Low Cost Arthroscopic Shoulder Surgery in India
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Shoulder Arthroscopy Introduction
Shoulder arthroscopy is surgery that uses a tiny camera called an arthroscope to examine or repair the tissues inside or around your shoulder joint. The arthroscope is inserted through a small incision (cut) in your skin.
The rotator cuff is a group of muscles and tendons that cover your shoulder joint. These muscles and tendons hold your arm in your ball and socket shoulder joint, and they help you move your shoulder in different directions. The tendons in the rotator cuff can tear when they are overused or injured.
Most people receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. Or, you may have regional anesthesia. Your arm and shoulder area will be numbed so that you do not feel any pain in this area. If you receive regional anesthesia, you will also be given medicine to make you very sleepy during the operation.
First, your surgeon will examine your shoulder with the arthroscope. Your surgeon will:
- Insert the arthroscope into your shoulder through a small incision. The arthroscope is connected to a video monitor in the operating room.
- Inspect all the tissues of your shoulder joint and the area above the joint — the cartilage, bones, tendons, and ligaments.
- Repair any damaged tissues. To do this, your surgeon will make 1 to 3 smaller incisions and insert other instruments through them. A tear in a muscle, tendon, or cartilage will be fixed. Damaged tissue may need to be removed.
Your surgeon may do one or more of these procedures during your surgery:
- Rotator cuff repair: The edges of the muscles are brought together. The tendon is attached to the bone with sutures. Small rivets (called suture anchors) are often used to help attach the tendon to the bone. The anchors can be made of metal or plastic. They do not need to be removed after surgery.
- Surgery for impingement syndrome: Damaged or inflamed tissue is cleaned out in the area above the shoulder joint itself. Your surgeon may also cut a specific ligament, called the coracoacromial ligament, and shave off the under part of a bone. This under part of the bone is called the acromion. The spur can be a cause of inflammation and pain in your shoulder.
- Surgery for shoulder instability: If you have a torn labrum, the rim of the shoulder joint that is made out of cartilage, your surgeon will repair it. Ligaments that attach to this area will also be repaired. The Bankart lesion is a tear on the labrum in the lower part of the shoulder joint. A SLAP lesion involves the labrum and the ligament on the top part of the shoulder joint.
At the end of the surgery using the arthroscope, your incisions will be closed with stitches and covered with a dressing (bandage). Most surgeons take pictures from the video monitor during the procedure to show you what they found and what repairs they made.
Your surgeon may need to do open surgery if there is a lot of damage. Open surgery means you will have a large incision so that the surgeon can get directly to your bones and tissues. Open surgery is a more complicated surgery.
Why the procedure is performed?
Arthroscopy may be recommended for these shoulder problems:
- A torn or damaged cartilage ring (labrum) or ligaments
- Shoulder instability, where the shoulder joint is loose and slides around too much or becomes dislocated (slips out of the ball and socket joint)
- A torn or damaged biceps tendon
- A torn rotator cuff
- A bone spur or inflammation around the rotator cuff
- Inflammation or damaged lining of the joint. Often this is caused by an illness, such as rheumatoid arthritis.
- Arthritis of the end of the clavicle (collarbone)
- Loose tissue needs to be removed
- Shoulder impingement syndrome, to make more room for the shoulder to move around
Check out the Patient Testimonial, where the patient shares about their success stories from treatments through Joint Replacement Surgery Hospital India.
Hello, my name is Dominic from Nigeria. I got arthroscopic shoulder surgery in India through your surgery group. Initially, I injured my left shoulder, but I tried to continue my daily activities. After a year, my injury became worse and finally, it gave out. I went to my doctor who asked me to undergo some tests and studying the results, recommended me your surgery group in India for my surgery. I contacted your group and send my medical reports to get the best treatment option. After being convinced by them, I gave them my confirmation to get my surgery in India. From the time I started a conversation with them and until the day I returned back to Nigeria, everyone worked hard to ensure that I was comfortable. Thank you so much to the surgeon and his dedicated staff for the terrific surgical experience I had during my journey in India. Its been about three months post surgery, and now I can do most of the things I couldn’t do before the surgery.
Before the procedure
Always tell your health care provider what drugs you are taking, even drugs, supplements, or herbs you bought without a prescription. During the 2 weeks before your surgery:
- Two weeks before surgery you may be asked to stop taking drugs that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), and other drugs.
- Ask your health care provider which drugs you should still take on the day of your surgery.
- If you have diabetes, heart disease, or other medical conditions, your surgeon will ask you to see your doctor who treats you for these conditions.
- Tell your health care provider if you have been drinking a lot of alcohol, more than 1 or 2 drinks a day.
- If you smoke, try to stop. Ask your health care provider or nurse for help. Smoking can slow down wound and bone healing.
- Always let your doctor know about any cold, flu, fever, herpes breakout, or other illness you may have before your surgery.
On the day of your surgery
- You will usually be asked not to drink or eat anything for 6 to 12 hours before the procedure.
- Take your drugs your health care provider told you to take with a small sip of water.
- Your health care provider will tell you when to arrive at the hospital.
After the procedure
Recovery can take anywhere from 1 to 6 months. You will probably have to wear a sling for the first week. If you had a lot of repair done, you may have to wear the sling longer.
You may take medicine to control your pain.
When you can return to work or play sports will depend on what your surgery involved. It can range from 1 week to several months.
For many procedures, especially if a repair is performed, physical therapy may help you regain motion and strength in your shoulder. The length of therapy will depend on the repair that was done.
You will have a general anaesthetic, and will be asleep for the whole operation.
The arthroscope is a telescope about as wide as a pen, connected to a television. The operation is called an arthroscopy.
The surgeon will insert the arthroscope through one or two tiny half inch (about 1.2cm) cuts around your shoulder. He will use it to look at the inside of your shoulder and the tendons over the shoulder. The cuts will be closed with stitches, clips, or paper tapes. You will be in hospital for one night or so after the operation.
You cannot drive whilst your arm is in a sling. If you were driving before the arthroscopy, you will be able to drive within a few days of leaving hospital.
How soon you can return to work depends on your job. If you are working now, you should be able to return to work 7 to 10 days after your operation.
Recovery from shoulder arthroscopy
The recovery depends on what type of surgery is performed. One of the problems with shoulder arthroscopy is that the procedure hurts much less than open shoulder surgery, and therefore patients may tend to do too much, too soon. It is very important that you only perform activities that your surgeon recommends following a shoulder arthroscopy. Even though your shoulder may feel fine, you need to allow time for repaired tissues to adequately heal. This is especially important for patients who have rotator cuff repairs and labral repairs.
Why Choose Joint Replacement Surgery Hospital India for Arthroscopic Shoulder Surgery?
Joint Replacement Surgery Hospital India offers highest quality bone and joint health care with attentiveness, care and compassion to meet the needs of the patients and their loved ones. The medical team includes board-certified orthopedic surgeons who are familiar with all the aspects of the musculoskeletal system. Our hospital uses the most advanced technologies available for the orthopaedic procedures and has a lower complication rate.
Our surgical unit is integrated with an onsite musculoskeltal ultrasnonography facility with very high diagnostic accuracy and it also comprises one of the finest shoulder rehab center. Th rehab compliments our surgical efforts to provide one of the most consistent and impressive results. We offer highly effective arthroscopic shoulder surgery at the most affordable prices. Many international patients have undergone their arthroscopic shoulder surgery in India due to reasonable rates.
If you are really seeking for Arthroscopic Shoulder Surgery, kindly fill up the form for a free consultation with our surgeons. You will be provided with thorough analysis and suggestions regarding the Arthroscopic Shoulder Surgery you are seeking.Click to Here Fill up our Enquiry Form
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If you have white tape on your shoulder, you may remove the dressing and take a shower. If you have a clear dressing over your incision, you may remove it 2 days after surgery. You may allow the shoulder to get wet, but do not allow the water to hit you directly on the incisions. No immersion in the water is allowed until 21 days post op. This means no soaking in a bathtub, hot tub, whirlpool, or swimming in a pool or ocean!
You are not permitted to drive while you are taking narcotic pain medications. We do not recommend that you drive while the sling is required. Once you have been instructed that the sling is no longer required, you must wait until you have adequate strength and range of motion to drive. We recommend you test your driving ability in an empty parking lot with supervision until you determine whether or not you can drive safely.
If therapy is necessary, it will usually begin sometime after your first post-operative visit. Your surgeon will inform of your physical therapy start date during your first post-operative visit. Therapy can be done anywhere that is convenient and paid for by your insurance. A list of facilities is available.
In most cases, the sling/ immobilizer is used to protect your arm in the early stages after surgery and is required. If your procedure does not require the use of the sling/ immobilizer you will receive specific instructions.
Most patients use narcotic pain medication for several days following surgery, and then change over to Tylenol or Advil/Aleve. It is not unusual to require pain medicine at night for a longer period of time. The use of ice may reduce the need for medication. We recommend that you use ice for no more than 20 minutes with at least one hour between applications. Do NOT take routine anti-inflammatory medicines (Aleve / Advil) if you have had a repair.
The pain is usually worse at night and sleeping is often difficult. It is difficult to find a comfortable position in bed and many people sleep in a recliner for several days or even weeks following surgery. It helps to take pain medication one hour before bedtime.
For the first 2 weeks following surgery, you should remain in the sling at all times except to shower. You may also be out if your sling to do pendulum exercises with your shoulder and range of motion exercises with your elbow. For the elbow exercises, your arm should remain against your body. If you happen to do something that made the shoulder hurt, don’t panic! You probably overdid it. Use ice and rest.
For the first 2 weeks you should not do any active movements with the shoulder. When you begin therapy after your first post-op visit, you will be given instructions as to your progression of activities. Please remember that there is some discomfort involved with therapy! Protect your incisions with sun block from 3 weeks post op until 6 months post op. If you have had a repair, do not lift, carry, push or pull anything greater than 10 lbs until 4 months post op.
Most people’s expectations following shoulder arthroscopy are that they will be back to normal in a few days. This is not what most people experience. Most people notice that they are back to normal around 8-16 weeks. Even though there are only a few small incisions, there was a significant amount of work that was done inside the shoulder. The shoulder can be stiff and sore for several weeks and you can expect some discomfort. Please do not judge the effectiveness of the surgery until after you have given yourself ample time to recover from the surgery!
Routine post op appointments occur at 8-14 days after surgery for stitch removal to evaluate the incisions and remove sutures if present. We will arrange physical therapy, if necessary, during that visit. Your future visits will be discussed with you as well and your next appointment will be scheduled at this time.
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