After your rotator cuff surgery, there will be a bulky bandage over your shoulder and your arm will be in a sling. There may be a small pillow attached depending upon the extent of the surgery. This sling takes the pressure off the repaired tendons. It is to remain on at all times unless told to you by Dr. Desio that it may be removed.
The sling may be worn outside your clothes. To dress, place the operative arm in a button type shirt first. Then insert the nonoperative arm and button shirt. Then, place arm in sling and secure straps of sling until snug.
A Cold Therapy Cold Pack may be placed on top of your bandage after surgery. This is connected to a cooler that you will fill with ice and water. Cryotherapy is also known as cold therapy. This is the treatment of pain and/or inflammation by lowering the temperature of the skin over the affected area. It is probably the oldest form of pain control! In addition, it can significantly improve swelling after an injury or surgery.
You may remove your bandage and take a shower with your stitches 2 days after surgery as long as there is no drainage from the incision sites. If you notice drainage from the sites, hold off on getting them wet until they are completely dry. Place BandAids over the incisions once per day until they are fully healed. Do not soak incisions in water. No swimming or bath for 7 days after surgery.

Caution: The pad should never be placed directly on the skin as it can cause frostbite or skin injury. Always have clothing between your skin and the pad.

The pad is placed on your shoulder after the bandage is applied. The blue tube is connected to the cooler and ice water will automatically circulate through the pad to decrease pain and inflammation from surgery. The pad and cooler are yours to keep. Do not bring them to the office unless you are having problems with them.

TIP: Freeze small water bottles and place them in the cooler with water instead of ice cubes

Medications

You may have had a nerve block before surgery. This may provide numbness of your shoulder, arm, and hand for up to 36 hours. When the nerve block wears off, expect an increase in your pain.
You will be given a prescription for a pain killer that is a narcotic. This is usually Vicodin, Oxycodone, or something similar. This is very strong medication and should be weaned as soon as possible to reduce the potential side effects of this medication.
If you feel the prescription it too strong or you do not need it, Tylenol , Advil , Ibuprofen, or Aleve may be used instead, as long as you do not have any allergies to these medications
Pain Management is very important during the first few days after surgery. To prevent the pain from getting ahead of you, take either your prescription or over the counter pain medication regularly for the first 24 hours until the nerve block has worn off.
A stool softener is recommended i.e. Colace. One of the most common side effects of pain medication is nausea and constipation.
If you experience nausea, it is most commonly a side effect of the narcotic pain medication, and the anesthesia. Please call the office and we will phone in medication for the nausea.
Although blood clots are rare, you should take a baby Aspirin a day, starting the day of surgery, for 2 weeks after surgery to reduce the risk.
Contact the office if you have any redness or excessive drainage at the incision sites. Bruising is normal and will develop a few days after surgery.

Contact the office if you have any redness or excessive drainage at the incision sites.

EXERCISE: Depending on the extent of the tear, your physical therapy will usually begin 5 days after the surgery.

The shoulder has the greatest mobility of any joint in the human body. Recovery from surgery is dependent upon the size of the tear, quality of tissue, quantity of tissue to repair, and general health of each patient. Complete recovery from rotator cuff surgery can take 6 months to one year. Patience and hard work will result in better chances of success.

If you have any questions, please call: Stephen M. Desio, M.D.
Office: (508) 363-6363

My Shoulders Are Letting Me Down

We rely on our shoulders for countless tasks. It can be problematic when they don’t function at our best and can make ordinary tasks a challenge. Finding a cause behind unstable shoulders can help bring pain relief and peace of mind. Here are some reasons behind your shoulder pain and what you can do to treat it.

What Causes Shoulder Instability?

Your shoulders play a pivotal role in how you go about your daily life. Unstable shoulders can frequently come out of place, making everyday activities difficult.

One cause of shoulder instability is severe trauma to the shoulder. An injury such as a dislocation causes the head of your shoulder to dislocate from the socket. The initial shoulder dislocation can result in repeated dislocations and further instability.

Genetics may be another cause of shoulder instability. Some people are born with naturally loose shoulder ligaments. Excessively loose shoulder ligaments called Hyperlaxity can cause shoulder instability. This can occur without prior dislocations or a history of strains. Hyperlaxity can increase the chances of dislocating your shoulder or weakening the joint.

Symptoms of Shoulder Instability

Several symptoms characterize shoulder instability. Shoulder instability symptoms include

A loose feeling in the shoulder
The shoulder giving out
Repeated shoulder dislocations
Pain

How is Shoulder Instability Diagnosed?

Professional examination is how shoulder instability is diagnosed.

If you’re having shoulder trouble, your doctor can order imaging tests to find the cause. One tool to find the cause of your shoulder pain is an x-ray. The x-ray helps doctors to take a thorough look at the bones around your shoulder joint and examine them for signs of injury. Your doctor may also order an MRI for further examination. An MRI provides a detailed image of the tissues around your shoulder and helps find damage to the ligaments and tendons in the joint.

How Are Unstable Shoulders Treated?

Your treatment plan depends on the nature and severity of your symptoms. First, you may need to avoid activities that worsen your symptoms. If you can’t stay away from pain-inducing activities, modifying your movements may help give you some relief. Also, anti-inflammatory pain medications and physical therapy can help.

If your shoulder problems need more aggressive treatment, our office can help. Schedule a consultation by calling (508) 363-6363.

Rotator Cuff Repair