February 27, 2025
Shoulder arthroscopy is a minimally invasive surgical technique used to diagnose and treat a variety of shoulder problems. This procedure involves making small incisions through which a tiny camera, called an arthroscope, is inserted. This camera provides a clear view of the inside of the shoulder joint on a video monitor, allowing the surgeon to guide miniature surgical instruments to repair tissue. Common issues addressed through shoulder arthroscopy include rotator cuff tears, impingement, and inflammation.
Subacromial decompression is a specific surgical procedure often performed during shoulder arthroscopy. It aims to relieve pain caused by shoulder impingement, a condition where the tendons of the rotator cuff muscles become irritated and inflamed as they pass through the subacromial space, the narrow passage beneath the acromion. During subacromial decompression, the surgeon removes a small portion of the acromion and any bony growths (spurs), thus increasing the space for the rotator cuff tendons. This helps to reduce the pressure on the tendons and alleviate pain, facilitating smoother movement of the shoulder.
ARTHROSCOPIC SHOULDER DECOMPRESSION RECOVERY TIME
Recovery from Shoulder Arthroscopy:
Recovery from shoulder arthroscopy can vary depending on the specific procedures performed and the individual patient’s health. Typically, patients may return to desk work or light activities within a few days to a week after surgery. However, complete healing and return to full activities can take several weeks to several months. Physiotherapy plays a crucial role in recovery, focusing on restoring shoulder strength and mobility. It is important for patients to adhere to their physiotherapist’s recommendations and to gradually increase their shoulder’s workload to avoid complications.
Recovery from Subacromial Decompression:
The recovery period following subacromial decompression surgery is generally longer than simple diagnostic arthroscopy due to the more invasive nature of the procedure. Patients often wear a sling for the first week post-surgery to immobilise the shoulder and aid in the healing process. Light activities can typically resume within two to three weeks, but full recovery and return to sports or heavy lifting might take up to six months. As with any shoulder surgery, a structured physiotherapy regimen is essential to recover strength and range of motion, ensuring an optimal outcome.
Success rate of Subacromial Decompression surgery:
Subacromial decompression surgery is generally considered to be an effective treatment for shoulder impingement,, particularly when conservative treatments like physiotherapy and medication have not provided sufficient relief. Success rates for this surgery are quite favourable, with studies indicating that approximately 70-90% of patients experience significant reduction in pain and improvement in shoulder function. The success of the surgery largely depends on accurate diagnosis of the impingement, the surgeon’s skill, and the patient’s adherence to post-operative rehabilitation. It’s important to note that outcomes can also be influenced by the patient’s age, overall health, and the presence of any underlying shoulder conditions. Patients typically report improved quality of life and ability to perform daily activities with less discomfort following the procedure.
Restrictions after subacromial surgery:
After undergoing subacromial decompression surgery, patients will face several restrictions to ensure proper healing and avoid complications. Initially, it is common for patients to be advised to wear a sling for 1 to 2 weeks to immobilize the shoulder and support the healing tissues. During this period, patients are typically restricted from lifting any objects with the affected arm and from engaging in any overhead activities. Driving is also not recommended until the patient has regained sufficient control and comfort in the shoulder to handle the demands of vehicle operation safely. As rehabilitation progresses, these restrictions are gradually lifted based on the patient’s recovery and under the guidance of a physiotherapist. The goal is to ensure a safe return to normal activities while minimising the risk of re-injury or complications.
BENEFITS OF PHYSIOTHERAPY BEFORE AND AFTER SHOULDER DECOMPRESSION SURGERY
Pre-Operative Physiotherapy:
Engaging in physiotherapy both before and after shoulder decompression surgery can significantly enhance the surgical outcomes and overall recovery process. Pre-operative physiotherapy, often referred to as “prehabilitation,” helps to strengthen the shoulder muscles, improve flexibility, and increase joint awareness, which can lead to a quicker post-surgery recovery. Patients who undergo prehab tend to have a better baseline of muscle function and are generally more prepared for the recovery challenges post-surgery.
Post-Operative Rehabilitation: Maximising Functional Recovery
Post-operatively, physiotherapy is crucial in managing pain, reducing inflammation, and preventing stiffness. A tailored rehabilitation program helps to gradually restore range of motion and strengthen the muscles around the shoulder joint. This structured approach ensures that recovery is as efficient as possible and helps in returning to normal activities. Additionally, ongoing physiotherapy post-surgery can aid in correcting movement patterns that may have contributed to the initial shoulder issues, thus reducing the risk of future injuries. Overall, physiotherapy before and after shoulder decompression surgery not only aids in a smoother and quicker recovery but also enhances the functional outcomes, allowing patients to return to their daily and recreational activities with improved shoulder function.
In conclusion, the journey through shoulder arthroscopy and subacromial decompression becomes even more promising when complemented by quality shoulder Physiotherapy. We are so fortunate to have an expert shoulder physiotherapist in Andy Houghton at Beachside who can help with any shoulder issues that arise.
The proactive approach of pre-operative preparation and post-operative rehabilitation significantly contributes to a smoother recovery and a return to an active and pain-free lifestyle.
If you need help with your recovery following shoulder arthroscopy or subacromial decompression, we’d be glad to help you, we’ve helped thousands of others recover from this type of surgery.
