When this pesky inflammation doesn’t respond to non-surgical treatments, it might be time to consider surgical options. In this guide, we’ll dive deep into what shoulder bursitis is, when surgery becomes necessary, and the different surgical treatments available to help you get back to your active lifestyle.
Understanding Shoulder Bursitis
What is Shoulder Bursitis?
Shoulder bursitis occurs when the bursa, a small fluid-filled sac that cushions your shoulder joint, becomes inflamed. This condition can cause pain, swelling, and restricted movement in the shoulder.
Causes and Symptoms of Shoulder Bursitis
The most common causes of shoulder bursitis include repetitive movements, injuries, and prolonged pressure on the joint. Symptoms often include pain when lifting your arm, tenderness, swelling, and reduced mobility.
When Does Shoulder Bursitis Require Surgery?
Not all cases of shoulder bursitis need surgery. Surgery is usually the last resort when other treatments like medications, injections, or physical therapy have failed, and the pain significantly impacts your quality of life.
Non-Surgical Treatments: When to Consider Alternatives
Physical Therapy and Medication
Before opting for surgery, doctors often recommend physical therapy to improve strength and mobility. Anti-inflammatory medications can also help reduce pain and swelling.
Injection Therapy and Its Limitations
Corticosteroid injections can offer temporary relief, but they’re not a long-term solution. If you find yourself needing multiple injections, surgery might be the next step.
Surgical Options for Shoulder Bursitis
Shoulder Arthroscopy: The Most Common Procedure
Shoulder arthroscopy is a minimally invasive procedure where a surgeon inserts a tiny camera (arthroscope) through a small incision to view and repair the damaged bursa.
How Shoulder Arthroscopy Works
During arthroscopy, the surgeon removes the inflamed bursa through small incisions. This process reduces pain and allows the shoulder joint to move more freely.
Pros and Cons of Shoulder Arthroscopy
The biggest advantage of shoulder arthroscopy is its minimally invasive nature, leading to quicker recovery. However, it still carries risks like infection or stiffness, although these are rare.
Open Bursectomy: A Traditional Approach
An open bursectomy is a more invasive surgery where a larger incision is made to remove the inflamed bursa.
What to Expect with Open Bursectomy
This procedure is often reserved for severe cases or when arthroscopy isn’t an option. It involves a longer recovery time due to the larger incision.
Advantages and Disadvantages
While open bursectomy is effective, it’s more invasive, resulting in a longer recovery period and potential scarring.
Subacromial Decompression Surgery
Subacromial decompression surgery helps create more space around the shoulder joint by removing any bone spurs or thickened tissues.
What Subacromial Decompression Involves
This procedure involves shaving away bone spurs or tissues that may be pressing on the bursa, allowing more room for the shoulder to move without pain.
Who is a Good Candidate?
You might be a candidate if you have shoulder impingement syndrome or chronic bursitis that hasn’t responded to other treatments.
Surgery Recovery: What to Expect
Recovery Timeline for Shoulder Arthroscopy
Most patients experience a recovery period of 2-6 weeks with shoulder arthroscopy. You’ll need to rest your shoulder and gradually return to daily activities.
Tips for a Smooth Recovery
- Follow your surgeon’s instructions.
- Avoid heavy lifting.
- Perform gentle stretches as advised.
Physical Therapy Post-Surgery
Physical therapy is crucial for regaining strength and mobility after surgery. It’s like hitting the reset button on your shoulder!
Risks and Complications of Bursitis Surgery
Common Risks Associated with Surgery
As with any surgery, there are risks such as infection, blood clots, or nerve damage. However, these complications are relatively rare.
How to Minimize Risks
To reduce your risks, follow your surgeon’s post-op instructions, maintain a healthy diet, and avoid smoking.
Surgical options for shoulder bursitis can offer relief when other treatments have failed. Whether you choose shoulder arthroscopy, open bursectomy, or subacromial decompression, it’s essential to understand the procedures, risks, and recovery process. Consult with a healthcare professional to determine the best course of action for your condition.
FAQs About Shoulder Bursitis Surgery
Is shoulder bursitis surgery painful?
You’ll likely experience some discomfort after surgery, but pain medications and proper care can manage it effectively.
How long does it take to recover from shoulder arthroscopy?
Recovery typically takes 2-6 weeks, but it may vary depending on your overall health and adherence to post-op care.
Can shoulder bursitis return after surgery?
While surgery is effective, there’s a small chance bursitis can return, especially if you engage in repetitive shoulder movements.
Is physical therapy necessary after shoulder surgery?
Yes, physical therapy is crucial for regaining strength and mobility in your shoulder after surgery.
What are the risks of not treating shoulder bursitis?
Untreated bursitis can lead to chronic pain, restricted movement, and even rotator cuff injuries over time.
When should I consider surgery for shoulder bursitis?
If non-surgical treatments haven’t worked and your pain affects daily activities, surgery might be a good option.
Can I return to sports after shoulder bursitis surgery?
Yes, most patients can return to sports once fully recovered, but it’s essential to follow your surgeon’s advice.
Are there alternatives to surgery for shoulder bursitis?
Yes, options like physical therapy, medication, and corticosteroid injections may provide relief without surgery.
Will I need to wear a sling after surgery?
In most cases, you’ll need a sling for a few days to support your shoulder and aid healing.
How effective is shoulder bursitis surgery?
Surgery has a high success rate, with most patients experiencing significant pain relief and improved mobility.