How did the tear on my arm occur?
General causes of the tear on your shoulder: loss of strength and degeneration of your muscles with advancing age - repetitive due to houseworkor work strenuous movements (such as cleaning windows at home, excessive cleaning efforts, knitting, repetitive heavy lifting, etc.)
What are the symptoms of a tear?
A tear on your shoulder, a pinched shoulder tendon or it occurs due to the friction of tendons over time and/or the erosive effect of inflammatory tissues. When a tear occurs, it manifests itself with symptoms such as weakness in shoulder movements that you will notice (e.g. dropping a glass in your hand), especially night pain (such as inability to lie on the shoulder and waking up from sleep when changing position).
How should I lie down while sleeping (after surgery)
Unfortunately, my only suggestion for this would be for the patient to determine his or her own comfortable position.
Housework. When can I do it?
Considering that you will use a shoulder strap for approximately 6 weeks and then receive physical therapy for approximately 6 weeks, it is recommended that you do not return to your routine daily work before 3-4 months . However, you can also easily do your own work that is not slightly challenging (without actively lifting your shoulder).
When will I be able to eat by myself?
From the first day after the surgery, you can easily eat your food while wearing your shoulder strap. >
How long and how should I use ice?
Unless your doctor recommends otherwise, apply ice to your entire shoulder for the first two days (48 hours) after surgery. Applying ice to cover your shoulder is an extremely beneficial practice for your pain control and swelling in your shoulder.
How long will the shoulder-strap remain after surgery?
Unless your doctor says otherwise, it will remain in your arm for an average of 6 weeks (1.5 months) after the tear is repaired. The pillow should not be removed for approximately 6 weeks unless your doctor tells you otherwise. This period is a standard accepted time period that must pass for your repaired tissue to heal to the bone.
Shoulder-arm strap pillow is a frequent cause of discomfort expressed by patients. This pillow helps the anchors (screws) we use to be securely held to the bone during the healing of the repaired tendon to the bone, and also functions to prevent permanent stiffness in your shoulder to some extent. For this reason, this pillow should not be removed along with your sling for approximately 6 weeks unless your doctor says otherwise.
Are the small screws you put inside permanent?
The name of the anchor placed inside The screws provided are micro-sized, that is, very small and take up very little space in the bone. These screws serve to reattach the torn tendon to its original place in the bone where it was broken. Since they are very small and remain within the healed tendon, there is no harm in them remaining in the body. In some cases, anchors that can dissolve in the body within a period of 6-9 months are used, depending on the surgeon's decision.
What are the chances of tearing my shoulder again? And what should I do to prevent it from happening?
The issue of re-tear is still controversial. Ruptures may occur again, especially in older people, people with poor tissue quality and comorbidities such as diabetes and rheumatism, smokers, and those who have had a serious shoulder trauma. Smoke here! In other words, it should be emphasized that tobacco use delays the healing of tears and is a proven factor in the recurrence of tears.
Will my tear heal if I do not have surgery?
If you have a tear accompanied by complaints and visualized on MRI, it is not possible for the torn tendon to heal on its own. There is a high probability that your tear will grow in the future. Besides that It has been shown by scientific studies that it will cause your other unruptured tissues to be badly affected, your complaints to continue to increase, your weakness to increase, and moreover to cause calcification in your shoulder joint. Another point I would like to emphasize here is that, especially in tears that occur after trauma (as a result of a fall or sudden adverse movements), the tear tends to expand rapidly in a period of 4-6 months.
When can I take a bath after the surgery? ?
Since the surgery is not open but arthroscopic, that is, closed, your wound will be 3-4 wounds and 0.5-1 cm in size, so it is possible to take a bath in the early period. On the 5th postoperative day, patients can easily take an assisted bath with warm water using a stretch film-style transparent cover.
Should there be physical therapy after surgery? and how?
Post-operative physical therapy process is an essential continuation of your treatment. In other words, if physical therapy is not performed or cannot be performed, the success of your surgery decreases significantly. Physical therapy, that is, post-operative rehabilitation, is applied roughly by adhering to the principles of restoring range of motion and strengthening the shoulder, respectively. Rehabilitation stages follow each other. The patient's compliance and contribution to rehabilitation is the most important key to success. Strengthening begins after 3 months. Weight lifting and collision sports (such as football, basketball) are definitely not allowed before the 6th month. As a result, the rehabilitation program recommended by your doctor after the surgery plays a key role in the success of your treatment.
What kind of anesthesia will I be put to sleep with? and When will I be discharged after the surgery?
You will be anesthetized with general anesthesia. Your surgery is performed in a sitting position, called the sunbed position. After you enter the operating room, your surgery can start 1-1.5 hours later under the best conditions, due to anesthesia and positioning.
In your bed after the surgery. Ice application, which will last for two days, is started immediately and painkillers are applied. After closed, or arthroscopic, repair, most of our patients can be sent home on the same day in the evening, walking with a shoulder-arm sling. Your wounds are dressed every other day, that is, every other day. Generally 9-10. Your stitches will be removed on the same day. Following the 4th-5th postoperative rehabilitation program, in line with your doctor's recommendations. It starts to be implemented within weeks. The calendar I mentioned above is standard and can be changed by your doctor.
How long will it take for me to recover after surgery?
In general, most patients They experience a noticeable improvement, especially in their pain and daily movements. In other words, 90% of our patients, when asked at the end of one year, state that they have benefited significantly from the surgery and are satisfied. Regaining the strength of the shoulder depends on the quality of the tendon, the completion of tendon healing and, if necessary, the completion of the physical therapy process.
How do I put on and take off my clothes after the surgery?
You can be comfortable, especially in the first weeks, with a top dress that you can make or have with the straps open.
Is surgery the only treatment for a ruptured tendon?
The answer to this question depends on the condition of other shoulder muscles and the age of the patient. Although most elderly patients have a rotator cuff tear, they can live without pain or disability because they have no complaints. In one study, rotator cuff tears were detected in 40% of patients over the age of 70, but no symptoms were observed. On the other hand, surgical treatment is recommended in the young age group and especially if the tears occur due to a sudden injury.
Is steroid injection during compression harmful?
Generally, a limited number of (3-4) steroid injections into the formation called the bursa in the gap are safe, and often significantly reduce local inflammation (non-microbial inflammatory condition) and pain. This locally made steroid is used chronically, that is, continuously orally. Since they are not absorbed systemically in the body like steroids, they do not pose the same risks. On the other hand, repeated steroid injections have been shown to negatively affect the quality of tendons in cases that may require surgery later.
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