Shoulder Impingement Introduction
Most patients will have good effects of exercise therapy with a physiotherapist. GP prints a referral. You get the responsibility to make an appointment at a physiotherapy department. If you have attempted adequate treatment in 3-6 months without improvement in your symptoms you may need surgery. Orthopedic shoulder Doctor, manual therapist and chiropractor can send a referral to an orthopedist.
Impingement Referral and Assessment
At shoulder orthopedic surgeon will undergo a thorough clinical examination. Surgeon considering the need for additional studies such as X-rays, ultrasound or MRI. Based on findings in the investigation and conversation you will agree on further treatment plan.
If you are recommended surgery may be waiting. During this period there is an advantage that continuing treatment by a physiotherapist or doing exercises on their own. The aim of treatment is to prevent stiffness in the shoulder, reduce pain and prepare for operation and training you need to do afterwards. See information sheet ” To you who are shoulder surgery .
Approximately two weeks before the operation will come into our reception polyclinic if you can not be operated at the outpatient center. On receiving the clinic will undergo the last preparatory studies you need and get more information about what happens when you are admitted.
The operation takes place arthroscopic (keyhole surgery). Inflamed tissue and bone that creates poor space conditions of the joint can be removed. The operation usually takes under an hour. Most patients printed the day of surgery, someone needs to be overnight.
There are no absolute restrictions for this type of operation, but messages given in the operation description must always be followed. Work on the arm or shoulder level, one-sided and / or heavy work is not recommended for the first 10 to 12 weeks. Most patients should not use sling, but a simple sling can be used when needed in a few days if you have a lot of pain.
Are you in the hospital the day after surgery, the physiotherapist to you and undergo exercises and information. We recommend starting training with a physiotherapist 1-2 weeks after discharge. Physiotherapy and personal training is absolutely necessary to get a good result after surgery.
If necessary you will receive a prescription for painkillers when traveling from the hospital.
Length of sick leave will be determined by, among other work and scope of ailments. Normally the orthopedic out the first sick leave and GPs can extend this if necessary.
You will be summoned to control with us 3-4 months after surgery. If you have questions which your treating physiotherapist can not answer before this time, you are welcome to contact.