Tears of the labrum or labral tears may result from injury, sports activities, trauma, or overuse, causing pain, discomfort, weakness, and a grinding or sticking sensation in the shoulder socket. When traditional non-surgical measures fail to relieve pain, then labrum repair surgery may be considered.
Treatment options for labrum tears often depend on the type and severity of the injury. Dr. Goldberg uses a minimally invasive approach to labrum repair surgery called arthroscopy. During an arthroscopic labrum repair surgery, the torn labrum is reattached to the rim of the bone using an arthroscope and surgical instruments. This type of labrum repair surgery is often preferred to more invasive surgeries because it only requires small incisions, and patients can return home the same day.
Arthroscopic labrum repair surgery is typically performed under general anesthesia and in an outpatient setting. Patients can often return home the same day. The arm may be immobilized in a sling for up to six weeks. Some pain, discomfort, and limited mobility should be expected for a few weeks after surgery. Antibiotics may be required to prevent infection, and pain can be controlled with ice, anti-inflammatories, or painkillers. Patients can expect to experience better mobility and maneuverability in the shoulder a few months after the procedure.
Recovery after surgery often depends on the size and location of the tear and the patient’s overall health. Participation in physical therapy is necessary to help strengthen and restore the shoulder’s mobility. Dr. Goldberg’s practice recommends an accelerated rehab protocol that encourages patients to perform specific exercises the first day after surgery and start physical therapy within a week of their operation. The results have proven that after implementing the accelerated rehab protocol, patients return more quickly to their daily activities and feel more confident about their strength and mobility compared to conventional rehabilitation protocols.
If you or a loved one have been experiencing shoulder pain, contact the office of Dr. Goldberg. He can provide an assessment and determine the best treatment options for you. Dr. Goldberg is one of the most experienced surgeons in the Southwest Florida area. He regularly trains other orthopedic surgeons across the country on how to perform the arthroscopic labrum repair surgery. Schedule an appointment today!
How long does it take to recover from a reverse shoulder replacement?
Most people are able to start using the hand on the arm of the shoulder replacement one day after surgery and can start simple, functional activities immediately. Most people will be out of a sling in four to six weeks, be able to do most essential activities of daily living by six weeks, usually go to physical therapy for two months and can return to light sporting activities at three months. Recovery is induvial, case by case, and Dr. Goldberg works with his patients to create individualized recovery plans.
Is reverse shoulder replacement right for me?
A reverse shoulder replacement is a specific type of shoulder replacement for people with severe shoulder arthritis and a severe injury to the rotator cuff. The benefit of the reverse replacement is that it does not require the rotator cuff muscles to be working properly, while still giving patients good mobility and stability of the shoulder. It’s generally done in an older patient population, but often those patients will benefit from the additional support that a reverse replacement provides because the rotator cuff in that population is frequently injured or not functioning properly. Dr. Goldberg will discuss your individual needs and together, you will come to the decision of the right procedure for you based on different options. He encourages you to be an active participant in your care.
Should I have a traditional shoulder replacement or a reverse shoulder replacement?
Both types of shoulder replacements have proven to be beneficial, but the right procedure depends heavily on the individual patient and their specific needs. For example, what’s a better car: a sports car or a pickup truck? It depends on what you’re trying to do with it. If you need to run on bumpy roads and off the beaten path and carry a large load, the pickup truck would be a better choice. If you want fast, nimble and smooth handling, you want a sports car. A reverse replacement is usually for people that have more issues and need the additional stability compared to a traditional replacement, while also being willing to sacrifice some mobility and feeling. The traditional replacement is better for people who intend to return back to sports, are a little younger and want a more normal feeling shoulder. Dr. Goldberg works with each patient on a case-by-case basis to determine the best course of action for each individual issue.
How painful is reverse shoulder replacement surgery?
Although shoulder replacement surgery traditionally has a reputation for being painful, protocols have improved with the use of regional anesthesia and other longer-acting medications. In general, patients only need prescription pain medication for three to five days after surgery, in most cases. The newer, less invasive types of surgeries generally allow patients to stop taking prescription medications sooner and in many cases, patients don’t require prescription-strength medication at home at all. Some doctors, including Dr. Goldberg, have developed protocols that use no opioids after surgery for patients who are interested.
How long does a reverse shoulder replacement operation take?
The operation itself takes approximately one to one and a half hours in most cases. The majority of patients stay overnight in the hospital; however, in many cases, patients can go home the same day or have the procedure in an ambulatory surgery center and go home the same day.
What is a reverse shoulder replacement?
A reverse shoulder replacement is a unique type of shoulder replacement where the ball or convex portion of the shoulder is placed where the socket side used to be and the socket is placed where the ball used to be. It changes the shoulder mechanics but compensates for the lack of proper functioning rotator cuff muscles. They have been growing in popularity in the United States since the early 2000s and now more reverse shoulder replacements are done than traditional shoulder replacements in the United States.
How long is a hospital stay after shoulder replacement?
Depending on the patients’ overall health, patients can either go home the same day or the next day. Staying in the hospital for more than one night is rarely required.