Tips to Consider Before Undergoing Shoulder Surgery

There is a complex procedure involved in a shoulder surgery. There are different types of shoulder surgery options available for the patients to consider. However, shoulder operation is only considered when the conservative shoulder treatment methods fail to deliver results.

The type of shoulder surgery depends on the patient’s particular problem and the best operation that suits their requirements. Here are some general tips to consider when you are undergonig a shoulder surgery.

Try to Get a Comfortable Sleep

After the surgery you need to get a comfortable and good night sleep. You may have difficulty sleeping with your arm wrapped in a sling or arm mobilizer. Therefore, you must not role on the shoulder that just underwent the surgery. Therefore, you need to sleep in a recliner to avoid rolling over to one side. Sometimes, sleeping on the sofa can help with the support of the pillows. Try to have different positions to find a goodnight sleep.

Ask a Friend or a Family Member to Accompany You

You are advised not to go alone for the surgery. You will have to take care of the shoulder before and after the surgery. Therefore, you will not be able to drive to and back from the hospital. You will probably need assistance getting into the vehicle. A person accompanying you to and back from the shoulder surgery can help with small tasks which may become difficult.

Narcotic Pain Medicines Can Help

Sometimes, your orthopedic surgery doctor may ask you to take narcotic pain medicine before the surgery. Therefore, you must strictly follow the routine of taking medicine as per the doctor’s advice. If you delay or miss your medication, you may feel increase in pain and swelling. Sometimes, taking medicine before the administration of anesthesia can help subside the pain during and after the surgery. The narcotic pain medicines may make you vomit or nausea. The narcotic medicine can also help you easily go to sleep.

Work on Decreasing the Swelling and Pain

Your orthopedic surgeon may advice you from the different types of cold therapies. Therefore, you must follow your doctor’s advice for applying a typical type of cold therapy. The use of cold therapy helps reduce shoulder swelling after the surgery. You may have to use from any of the cold therapy devices or ice to reduce swelling. However, you must only use the cold therapy for a shorter period of time on more frequent basis.


Reverse Shoulder Arthroscopy and Shoulder Injuries

The process for reverse shoulder arthroscopy is reverse to that of the normal shoulder replacement surgery. The shoulder socket exchanges place with the cup. The orthopedic surgery doctor fixes metal ball to the socket and plastic cup to humerus.

Patients who previously had unsuccessful cuff tear arthroscopy would prefer to undergo reverse shoulder arthroscopy. In many types of shoulder injuries, it is probably the best available option to the patients. The purpose of reverse shoulder arthroscopy is to use different types of muscle groups for the arm and shoulder movement. After a successful reverse shoulder arthroscopy, the patient will use their rotator cuff muscles for making the movements.

Patients Who Need To undergo Reverse Shoulder Arthroscopy

There are certain types of shoulder injuries where reverse shoulder arthroscopy can greatly help. Let us have a look.

  • Patients who underwent arthropathy for the treatment of rotator cuff tear.
  • The failure of conservative treatment methods to treat shoulder injuries. In such cases, patients may need to go reverse shoulder arthroscopy.
  • The shoulder joint’s complex fracture which otherwise becomes difficult to treat.
  • When the patient is suffering from pain due to lifting of their arm.
  • In cases of an unsuccessful shoulder replacement surgery.

Let us have a look at the different shoulder injuries.


There are small sacs with liquid in them for reducing bone and muscle friction. Bursa help the bones better glide without friction. Sometimes, overuse of the joint can result to bursitis shoulder injuries.

In some cases the problem of shoulder bursitis may occur with the rotator cuff tendinitis. The inflammation can lead to swelling and pain. The bursitis can result in difficulties for the patient in performing routine tasks.

Acute Shoulder Tendinitis

The acute shoulder tendinitis occurs when a patient has difficulty in raising their arm above shoulder or head level. The typical reasons for these kinds of shoulder injuries include work stress or sports activities.

Chronic Shoulder Tendinitis

Different types of degenerative diseases or arthritis can cause chronic shoulder tendinitis. Age at times may also increase the chances of developing chronic shoulder tendinitis.


Tendons help form connection between bones and muscles. The wearing down of these tendons affect impacting the joint of the shoulder over time. Tendinitis of the shoulder may eventually lead to splitting up to cause a big tear.

There are two types of shoulder tendinitis, chronic and acute. In acute shoulder tendinitis the patient feels severe pain when rising their shoulder above the head. The chronic shoulder tendinitis can be the result of a degenerative disease, contributing to shoulder tendinitis.

Tendon Tears

The split or tear occurring because of an impacting injury. Sometimes, the changes because of degenerative diseases or advancing age may also contribute to more wear and tear. The tears may be partial or full.

In most cases shoulder injuries involve complete tendon tears .The tendon tears pull the bone apart from the muscle. The biceps tendon tear and rotator cuff tear are the most common types of such shoulder injuries.


The pressure that the shoulder exerts on the top of the soft tissues may result in shoulder impingement. Such conditions can become difficult for the body to handle. The shoulder injuries resulting from impingement can result in bursitis or tendinitis. In rare cases, impingement can lead to rotator cuff tear.


Sometimes, the upper arm bone may get out of its socket, causing shoulder instability. The wear & tear, overuse, or injury can cause shoulder instability.

The loosening of the muscles and tendons around the joint can cause these types of shoulder injuries. Get in touch with your orthopedic doctor in Sioux Falls, SD to help you overcome your shoulder problem.


Similarly, shoulder injuries may also result from arthritis. The most common type of arthritis is related to osteoarthritis. The swelling, stiffness, and pain can be the result of shoulder arthritis. It takes time for the osteoarthritis to its damage to the entire shoulder joint. Other side effects of shoulder arthritis may include infection, rotator cuff tear, and inflammation in the joints.


The breaking of the shoulder is commonly referred to fracture. These types of shoulder injuries usually occur because of an accident. Sometimes, these injuries occur because of a patient falling on their shoulder. Motor vehicles are typical accidents that cause shoulder fractures. Other impacts of shoulder fractures include pain, swelling, and bruising.

Shoulder Injuries You Need To Know About


Shoulder injuries can happen to any individual. There are different types of shoulder injuries. Let us have a look at the different types of shoulder injuries.

Rotator Cuff Shoulder Injuries

When there is inflammation in muscles or tendons in the shoulder, it can result in rotator cuff tear shoulder injuries. People who play sports involving shoulder can have the rotator cuff tear.

Let us have a look at some of the treatments of rotator cuff tear.

  • The physician in Sioux Falls Orthopedics may suggest the patients to use non-steroidal drugs. These drugs help reduce the inflammation in the patients.
  • The application of cold packs can also help improve the overall shoulder condition.
  • The Sioux Falls Orthopedics surgeon may ask the patient to avoid physically challenging activities.
  • In some cases the doctor may prescribe the patient the use of nonsteroidal anti-inflammatory drugs.  

Shoulder Sprains

Strain or sprain in the shoulder causes a tear. A patient may have from any of the two types of shoulder sprains, acromioclavicular joint sprain or sternoclavicular joint sprain.

Let us have a look at these types of sprain involving shoulder injuries.

Sternoclavicular Joint Sprain

A tear occurring in the sternoclavicular joint is known as sternoclavicular joint sprain. It is a rare type of shoulder injury to the patient. There are three levels of sternoclavicular joint sprain, Grade I, Grade II, and Grade III.

Acromioclavicular Joint Sprain

Acromioclavicular joint sprain occurs between collarbone and acromion. It is a common type of shoulder sprain injury. The acromioclavicular joint sprain has three levels including Grade I, Grade II, and Grade III.

Treating Sprain Shoulder Injuries

The Sioux Falls Orthopedics doctor will treat each patient as per their specific needs. Let us have a look at the treatments for both types of shoulder sprains.

Treatment of Sternoclavicular Sprain

The treatment of sternoclavicular sprain depends on the level of strain. Grade I sternoclavicular sprains involve the use of non-steroidal anti-inflammatory medicines. The doctor may ask the patient to use a sling for a couple of weeks. Grade II sternoclavicular sprains require the Sioux Falls Orthopedics doctor to use the sling for an extended period of three to six weeks. For grade III sternoclavicular sprains, the doctor may ask the patient to under a surgery.

Treatment of Acromioclavicular Joint Sprain

The doctor may recommend the use of anti-inflammatory medicines for treating Grade I and Grade II acromioclavicular joint sprain. The use of sling becomes necessary for treating a Grade III acromioclavicular joint sprain shoulder injuries. In rare cases, the patient may be asked to undergo a surgical procedure.

Shoulder Gout

Gout is an orthopedic condition which can occur in part of the human body. The main reason behind gout is increased uric acid in the blood.

Let us have a look at some of the symptoms of gout in the shoulder.

  • A reduced mobility of the shoulder which affects motion because of high levels of uric acid in the blood.
  • The formation of crystal lumps which make it difficult for the shoulder joint to function.
  • Continuous pain in the shoulder region.

If you face similar problems, get in touch with your Sioux Falls Orthopedics doctor today. Here are some ways of improving a gout affected shoulder.

  • Maintain a proactive and healthy lifestyle and follow up with your doctor on routinely basis.
  • The use of corticosteroids and pain relievers can help normalize uric acid blood levels.
  • The orthopedic surgery doctor may ask the patient to take anti-inflammatory or non-steroidal medicines.

Thoracic Outlet Syndrome

Any injury or disease which compresses blood vessels or nerves in thoracic outlet can this shoulder problem. The compressing of blood vessels, nerves, or muscles can cause serious problem. This pain may radiate to other parts of the body too like shoulder, arms, and neck.

Possible Causes of Thoracic Outlet Syndrome

  • The overuse of the shoulder joint or arms can cause this injury.
  • A person born with extra rib can have thoracic outlet syndrome.
  • Poor body posture and obesity can result in thoracic outlet syndrome.
  • Any injury which results in compressing of the vessels and nerves.

Treating the Thoracic Outlet Syndrome

  • One way to treat the thoracic outlet syndrome is to reduce weight.
  • The Sioux Falls Orthopedics surgeon may ask the patient to undergo physical therapy.
  • The doctor may prescribe the use of over the counter medications to help reduce pain.
  • In some cases surgery becomes inevitable for treating Thoracic Outlet Syndrome. Surgery will help treat such shoulder injuries.

Shoulder Osteoarthritis

Shoulder osteoarthritis is more common in individuals above the age of 50. However, young people can get affected because of this problem. In young people an injury or trauma  can trigger shoulder osteoarthritis. Sometimes, shoulder injuries due to fracture or dislocation can result in osteoarthritis. A patient having shoulder problem due to injury or trauma is known to have post-traumatic arthritis. In rare cases shoulder osteoarthritis can be hereditary.  

Here are some ways your bone doctor may recommend.

  • Dietary supplements can help improve the shoulder osteoarthritis condition.
  • The use of anti-inflammatory medicines can help relieve pain.
  • The doctor may ask the patient to apply ice on the affected shoulder area.
  • In some cases, exercises, physical therapy, or resting can help.

Frozen Shoulder

A reduced mobility of the shoulder joint is considered frozen. The thickening or tightening of the shoulder joint occurs due to different reasons. The thickening seriously impacts mobility and limits movement. Stiffness, swelling, and pain are common symptoms of frozen shoulder.

In some cases different types of illnesses can also cause a frozen shoulder. These illnesses include weak immune system, hormonal imbalance, or diabetes.

Let us see which individuals are more prone to the frozen shoulder injury.

  • A patient who wears a sling for a long time can have a frozen shoulder. This is typically true for older individuals with rigid bone structure.
  • The lack of activity and a lazy lifestyle can result in this type of shoulder injury.
  • Thyroid disorders can cause frozen shoulder.

Rotator Cuff Injury

There are four muscles in the shoulder that work together. These four muscles work together to stabilize the joint. A tear in any of these four muscles can cause rotator cuff tear.

Let us look at the potential reasons behind rotator cuff injury.

  • The patient may need to avoid activities which cause rotator cuff tear.
  • The application of cold packs as per the directions of the Sioux Falls Orthopedics doctor can help.
  • Sometimes, anti-inflammatory drugs can help the patient.
  • Steroids, physical therapy, and surgery are also helpful for treating rotator cuff tear.

Rotator Cuff Tendinitis

Inflammation in the tendons or muscles of the shoulder joint refer to the condition of rotator cuff tendinitis. People who actively participate in sports activities are prone to the rotator cuff tendinitis.

Treatment of Rotator Cuff Tendinitis

  • The patient may need to use non-steroidal medications to facilitate a reduction in inflammation.
  • The doctor may ask the patient to avoid activities which may result in rotator cuff tendinitis.
  • The application of the cold ice packs as per the doctor’s instructions can help reduce inflammation.
  • In some cases the use of steroids, surgery, or physical therapy may help. Home care can come in handy for these types of shoulder injuries.

Simple Tips to Avoid Shoulder Injuries

Shoulder Stretching Exercises

Simple shoulder stretching exercises are important for the health of the joint. If you are suffering from any of the shoulder injuries, consult your orthopedic physician before undergoing any particular type of training.

A Straight Standing Posture

Make sure to stand and sit straight. Posture plays an important role in avoiding unnecessary burden on the shoulder joint. Make a habit of keeping a proper posture. Proper posture is also good for your spine and other joints of the body.

Avoid Too High Lateral Shoulder Raise

Do not unnecessarily raise shoulders laterally above 90 degree. Avoid this mistake when doing a lateral shoulder exercise while lifting weights. This high lateral shoulder lift puts more pressure on the shoulder joint.

Work on Improving Strength of External Rotators

There are different exercises you can do to strengthen different parts of the shoulder. You can do different shoulder exercises to improve the overall strength. Make sure not to overdo an exercise or in a wrong way.

Minimally Invasive Surgery for the Shoulder

Minimally Invasive Surgery Shoulder - Sioxu Falls

Patients get a lot of advantages undergoing minimally invasive surgery. Minimally invasive surgery of the shoulders represents the latest advancement in surgical technology and equipment. Orthopedic surgeons can now use the new techniques to easily replace joints.

These are the commonly associated shoulder problems doctors can treat using minimally invasive surgery.

Rotator Cuff Injury

The minimally invasive surgery for shoulder is used to treat the rotator cuff injury. There are many reasons potentially responsible for rotator cuff injury including trauma or wear and tear. You may need to undergo rotator cuff repair to overcome the pain and suffering. Your orthopedic surgeon in Sioux Falls is the best person to decide whether you need to undergo minimally invasive shoulder surgery or not.

Biceps Tendon Injury

The biceps tendon originates from the joint of the shoulder. A patient can suffer a lot of pain due to torn or injured biceps. The orthopedic doctor uses surgery to help the patient overcome pain by repairing the torn biceps. The doctor for shoulder surgery may remove the biceps tendon out of the joint to eliminate pain.

Bone Spur

Bone on bone joint development or cartilage degeneration can result in bone spur. Your doctor will perform a surgery to reattach the shoulder or tighten any loose ligaments. A patient with untreated bone spur can result in more serious consequences like rotator cuff or tendinitis.

Shoulder Instability

Instability repair is required to overcome partial or complete shoulder dislocation. The surgeon performs the shoulder surgery to reattach the shoulder. Sometimes, the shoulder surgery may help tighten the loose ligaments. The operation is aimed to facilitate shoulder support and ensure your shoulder does not dislocate in the future.

Labral Injury

Arthroscopy is used to treat the shoulder’s labral injury. The type of surgery selected by the orthopedic surgeon depends on the joint’s stability. Sometimes, the physician may choose to repair the torn flap, at other times may remove it. However, if possible, the doctor for shoulder surgery may also reattach the tendon.

Inflamed Tissue or Loose Cartilage

Minimally invasive surgery may also be used by the orthopedic surgeon to remove an inflamed shoulder tissue. A patient is only recommended to undergo surgery if conservative therapies have failed to deliver the kind of treatment results expected.

If you have a shoulder related problem, get in touch with a specialist orthopedic surgeon in Sioux Falls, South Dakota.

Common Reasons of Frozen Shoulder

frozen shoulder image Sioux Falls Orthopedics.jpg

The pain, stiffness or limited range of movement is called frozen shoulder. The frozen shoulder treatment starts after the orthopedic surgeon determines the reason behind it. Some of the common causes include overuse, injury to the shoulder, or diabetes or even stroke.

Frozen shoulder symptoms may include making it painful to move the joint because of stiffness, the formation of the scar tissue. The frozen shoulder pain gradually sets in and takes the time to go away.

Causes of Frozen Shoulder

Once the patient stops using the shoulder jointly regularly because of injury, illness or chronic health condition. Some other problems may also lead to freezing of the shoulders.

A frozen shoulder may occur after an injury or surgery. The most common for a frozen shoulder to occur is between 40 and 70 years. Women more commonly face frozen shoulder problem than men, particularly after the postmenopausal stage.

Diagnosis of Frozen Shoulder

These are some of the common ways of diagnosing a frozen shoulder.

  • The orthopedic doctor may ask the patient to move their shoulder to check the range of motion.
  • Sometimes the patient may have to undergo an X-ray to get into the greater detail of the injury. Problems are arising because of diseases like arthritis or broken bone.

Frozen Shoulder Treatment

The first step in frozen shoulder treatment is the use of anti-inflammatory medicines. The patient shoulder is applied heat, followed by little stretching exercises. The doctor may ask the patient to use ice and medications to reduce shoulder pain.

Frozen Shoulder Therapy

The frozen shoulder therapy helps the patient increase the range of motions. Sometimes, frozen shoulder treatment can take up to a year to start showing results.

Frozen Shoulder Surgery

The orthopedic surgeon in Sioux Falls may recommend the patient to undergo frozen shoulder surgery. The frozen shoulder surgery helps loosen the tight tissues. In most cases, a patient needs to undergo two operations for treating frozen shoulder.

In the first surgery, the patient is given anesthesia. The doctor moves the patient’s shoulder to more stretched positions. In the second surgery, the orthopedic surgeon uses arthroscopy to cut tight and scar tissues. The orthopedic doctor may also perform both the operations at the same time.


How to Prevent Frozen Shoulder?

The doctor may advise the patient to do different types of exercises including stretching which may prevent frozen shoulder from taking place. Patients are advised to strictly follow their physician’s advice patiently as they will get better with time.