Shoulder arthroscopy is a type of surgery used to diagnose and treat shoulder problems. Your healthcare provider repairs your shoulder through tiny incisions. Shoulder arthroscopy is an outpatient procedure, meaning you can go home the same day. Though full recovery can take weeks or months, exercise and physical therapy can help with healing.
Shoulder arthroscopy is a minimally invasive surgery used to diagnose and treat shoulder problems. You might have arthroscopy for rotator cuff tears or shoulder impingement. Minimally invasive procedures require smaller incisions than traditional surgery. Each incision is about the size of a keyhole.
Your surgeon inserts a small camera called an arthroscope through a tiny incision in your skin. This camera projects pictures of your shoulder joint to a video screen. Your provider looks at these images to find the source of your injury. If you need a shoulder repair, the provider uses miniature surgical instruments to restore your shoulder’s mobility.
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Shoulder arthroscopy helps healthcare providers find and treat shoulder pain that has not responded to nonsurgical treatments. Nonsurgical treatments for shoulder pain include physical therapy, medication, injections and rest.
Shoulder arthroscopy can remove inflamed tissue. It can also treat injuries such as:
Shoulder arthroscopy is the second most common orthopedic surgery after knee arthroscopy. Orthopedic surgery treats joints, bones, muscles, ligaments and tendons.
Rotator cuff surgery is one of the most common types of shoulder arthroscopy.
Before shoulder arthroscopy, your provider will ask you about your health history. You’ll also need to bring in a complete medication list. You may need to stop taking some of your medications a few days before your surgery.
Your hospital will give you specific instructions, including how long before your surgery to stop eating and drinking.
To check your health before your procedure, you also may need:
Shoulder arthroscopy usually takes less than an hour. During shoulder arthroscopy:
Shoulder arthroscopy is an outpatient procedure, meaning you can go home the same day. The entire process usually takes less than an hour.
You’ll need to recover for an hour or two at the hospital after surgery. Your providers will offer pain medication if needed. After that, you’ll need a ride home. It’s best if a family member or friend can spend the night with you.
Unfortunately, all surgery causes pain. But your hospital’s anesthesia staff focus on keeping you comfortable during surgery. They will discuss options with you.
During surgery, shoulder arthroscopy often uses nerve blocks injected into your neck or shoulder. These nerve blocks numb your shoulder and arm. They also help with pain relief after surgery. In some cases, you may have general anesthesia, where you are asleep during your surgery.
Pain during recovery is a natural part of healing. Talk with your healthcare providers about your concerns. They can advise you on how to manage pain as your body heals.
You may have shoulder arthroscopy instead of open surgery (with a larger incision), depending on your specific concern. Compared to open surgeries, arthroscopic surgeries have less risk of infection and a shorter recovery time. Shoulder arthroscopy also tends to cause less joint stiffness and pain than open surgeries.
Shoulder arthroscopy is generally very safe. There is a small risk that you may experience:
Your shoulder joint will take weeks to months to completely heal after shoulder arthroscopy. You may notice pain and swelling for at least several weeks.
Ice and pain medication can help with pain relief. You can also try sleeping propped up in a chair or bed for a few days after your surgery. Your surgeon may recommend a sling to protect your shoulder.
A rehabilitation plan includes gentle exercise and physical therapy. It can increase your shoulder movement and strength. Your healthcare provider will give you a rehab plan that suits your specific shoulder surgery.
When you can return to your everyday life depends on the complexity of your surgery. If you’ve had a minor procedure, you may be able to return to work or school in a few days. You’ll need longer to recover from more major procedures. Your healthcare provider will offer guidance suitable for your recovery.
Talk to your healthcare provider if you have any of these symptoms after your surgery:
A note from Cleveland Clinic
Shoulder arthroscopy is a minimally invasive surgery to treat shoulder problems, including shoulder impingement and rotator cuff tears. The procedure usually takes less than an hour. Many people can go back to work or school in a few days. For more complex surgeries, recovery may take longer. A rehabilitation plan, which usually includes exercise and physical therapy, can help you heal faster.
Last reviewed by a Cleveland Clinic medical professional on 08/26/2021.
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