The Recovery Process After Rotator Cuff Surgery

Shoulder pain is a common problem experienced by many people, with a tear in the rotator cuff the most common reason for it. They are extremely painful and restrict your movement greatly. The rotator cuff is a group of muscles and tendons which comprises of four muscles and they hold your arm in a ball and socket joint, which allows your shoulder to rotate around and move with ease. The tendons can be torn through injuries. Rotator cuff surgery is the most commonly done procedures around the world, with over 250000 done in the United States of America annually.

After the surgery has completed, the patient will be taken to a recovery room for a couple of hours. The injured arm will be in a protective sling or even a shoulder immobilizer to prevent any movements. Depending on the type of surgery, arthroscopic surgery patients will be discharged on the same day while open surgery patients will need to be warded for a couple of days.

A physiotherapist will meet up with the patient before discharge and he will teach the patient a set of exercises that are designed to regain the flexibility, range of motion and strength in the injured shoulder. The exercises can be done at the comfort of your own home. Not only will physical therapy exercises be taught, the patient will also be educated on how to prevent re-injuring the shoulders.

Back at the comfort of their own home, it is crucial to perform the physical therapy exercises taught by the physiotherapist for 5 times a day.  Patients should attempt to get back their full range of motion as soon as possible to prevent the formation of scar tissues. If scar tissues are formed, the scarring might possibly cause the whole shoulder to stiffen which will result in huge discomfort and even limit the activities the shoulder can conduct in future. Swelling might be observed as well. They will normally go away if the arms are held in an elevated position and is nothing serious.

The first 12 weeks after surgery are the most important period. Physical exercises must be conducted regularly to regain the full range of motion and prevent the formation of scar tissues. It is of utmost importance not to lift the injured arm away from the body and do not exert any strength on it. Whenever throughout the day, the arm must always be kept inside a protective sling and it is only allowed to be removed which exercising or showering. Do not attempt to drive during the first 6 weeks after surgery.

Full recovery takes roughly 6 months and the first 12 weeks are of most importance. Do the exercises as prescribed by the physiotherapist and this will kick start the healing process

We offer professional help in the areas of diagnosis, treatment and rehabilitation for rotator cuff injury and shoulder pain.

Psoriatic Arthritis Symptoms for Joint Arthritis Condition

Psoriatic arthritis causes pain in the joints, stiffness and swelling in people suffering from psoriasis. Psoriasis is a chronic skin condition which causes the skin to be covered in patches of thick red inflamed silvery scales. It affects both sexes equally and most sufferers develop psoriatic arthritis followed by the arthritis symptoms.

The nature of symptoms for psoriatic arthritis depends on the type, but they are more or less similar to each other. Generally, patients will suffer pain, stiffness and tenderness at their joint areas in more than one place. Their range of motion is also significantly decreased and the pain amplifies when there are attempt to move the joints. The pain is significantly higher in the morning but subsides throughout the day.

There are 5 different types of psoriatic arthritis with each having their own unique symptoms:

Distal Interphalangeal Predominant

Patients will tend to feel tenderness and pain only in the last joints of their fingers and toes as only the distal interphalangeal joints are affected.

Asymmetrical Arthritis

Only 2 or 3 joints are affected and they are individual and not in pairs. Any joints in the body can feel pain and are often red and warm to touch.

Symmetrical Polyarthritis

Joint swelling in pairs is observed on both sides of the body, such as both elbows for example.

Spondylitis, or Psoriatic Spondyloarthritis

Joints in the spine will be inflamed and is a serious condition that will cause deformity and changes in the posture as well. Inflammation, tenderness and stiffness of the joints in both the back and neck will occur and the ligaments might be affected.

Arthritis Mutilans

The bones and cartilage in the joints will be destroyed and deformed and flares in the skin will be observed. It will affect the small joints in the fingers and toes nearest to the nail and lower back and neck pain can be observed.

The symptoms vary according but the common signs and symptoms are:

 

  • Uncomfortableness, inflexibility, tenderness and swelling in one or more joints.
  • Range of motions in joints are greatly reduced.Re
  • Stiffness in the morning.
  • Lower back experiencing stiffness and inflammation.
  • Swelling in the smaller joints of the toes and fingers that are closest to the nail.
  • Pitting of nails.
  • Fingernails or toenails are detaching.
  • Tenderness, pain, or swelling where tendons and ligaments attach to the bone
  • Eye inflammation

Types of surgical techniques to stabilize an ankle with chronic sprains

Question

What kinds of surgical techniques are used to stabilize an ankle with chronic sprains?

Answer

There are many surgical techniques, but they basically fall into two groups. One is anatomic reconstruction. With this technique, surgeons use the original ankle ligaments to repair the ankle. The other technique is called tenodesis. In this procedure, surgeons reconstruct the ankle ligament using tendon from elsewhere in the body, such as the lower leg. Surgeons attach the transplanted tissue to bones in the ankle joint.

Researchers evaluated the results of both kinds of surgery in a group of athletes. For these patients, anatomic reconstruction resulted in better ankle movement and stability. It also led to fewer degenerative changes in the joint. Compared to tenodesis, anatomic reconstruction more often gave a good or excellent result. For athletes and other active patients, researchers think anatomic reconstruction is the method of choice.

Could Knee Injury Cause Knee Arthritis?

Question

I twisted and sprained my knee badly back in high school. I read once that having a bad knee injury can cause knee arthritis later in life. If so, I’m wondering if there is anything I can do now so I don’t end up with knee arthritis.

Answer

People who have had a significant injury of the knee joint may have a greater risk for knee arthritis in later years. Prevention includes safe exercises that focus on improving and maintaining joint movement and muscle strength.

Stay active in a low-impact conditioning program, such as walking. To help reduce shock with day-to-day activities, wear supportive shoes, and consider the addition of an insole to help absorb shock. Walk on soft surfaces when possible, and avoid standing and walking for long periods on hard surfaces, such as cement. You might also consider choosing sport and recreational activities that don’t require cutting, jumping, and quick starts and stops. The time and effort you invest now to improve the health of your knee and avoid future problems are worth it.

Am I Able to Gain my Balance Back, after a Ligament surgery?

Question:

I tore my anterior cruciate ligament(ACL) playing basketball, and I’m having surgery to reconstruct the ligament. Can I expect to get my balance back?

Answer:

The outlook is good. Researchers recently observed patients who had ACL surgery followed by five weeks of wearing either a cast or a brace. Patients also had six to eight months of therapy to get their agility and strength back. Three years after surgery, these patients did as well on tests of balance as people who didn’t have ACL problems. Patients who had ACL surgery had slightly slower reaction times, but in general their balance was just as good.

Ask your doctor or physical therapist about ways to manage your knee after surgery to ensure a full recovery.

How successful is surgery for shin splints?

Question: 

How successful is surgery for shin splints?

Answer:

There is no clear-cut answer to this question. Although some people are helped by surgery for shin splints, surgery is not always successful. Pain is often relieved without surgery.

Other treatment options can be tried before surgery. These include the use of orthotic inserts. Orthotics help stabilize the ankle joint and keep the foot from rolling inward. They can also be designed to help absorb shock. Training for strength, agility, and flexibility before and during the sports season also reduces shin splints among athletes.

Will I develop arthritis if i had a fall during my secondary school days?

Question:

I fell and hurt my knee pretty bad back in high school. Will I be more likely to develop arthritis in my knee as I get older?

Answer:

Just because you injured your knee does not mean you’ll have problems as you age. However, significant injuries to the knee and hip have been found to increase the risk of osteoarthritis in these joints. Researchers tracked 1,337 medical students over a period of nearly twenty years to see whether people with knee or hip injuries would eventually have problems with osteoarthritis. They found that a higher percentage of people with injuries of the hip or knee in the younger years ended up having arthritis in the joint they had injured. People who are at risk because of an earlier injury should consider seeking advice on ways to improve the health of their joint and to prevent problems in the future.

3 Types of Back Pain

Before seeking for medical treatment on your back pain issues, it is good to understand and define the types of back pain you are experiencing so as to find the right treatment or ways to control your condition.

Here are the types of back pain that has been separated into 3 catergories:

1) Acute pain

One of the most common type of back pain is acute pain. Such acute pains are usually related to tissue damage and can potentially last for about 3 to 6 months. You are likely to experience a cutting sensation on your back or needle pricking sensation while suffering acute back pains.

As the condition gets worst, the pain can be as bad as touching your skin on a hot stove or iron. The sensation occurs in a fast, immediate, intense manner, which will cause a withdrawal syndrome at the area that was in pain.

Another acute pain sensation would feel like as if a hammer was smashing on one’s finger. Such sensation gives you the immediate pain and withdrawal syndrome.

The last acute pain will give you a sensation that is similar to Labor pains.

2) Chronic pain

There are at least two different types of chronic pain problems for back pain issues as follow:

Chronic pain due to an identifiable pain generator

This type of chronic pain is due to a clearly diagnosed and identified. Certain structural spine conditions may cause pain for a long term until it is medically treated. These conditions are due to a diagnosable anatomical problem.

If the pain has yet to subside after a few weeks or months of conservative non-operative treatments, then spine surgery may need to be one of your treatment options.

Chronic pain with no identifiable pain generator

This type of pain continues beyond the point of tissue healing and usually, unidentifiable.

Such chronic pain in the nervous system may send pain signals even when there isn’t any continuous tissue damage.

Chronic pain is generally used to describe pain that is ongoing for around three to six months, or tissues have reached a point that they are unable to heal. Chronic pain is usually identified as back pains without an obvious cause or reason. Failed back surgery and fibromyalgia could also be one of the chronic pain.

Chronic pain is influenced by depression and anxiety, and even the thoughts of one when it comes to pain. Lack of exercises and ongoing pain signal input to the nervous system could also affect a person even without tissue damage.

3) Neuropathic pain

Neuropathic pain usually shown symptoms that are not related to the condition or injury of one. This type of neuropathic pain causes nerves to send pain signals to the brain even when there is no ongoing tissue damage.Neuropathic pain is unlike pain that is caused by an underlying injury. Usually when one does not fully understand the condition of neuropathic pain, they believe that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy.

Neuropathic pain has a hint of musculoskeletal nature and a combination of the usual pain sensation as mentioned above.However, Neuropathic pain feels different compared to usual musculoskeletal pain and is often described as severe, sharp, piercing, stabbing, burning, cold, and numbness, tingling or weakness. This sensation will travel along the nerve path from the spine down to the arms and hands or legs and feet. It’s important to understand the symptoms of neuropathic pain so that you will seek the correct treatment.

4 Benefits & Risks for Back Pain Surgery

Back pain is certainly one of the most terrible injuries you can have. Research shows that back pain is the most frequent cause of activity limitation in people younger than 45 years old. There are many different causes why one gets back pain. Some of the pain might be an acute while the others are long-term pain.

Treatment of long-term back pains ranges from simple exercises at home to surgery by specialize orthopedics. Surgeries can be quite complicated and it should only be done when there is unbearable pain that causes instability in movement, or nerve problems that causes inability to control the bladder.  However, back surgery does have its benefits too.

Firstly, back surgery will decrease the time needed for recovery. The normal recovery time for the common procedures have been shortened due to advancement in technology. The speed in which for your recovery is dependent on numerous factors such as your age, your illness condition and your physical health. The average time for recovery after a surgery is approximately eight to eleven weeks.

Secondly, back surgery will improve your lifestyle after the operation. The improvement in your lifestyle is certainly another key benefit in which one would decide if they should opt in for surgery. During a back fracture, it is necessary for one to go through a back surgery so that the fractured bones can be healed.

Besides the benefits of performing a back surgery, there are certain risks involved in going through the surgery. These risks should be carefully thought of and discussed with your doctor should you proceed on with the surgery.

The first risk is that, there is a possibility that your injury will become worse after the surgery.  Sometimes surgery might cause deformity to the areas that was operated.  There might also be the possibility where by your pain may gets worsened or the loss of use of a limb.

The second risk occurs when the surgery does not work on you. This is because some types of back pain cannot be healed through operation. So it is pointless if you undergo a surgery to cure a back pain that does not heal it.

It is essential that you would consult your doctor first before making a choice to go for a back surgery. Even though there are benefits to perform operation on your back due to the excruciating pain, but it is advisable to consult a doctor first before making any decisions.