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Open Shoulder Surgery

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Topic Title: Open Shoulder Surgery
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Created On: 05/21/2005 08:38 AM

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 05/21/2005 08:38 AM
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Debbie3443

Posts: 52

I would like to know if anyone can share their experience with having an open shoulder surgery to repair multi-directional instability. I had an arthrscope thermal/heat procedure 12 weeks ago; things have gone from bad to worse and now I will be having an open procedure. What is the rehab like and possible length of rehab. I'm an extremely active person and my job requires physcial responsibilities. Any insight would be appreciated. Thanks Eva
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 05/21/2005 08:38 AM
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Adam11646

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Hello, I am having the open surgery on Thursday. If you are interested I will keep you posted.
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 05/21/2005 08:38 AM
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Debbie3443

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Yes, thank you and good luck! Eva
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Donna11995

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Eva been in your shoes. I too am very active. Had a thermal capsualry shrinkag that didnt' work. Had an open capsular shift 3 weeks ago...still struggling with pain and have very limited motion not to mention a 6" scar that is still healing. Rehab is slow...very slow...not much motion until week 6. Allowed 120 up..and 30 out that's about it...no weight in hand and sling 3-4 weeks. But patience will pay off I hope. Was told 4-6 months for rehab. Good luck...Donna
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Adam11646

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Eva, I had the open surgery about 2 1/2 weeks ago. So far things are much better than I expected. The first few days were bad. The pain killers worked wonders. The Viciden {sp?} made me itch. My shoulder was very unstable, it had come out about 20 times over a 10 year period. The Dr. said it was very loose and stretched. After a few days I felt better each morning. I did not need my sling after 4 or 5 days. I am very active and have been able to get on the squash court already (left shoulder problem and I am right handed) I hope to be able to jog this week or next{bouncing may be a problem}. I have started PT. I have a lot of movement, however some range of motion is almost zero. The surgery was 3 hours and anchors were put in my shoulder. If you have any questions please ask. Good luck Adam
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LEON12326

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My shoulder problems started when I was 16 years old playing Rugby League. I am now 27 years old, I have had 2 x Keyhole surgeries and 1 x open Reconstruction on my left shoulder which has been very good for the past 5 years. I have had 2 x Keyhole surgeries and 6 x open Reconstructions on my right shoulder which have all failed and I am about to have my right shoulder fused. Hoping that your recovery is much better than mine have been and that one day your dream of throwing a baseball comes true. Please e-mail me if you have any questions on recoveries, only too willing to help from someone who knows....
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Donna11995

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Eva...had the same sequence of events my third surgery was the thermal and it didnt' work. Just had the open...it's a bit of a bitch. But I'm getting there. Pt is 4-6 months...I'm very weak and interanl rotation is very painful. Forward abduction is coming back fast. External is coming...backward is non existant. Lots of stretching that is not fun. But I'm hoping that the 4th time is the charm! Good luck to you drop me a note if you want to compare notes. DOnna
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David13606

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I am 25 years old, and about to have a open capsular shift on my right shoulder, the capsular shrinkage I had 6 months ago hasn't given me the results I need. I lift weights, play baseball, and am a construction worker. Does anybody have any advice or experience with this. I hope to regain full strength.
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Mike13673

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I had the thermal capsule shrinkage seven months ago. Last week I completely dislocated the Shoulder and now my doc tells me he wants to perform an open capsular shift. I graduate college in December and plan on having surgery then. Can anyone tell me what to expect? I am very active and love baseball. This is a major setback.
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 05/21/2005 08:38 AM
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Debbie3443

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Well, I'm back. I origianlly started this discussion because I was facing open shoulder surgery in May. Since then, I've had it manipulated under anesth. and another arthroscope in August to clean out scar tissue. During the month of July I had nerve blocks 4x a week and therapy has been everyday except Sundays. My dislocation has been fixed but am caught up in a viscious cycle; it's moving well, scar tissue lays down (even with extensive therapy), pain returns, inflammation returns, and ultimately the whole capsule tightens down so much it hardly moves...thus leading to the scope procedure again. Has anyone had a similar experience? My Dr. says my shoulder is truly the worst he has seen (he's been doing this for 20+ yrs.) and my body produces scar tissue at twice the normal rate. I'm frustrated, tired of the pain, tired of 11 months of therapy, and just want to get back to work. If anyone would like to share, I'd love to hear. Eva
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Sarah14355

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HISTORY : I am a 16 year old female. You see in Jan. of 2000 during a swim meet I tore my right rotator cuff. I had surgery on April 20th to repair the cuff and I also had thermal capsular shrinkage. A few months later in July I had another surgery to clean up synivitis. Then in September I fell down a flight of stairs hyperextending my shouder. As soon as I feel I had extreme pain but failed to have it looked at until May of 2001. Follow that I had an MRI and arthrogram.I was then diagnosted with a SLAP lesion and had surgery for that on June 15th of 2001. I was in a sling for about 8 weeks after surgery. Everything seemed to be going well until last month . Come to find out my shoulder joint is sitting pushed forward because of the muslces being so tight in the posterior portion. Because of that the front of my shoulder has loosened again , and a constant pinching pain has resurfaced. To add to those problems just about everytime I raise my arm there is this clunk/ popping noise that sometimes is followed by pain. I saw my surgeon the other day and he things the previous surgery in June didn't hold and that i have degenerative tissue that is causing bone to rub on bone.I go for another MRI and arthrogram next week at the hospital. QUESTION: Has anyone had open surgery and can tell me a little bit about their experience ?? Pain control ?? Rehab ?? Has anyone had a experience like this ??? HELP !!!!! sincerely Sarah
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Nancy14862

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I have had a 20yr hx. of dislocation of my R SHOULDER. In April the dislocation was so bad that the amblu. had to be called. I usually was able to put it back myself. The pain is unbelievable as you probably already know. After having my second opinion( the first surgeron didn't believe me) he said I needed thermal repair via orthoscopic procedure. I had that done in June but he found Bankhart lesion and Hill-Sachs Defect so I needed open surgery. That took place in July and it went very well. Very minimial pain. I was told by the disability co. that I was cleared for light duty. On Sept. 25th I wnet to work and did paperwork and some computer work. After one hour my arm was throbbing The pain started underneath my elbow and radiated down to my hand. No tingling just this awful throb. Needless to say I am out of work again. Has anyone experienced this. Any responses would be appreciated. Thanks for your time.
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 05/21/2005 08:38 AM
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Missy15147

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Hi Eva! I've had multidirectional instability of both shoulders for the past 25 years. Had open bankhart and a capsular shift done on my left shoulder last Fall, and here's a success story. Followed rehab protocol faithfully, worked hard at the home exercises (3X/day for about an hour), and am fine now. Have lost only about 5 degrees of ext. rotation. I am a very active person, and am back to all activities (running, biking, swimming, tennis, kayaking, skiing). Post-op was painful for several weeks. Developed some referred pain. Exercises became quite monotonous, but it was worth it. 4 weeks ago I had the same thing done to my right shoulder (dominent arm). So far, recovery is going even better than last time. In fact, I feel like I can do more than I'm supposed to be doing, but being patient through this healing process to avoid reinjury. Highly recommend open surgery - of course, that is because I have a lot of faith in my orthopedic surgeon's ability, experience, and knowledge. I hope things as well for you as they did me - good luck! Missy Stockholm
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 05/21/2005 08:38 AM
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Zubin15461

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Hi! I have been suffering for 10 yrs with MDI-multidirectional instability of my right shoulder. All started with a throwing injury in school. recent dislocations are getting worse. am 28/m and quite active. have decided to go to a good sports surgeon and get the open bankart with capsular shift. Missy, can you tell if they performed an "inferior" capsular shift on you? Have heard arthroscopy doesn't give promising results, especially if you pursue an active lifestyle. I just wanna know what's the best out there for MDI. Zubin, MI
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andy15634

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im a 21 male. i first dislocated my right shoulder when i was 19, since then i have done it a further 30 ish times. ive had one arthroscopy and bankart repair. i am due for my second (exactly the same) tomorow. another three months of dull anoying aching pain. im really tired of it all. hope its all good now eva. andy
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Terry15648

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Hello, I have had open surgery on August 2nd to repair labrum and tighten ligaments. After the surgery it was very painful for around 10 days, But each day it got better and my shoulder felt very tight. I did nothing but relax for around four weeks. I decided to start going out and seeing friends, but I had a very small accident in the car that is causing a second surgery in a few weeks. My friend does construction and is taking off 6 months of work to make sure his surgery is perfectly healed. I reccomend at least 4-5 months or the surgery could end up not healing due to physical strain on shoulder. I had this surgery in 1996 and started playing sports after 3 months and retore the labrum, and here I am 5 years later. Take your time and good luck.
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Andrew15668

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Hi, I am a 25 yr old male and I am having open shoulder surgery on Jan. 8. They are doing a bankart procedure and a rotator cuff repair. I dislocated my right shoulders 6 years ago playing softball. It has progressively gotten worse each year playing different sports. This year I dislocated it again and created a 10X10 tear in my rotator cuff. I have done some extensive reading on the procedures, but am having a hard time finding realistic recovery information. Can anyone shed some light on what recovery is like? I have a high tolerance for pain and discomfort, and I dislike pain medication. It has always made me itch. I have job where I can sit and have meetings all day, how long before I can return to work? I appreciate any information anyone can give.
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Missy15147

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Andrew, I have had the open bankhart procedure and a capsular shift done on both shoulders to solve my dislocation/multi-directional instability problem. Total recovery takes 4-6 months. Start with p.t. rehab 2X a week starting a week post-op. P.T lasts 10-12 weeks. Must do the exercises at home - I did them 3X a day, and it usually took an hour each time. The same home program continues after being released from p.t., until 6 months post-op. It's extremely important that you follow the exercise protocol so that you get your range of motion back. External rotation takes the longest to get back. As far as pain meds, I have a high tolerance as well, but really needed the pain med for the first couple of weeks. After that, for a couple weeks, I'd just take one before I went to p.t. to help make sure I got as much motion as possible during therapy. One of my biggest challenges was being able to sleep in bed comfortably - took me 3 months each time! Had one shoulder done in 11/2000, and just had my other shouldr done 10/2001, so I'm still rehabbing that one. Both indicate good stability. It does seem like a long time going through the rehab, but if done diligently, the outcome is worth it!!! Good luck!
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Brenda14048

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Eva (April 2001) - Hope you are much better by now. In June 2001, I had arthroscopic surgery: partial rotator cuff tear; ligament tear; cartilage tear; bone spurs. I haven't a clue how any of this happened! It is now 5 1/2 months post surgery, and I can honestly say I thought I would NEVER get better! The week of Thanksgiving, I was discouraged again. It seems like the progression has been some better to worse to some better back to worse, etc., etc., etc. But then about the 2nd week of December, I feel I am almost totally better (in a sense)...I do not have the constant pain nor the difficulty sleeping. My only problem now is some limited range of motion toward the back. Don't get too discouraged. I honestly thought I'd have to consider going back in with open surgery. Why didn't they tell me it would take so dern long! I would not have gotten quite so discouraged, I think. Funny, I ran into my physical therapist last week while Christmas shopping. I told her how it had taken 5 1/2 months to get to this point. She said it would probably take a full year to be at near 100%.
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Ty15895

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I play college baseball and I am suppose to have this procedure soon. I am concerned with the outcome of the surgery.Would you recommend it?
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