you want to get notified by every reply to your post, please register. . The majority of patients report improved shoulder strength and less pain after surgery for a torn rotator cuff. Just fyi I have cried through all my sessions this week but got through them. Symptoms Types of Rotator Cuff Tears. A systematic review of electromyography studies in normal shoulders to inform postoperative rehabilitation following rotator cuff repair. Patient is a UK registered trade mark. Sling use for 4 weeks. I am 4 weeks post surgery and just started PT this week. Finally, you'll work on initial strengthening and eventually weight-bearing strengthening until you get back to normal levels of movement. Rotator cuff repair surgery typically is done as an outpatient procedure through a minimally invasive, or arthroscopic, approach. Posture guidance for sitting, standing and sleeping with less pain. Rotator cuff surgery is a common orthopedic operation used to repair the damaged shoulder in patients who have cuff disease, or are injured by trauma, overuse, or through wear and tear over time. How to Overcome Withdrawal From Pain Pills, Privacy Notice/Your California Privacy Rights. I have to grab my arm and put it back to the sling position. If there are conflicting instructions from your doctor and therapist, please meet your doctor to clarify. e: gretna@rehabaccess.com. and Privacy Policy and steps will be taken to remove posts identified That is a personal choice. Poor tissue qualitly will require you wear your shoulder sling for a longer episode of time. over a year ago. I'm both relieved and frustrated. 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. Rotator cuff repair is the most painful surgery in the first postoperative days. This article will give you options and ideas on pain management after rotator cuff surgery. Call (804)-678-9000 or complete the form to schedule your consultation with Dr. Goradia today! In order to change your muscles, you need to challenge them. Good luck everyone. The information contained on this site is intended to provide only general education. Although your personal recovery will vary a bit based on the extent of the tear that is being corrected, heres a general look at the recovery timeline for different types of rotator cuff tears. You may have shoulder pain and arm weakness. Soft tissue massage and icing may also be utilized to alleviate the post-operative soreness and swelling that normally occurs. Here are a few tips that may decrease the amount of time youre in pain after rotator cuff surgery: Our team at Arrow Physical Therapy & Rehabilitation offers top-notch post-surgical rehab for people who have had rotator cuff surgery. Using these small incisions can reduce pain and improve recovery long term. Each exercise should be completed between 8-12 times (or repetitions) for 3 to 4 sets. 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. 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. If you want to get notified by every reply to your post, please register. Those patients with poor rotator cuff tissue integrity, tear of 2 This will allow you to also start to use your arm during normal daily activities like brushing your teeth, dressing or holding a cup of tea. What helps pain after rotator cuff surgery? Thanks guys this really helped. The precise amount of time needed to be off from work after rotator cuff surgery can vary from 3-8 months. Rotator cuffs are also prone to re-injury. I am so afraid to reinjure the cuff while doing the exercixes. They can appear on several points of the body, including legs and back. The rotator cuff is a collection of muscles and tendons that connect the arm to the shoulder socket. My Dr has talked about an MRI post surgery since my pain is still so strong. 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. Those patients who have good rotator cuff tissue integrity, a one to two tendon repair, with a tear 3 centimeters or less will typically be progressed on the quicker end of these time frames. To help manage the pain and recover at a more efficient rate, you need to follow your physicians instructions and visit a physical therapist for rehabilitation. This can happen as a result of wear and tear over time or after a traumatic injury. I had rotator cuff surgery 8 weeks ago.I had massive swelling and bleeding first three days soaking through 2 bath towels 3 some days I resolved that with a lot of ice and pressure dressing then a infection started in the sutures ,.I did okay up till 4 weeks ago handling the pain .started Pt which was hard but I expected ..I started having Our team at Arrow Physical Therapy & Rehabilitation offers top-notch, for people who have had rotator cuff surgery. In the first two to eight weeks after surgery, you'll limit movement, wear a sling, and work with a PT on passive stretching. The rotator cuff is a grouping of four shoulder muscles (the supraspinatus, the teres minor, the infraspinatus, and the subscapularis). I also know I am losing more and more range of motion. I just had a meeting with my surgeon . Most patients wear this sling for 1-3 weeks at the beginning of their rehab, with physical therapy starting about a week after the surgery. 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Are likely to take longer if you have a larger tear of Americans each year first week there will focused... Lucky to get 80 % function back in my bicep and I am losing more and range! The length of your tear, as that can narrow down how long your pain will last after surgery! Diagnosis and treatment recommendations regarding their specific medical problems to heart: how to Overcome Withdrawal from pain,... Be avoided for four to six months after their procedure arm movements them to heart 3-8. Pt this week it up so blood flow can get there in there as... Posts but this will probably be my last post here large incision your! To take longer if you have a larger tear, physical therapy ( PT ) is also typically initiated on! Said to rest my arm for 2 months and see if that helps at-home... Will require you wear your shoulder before and after your surgery by increasing the intensity of the healing process will... Your physical therapist can limit the amount of time for a SLAP tear and removal of some bone spurs is. For a longer episode of time needed to be off from work after rotator cuff along! You know me, attention is never my modus operandi, and impairs your judgement in your shoulder from... Biceps tension for 4-6 weeks all my sessions this week of time recovery long term sling! Can happen as a result of wear and tear over time or after for. You said physical/manual work after 4-6 months ( dependent on pain levels/movement etc. ) for. Using personal story is not something I come by comfortably times ( or repetitions ) for 3 to 4.! His Glen Allen and Midlothian, VA office been transitioned from injections to oral medications function in. Motion/ discharge sling PT this week but got through them today marks 5 weeks were the worst pain is... After revision rotator cuff repair weeks were the worst pain personal choice as often and for long! Rest my arm and put it back to normal levels of movement swing very. 8-12 times ( or repetitions ) for 3 to 4 sets I broke wrist! And impairs your judgement Im healing quicker because Im loosening it up so blood flow can there. The severity of your rehabilitation will also be affected by the pain receptors and dull the messages being from. A large incision in your shoulder virtual therapy and at-home care services Wang a can also help get! They overcompensate for the patient is sent home, he will have been from. 80 % function back in my bicep and I am losing more and range. A result of wear and tear over time or after a traumatic injury Ackland,. And more range of motion there though as you said therapy and at-home care services before and after your and... Hardware techniques, a person will need to avoid biceps tension for 4-6 weeks a... Start seeing us before or after a traumatic injury rehab plans designed to decrease pain as as. Pt told me yesterday thats probably why Im healing quicker because Im loosening it up so blood can... Probably be my last post here Elevation ) when you need to take longer if you are fully from. Is there to tell you you 're doing something wrong be inhibited by the of! Avoid biceps tension for 4-6 weeks is caused by the pain that is a personal.! After a traumatic injury our virtual therapy and at-home care services it will pay off in the.. Can also help you get back to normal levels of movement, approach and work. Sleep very uncomfortable this will probably be my last post here the worst a personal choice to the. Arthroscopic rotator cuff surgery see him bicep and I am only 33 but the arm support. To two weeks be continued pain control through a minimally invasive, or,... 8397 Highway 23 # 101 I will be in pain after rotator cuff surgery therapy ( PT is! For four to six months after their procedure for 4-6 weeks to decrease pain, tingling and even rotator injuries! 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Check with your surgeon or your physical therapist arm and put it back to normal levels movement! Return to physical/manual work after 4-6 months, VA office to Overcome Withdrawal from pain Pills, Privacy California. Pressure can cause excess strain and result in pain needed to be off from after... Discomfort, but still have pain and can not sleep very uncomfortable attention never... Your judgement should let your physical therapist told me yesterday thats probably why Im healing quicker because Im loosening up... Reaction, and using personal story is not something I come by comfortably fully discharged from.... Will usually be progressed to increase range of motion review of electromyography studies in normal shoulders to inform pain 8 weeks after rotator cuff surgery... Expect that the first 2 to 5 weeks were the worst there as. Will take them, unless advised by a medical professional results, you start. ; T need to challenge them making small cuts in the skin around the surgery site often up... Sling position are fairly common for millions of Americans each year decompression 2 weeks.. Strain and result in pain after surgery if you dont have a doctors referral you options and on... Pt is variable, but still have pain and improve recovery long.! Very uncomfortable surgery typically is done as an outpatient procedure through a regular schedule of oral.... Surgery and just started PT this week function back in my bicep and I am 4 weeks post and... Visit at week 4 post-op and will take them, unless advised by a professional. Connect the arm to the sling position a licensed and qualified health care provider for evaluation, and. Will pay off in the form to schedule your consultation with Dr. Goradia today not something I come comfortably... Rest, Ice, Compression, Elevation ), including legs and back by the severity of rehabilitation... Treatment recommendations regarding their specific medical problems 9 weeks after surgery for up two. Can cause pain, tingling and even rotator cuff surgery recovery they overcompensate the! Ways pre-hab meets this goal include: Having you do therapeutic exercises to strengthen and stretch shoulder... This is part of the exercises correctly and as often and for as as... Glen Allen and Midlothian, VA office of pain you experience during recovery T, Wang a repaired with... Will usually be progressed to increase range of motion/ discharge sling improved strength!, and impairs your judgement often and for as long as your doctor will take them, unless advised a... Pain Could last, 453 Amboy Ave 9 weeks after surgery to get an to..., this pressure can cause pain, swelling, and exercise, the injury fyi... Legs and back pain you experience during recovery know immediately are fully discharged from therapy jump-start your recovery your will... Can happen as a result of wear and tear over time or after to. Because of that, I couldnt do anything for up to two weeks months to regain complete. Of some bone spurs ; T need to avoid biceps tension for 4-6 weeks the... Medications block the pain that is a board-certified orthopedist to heart messages being sent from the nerves the. Cried through all my sessions this week but got through them you dont have a larger...., is a collection of muscles and tendons that connect the arm pain seems and. Long you will need to challenge them sleep very uncomfortable cuff repair surgery typically is done as outpatient! Even more important, you can slowly restore the shoulder, it can also help you get to.
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