SHOULDER ARTHROSCOPY
 
 

Your Preparation

If Dr. Nguyen recommends arthroscopy for your shoulder problem, you can expect it to be performed as an outpatient (same day) procedure. You may have certain lab tests on the day preceding your surgery, and you will be instructed not to eat or drink anything after midnight of the night before your arthroscopic procedure.

Your Operation

More than likely, you will be given a general anesthetic, which will put you to sleep during the surgery. The procedure itself usually takes from one to two hours. Dr. Nguyen will use an arthroscope (miniature telescope) to view your shoulder joint. Using extremely small instruments, he or she will then make tiny incisions and perform the corrective measures dictated by your particular injury. Next, the incisions will be stitched or taped and your shoulder bandaged for protection.

Much of the recovery depends on how well you follow Dr. Nguyen's carefully formulated instructions for your post-op care. Here's what you can normally expect.

In the Hospital

Following your arthroscopic procedure, you will lie down in bed in the recovery room for several hours. You may be given some pain medication at the hospital, as well as a prescription to help alleviate any later discomfort. The nurse who has been monitoring your blood pressure and pulse will then arrange for your release one you are clear-headed and alert. Be sure to arrange for someone to drive you home from the hospital since you may be somewhat disoriented from the anesthesia and other medications.

At Home

During the first few days, you should ice your repaired shoulder for approximately 20 minutes, three times a day. Be sure to use the pain medications, if prescribed. You may also find it helpful to use a sling to take pressure off your shoulder.

Your Exercises

Dr. Nguyen or a physical therapist may prescribe an exercise and therapy program to speed your recovery. Usually, you can begin these exercises within a week of your arthroscopic surgery. They will include various stretching and bending routines designed to restore your range of motion, increase strength and reduce joint stiffness. Dr. Nguyen will advise you when you can start physical therapy.

Frequently Asked Questions

What are the most common types of shoulder ailments?
The most common shoulder problems include torn rotator cuff, torn labrum, arthritis, tendinitis and bursitis.
When should I see a doctor about my shoulder problem?
Though some shoulder injuries will heal without treatment, you should see your physician if the pain is sharp or chronic, meaning that it persists over a week or more.
Is arthroscopy a viable option for my sore shoulder?
After testing your shoulder and diagnosing your injury, your physician will determine if arthroscopy is right for you. Arthroscopic surgery is usually preferred over traditional, more invasive surgeries because there is less trauma and scarring, as well as faster recovery time.
How long will I be in the hospital with arthroscopic surgery?
Arthroscopy is usually performed on the outpatient basis, which means you will leave the hospital on the same day of your surgery.
How soon after my arthroscopic surgery can I return to work?
In most circumstances, you can return to light work within several days of your surgery. If your job is labor-intensive, the return period is somewhat longer.


                                             Making the Right Choices
   Do:   
• Ice your shoulder periodically for several days after surgery.
• Gently move your arm and shoulder to prevent stiffness.
• Follow the exercise routine prescribed by your doctor.
• Resume normal daily activities as soon as your doctor advises.
   Don't:
• Get your incisions wet when you apply ice.
• Reach for items in a way that will create undue shoulder pressure.
• Perform exercises that cause pain in your shoulder.
• Resume driving until cleared by Dr. Nguyen.