Shoulder replacement Surgery
Many of us are aware-of the existence of hip or knee replacements and perhaps even know someone that has had one. But Shoulder replacement is not that common .The shoulder numbers lag behind the other two partly because shoulders aren't required for mobility.
As people age The shoulder joint may become arthritic and painful .That means when people develop severe arthritis in the shoulder, many are able to compensate by using the other shoulder more, or make do with rest and medication, rather than having surgery.
The Nonsteroidal anti-inflammatory pain medications (NSAIDs) are arthritis, bursitis, and tendonitis.NSAIDs are effective at pain relief (analgesia), and to reduce swelling (anti-inflammatory).
The Conditions such as rheumatoid arthritis, and events such as a traumatic injury or rotator cuff tear, may speed the degenerative process. It is also now felt that some people may be genetically predisposed to develop arthritis at an earlier age than others.
Shoulder replacement surgery is available for treatment of severe arthritis of the shoulder joint.
Arthritis is a condition that affects the cartilage of the joints. painful bone-on-bone arthritis develops when The cartilage lining wears away, the protective lining between the bones is lost
Severe shoulder arthritis is quite painful, and can cause restriction of motion. While this may be tolerated with some medications and lifestyle adjustments, there may come a time when surgical treatment is necessary.
Who develops shoulder arthritis?
Shoulder arthritis typically affects patients over 50 years of age. It is more common in patients who have a history of prior shoulder injury. There is also a genetic predisposition of this condition, meaning shoulder arthritis tends to run in families. What are the symptoms of severe arthritis of the shoulder?
Common symptoms of shoulder arthritis include:
- Pain with activities
- Limited range of motion
- Stiffness of the shoulder
- Swelling of the joint
- Tenderness around the joint
- A feeling of grinding or catching within the joint .
Another common type of shoulder arthritis is rheumatoid arthritis. It is a systemic condition that causes inflammation of the lining of the joints which can, over time, invade and destroy the cartilage and bone. How long is the recovery following shoulder replacement surgery? The Hospital stays vary from one to three days for most patients. You will be sent home wearing a sling and you should not attempt to use the arm except as specifically instructed by your doctor.Most physicians will begin some motion immediately following surgery, but this may not be true in every case. Generally the Patient is able to return to most normal activities within two to three months .Shoulder arthritis symptoms tend to progress as the condition worsens. What is interesting about shoulder arthritis is that symptoms do not always progress steadily with time. Often patients report good months and bad months, or symptom changes associated with weather changes. Sp it is not a continuous Process and Differs from one day to another one .
Actually total surgical replacement of arthritic shoulder joints carries no greater risk of complications Rather the study shows that people who undergo shoulder replacement to relieve chronic and significant pain can expect significantly fewer complications, much shorter hospital stays and less costs than patients undergoing hip or knee replacement. The surgery lasts about 90 minutes and the incision is then closed with staples or stitches. Patients typically stay in the hospital for one to two nights, and full recovery usually takes six to 12 weeks.
Can rehabilitation be done at home ?
In general the exercises are best performed by the patient at home? Occasional visits to the surgeon or therapist may be useful to check the progress and to review the program. How Quick can I return to ordinary daily activities?
Patients are able to perform gentle activities of daily living using the operated arm from two to six weeks after surgery. Walking is strongly encouraged. Driving should wait until the patient can perform the necessary functions comfortably and confidently. Recovery of driving ability may take six weeks if the surgery has been performed on the right shoulder, because of the increased demands on the right shoulder for shifting gears. then with the consent of their surgeon, patients can often return to activities such as swimming, golf and tennis at six months after their surgery.
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