Frozen shoulder pain and restricted movement may occur despite appropriate rehabilitation with exercise and physiotherapy. It can be treated with injections usually a hydrodilatation, and usually at least 9 to 10 weeks after surgery when enough healing has taken place. On occasions a brief procedure under anaesthetic may be required to free up the shoulder. Failure of the procedure will result in persistent pain or clicking or feelings of looseness of the shoulder.
This may happen due to the labrum or biceps tendon not adhering well to the bone. Failure usually occurs following another injury to the shoulder but may occur with only minimal trauma to the shoulder. Repeat surgery is sometimes required in the case of failure of the initial procedure. Return to high level throwing performance is less reliably attained than simply achieving pain relief following the surgery. Implanted material such as sutures and the plastic suture tacks in the bone can loosen and become prominent, rubbing on nearby cartilage or other structures.
It may result from stretching of the nerves during grasping and positioning of the arm during the surgery, or direct damage to the nerve from the arthroscope or arthroscopic instruments used.
Nerve injury is usually temporary but rarely may be permanent. Permanent nerve injury may require grafting or other corrective surgery. Injury to the major blood vessels passing by the shoulder is possible however extremely rare. If this happens, surgery to reconstruct the artery or vein could be needed. Permanent loss of muscle function in the arm or hand may occur. The surgery is carried out under general anaesthetic which is extremely safe, however on very rare instances a problem relating to the airway, lungs or heart and circulation may occur.
An intravenous line is always required, and often an additional line into a small artery near the wrist to monitor blood pressure. Its use may result in pain or bruising at the point of entry, and rarely an infection or thrombosis of the vein or artery.
It is very rare but when large can pose the threat of movement of the clots within the veins to the lungs Pulmonary Embolus and this can be serious or even fatal.
There are complications reported relating to this including bruising and nerve damage. A nerve block is not often used with this particular type of keyhole surgery.
My anaesthetist will be happy to provide further details relating to nerve blocks or other issues regarding the anaesthetic on request. You will be given contact details for the anaesthetist at the time of surgery booking. Infection within the body at a place other than the shoulder can occur, e.
This is more likely in elderly people or those who smoke cigarettes. Allergy to the antibiotic which is routinely used immediately prior to the surgery can occur. This most often causes a rash. Very rarely when serious an allergy can cause obstruction to the airway or reduced blood pressure. Pain control — contact local GP initially if you have run out of the tablets given to you at discharge, or you are experiencing side-effects. Signs of infection persistent increase in pain, wound discharge beyond 2 days following surgery, foul odour, fevers — contact Mr.
Dallalana via the rooms or through the hospital where you had your surgery if out of business hours. A GP may be contacted for review at the same time. Tingling in the arm or hand or calf pain — contact Mr. Dallalana via the rooms or GP. Contact the hospital where you had your operation if out of hours. Numbness or persistent coolness in the hand or fingers — attend the nearest emergency department.
Shortness of breath, severe lack of energy or sudden high fevers with chills or shakes — attend nearest emergency department. Non-urgent matters should be listed for discussion at the next review with Mr. Dallalana or alternatively queries can be directed via e-mail at dallar parkclinic. Certificates can be obtained at review or by your GP at other times. Email dallar parkclinic. Mark Blackney. Terence Chin. Richard Dallalana. Robert Howells. Hayden Morris. Gerald Quan. John Salmon.
Click below and just hit send! Arthrosc Tech. American Academy of Orthopaedic Surgeons. SLAP Tears. Updated October Your Privacy Rights. To change or withdraw your consent choices for VerywellHealth. At any time, you can update your settings through the "EU Privacy" link at the bottom of any page. These choices will be signaled globally to our partners and will not affect browsing data. We and our partners process data to: Actively scan device characteristics for identification.
I Accept Show Purposes. Was this page helpful? Thanks for your feedback! Sign Up. What are your concerns? Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Related Articles. As soon as you are fully awakened, you usually are allowed to go home.
You will be unable to drive a car, so be sure to have arranged a ride home. After arthroscopic stabilization of a labral tear, you will need to take steps to reduce the pain and inflammation in your shoulder.
Rest, icing, and anti-inflammatory painkillers such as ibuprofen or aspirin can ease pain and swelling. Immobilizing the shoulder in a sling for two or three days will help keep it stabilized. You usually are instructed to remove the sling for part of each day to perform gentle motion exercises that will keep your shoulder from tightening up.
Here is what you can expect and how you can cope with a sling immobilizing your shoulder:. The first concern is to monitor swelling for the first 48 hours while wearing your sling. Physicians generally prescribe ice packs to be applied for 15 to 20 minutes at a time, three or four times a day.
If the swelling has decreased after 72 hours, you may be able to apply heat to help reduce pain. You should not apply heat to swollen areas because heat increases blood flow to the skin, which can prolong the healing process. Physicians generally recommend that you wear the shoulder sling day and night for about two or three days.
You can usually remove the gauze bandage and bathe regularly after two days. You can take your sling off for brief periods while you bath, but remember to avoid moving your injured shoulder.
Some bleeding and fluid drainage is normal for the first two days. Call your physician if bleeding continues. When your shoulder starts to heal, your physician may recommend that you remove the sling for short periods to perform some light, early-motion exercises. You should move your fingers and hands in the sling as much as possible to help circulate blood. If you develop a rash or irritated skin around your sling, call your physician.
If you notice any abnormal wear or discomfort in the sling, contact your physician as early as possible. In general, do not try to "grin and bear it" if discomfort does not go away within a few days. Slings should not irritate your skin. You may feel some stiffness in your shoulder. Call your physician if the stiffness does not ease after two or three days.
The first phase of rehabilitation exercises can normally begin the day after surgery to repair your labral tear. Physical therapy following arthroscopic stabilization of a labral tear usually progresses through four phases. The first phase usually lasts about six weeks. The second and third phases vary depending on the patient, but often last six weeks or more.
The final phase, which is considered more sport-specific, begins four to six months after surgery. The first phase focuses on decreasing inflammation in your shoulder. Your therapist usually helps you move your arm and stretch your shoulder. When you feel comfortable moving your arm with your own strength, you can work on restoring a full range of motion and strengthening the hands, wrist, and elbow. The third phase focuses on shoulder-strengthening exercises.
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