What are the surgical treatments for shoulder impingement?
If your symptoms persist even after all medications, then your doctor may order an ultrasound, magnetic resonance imaging (MRI), and arthrogram (a picture inside your joint) to rule out any tear in the shoulder socket tendons. If your shoulder imaging shows any tear in the shoulder socket tendons, then your doctor may suggest the following:
- Arthroscopic arthroplasty: In this procedure, two or three keyhole-shaped cuts are made around your affected shoulder, and a thin fiberoptic scope (camera) is inserted into it. The surgeon examines the inside of your shoulder through a video camera. They may perform arthroplasty (removal of any bony growth or inflamed soft tissue to create more space for the rotator cuff). They may also perform acromioplasty (removal of some part of the tip of your shoulder).
- Open arthroplasty: In open arthroplasty, your surgeon will make a small cut on the front side of your shoulder. They will inspect the shoulder joint condition directly and perform arthroplasty (repairing it by resurfacing the joint).
After the surgery, your arm may be placed in a sling for a short period to allow healing. Once your discomfort and pain resolve, your doctor will remove the sling. Then you will be instructed to start some shoulder-stretching exercises.
Your doctor will provide rehabilitation support based on your requirements and situation. Exercises are given after the shoulder surgery to help to regain a range of motions of your shoulder and strengthening your arm muscles. It generally requires two to four months to get complete relief from pain. However, some people may require a year.