Subacromial decompression surgery is a procedure that helps people with shoulder pain, especially when other treatments haven’t worked. This surgery aims to relieve pain and improve shoulder movement by removing bone or tissue that is pressing on the tendons in the shoulder. Understanding the benefits and what to expect can help patients make informed decisions.
Key Takeaways
- Subacromial decompression surgery can significantly reduce shoulder pain and improve mobility, especially in patients who haven’t found relief from other treatments.
- The procedure is minimally invasive, which means smaller cuts, less pain after surgery, and a quicker recovery time compared to traditional open surgeries.
- Most patients experience a high success rate with this surgery, leading to better shoulder function and an overall improved quality of life.
Understanding Subacromial Decompression Surgery
What is Subacromial Decompression?
Subacromial decompression is a type of arthroscopic surgery or mini open surgery aimed at relieving shoulder impingement. This procedure involves creating more space for the rotator cuff tendons by removing or shaving parts of the bone and soft tissue. It is often performed when other treatments like steroid injections and physiotherapy have not provided relief.
Indications for Surgery
This surgery is typically recommended for patients who suffer from persistent shoulder pain and limited mobility due to impingement syndrome. Common indications include:
- Chronic shoulder pain
- Limited range of motion
- Failure to respond to conservative treatments
Surgical Procedure Overview
The surgery is minimally invasive, involving small incisions through which instruments and a camera are inserted. The surgeon removes or shaves parts of the acromion and other tissues to create more space for the tendons. The procedure usually takes about an hour and is often done on an outpatient basis, meaning patients can go home the same day.
The goal of subacromial decompression is to alleviate pain and improve shoulder function, allowing patients to return to their daily activities with greater ease.
Benefits of Subacromial Decompression
Pain Relief and Improved Mobility
Subacromial decompression surgery is highly effective in alleviating shoulder pain and enhancing mobility. By removing or shaving away bone or tissue that impinges on the rotator cuff tendons, the procedure helps restore normal shoulder function. Patients often experience significant pain relief, allowing them to return to daily activities with greater ease.
High Success Rates
The success rate for subacromial decompression surgery is approximately 80%. While it may take several months to a year to see the full benefits, the majority of patients report substantial improvements. This high success rate makes it a reliable option for those suffering from shoulder impingement.
Minimally Invasive Approach
Subacromial decompression is typically performed as an arthroscopic procedure, which is minimally invasive. This approach involves smaller incisions, leading to reduced scarring and a quicker recovery time. Patients can often go home the same day, making it a convenient option for many.
Alternatively, the surgeon may choose a mini incision to do the subacromial decompression depending on the amount of bone to be resected.
In Singapore, subacromial decompression surgery is a common procedure for treating shoulder impingement, offering patients a chance to regain their quality of life.
Recovery and Rehabilitation Post-Surgery
Immediate Post-Operative Care
After subacromial decompression surgery, patients are typically allowed to become ambulatory shortly after the procedure. The surgical site is covered with a plastic dressing, which permits showering the day after surgery. It is crucial to follow your surgeon’s instructions to ensure proper healing. Avoiding long periods of sitting and refraining from activities like twisting, lifting, and stretching are recommended for the first few weeks.
Physical Therapy and Exercises
Physical therapy plays a vital role in the recovery process. A tailored rehabilitation program helps restore range of motion, prevent stiffness, and gradually build strength. The team at Orthospineworks can create a personalized plan to meet individual needs. Engaging in sports physiotherapy before and after surgery can accelerate recovery, especially in terms of strength and mobility.
Expected Recovery Timeline
Recovery timelines can vary, but most patients can expect to see significant improvements within a few months. It may take up to three months for inflammation to fully settle. Regular follow-up appointments with your Orthopaedic Surgeon are essential to monitor progress and address any concerns. Adhering to the prescribed rehabilitation program is key to achieving the best possible outcome.
Following a structured rehabilitation program is essential for a smooth recovery and optimal long-term results.
Risks and Considerations
Potential Complications
Subacromial decompression surgery, like any surgical procedure, carries certain risks. Potential complications include infection, bleeding, and nerve damage. Additionally, there is a risk of stiffness or loss of motion in the shoulder. While the risks of serious adverse events are generally low, it is important to be aware of these possibilities.
Patient Selection Criteria
Not every patient is an ideal candidate for subacromial decompression surgery. Doctors typically consider factors such as the severity of symptoms, the patient’s overall health, and their response to non-surgical treatments.
Long-Term Outcomes
The long-term outcomes of subacromial decompression surgery are generally positive, with many patients experiencing significant pain relief and improved shoulder function. However, some patients may continue to experience symptoms or require additional treatments. Understanding the potential for both positive and negative outcomes is essential for making an informed decision.
It’s important to discuss your medical history and any current medications with your doctor before considering this surgery. They can provide personalized guidance based on your specific condition and needs.
Conclusion
Subacromial decompression surgery can be a helpful option for people with shoulder pain that doesn’t get better with other treatments. It can relieve pain and improve how the shoulder works. But, like all surgeries, it has risks. It’s important to talk with your doctor to see if this surgery is right for you. They can help you understand the benefits and risks based on your specific situation. Always consider all your options and make the best choice for your health.
About The Author
Dr Gamaliel Tan
Orthopaedic Surgeon Specialising in Spine Surgery in Singapore
Dr Gamaliel Tan is a qualified and experienced spine specialist in Singapore with over 25 years of experience in designing and providing effective solutions for different orthopaedic problems. He specialises in spine surgery and has experience in endoscopic spine surgery and motion preservation spine procedures (artificial disc replacements).
He is a member of the Singapore Spine Society and AOSpine Society.