Shoulder arthroscopy pre-operative instructions

Initial treatment: Consists of medication and ice to relieve the pain, stretching and
strengthening exercises, and modification of the activity causing pain or instability. These
can be done at home, although referral to a physical therapist or athletic trainer may be
recommended. An injection of cortisone to the area around the tendon (within the bursa)
may be recommended. Surgery may be performed arthroscopically or with an open
incision. The return to full activity usually requires 6 to 12 months.

Pain control:
Nonsteroidal anti-inflammatory medications such as aspirin and ibuprofen (do not take
within 7 days before surgery), or other minor pain relievers, such as acetaminophen, are
often recommended. Take these as directed by your physician. Contact your physician
immediately if any bleeding, stomach upset, or signs of an allergic reaction occur.

Pain medication is not usually prescribed for this condition. If your physician does
prescribe pain medications, use only as directed.

Cortisone injections reduce inflammation, and anesthetics temporarily relieve pain. There
is a limit to the number of times cortisone may be given because it may weaken muscle
and tendon tissue.

Swelling control: Cold is used to relieve pain and reduce inflammation for acute and
chronic cases. Cold should be applied for 10 to 15 minutes every 2 to 3 hours and
immediately after any activity that aggravates your symptoms. Use ice packs, frozen
vegetables or an ice massage.

Rehab/exercises: Rehabilitation of rotator cuff tears usually focuses on reducing any
swelling and/or pain, and regaining muscle control and strength. Range of motion,
stretching, and strengthening exercises may be done at home, although a referral to a
physical therapist or athletic trainer is recommended.