Shoulder arthroscopy often involves procedures like rotator cuff repair and bicep tendonitis adjustments. Recovery from such surgeries is crucial for restoring function and minimizing pain. Dr. Jay outlines essential post-operative care tips and exercises to facilitate a smooth recovery:
Immediate Post-Op Care:
- Patients typically wear a shoulder sling which is removed the day after surgery to start gentle exercises.
- Initial exercises include elbow straightening and bending, hand squeezing, and wrist rotations which aid in reducing swelling and keeping the muscles active.
Exercises to Enhance Recovery:
- Pendulum and Cadman Exercises: These are simple yet effective exercises that involve leaning and steering motions to stimulate the shoulder gently, helping to prevent scar tissue formation.
- Regularly perform these exercises to ensure mobility and reduce chances of complications such as blood clots.
Pain Management and Prophylaxis:
- Aspirin is recommended post-surgery to prevent deep vein thrombosis (DVT), provided there are no allergies.
- Pain is managed with Tylenol and Naproxen, and cold therapy systems are utilized to reduce swelling and the need for narcotics.
Post-Surgery Wound Care:
- Bulky dressings are removed two days post-surgery, followed by steady strips which fall off naturally.
- Patients are advised to keep the surgical area clean and dry, avoid direct application of any substances that might increase infection risks, and are able to shower three days post-operation.
Activity Guidelines:
- Light activities like brushing teeth, washing faces, and eating are encouraged immediately post-surgery, with weight restrictions of under five pounds for the first six weeks.
- Progression to more strenuous activities should be gradual, following pain tolerance and healing progress.
FAQ Section for Post-Op Shoulder Arthroscopy
Q: How soon after shoulder arthroscopy can I remove the sling?
A: The sling used post-surgery is typically removed the day after surgery to begin gentle exercises.
Q: What exercises are safe immediately after shoulder arthroscopy?
A: Initial safe exercises include gentle elbow flexion and extension, hand squeezing, wrist rotations, and pendulum exercises to encourage mobility and reduce swelling.
Q: When is it safe to shower after shoulder arthroscopy?
A: You can shower three days after surgery, once the bulky dressings have been removed. Ensure not to immerse the wound in water or go swimming until at least a month post-surgery.
Q: What are the guidelines for lifting weights post-shoulder arthroscopy?
A: For the first six weeks post-surgery, it’s advised to limit lifting to under five pounds. Gradually increase as tolerated.