Saturday, October 31, 2009

What is the rehab like for a mini open incision torn rotator cuff surgery?

appreciate any feedback on partial torn rotator cuff surgery..
Answer:
The basis of the surgery is relatively simple: re-attach the detached/torn rotator cuff muscle. In addition, most surgeons will remove a spur on the undersurface of the acromion bone that usually has developed in conjunction with the tear (which came first is sort of an orthopedic chicken-and-egg story).After surgery, rehabilitation will be critical to your recovery:First, it will be important to control your pain. Your doctor will prescribe narcotics. In addition, cryotherapy is extremely useful in providing pain relief after surgery. The DonJoy Iceman is the device recommended by many surgeons to help decrease pain after shoulder surgery. For a more portable solution that does not require electricity, consider the PolarCare Cub as a highly effective way to control your pain after surgery. The DonJoy Durakold unit is an economical cryotherapy option.Second, you need to perform the proper exercises to guide your shoulder to recovery. Following your surgeon's plan is very important. Often, you will be sent to physical therapy after surgery to help regain motion and strength. In my experience, however, people who do their therapy at home, in addition to at their therapists office, will have the best and fastest recovery. Your therapist will set up an at home program for you.
it depends on if the tear is small or medium, and which of the 4 rotator cuff muscles is torn (usually supraspinatus) and how up-to-date the surgeon is.If he's doing the mini-surgery, then he's pretty up to date. You will be referred to outpatien physical therapy (or you SHOULD be) and will start off with pendulum exercises, then dowel exercise, arm pulley etc. Shoulders can be hard to rehab, but smaller tears are easiest. It will be several weeks before real resistive exercise is ordered.

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