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Shoulder Impingement Surgery

Shoulder impingement surgery, also known as subacromial decompression, is a specialised shoulder surgery designed to relieve pain and restore function in individuals suffering from shoulder impingement syndrome. This surgery involves removing or reshaping part of the shoulder blade (acromion) and cleaning out the space under it to prevent the tendons from getting pinched.

Shoulder impingement occurs when the tendons of the rotator cuff become irritated and inflamed as they pass through the subacromial space, leading to pain and restricted movement. By addressing the root cause, shoulder impingement surgery can significantly improve a patient’s quality of life.

Also known as: Subacromial decompression, Acromioplasty

Everything You Need to Know

Shoulder impingement surgery is more than just a corrective procedure; it’s a precise intervention aimed at restoring pain-free movement and function for those suffering from shoulder impingement syndrome. This surgery is particularly beneficial for those who have not found relief through non-surgical treatments such as physiotherapy, medication, or lifestyle changes. It aims to treat shoulder pain by addressing the underlying issues causing discomfort.

Key benefits of shoulder impingement surgery include:

  • Pain Relief: Significant reduction or elimination of shoulder pain.
  • Improved Mobility: Enhanced range of motion and shoulder function.
  • Preventative Care: Minimises the risk of developing more severe shoulder problems due to prolonged impingement.

Before the Surgery

Consultation

The first step is a thorough consultation with one of our expert orthopaedic surgeons. During this session, your medical history, symptoms, and previous treatments will be reviewed to determine if shoulder impingement surgery is the right option for you.

Health Assessment

A comprehensive health assessment will be conducted to ensure you are fit for surgery. This includes blood tests, imaging studies (such as X-rays or MRI scans), and a review of any medications you are currently taking.
Before undergoing arthroscopic shoulder surgery, it is crucial to provide a detailed health history, a list of medications, and follow specific instructions from the hospital regarding fasting and health checks prior to the procedure.

Pre-Procedure Instructions

To ensure a smooth procedure and optimal recovery, you will receive detailed pre-procedure instructions. These may include:
Medication Adjustments: Guidance on which medications to stop or continue.

Fasting: Instructions to refrain from eating or drinking after midnight on the day of your surgery.
Lifestyle Advice: Recommendations such as stopping smoking and maintaining a healthy diet

During Shoulder Surgery

Our state-of-the-art facilities and experienced surgical team are dedicated to ensuring your comfort and safety throughout the procedure.

Anaesthesia

You will receive anaesthesia to ensure you are comfortable during the surgery. Options include general anaesthesia, which puts you to sleep, or regional anaesthesia, which numbs the shoulder area while allowing you to stay awake during the procedure.

Surgical Process

The surgeon will make small incisions around the shoulder and insert an arthroscope to visualise the subacromial space. Specialised instruments are then used in a decompression surgery to remove or reshape the acromion and clear out any inflamed tissue or bone spurs causing the impingement.

Monitoring and Recovery

Post-surgery, you will be monitored in a recovery area. Our care team will manage your pain and monitor your initial recovery to ensure everything is proceeding as expected.

After Surgery

Immediate Post-Op Care

Managing post-operative effects such as swelling, bruising, and discomfort is crucial. Our team will provide you with pain management strategies and detailed care instructions. Physical therapy is often recommended to help regain strength and flexibility in the shoulder. Factors like the type of surgery and patient age can significantly impact healing outcomes after shoulder decompression surgery.

Follow-Up Care and Physical Therapy

Regular follow-up appointments will be scheduled to monitor your recovery and assess the success of the surgery. These visits are essential to address any concerns and ensure optimal recovery. Additionally, a strengthening program specifically targeting the rotator cuff muscles is crucial after initial pain improvement to aid in rehabilitation and prevent further shoulder injuries.

Appointment and Treatment Plan

01

Initial Consultation

Your journey begins with a detailed consultation to discuss your goals and determine your suitability for shoulder impingement surgery.
The rotator cuff tendon is crucial in diagnosing shoulder pain-related conditions and is often visible on imaging tests like MRI and ultrasound.

02

Personalised Treatment Plan

A tailored treatment plan will be developed based on your consultation, outlining the specifics of your procedure and recovery plan. Imaging techniques such as MRI and ultrasound are crucial in evaluating the rotator cuff tendons for possible inflammation or tears.

03

Pre-Procedure Assessment

A thorough pre-procedure assessment ensures you are fit for surgery, involving necessary tests to uphold the highest standards of care and safety.

04

The Procedure

Performed by our skilled medical team, the surgery will focus on achieving the best possible outcomes for your shoulder impingement. If left untreated, shoulder pain from conditions like subacromial impingement can lead to more severe injuries such as rotator cuff tears.

05

Aftercare and Recovery

Post-procedure, you will receive detailed aftercare instructions and have follow-up appointments to support your recovery and ensure the best results.

Top Tips for Shoulder surgery

Rest and Recuperation: Allow your body ample time to heal, avoiding strenuous activities that could impact the results.
Stay Hydrated and Eat Healthily: Maintain a balanced diet and drink plenty of fluids to support your recovery and overall well-being.