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After Should Rotator Cuff Repair: Arm Immobilization and Care
Summary
Recovering from rotator cuff repair surgery involves careful attention to arm immobilization and pain management. Following your post-surgery instructions will aid in healing and prevent complications. Expect to wear a sling for 4-6 weeks, manage pain with prescribed medications, and gradually introduce gentle movements to restore function.
What Is This & Why It Matters
Rotator cuff repair surgery is a procedure to reattach torn tendons in your shoulder. This operation is crucial for restoring shoulder function and reducing pain. Post-surgery care is essential to ensure proper healing. You'll need to immobilize your arm using a sling, manage discomfort, and follow a set rehabilitation protocol. These steps will help you regain shoulder strength and flexibility over time.
What You Should Do
- Wear your sling at all times, except when bathing or doing exercises advised by your therapist.
- Apply ice packs for 20 minutes on, then 20 minutes off, for the first 48 hours to reduce swelling.
- Take ibuprofen (400-600 mg) every six hours for pain relief, as recommended by AAOS guidelines.
- Start gentle passive motion exercises around week two as instructed by your therapist.
- Attend all follow-up appointments with your orthopedic specialist to monitor recovery.
- Keep your shoulder elevated while resting to minimize swelling.
- Eat a balanced diet rich in proteins and vitamins to promote tissue healing.
- Use pillows to support your arm while sleeping; lie on your back or the unaffected side.
- Maintain good posture when sitting or standing to avoid additional strain on your shoulder.
- Stay hydrated and avoid alcohol consumption, as it can interfere with medication effectiveness.
What You Should NOT Do
- Do not lift objects heavier than a coffee cup with the affected arm.
- Avoid driving until cleared by your doctor, as it may strain the shoulder.
- Refrain from engaging in sports or heavy physical activity without medical clearance.
- Do not remove your sling during the day unless instructed by healthcare providers.
- Avoid using over-the-counter medications not approved by your doctor.
- Don't skip any physical therapy sessions if they are part of your recovery plan.
Symptoms: Normal vs Warning Signs
Normal (Don't Worry)
- Mild to moderate pain in the shoulder area.
- Bruising around the surgical site.
- Swelling that gradually decreases over days.
- Tingling sensation as nerves begin to heal.
- Feeling tired or fatigued as your body recovers.
Call Your Doctor If...
- Severe swelling that doesn't improve with elevation or ice application.
- Numbness or tingling sensation that persists beyond a few days post-surgery.
- Fever exceeding 100.4°F (38°C), which could indicate infection.
- Redness spreading from the incision site or pus-like discharge.
- Increased pain that is not alleviated by prescribed medications.
- Difficulty breathing or chest pain, which requires immediate attention.
- Sudden inability to move fingers or hand on the affected side.
- Persistent bleeding from the surgical site.
FAQ
How long will I need to wear my sling?
You should wear your sling continuously for 4-6 weeks, except during hygiene activities or specific exercises.
When can I start physical therapy?
Your doctor will likely recommend beginning gentle passive motion exercises around week two post-surgery.
Is it normal to feel weak after surgery?
Yes, weakness is common as your shoulder heals. Strengthening will occur gradually through rehabilitation.
What should I do if my pain medication isn't working?
Contact your healthcare provider if prescribed medication does not adequately control pain.
Can I shower with my sling on?
It's best to remove the sling while showering but be cautious not to move the affected arm unnecessarily.
When can I return to work?
This depends on the nature of your job; discuss this with your doctor during follow-up visits.
What if I hear a popping sound in my shoulder?
While some sounds are normal during recovery, report persistent or painful popping noises to your doctor.