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- How many days do I have to be in the hospital after shoulder arthroscopy?
- Do gypsum apply after arthroscopy and for how many days?
- How much to wear a soft bandage after arthroscopy of the shoulder and should it be removed at night?
- Will my shoulder hurt badly after surgery?
- How long will the pain last after shoulder arthroscopy and how can it be reduced?
- When are stitches removed?
- When do they begin to develop a joint?
- How often do you need to exercise physical therapy to restore the function of the operated shoulder?
- After how many months does the full restoration of the function of the operated joint occur?
- How many days after arthroscopy can I go to work that is not related to physical labor?
- How long is sick leave given after shoulder arthroscopy?
- When can I wet the seam?
- How can I speed up the healing process of tissues after surgery?
- How many days after shoulder arthroscopy can I drive?
- Is it possible after surgery to restore the range of motion in the shoulder by 100%?
- When can I start sports after shoulder arthroscopy?
- When can I start practicing in the gym after shoulder arthroscopy?
- When can I start swimming in the pool after shoulder arthroscopy?
- When can I start going to the sauna after shoulder arthroscopy?
- When can I start sleeping on a sore shoulder after arthroscopy?
- From what day after the operation can I start using my operated hand (pick up a cup or other light objects, use a computer keyboard, etc.?
- From what day after the operation can I start carrying bags in my operated hand and how many kilograms?
- From what day after shoulder arthroscopy can I start classes with an instructor in a rehabilitation room using the kinesiotherapy method?
- From what day after shoulder arthroscopy you can begin to do physiotherapy (phonophoresis, ultrasound, magnet).
- From what day after shoulder arthroscopy can I begin to massage the shoulder?
- What anesthesia is used during arthroscopy of the shoulder joint and is it safe?
- What volume of movements in the operated joint should be by the end of 1 month, by the 2nd and 3rd month and by the 6th month?
How to prepare your home and yourself for returning after surgery
Since after replacing the shoulder joint you will need to use only one hand for some time, you need to think ahead and arrange your home in such a way that you can serve yourself as much as possible and carry out the usual actions in everyday life.
- Read in advance how to properly wear, wear, and take off the cut - a supporting bandage that is usually worn over clothing. Wearing a cut will be required within 4-6 weeks after surgery.
- Think about how you will take water procedures after surgery. Care must be taken that the coating in the bathroom or shower is not slippery. During water procedures, it is important to exercise caution and good balance. Therefore, if you need outside help, take care of this in advance. It is sometimes convenient to use a stable stool for taking a shower.
- Think over your wardrobe for the recovery time of the operated hand. Clothing should be spacious with a fastener located in front and with fairly large buttons. Zippers and hooks are best avoided, as they are difficult to fasten on their own with one hand. In the first weeks, wearing sports pants with an elastic waistband without zippers and buttons is recommended.
- The dressing and undressing procedure may initially cause discomfort. And of course it is better if at first someone can help you. But dressing and undressing yourself is also quite possible. The main thing is to follow some rules:
- Always start dressing with an operated hand.
- When undressing, the cut is removed first (the doctor will teach you how to do it right before discharge).
- After removing the orthosis, the sleeve is removed from the operated hand, then from the healthy one.
- The operated hand should be in a relaxed free position, lowered down or supported in a similar position in the cut.
- Important! Do not turn your operated hand back!
- All fasteners are fastened only with a healthy hand.
- Shoes are better to choose without laces. It is important that the shoes are stable and fit well.
- After 6 weeks, you will be able to start using your second hand and all the discomfort will be left behind.
- At first, household chores can only be done with a healthy hand. In no case should you make pushing and pulling movements with your operated hand! In the first 6 weeks with your operated hand you can’t lift anything heavier than a cup of coffee.
- After 6 weeks, you can return to simple homework. But within 3 months you can not lift weights.
- You can eat using only a healthy hand. Think over comfortable non-slippery dishes and appliances.
- During sleep, the first time you can not sleep on your side with an operated hand. Preferably lying on your back or in a semi-sitting position. In this case, you need to put a pillow under the operated hand so that it does not fall back during sleep. You can sleep on your side with a healthy hand, placing a pillow under your sore arm.
- Getting out of a chair or sitting down is only possible with a healthy hand. When walking up the stairs, hold the railing with your healthy hand.
- Pulling and raising your hand up above shoulder level is not recommended even after 6 weeks. It is necessary to gradually increase the load and the amplitude of movement and rotation of the joint, following the exact recommendations of a rehabilitation doctor, physiotherapist, kinesiologist.
- Driving a car can be resumed after 6 weeks and after the pain has passed when moving with your operated hand.
- The return to the usual way of life should be gradual without a sharp load on the operated hand. The first time after wearing an orthosis, you can begin to move your hand while supporting it with a healthy hand and gradually increase the load.
The above information is a general recommendation. Detailed information and recommendations should be obtained at the clinic from your doctor. It is necessary to strictly follow all the recommendations and, if possible, inform the doctor about the progress of the restoration of the operated arm.
We repeat that a month after the operation, it is necessary to undergo a rehabilitation course for the correct development of the amplitude of motion and work of the new joint. Rehabilitation can be done at the place of residence, taking into account the recommendations of the surgeon who operated on you. Or you can return to the clinic to undergo a rehabilitation program directly under the supervision of the doctors who performed the operation.
Compliance with all recommendations and properly designed and conducted individual rehabilitation are the keys to a successful result of the operation.
Features of the recovery period
The rehabilitation period begins with painkillers and the organization of special recovery and strengthening for the muscles near the shoulder joint. In the first two days, limiting the mobility of the joint with a retaining bandage is recommended. After 5 days, you can begin gentle exercises. It is allowed to bend and extend the arm only after a week and a half, but excessive activity should not be shown so as not to provoke complications.
The recovery process also includes:
- proper nutrition
- full sleep
- frequent walks in the fresh air,
- therapeutic massage - from the bottom of the arm and up.
The doctor selects the complexes of rehabilitation exercises for the patient individually. It depends on physical fitness and the severity of the injury. Also, each stage includes different classes, they gradually become more complicated.
Early postoperative period
The early postoperative period is the time in the first 1.5 months after surgery.
During this period, a person necessarily wears a bandage that immobilizes the joint. Outwardly, it looks like a cuff with a band for hard fixation. If the injury severely destroyed the joint and ligaments of the shoulder, after surgery it is plaster to the body. The disadvantage of casting is the inconvenience, but this method is the most reliable, it prevents unwanted and even dangerous displacements in the early stages after surgical treatment.
When the dressing is allowed to be removed, the doctor sets up. Subsequently, he prescribes physiotherapy exercises so that soft tissues can be gradually developed and restored to gradually return the patient to his usual life.
Late postoperative period
The late period is called the time after 1.5 months after surgery. It lasts about 3 to 6 weeks. Rigid fixation is replaced by immobilization with a kerchief bandage.
The main objectives of late recovery are:
- gradual increase in range of motion
- training the muscles of the hand so that you can calmly lift it and keep it horizontally straight,
- passive-active development of the shoulder - exercises are organized with a shortened lever with the help of a healthy arm, in a lightened position, rotational movements.
It is recommended to continue physiotherapeutic treatment in order to prevent late postoperative complications, improve tissue elasticity, trophism. It effectively relieves spasms and stimulates proper muscle function. For proper late or early rehabilitation, you can contact special centers, one of which is located in St. Petersburg on Bolshoi Sampsonievsky Avenue. The addresses of other institutions can be found on the Internet through the browsers Yandex, Opera, etc.
The most effective methods of physiotherapy at this stage are the following:
- Phonophoresis with drugs - Hydrocortisone, Lidase, etc.
- Electrophoresis with potassium iodide and novocaine - a course of 10 to 15 procedures.
- Magnetic laser therapy.
- Electrical stimulation of the muscles of the upper limbs.
- Manual massage of the cervical-collar zone and hands, starting with a healthy hand. First, lymphatic drainage techniques are performed, then complexes that strengthen muscles. The course consists of 10 to 20 procedures.
Pre-workout and training periods
The pre-training period starts from the 3rd or 4th month, depending on the condition of the person. It lasts up to 6 to 8 months. The main goal is to restore general fitness and physical condition, especially for athletes.
In parallel, they begin training special motor characteristics in accordance with the specialization of the athlete. For now, one should abandon movements with a large amplitude, swinging, forced on the affected arm. Be sure to include passive movements to gradually increase the angle of abduction, extension, rotation.
When planning a training system, it is necessary to include exercise microcycles in it for power training of the abducting muscles, flexors in the forearm, and external rotators of the shoulder joint.
The purpose of the training period, when classes resume with the same load, becomes the restoration of the athlete’s abilities and skills, the correction of his skills.
After an objective assessment, the athlete is allowed to compete only 8-12 months after surgical treatment arthroscopically.
Depending on the type of operation, the recovery technique may vary slightly. After arthroscopic operations, usually the main focus is on the differential training of muscles that are responsible for stabilizing the shoulder joint.
After a full course of functional recovery treatment, which follows the operation, patients quickly return to a sports career or work.
The first physical activity
The main method of recovery after arthroplasty on the shoulder is medical gymnastics. It helps to normalize the motor activity of the joint. Exercise therapy is prescribed in the first days after surgery.
While the arm is immobilized, charging is carried out with the other hand, as well as with the joints of the operated hand, which were not affected by the operation. After 6 days, the minimum load on the shoulder joint is acceptable.
Typically, an orthosis dressing is worn for about 3 to 4 weeks. Training helps prevent muscle contracture and ensures scar integrity.
Proper physical activity will restore and stimulate blood flow in the operated area and in the entire immobilized arm. The load on the limb is necessarily controlled: with joint pain in the shoulder and the formation of even a small swelling, the load should be stopped, sometimes a break is made for several days. You can’t suffer from pain. This should be told to the doctor of the clinic to exclude complications.
The first time after immobilization, the muscles reflexively strain as a protection against damage. Because of this, exercises for developing the shoulder joint can cause slight discomfort and mild pulling pain. This is not a reason to abandon training tasks in order to overcome reflex contractions.
After removing the orthosis, the doctor prescribes a special set of classes, he allows intensive training no earlier than 2 months later. When performing active exercises, the use of block simulators, rubber shock absorbers, weights is permissible. Exercise in water and swimming, pendulum movements by hands have a good effect on the joint.
Rules for performing therapeutic exercises
To achieve maximum strengthening of the joint after injury and surgery, it is important to follow the basic rules of recovery, otherwise physiotherapy exercises can only do harm. The basic rules are as follows:
- Systematic conduct of classes. You will need to exercise regularly, daily, clearly observing the settings and restrictions of the doctor. Personal preferences should not affect the choice of exercises. If you feel unwell, you need to try to perform all the necessary actions at least in a sitting position.
- Compliance with safety precautions. Each action should be carried out progressively. The patient and the doctor must take into account the capabilities of the body, physical fitness, so as not to injure the joint even more. В первые дни занятий требуется проводить их в кабинете специалиста под его контролем. Он покажет правильную технику, чтобы пациент мог лучше понять ее.
- Gradual increase in loads - only on the advice of the attending doctor. With an independent decision, you can again injure the joint, then the restoration and operation will be even more complicated.
- Elimination of sudden movements and too large and long loads. Take care of your shoulder. When the recommended exercises exceed the possibilities, you need to explain this to the doctor.
How are physical activities
Experts at research institutes advise starting active work only 3 to 6 weeks after surgery. The term is individual for each patient and usually depends on the severity of the damage.
After resolving the power loads on the shoulder, the patient, as a rule, already develops his arm so that it is quite capable of exercising with weights and trainers. It is also recommended to conduct classes with rubber balls, sticks and special platforms.
During rehabilitation, the exercise technique is critical to the recovery period. Training should be everyday, conducted several times a day, 10 to 12 repetitions of each exercise. With too much stress and the occurrence of edema, redness in the joint, other uncomfortable sensations, a decrease in the intensity of training and a mandatory visit to the doctor is required so as not to make it worse.
Instructor control of the first lessons
At first, exercise therapy is necessarily controlled by an instructor who takes into account the individual characteristics of patients and can change the physical culture complex, adjusting it to a specific person.
In each case of arthroscopy of the shoulder joint, the rehabilitation instructor takes into account the volume of surgical intervention, it was performed under local or general anesthesia, the severity of the injury, and individual preparation of the person. Sometimes the operation affects not only the shoulder, but also the collarbone, the entire shoulder-shoulder area. The doctor always recommends with what activity and speed the rehabilitation will be carried out. He draws attention to the age of his patient, and to the general state of his health.
PROGRAM - REHABILITATION AFTER ENDOPROSTHESIS OF THE SHOULDER JOINT IN THE CZECH REPUBLIC
- Individual physiotherapeutic procedures
- The correct setting of movements
- Laser therapy
- Activation of deep torso stabilizers with a special exercise system
- Ultrasound therapy
- Classes in the gym with a professional physiotherapist
- Hospitalization in a double room of increased comfort
- 3 meals a day
- 2 visits by a neurologist
ORGANIZATION OF TREATMENT AND REHABILITATION IN THE CLINIC IN THE CZECH REPUBLIC:
For all questions of the organization of treatment in the clinics of Malvazinka and St. Zdislava, you can contact the Russian-speaking coordinator of the clinic in the Czech Republic directly:
- Call the number: +420 774 311 013
- Send a message to the mail coordinator in Prague
- Leave a request by filling out the feedback form on our website