Struggling With Shoulder Impingement?
Shoulder impingement or subacromial impingement syndrome is a common shoulder ailment that sometimes requires surgery. The issue occurs when a rotator cuff tendon is inflamed and gets caught in the space near the shoulder joint, mainly the humerus and acromion. Bursae, which are fluid-filled sacs that aid in lubrication, can also get trapped in this space. The tendon is repeatedly pinched during certain arm movements, such as raising the arm overhead. Shoulder impingement is a progressive condition and is common in athletes who perform repeated overhead movements. Surgery can relieve symptoms and restore shoulder function, but is dependent on a solid recovery process.
Understanding shoulder impingement surgery
An orthopedic surgeon will recommend surgery if physical therapy (PT) and other non-surgical procedures fail to improve the condition. This is often seen as a last resort, especially if the pain interferes with athletic performance, work, or sleep. Shoulder impingement surgery involves removing the inflamed tendon or bursa tissue. The surgeon may also remove bone spurs and create additional space via subacromial decompression. Some individuals with shoulder impingement may have a rotator cuff tear, which is also repaired in the same procedure.
Why outpatient surgery is a game-changer
Doctors can use outpatient techniques, like arthroscopy, to perform shoulder impingement surgery. This option uses a small incision to insert a lighted camera attached to a long, thin device that projects images of the shoulder. Additional small incisions are made to insert surgical tools to repair the shoulder. Outpatient surgery means patients can leave the surgical location the same day and begin recovery at home. Smaller incisions also minimize damage to the shoulder. Other benefits include less blood loss, fewer complications, and an opportunity for a faster recovery. While open surgery provides a full view of the joint, the recovery can take longer.
Your recovery discipline matters
Shoulder surgery is only effective if the patient has a structured rehabilitation plan that is closely aligned with long-term goals. The patient is required to follow the program as closely as possible, so the shoulder heals and functions effectively. Recovery is centered around PT and exercises to restore strength and range of motion. The first 2 weeks are primarily pain management and wound care, allowing incisions to heal while performing gentle movements. Once the swelling reduces, additional PT sessions begin. The goal is to perform light exercise and stretches with bands and light weights to build shoulder strength. From week 6 and beyond, frequency, weight, and intensity increase. The program is also tailored to the patient’s goals, such as a return to sport. Additional time for athletes can take the timeline up to 6 months, so patience and consistency are key.
Feel like yourself again
Shoulder impingement surgery is effective in addressing the inflamed tissue and bone constantly trapped in the joint. Statistics show that most patients experience favorable results with up to a 90% satisfaction rate. A recovery plan plays a significant role in success rates, so follow the instructions closely. Expert shoulder care is crucial after recovery to prevent future injuries. Use massage, stretching, and ice packs after physical activity, resting as needed. Report any severe pain or limited movement to the doctor. With surgery and rehabilitation, returning to sport and other activities pain-free is possible.
