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After reverse shoulder surgery

Joint Replacements | Last Active: Mar 18 1:50pm | Replies (14)

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@babyjayne5977

My husband had shoulder repair November 25th and has had horrible pain since day one with no improvement in almost 16 weeks. He wore that huge brace/contraption & after 6 weeks his doctor had him start PT. Painful as expected but his range of motion was good but the pain seemed to intensify. After almost 7 weeks of PT , they told him they were going to discontinue therapy and he needed to see his surgeon as he shouldn't be in the amount of pain he is. He got in to see doctor & an MRI with contrast was order & done 3/10/25. Doctor also felt he shouldn't be in this amount of pain. These were the results:

FINDINGS: There are changes of interval rotator cuff surgery and biceps tenodesis. There is a small partial-thickness defect of the undersurface of the insertion of the supraspinatus tendon which could be due to a persistent postoperative defect or a tiny recurrent partial-thickness tear. No full-thickness rotator cuff tear is noted. No significant rotator cuff atrophy. Moderate to severe osteoarthritis of the AC joint. There is an effusion of the AC joint. There is a tear of the posterior glenoid labrum, likely unchanged from previous exam.

IMPRESSION: 1. Interval rotator cuff repair and biceps tenodesis. Possible small recurrent or residual partial-thickness undersurface tear of the supraspinatus. No full-thickness tears or rotator cuff atrophy.
2. Tear of the posterior glenoid labrum, likely unchanged.
3. Moderate to severe osteoarthritis of the AC joint.

We had a follow-up appointment with the doctor (so we thought) but saw the NP instead who said my husband should have been scheduled with the surgeon. My husband has had 5 post-op appointments and only seen the actual surgeon once. We find that odd, but maybe not? Anyway, the NP is very nice, thorough and explains as much as possible but is not able to make any recommendations of what's next. We did ask her about the various shoulder replacements rather than going back in for just a repair & it failing or having to come back in a couple years for a replacement. She understood our concerns & said those are good questions to ask the surgeon. For those who've already been through this we're wondering what questions/concerns we should ask when we go back on the 14th for an actual appointment with the surgeon so that we can make an informed decision. Thank you.

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Replies to "My husband had shoulder repair November 25th and has had horrible pain since day one with..."

I'm sorry your husband is still in so much pain - This is a very difficult situation. I had a complex rotator cuff repair in October, and my recovery is progressing slowly, but there is little pain. I agree with the PT and PA that you need reevaluation by the doctor. As many as 30-50% of rotator cuff repairs are termed unsuccessful, mainly because the soft tissue doesn't heal well.

Does your husband have any other health issues that might inhibit healing, like diabetes or age over 65? My surgeon's PA added 5-6 weeks to every stage of the healing/therapy time frame for me to make sure I heal fully.

I am not an orthopedic specialist, but even when my rotator cuff and biceps had full thickness tears, I had more pain from my torn labrum, arthritis and bone spurs (osteophytes) that often accompany it. My surgeon shaved off a lot of arthritic and misshapen bone, which possibly helped make my healing more comfortable. Maybe that is part of his pain?

And the "enforced rest" after surgery helped my labrum heal a little, but it began to hurt again as soon as I started PT. My therapist now has me on an every-other-day PT schedule, which means it's going to take a long time to get back to full use.

Please let us know what the surgeon has to say?

I also have had a tough time. I had reverse TSR 9/2023. I’m still in pain when doing various movements in everyday life. Therapy for over a year and still continuing due to tightness and pain in shoulder. They said pain was from my neck (cervical stenosis) and I had a block done and still have the pain. I pray everyday for relief and pretty much just deal with it. Aspirins upset my stomach. Needless to say this was not what I expected!! Best regards and prayers sent to you.