Subacromial Decompression - Shoulder

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fossyant

Ride It Like You Stole It!
Location
South Manchester
As I've just had this done I'd thought I would share for any others who may need this doing in future.

It's not uncommon for sports folk to get problems with shoulders, and the most common cause for cyclists is, of course, falling off onto your shoulder, or in my case, I was knocked off.

What effectively happens is that the space within your shoulder get's compressed, and due to injury bone spurs form, causing irritation to the soft tissues (muscles/ligaments and tendons) within the shoulder.

The operation generally involves key hole surgery with an arthroscope through two or three small incisions.

The surgeon will generally go in, look for abrasions, tears and bone spurs and 'fix it'.

I my case the surgeon removed a number of spurs and scuffed areas by 'burring' the bone and smoothing it. Whilst in there he also repositioned my coracoacromial ligament (I'll know more tomorrow - but I suspect the crash impact shifted it 'behind' something, rather than being 'infront').

I won't go into the detail about the two plus years it's taken to get it repaired, other than being a stubborn fairly fit 'cyclist' who won't put the bike down doesn't help the diagnosis.

The hospital was rather 'efficient' with the ops - walked down into a preparation ward, a number of us jumped into various beds and we were then wheeled off to various theatres (felt a bit like the 'Avatar' film). Into the anaesthetic room, quick chat, line in and out zzzzzzzzzzzzzzzzz

Woke up in recovery two hours later at about 4pm.

Had three incisions which had been left open as they inject a few litres of fluid into your shoulder during the op - had a messy pillow and a big bandage on. 4-5 hours after the op I was allowed to go home as I had recovered fine. Off came the bandage and on went some 'waterproof dressings'.

One thing you do get is a nerve block, which basically numbs your entire arm - i.e. it's effectively dead. This takes about 24 hours to clear, and you get movement back in your hand first. As the muscles aren't able to hold the joint, it feels like it will dislocate if you move it.

First night home was a bit rough as you aren't sure what to do with this dead arm. Felt OK 24 hours later, but was knackered and in a bit of pain so was in bed by 6.30pm.

Day 2 (today) felt much better and movement started coming back to my shoulder - still feels a little loose (i.e. like it will dislocate). Pain is much reduced, and as the hours have gone on, the shoulder has loosened up.

Anyway, here is a photo of the wounds 48 hours after - pretty neat 'eh.

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MacB

Lover of things that come in 3's
That does look like neat work, glad you're on the mend
 
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fossyant

fossyant

Ride It Like You Stole It!
Location
South Manchester
Balls - just seen the physio for post op check up. Can't ride on road for 6 weeks due to the vibration.

Can go on the turbo so long as I don't hold the bars with my bad arm (Mrs F not happy).

Won't get another physio appointment for 6 weeks - that's how long my consultant leaves it.

Have 2 weeks sick note, and possible extension by having a chat with my GP :thumbsup:

6 weeks no riding. OMG :ohmy:
 

citybabe

Keep Calm and OMG.......CAKES!!
I had an operation for carpal tunnel decompression in the middle of january and 6 weeks on I'm still struggling to go far on my bike. Pressure on my hand from leaning on the handlebars is still too painful

I have total sympathy for you not being able to get out for 6 weeks 'cos I hate not being able to ride

 

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gb155

Fan Boy No More.
Location
Manchester-Ish
6 weeks
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spence

Über Member
Location
Northants
Had the same operation a few years back, only recall being off the bike for about 3 weeks, although only on the flat stuff. Have some rather interesting internal photos somewher. Was good to be able to raise my arm again.

Hope the recovery goes well.
 
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fossyant

fossyant

Ride It Like You Stole It!
Location
South Manchester
6 weeks was the physio's recommendation based upon my Consultant - the 'other' Consultant gets you up an running a bit earlier, both guys do things a bit different. Apparently my consultant is very particular about details.

I'm sure I could physically get back on the bike on the road any time, but the physio said the 'vibration' won't help the bones heal.

I have to follow the rules as there is litigation involved though, so me doing stuff too early could cause issues with my PI claim.

I stopped my painkillers yesterday, arm is sore as you'd expect, but not bad enough for pain relief. Movement is coming back well, the only thing I'm not allowed to do is extend the arm out and up from the side - I can only go out forwards/backwards and up, not out to the side yet (it's also very painful if I do try that).

Glad to ditch the codeine as that doesn't half bung you up :blush: :whistle:
 
Best wishes for a very speedy recovery.

In the meantime, what are you going to do with all of the time you'd rather be cycling? Opportunity to accumulate brownie points?
 
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fossyant

fossyant

Ride It Like You Stole It!
Location
South Manchester
Wounds healing up nicely. Just been for first physio session and my movement is fine. Got some exercises to do with a BIG elastic band, and also some with dumbells (no excessive weight though).

Most importantly I can ride, but not to push it. Allowed on the MTB at first, on road, as the big tyres will absorb the road shock. If that's OK, then try a bit further, then can get back on road bike. Expects me to be fit within 6 weeks. Doesn't want me falling off onto the shoulder, so no riding in rush hour - good job I'm off for another two and a half weeks then :thumbsup: - plenty of opportunity to build up miles again. Can then commute on the MTB on the Trans Pennine Trail until I'm 100%. No messing with traffic. :wacko:
 
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