Shoulder Pain 2 Years After Surgery

What Is The Fastest Way To Recover From Hernia Surgery

2 Years of Shoulder * Bursitis & Tendonitis * RELIEVED Before Your Eyes (REAL TREATMENT!!!)

All surgical recovery takes time. However, you can increase your odds of a speedy and successful recovery by:

Following your healthcare provider’s instructions
Taking pain medications when you need them
Walking and moving as directed
Sticking to a healthy diet
Caring for your incision and preventing infection
Keeping your follow-up appointments

Why Is This Important

This research could help surgeons and patients decide whether to proceed with a shoulder replacement. The findings may reassure patients that their new joint is likely to last more than 10 years, with good outcomes.

The data may also help healthcare commissioners plan future joint replacement services.

Why Am I Still Having Symptoms After Rotator Cuff Surgery

The most common causes of pain after rotator cuff surgery are that the shoulder is still recovering from the surgery itself and the shoulder has gotten stiff due to lack of movement. It is well known that rotator cuff surgery is a major operation where the rotator cuff tendons are sewn back to the upper arm bone .

The other major reason patients have pain after rotator cuff surgery is due to stiffness of that shoulder. It is common after rotator cuff surgery to have some stiffness due to the fact that the operation caused the arm to be held without motion for some time. It is important after the surgery to protect the rotator cuff repair for several weeks while it heals, and during this time it is very common for the shoulder to get stiff to a lesser or greater degree. Your doctor and physical therapist can keep an eye on this for you and let you know if your stiffness is the expected amount or too excessive. Often times the stiffness can be treated, and the pain resolves.

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Shoulder Pain After Laparoscopic Surgery

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FAQs for Patients

For a few days after the laparoscopic surgical procedure, many patients likely to feel some pain and discomfort, which in turn can irritate the nerve endings in the diaphragm resulting in referred pain in shoulder.

Pain after laparoscopic surgery can be divided into:

parietal pain

There is marked interindividual variability of post-operative shoulder-tip pain following laparoscopic surgery.

Mechanism of pain:

The hypothesis of post-operative shoulder-tip pain is that carbon dioxide induced phrenic nerve irritation causes referred pain to C4. Some of the gas used to inflate your abdomen can remain inside your abdomen after the procedure, which can cause:

bloating
cramps
shoulder pain, as the gas can irritate your diaphragm , which in turn can irritate nerve endings in your shoulder

Management:

World Laparoscopy Hospital, Cyber City, DLF Phase II, Gurugram, NCR Delhi, 122 002, India PHONES:

Shoulder Pain Almost 2 Years After Surgery

Shoulder Arthritis / Rotator Cuff Tears: causes of shoulder pain ...

Hi, I haven’t posted in ages as I thought every thing was great and it was time to move on and not think about breast cancer so much. I had been feeling fine, was getting used to my new breast and had my one year checks in August and all was good. Two weeks ago marked a year since the end of my rads too.

However, for the last couple of months I have been experiencing arm and shoulder pain that is getting gradually worse and is beginning to severely impact my life.I am only the driver at home and changing gear has become very painful and I am due to start working as a nursing assistant next month, but now fear I may not be able to manage this.

I continued my exercises for a full year post recon and had full range of movement and no pain at all until now. Has anyone else had a similar problem? Any advice on how to deal with it welcomed please. My GP just said take paracetemol and try ibuprofen gel. It helps but I don’t feel that I should be taking all these painkillers indefinitely.

Thank you

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What If I Feel A Tear Or Pull In Therapy

It is not uncommon to have a small “twinge” or “pull” in physical therapy, which typically does not mean that the rotator cuff repair has failed. Normally these small twinges are usually nothing to worry about. It is not really known what causes them, but it is believed that it may be scar tissue being stretched or the shoulder joint moving around normally in the socket. It would be rare for the therapy to actually cause a repaired tendon to tear, as will be discussed later.

A Remedy For Gas Pain After Hysterectomy:

Get out of bed and start walking to encourage peristaltic of the bowels. This is the best way to get rid of build-up gas.

Apply a heating pad to reduce the gas pain. Do not apply heat near the wound as there is less sensation, and the skin can easily get burned.

Drink some hot tea. Especially peppermint tea promotes bowel movement and helps to ease gas pains.

You may try Simethicone . This is a medication that helps the body to get rid of excessive gas.

Constipation after hysterectomy can cause gas pain when stool blocks the rectum. Then taking Colace may help.

You should also know that the pain medication and antibiotics you get after surgery can slow down and disrupt bowel activity. If you feel you dont need it anymore, consider stopping the pain medication.

Common after laparoscopic surgery is that trapped gas causes shoulder pain. This is because of the CO2 gas they introduce to expand the abdomen. This trapped gas irritates the nerves of the diaphragm that then sends pain signals upward to the shoulder.

It is not unusual that this shoulder pain lasts up to a week. Apply a heating pad, and lying on your side may help to relieve the pain. Though they may help, remember to be cautious with pain medication as they may slow down your bowels. If the pain persists, contact your surgeon for advice.

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Re: Shoulder Pain Almost 2 Years After Surgery

Hi Mandy,I have had a lumpectomy followed by a total Mastectomy 16 months ago and both lots of surgery started off a Costachondritis condition which is bought on by a trauma to the chest and results in inlamation of the cartliges in the rib cage and the pain moves around different areas of the rib cage. I have also had the shoulder pain now for a few weeks and I am thinking it may be Lymphodema which I will have checked , I wish you all the best and hope you are feeling better soon xo.

Treating Pain After Hysterectomy:

Exercises for shoulder pain, Impingement, Bursitis, Rotator Cuff Disease by Dr Furlan MD PhD

How they treat pain after a hysterectomy depends on the cause and severity of the pain. In normal cases, pain after hysterectomy responds well to pain medications. Taking enough rest during the recovery phase is important, and doing too much too soon may lead to increased pain or tenderness.

You need to know that the body’s soreness and aches may persist for quite a few months. Therefore, to get your mind distracted from pain, involve yourself in relaxation techniques or hobby classes, or light household chores. Be patient with yourself and keep in mind that your pain will eventually completely fade away.

The pain should gradually decline and should be intermittent in later stages of recovery. However, if this pain becomes severe, your physician will check your condition to determine the underlying medical condition. Then you may need a complete examination by your gynecologist and running the necessary laboratory tests.

One Year After A Rotator Cuff Surgery

How should my shoulder feel one year after rotator cuff surgery?

Patient education is one of the most important ingredients in a successful surgery. It is important that patients understand what to expect immediately after an operation and also years later.

Arthroscopic Rotator cuff repair is a great operation that can decrease pain and improve shoulder function. However, it is important to realize that it may not make your shoulder feel 100% normal again. Research studies have shown that one year after surgery patients will have shoulder function which is about 80% of normal . I believe that most patients do a little better than that and approach 90% of normal. Of course there are some who do better and approach 100% and some who do less well.

Dont be alarmed if you have had a rotator cuff repair in the past and you still experience some occasional discomfort or shoulder tightness. The research shows that is normal! The shoulder should feel a whole lot better than it did before surgery but maybe not good enough to pitch professionally.

Do You Suffer From Persistent Shoulder Pain Following A Surgery

Do you suffer from persistent shoulder pain following a surgery?

Shoulder pain is one of the most common types of pain that may affect a person. In fact, the shoulder is responsible for almost half of all joint dislocations in the US and among those, the axillary nerve is frequently injured. If pain persists following surgery, it is typically the result a damaged nerve. The other possibility is advanced shoulder disease which does not respond to conservative options and surgery is not recommended. In this case modulation of the primary nerves responsible for shoulder sensation can be an answer. Those are primarily suprascapular and less so axillary nerves. If pain associated with the suprascapular and/or axillary nerve is left untreated, the pain can become chronic and lead to allodynia and hyperalgesia . At Advanced Pain Management Center, Vladimir Fiks, MD offers a minimally invasive procedure called peripheral nerve stimulation to help deal with nerve pain associated with the shoulder.

Typical conservative treatments may include:

Medications
Shoulder injections

Peripheral nerve stimulation gives patients an alternative to medications and/or injections, especially when physical therapy is not working for them. In fact, PNS may help to increase rehabilitation during physical therapy.

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You May Be Interested To Read

Paper regarding the ‘Can Shoulder Arthroscopy Work? trial: Beard DJ and others. Arthroscopic subacromial decompression for subacromial shoulder pain : a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial. The Lancet. 2018 391:329-38.

Funding: This research was supported by the NIHR Applied Research Collaboration South West Peninsula NIHR Biomedical Research Centre at the University Hospitals Bristol NHS Foundation Trust the NIHR Oxford Biomedical Research Centre and an NIHR Clinical Lectureship.

Conflicts of Interest:Several authors have received grants from medical device companies outside of the submitted work.

Disclaimer: NIHR Alerts are not a substitute for professional medical advice. They provide information about research which is funded or supported by the NIHR. Please note that views expressed in NIHR Alerts are those of the author and reviewer and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.

What To Expect After The Surgery:

As you would expect, the first 24 hours after your surgery is the most uncomfortable time. The pain is mainly in your tummy, and some patients describe it as being like bad period pain. If you have undergone a vaginal hysterectomy, the feeling is more of a bearing down pain or tenderness.

Sitting on a chair is uncomfortable in the beginning. But after a day or two, the pain gradually starts decreasing. Although this pain after the surgery starts diminishing after four weeks, you need to accept that soreness may linger on for some time in most cases.

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Urgent Advice: Ask For An Urgent Gp Appointment Or Get Help From Nhs 111 If:

you have sudden or very bad shoulder pain
you cannot move your arm
your arm or shoulder has changed shape or is badly swollen
you have pins and needles that do not go away
there’s no feeling in your arm or shoulder
your arm or shoulder is hot or cold to touch
the pain started after an injury or accident, like a fall
you develop severe pain in both shoulders
you feel feverish or unwell

These can be signs of something serious, like a broken or dislocated bone, or a torn ligament or tendon.

You could also go to your nearest urgent treatment centre.

My Rotator Cuff Hurts 6 Years After Surgery Is That Okay

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What Do I Do If My Tendon Has Not Healed

The reality of rotator cuff surgery is that while most tendons heal back to the bone after surgery, not all repaired tendons heal completely, and some do not heal at all. There are many reasons for this lack of healing with surgery. The first is that the rotator cuff tendons are large tendons which may have too extensive damage to heal. The rotator cuff tendons are big, and there are four of them. Each rotator cuff tendon is as thick as your little finger and as wide as two to three fingers. The chance that the tendons will heal with surgery is directly related to how large the tear in the tendons was before surgery. How to determine the size of the rotator cuff tendon tear will be discussed below.

The second reason that the tendons may not have healed with surgery is that these tendons begin to wear out in most humans beginning around the age of 30, and the amount of wear and tear varies from person to person for reasons we do not understand. This wear of the tendons occurs in some people but not in others. By the age of 50, many people have some wear of their rotator cuff tendons.

Shoulder Pain After Surgery Relief: What Can You Do At Home For The Best Pain Relief After Shoulder Surgery

Shoulder pain, frozen shoulder, after surgery or chronic pain, what to do

Once your shoulder surgery is over, your top priorities are pain relief and making a quick recovery.

This is where physical therapy can make a world of difference.

The physical therapists at PRO~PT are experts when it comes to helping you find the best pain relief after shoulder surgery and getting you on the fast track to returning to your normal way of life.

Below are some of our top shoulder surgery recovery tips to help make your recovery as fast as possible.

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Do Your Exercises: Top 3 Exercises For The Best Pain Relief After Shoulder Surgery

One of the best things you can do to help your shoulder heal properly and provide after shoulder surgery pain relief is to visit your physical therapist to learn a few post-op shoulder exercises.

These simple exercises will go a long way towards:

Restoring your range of motion
Improving flexibility to your shoulder
Helping you gradually return to your everyday activities

As you are working through these exercises, you will want to breathe normally and try to use smooth, fluid movements.

Be sure to attempt these exercises only after receiving the green light to start exercising from your physical therapist or your physician.

#1 Pendulum

The shoulder pendulum exercise has multiple benefits.

For starters, its a passive exercise.

A 2016 study revealed that pendulum exercises result only in a very small amount of muscle activity.

That means that as you perform the exercise, there is very little contraction of the muscles surrounding the shoulder, which makes it a great choice for shoulder pain after surgery relief.

Additional benefits of the shoulder pendulum include:

Maintaining mobility of the joint capsule and the rotator cuff
Providing shoulder pain after surgery relief
Preserving the range of motion in the shoulder joint
Preventing shoulder stiffness
Increasing the blood flow to the shoulder joint

How to do shoulder pendulums:

Lean over, supporting your good arm on a chair or table

Relax the arm on the side of your injured shoulder, letting it hang straight down

Revision Surgery Due To Stiffness

Before embarking on a surgical revision to regain motion, it is important to determine the cause of the residual stiffness. Previous operative notes are reviewed to discover if the joint was intentionally tightened and, if so, how this was carried out. Particular note is made of whether the subscapularis was advanced lateral to the bicipital groove and whether thermal or laser capsular cauterization was carried out. Excellent anteroposterior and axillary radiographs are needed to exclude bony or articular causes of shoulder stiffness. The location of hardware and other implants is determined.

Prior to prepping and draping the shoulder, the ranges of flexion, cross body adduction, internal and external rotation in 90 degrees of abduction, and external rotation at the side, as well as the excursion on posterior drawer testing are recorded for both shoulders.

The surgical procedure is performed sequentially with the range of motion being reexamined after each step of the release. The procedure may be concluded when the desired range is achieved.

The initial step is to completely free the humeroscapular motion interface.

Any prominent suture, suture anchors, hardware, bone, or soft tissue is resected from the proximal humerus to assure smooth passage within the coracoacromial arch. A nerve-to-nerve release is performed.

The second step is to incise the coracohumeral ligament from around the coracoid process.

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