OP what is done
Surgery what is done Surgery for shoulder impingement syndrome should be the last therapeutic option after conservative treatment options have been applied. In this case, the patient can voluntarily decide to undergo surgery. The planned surgery can be performed minimally invasive and therefore usually leaves only two to three very small scars.
- In most cases, a part of the acromion is filed off during the operation so that the space between the acromion and the inflamed tendon of the musculus supraspinatus becomes wider.
- In the event of a lesion or tear of a tendon, it can be refixed to the bone or another part of the tendon during surgery.
- If calcifications are present on one or more tendons, they can be removed.
- If a bursa under the acromion is repeatedly inflamed, it can be removed.
OP Duration/How long hospital stay after OP
Since the operation can be performed in a minimally invasive manner, it only takes one to two hours. This is followed by a rest period in the recovery room, which varies from patient to patient and usually lasts between one and three hours. After this time, the patient can usually be transferred to a normal ward. Since the operation is performed as an in-patient and under general anesthesia, the patient must either spend the night before in the hospital or present himself there on an empty stomach in the morning of the operation. The operation is usually followed by a short hospital stay of two to three days, during which time the post-operative treatment is already initiated.
OP after-treatment/painkiller
Post-operative treatment for shoulder impingement syndrome includes: Physiotherapy begins in the hospital on the first or second day after the operation. Depending on the surgeon’s instructions, the operated arm can be mobilized passively and actively in the approved directions of movement. Following the hospital stay, physiotherapy is continued on an outpatient basis until the strength, mobility and function of the operated shoulder are restored.An automatic motion splint can in some cases support physiotherapeutic work, it is already used in hospitals and can be loaned for use at home.
After every shoulder operation, a shoulder bandage is applied to protect and immobilize the shoulder; in most cases, this only has to be worn permanently during the day for the first week. After particularly difficult operations, for example with a tendon suture, the bandage usually has to be worn for up to 6 weeks, in other cases it may be necessary to place the arm in an abduction splint. In most cases, after surgery for shoulder impingement syndrome, non-steroidal anti-rheumatic drugs such as ibuprofen or diclofenac are recommended for a short period of time, as these drugs have both an analgesic and anti-inflammatory effect. Pure painkillers such as Novalgin can also be used. Comprehensive information on this topic can be found in these articles:
- The postoperative physiotherapy
- An automatic motion splint
- Wearing a shoulder strap
- The demand-oriented intake of pain and anti-inflammatory drugs
- MTT after shoulder impingement surgery
- Shoulder Impingement Syndrome Physiotherapy
