FAQ’s On Arthroscopic Surgery
Arthroscopy is a surgical procedure used to diagnose and treat structural damage of joints. The surgery involves making 3 to 4 minor incisions around the joint, and a fibre optic cable is inserted through these incisions. The cable has a camera head to see inside the joint, and other miniature surgical tools.
The arthroscope displays the video onto a monitor and helps the surgeon guide surgical instruments to repair the damaged joint.
Dr Chandra Sekhar, Orthopaedic Shoulder Surgeon In Hyderabad, can repair several problems using the arthroscopic technique. Some of them are:
- Rotator cuff repair
- Frozen shoulder repair
- Removal of bone spurs called Subacromial Decompression
- Glenoid labrum repairs (SLAP tears)
- Repair of Shoulder Dislocation(shoulder instability)
- Debridement due to arthritis(Arthroscopic debridement )
- Tendon or ligament repairs
During or after arthroscopic shoulder surgery, complications are infrequent, far less than 1% of all arthroscopic procedures. However, if they tend to occur, you may notice infection, blood clots, swelling or bleeding, stiffness in joints, damage of blood vessels and instrument damage, etc.
Although arthroscopic surgery gained a lot of public attention because of its advantages. It is a minimally invasive surgical procedure, and it gives eyes to the surgeon to view and treat inside a joint without dissecting it fully. The advantages of this procedure are:
- Less trauma to the joint and less scarring
- Less postoperative pain
- Shorter recovery period
- Lower risks of complications compared to open surgeries.
It benefits athletes mostly for quick recovery. Most of the patients have this arthroscopic surgery as an outpatient procedure because patients can be discharged several hours after surgery.
Yes, you should wear a sling as recommended by your orthopaedic surgeon approximately 4-6 weeks post-surgery for protection. Dr Chandra Sekhar suggests you wearing the sling all time after surgery. The sling is often removed several times a day for physiotherapy and exercises. You can also remove the sling during shower as instructed by your surgeon or physiotherapist.
FAQ’s On Open Surgery For Shoulder
Open surgery is a traditional surgical approach to treat problems associated with connective tissue in your shoulder. In this procedure, an orthopaedic shoulder surgeon makes a single larger incision about 4 to 6 cm above the damaged area to reach under the skin and muscle.
Some surgeons prefer open shoulder surgery over arthroscopic shoulder surgery because it gives them a better sight of the damaged area being operated. However, some damages can be repaired only through open surgery, which includes:
- People having complicated shoulder injuries
- People who require tendon transfer
- Severe rotator cuff injuries
- Shoulder replacement surgery
The duration of the surgery mostly depends on the problem being treated. On average, an open surgical procedure might take approximately 1 ½ to 2 hours. However, preoperative arrangements and postoperative recovery may easily double the time. Usually, patients spend 1 to 2 hours after surgery in the recovery room. Patients who undergo open procedures are not comfortable enough to be discharged immediately after surgery.
Open shoulder surgery is a complex surgery; you might need to stay in the hospital under observation for a few days following your surgery. You will be discharged once your surgeon feels you have recovered well. Your sutures and other bandages might be removed before your discharge.
Rehabilitation begins shortly after you have been shifted into your general room. You will be suggested physiotherapy after surgery for some days and instructed to do some exercises at home. Your physical therapist helps you in maintaining proper home care.
It is essential to follow your surgeon’s instructions post-surgery. Suppose you have any questions about recovery, discussed with your shoulder surgeon before your discharge. In general, Dr Chandra Sekhar, Shoulder Surgeon in Hyderabad, mention some precautionary tips:
- Don’t use your operated arm while you get up from your bed or chair. Instead, use your opposite arm.
- Don’t pull or push anything, like pulling up your pants and opening doors, for about six weeks post-surgery.
- Your doctor and physiotherapy might suggest a list of exercises to do at home. Be certain not to skip your doctor’s instructions. Typically you may need to do these exercises for a month or so around three or four times a day.
- Don’t move against the range of motion given by your doctor.
- Don’t lift weights until unless you take advice from your doctor.
- You may be suggested to wear a sling depending upon the situation. However, you may be requested to wear the sling every night for the first month, at least.
FAQ’s On Shoulder Joint Replacement
Shoulder replacement, also known as shoulder arthroplasty, is a surgical procedure where portions of damaged shoulder joints are replaced with prosthetics(artificial implants). The surgery aims to reduce shoulder pain and to restore range of motion & mobility. Shoulder replacement surgery is the most successful procedure in treating severe pain and stiffness caused by arthritis.
No, it doesn’t require replacing the entire shoulder joint always; it depends on the damage present. Dr Chandra Sekhar, Shoulder Surgeon in Hyderabad, says that shoulder replacement surgeries there are of different types based on the severity of the damage:
- Total Shoulder Replacement – A total shoulder replacement surgery involves replacing the entire ball and socket components of the shoulder completely.
- Partial Shoulder Replacement – In partial replacement surgery, only the shoulder’s damaged or injured parts are replaced.
Reverse shoulder replacement – In this procedure, the ball and socket of the shoulder joint switch sides, i.e., their natural joint position is reversed and replaced with metal and plastic components. The procedure is often used for patients failing with total shoulder replacement.
Shoulder replacement surgeries are the most successful procedures at present. The success rate is around 90% in people who are ideal for shoulder replacement. Patients can have extremely functional shoulders and also be able to perform daily activities as usual. They can even play low impact sports without any pain. The complications are also very less after surgery, which is less than 5% only. The recurrence rate of shoulder replacement is also very rare
The estimated lifespan of prosthetics is around 15 years, and in some patients, it may last even longer. However, it varies from person to person and material used to make prosthesis joints. It is hard to foretell how long a patient’s shoulder replacement will last. The materials used in the replacement also improved over the past 7-8 years.
After the surgery, you may need to stay one or two in the hospital. After that, you will be sent home, and you can get to regular activities within six weeks after surgery. It takes around three to six months to recover completely and a year to regain full strength and range of movement in the shoulder. However, to speed up your recovery process, experts suggest physiotherapy and some exercises.
FAQ’s On Physiotherapy
Physiotherapy is a high impact procedure that helps to relieve chronic pain experiencing by many people. Physiotherapy can restore lost function and maintains the mobility and well-being of a patient. It is a scientifically proven therapy and very effective in reducing pain and better quality of life by performing simple yet exercises under the direction of well-trained physiotherapists. It helps through physical rehabilitation and maintains your health and fitness.
Physiotherapy may be the right choice for you if you are experiencing:
- Joint pains such as shoulder pain
- Back problems such as neck pains and back pains
- Muscle pain or muscle spasms
- Spinal cord injuries
- Injuries related to sports
- Joint stiffness and adhesions
- Falls and fractures
- Arthritic problems
- Muscle weakness
- After having a joint surgery
Physiotherapists usually performed through massage and some sort of exercise to improve mobility and function. The exercises are designed in a way to improve mobility and strength of specific body parts. The exercises are usually done in a repeated way regularly in sets for a certain length of time.
Tremendous research done over the years shows evidence in favour of physiotherapy for managing musculoskeletal problems. Dozens of studies have already demonstrated that physiotherapy is a potential factor in the recovery of joint injuries and elevates pain associated with your back, neck, shoulders, wrist, knees, and ankle.
Yes, you can have physiotherapy at home comfortably. It is a form of some exercise that often used Physiotherapists as a treatment. Initially, the exercises are done under the supervision of Physiotherapists. Later you may be allowed to do them at home by yourself or taking the assistance of a therapist at home. You may need to do a set of exercises and repeat each exercise around five times. It suggested not to try strenuous exercises on your own without the guidance of experts.