Shoulder arthroplasty is a complex procedure, which requires a great amount of cutting of deep tissues and bone. The surgeon takes great care to eliminate pain with appropriate analgesia both immediately after surgery and during the rehabilitation process. A long acting local anesthetic infused around the nerves of the joint is often used with general anesthesia during surgery. These regional blocks will provide several hours of pain relief even after a patient has emerged from general anesthesia. A patient-controlled intravenous infusion pump (PCA) is used in the early post-operative period for pain control. By the second or third day after surgery, oral pain relief medication is adequate through the early rehabilitation period (4-6 weeks).
Shoulder instability surgery can help restore comfort and function to shoulders with dislocations, instability, or apprehension. In the hands of an experienced surgeon, shoulder instability surgery can be a most effective method for restoring comfort and function to a shoulder with recurrent instability, dislocations, or apprehension in a healthy and motivated patient. The best results are obtained when the surgery repairs a shoulder injury which resulted in a tear of the labrum and ligaments from the glenoid socket. In this situation, the surgeon has a good opportunity to restore the normal anatomy of the shoulder. Pre-planning and persistent rehabilitation efforts will help assure an optimal result for the patient.