What is Shoulder Joint?
Also referred to as glenohumeral joint, Shoulder Joint is a ball and socket joint similar to the hip joint and has the highest mobility other than any of the body joint’s. It consists of three bones- the scapula (shoulder blade), the clavicle (upper arm bone) and the humerus (collarbone). While scapula is the large triangular bone, on the backside of the upper body, the clavicle fixes the shoulder to the rib cage. The humerus is a ball like shape which fits into the glenoid socket and embraced by the rotator cuff muscles.
Are You A Candidate for Shoulder Joint Replacement
There are several reasons due to which your doctor may recommend you to undergo shoulder replacement surgery. People who are recommended with shoulder replacement surgery often suffer from:
- Severe shoulder pain that often hurdles the day to day activities such as bathing, washing, toileting and dressing.
- Perpetual pain while sleeping. Such pain is enough to prevent you from a good night’s sleep.
- Severe weakness in the shoulder joint and loss of motion
- Subsequent failure of medical treatment such as anti-inflammatory medicines, cortisone injections and physiotherapy.
Treatment Options for Shoulder Surgery and Injuries
From minimally invasive surgical techniques to non-surgical treatment options, the orthopedic physician will take an expert decision to treat the broad range of Shoulder Conditions & Treatments that can occur at any stage of life. Depending upon your condition and proper diagnosis has been made, through CT scans, X-rays and MRI, the surgeon will recommend you the following four treatments..There are several options available for Shoulder surgery. Although they are not as common as knee or hip replacement, they are equally successful in relieving shoulder pain.
Shoulder Replacement
When the shoulder joint is diseased enough that it fails to respond to the relevant medications, the last option available is the shoulder joint replacement with a prosthetic joint. This particular surgery is recommended to increase motion and repair painful arthritic shoulders. There are two types of Shoulder Replacement- Total and Partial.
Total Shoulder Replacement Surgery
Also known as Total Shoulder Arthroplasty, the Total Shoulder Replacement Surgery is a surgical procedure wherein the intention is to reduce the joint pain and improved the motion function in patients suffering from a variety of arthritic conditions. In this type of surgery, the both sides of the joint are replaced which include humeral head and the glenoid.
Partial Shoulder Replacement Surgery
A Partial Shoulder Replacement Surgery is recommended if the patient has suffered from a traumatic shoulder injury or arthritis. It is used when the glenoid socket is intact and is not touched. However, the humeral head is replaced with the synthetic one. Since only the ball part of the shoulder is replaced, the procedure requires smaller incisions and removal of less bone.
Rotator Cuff
The most common cause of pain and disability in the shoulders of the adult is Rotator cuff tear. Rotator cuff surgery has been designed to lessen the shoulder pain by repairing the rotator cuff. When the tissues around the shoulder joint gets damaged, the rotator cuff surgery is used to repair the tissues of an injured shoulder. This type of surgery is performed depending on the size, shape and location of the tear. If there is a partial tear, you may undergo smoothing procedure called debridement. The other rotator cuff treatment options include limited overhead activity, use of a sling, anti-inflammatory medication, steroid injection and physical therapy.
Shoulder Arthroscopy
May a time the shoulder surgery can be performed with a few small incisions, with the help of the arthroscope. Most of the times rotator cuff tears are repaired with the aid of the arthroscope. The surgeon uses the arthroscope to visualize the internal parts of the joint. A camera is fixed at the end of the arthroscope and a very bright fiber optic is attached to the video monitor in the operating room, allowing a surgeon to glimpse the inside of the shoulder joint.
Sholuder Surgery Benefits & Post Care
From all the surgical shoulder replacement procedures, the one single benefit that you derive is improved mobility, flexibility and elimination of pain in the shoulder joint. However in India, the major benefit is lower cost treatment, advanced infrastructure and state of the art equipments.
- The minimal invasive surgery will allow faster healing when compared to more severe surgeries.
- Arthroscopy allows less scars and scar tissues so that you can have improved movement in your arm and shoulder.
- Patient’s arm and shoulder recuperate faster when compared to living with the damage or inflammation that was hindering it.
- Arthroscopic procedures cause minimal blood loss. This allows for less bruising and pain during recovery.
After Shoulder Replacement Surgery, you are required to wear an arm sling for a few days. The arm movement will depend upon the specific instructions given by the doctors. Following the surgery, most physicians will start some light physiotherapy which includes pain management and rehabilitation. In 2 to 3 months, a patient will get back to the normal routine activities.
Cost of Shoulder Disorder Treatment
The cost of a normal shoulder Arthroscopy procedure is around $20,000 in U.S.A while the same is 1/5th of the total amount in India. The cost of a total shoulder implant depends on the type of implant used, including total and reverse shoulder surgical approach.
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FAQs of Shoulder Surgery in India
Ques: What is a shoulder replacement?
Ans: Shoulder replacement is also known as shoulder Arthroplasty. It is a surgical procedure in which defected joints are exchanged by artificial shoulder implants (also known as a prosthesis) to fix the severe physical joint damage and to relieve the pain.
Ques: How do I know that I need a shoulder replacement?
Ans: The very first hints are limited movements of your shoulder and arms, less strength, and severe pain. These problems can occur due to sports, accidents, rheumatoid arthritis, and your job profile. If you are facing any of these problems then kindly consult with a shoulder joint replacement doctor.
Ques: What shoulder replacement implants are made up of?
Ans: There are 3 parts in the shoulder replacement implant – Glenoid (new socket), a new ball for arm bone, and a stem that secures the ball in arm bone. All these parts are made up of titanium or chrome-cobalt stainless steel and polyethylene plastic.
Ques: Is there any particular age for this surgery?
Ans: No, there is no particular age for this surgery. If you have a problem then you should consult with the concerned doctor. The doctor will evaluate your problem and decide what medical treatment you required.
Ques: How long does my shoulder implant last?
Ans:The time length for shoulder implant is different for each patient and it depends on various factors such as their age, work activities, medical conditions, and weight. There is no guarantee for the implant. However, you should follow the doctor’s recommendations after surgery to maintain the longevity of the implant.
Ques: What happens during shoulder replacement surgery?
Ans: Shoulder replacement surgery is a surgical procedure performed by a joint replacement surgeon and his team. Generally, this procedure takes 1-3 hours which also depends on the medical circumstances of the patient. An incision is made in the shoulder front area and the ball has been removed, then a new metal stem is inserted into the bone with a rounded metal head. The new ball and socket are joined together and the incision is closed.
Ques: For how long do I need to stay in hospital after shoulder replacement surgery?
Ans: Mostly, patients stay in the hospital for 2 days but in a few cases patients need to stay up to 4 days. The duration of stay in the hospital will be decided by the doctor according to the patient’s medical condition.
Ques: Is rehabilitation important after shoulder surgery?
Ans: Yes, rehabilitation plays an important role in shoulder surgery. As it includes shoulder and arms exercises and physical therapy programs to improve movements and functions in the shoulder and to recover strength.
Ques: Is the shoulder replacement surgery successful?
Ans: Yes, this surgery is very effective, safe, and successful. The patient gets amazing improvements in motion, function, and pain in their shoulder. Implant survival is approximately 90 to 95% in 10 years and 80% in 20 years after surgery.
Ques: Is the shoulder implant surgery painful?
Ans: You will not be feeling any pain during surgery because of anesthesia effects. After the surgery, doctors prescribe pain medications to reduce pain.
Ques: How long does it take for me to resume the normal activities?
Ans: In the first week of your surgery, the patient can start light activities like eating and dressing. These activities are called Midline activities where your elbow doesn’t go behind the midline of your body. For resuming other normal activities, the doctor will recommend you to wait till 6 weeks.
Ques: Which anesthesia will be used during the procedure?
Ans: The general anesthesia will be used during shoulder replacement surgery.
Ques: What can be the complications after the surgery?
Ans: There are common complications like swelling, infection, bleeding, stiffness, etc. which you can have after the surgery. Doctors recommend a detailed instructions list which will decrease the complication.
Ques: What are the non-surgical treatment options for shoulder pain?
Ans: Joint replacement doctors always try to treat patients with non-surgical options like pain killers, some physical therapies, ice packs, etc. If they will not work then the doctor will recommend surgery.
Ques: What restrictions I should follow after surgery?
Ans: You should not use your arm to push yourself from chair or bed, too much exercise is not good for your shoulder, do not lift things except a glass of water, do not participate in sports activities, do not place your arm on extreme position. Follow these things for 2 to 3 weeks and in case you will face any problem then contact your doctor.
Ques: What type of food I should add or avoid from my diet?
Ans: Foods that relate to nutritional supplements can thin your blood and you should avoid those kinds of food. You should also discuss this with your doctor.
Ques: What is the approximate cost for shoulder replacement surgery and how I can get an appointment?
Ans: To know about the shoulder replacement surgery cost and appointment, kindly contact on below details:
E mail: info@mediconnectindia.com
Mobile/Whats app: +91 9717766080