Rotator Cuff Surgery: Hospital Stay Or Outpatient Procedure?

Rotator cuff surgery is a common procedure to repair a torn rotator cuff and restore shoulder function. It is usually performed as an outpatient procedure, meaning patients can go home on the same day as the surgery and do not require an overnight hospital stay. The surgery involves repairing the torn tendon through a small incision using arthroscopy, which allows for minimal trauma to the surrounding muscles and tissues. The recovery process includes physical therapy and pain management, with most people returning to their normal routine within six months.

Rotator cuff surgery is usually an outpatient procedure

However, it is important to note that the recovery process after rotator cuff surgery can be challenging and may take several months. Patients are advised to keep their arm in a sling for several weeks and avoid certain activities, such as lifting weights or driving, for an extended period. Additionally, physical therapy is crucial for a successful recovery, helping patients regain their shoulder strength and range of motion.

The type of anaesthesia used during the surgery can vary. While some patients may prefer general anaesthesia, others may opt for a regional block, which numbs the arm and shoulder while allowing the patient to remain awake. The choice of anaesthesia should be discussed with the doctor beforehand.

Although rotator cuff surgery is typically an outpatient procedure, there may be cases where a hospital stay is required. More severe or complex tears may necessitate a larger incision and a more invasive approach, which could result in a longer healing period and increased pain. In such cases, an overnight stay in the hospital might be recommended.

Ultimately, the decision to perform rotator cuff surgery as an outpatient procedure or to require a hospital stay depends on various factors, including the extent of the tear, the patient's overall health, and the surgeon's recommendation. It is essential to follow the surgeon's instructions and adhere to the prescribed recovery plan to ensure a successful outcome.

Arthroscopy is a minimally invasive technique

Rotator cuff surgery is performed to repair a tear of the rotator cuff and restore shoulder function. Most surgical repairs can be done on an outpatient basis and do not require an overnight hospital stay.

In addition to being less invasive, arthroscopy has other benefits. It can be performed under a nerve block and partial sedation, which reduces the amount of pain and anaesthesia medications that are given, thereby lowering the risk of nausea and vomiting. Arthroscopy also allows the surgeon to see the structures of the shoulder in great detail, which can lead to improved outcomes.

There are other surgical techniques available to repair rotator cuff tears, including mini-open repair and open repair. The type of repair performed depends on several factors, including the surgeon's experience and familiarity with a particular procedure. However, arthroscopy is currently the most common method for repairing rotator cuff tears.

Recovery time depends on age, injury type, and physical therapy

Recovery from rotator cuff surgery depends on several factors, including age, injury type, and physical therapy adherence. Most people regain full range of motion and strength within 4 to 6 months, but recovery can vary from person to person.

Age plays a role in recovery time, with older individuals, especially those over 65, potentially experiencing longer recovery periods. The extent of the injury and the type of surgery also influence recovery. Open surgery, mini-open surgery, and arthroscopic surgery are the main types, with arthroscopic surgery having a longer average recovery time of 14 months in a 2019 study. Larger tears and lower tissue or tendon quality can further extend recovery.

Physical therapy is a crucial aspect of recovery. It helps to strengthen the shoulder and restore its range of motion. This process involves the formation of scar tissue, which can take 8 to 12 weeks to become strong enough. Patients should expect physical therapy to continue for several months, gradually progressing from prescribed exercises to more strenuous activities. It is important not to rush this process to avoid complications and re-injury.

During the initial recovery phase, patients are advised to avoid heavy manual work and driving, especially while wearing a sling, which is typically necessary for at least 4 weeks. It is recommended to plan ahead and arrange alternative means of transportation during this period. Patients can generally resume non-contact sports by 6 months and contact sports by 9 to 12 months after surgery.

Overall, a period of complete rest, followed by progressive rehabilitation, is the key to a successful recovery from rotator cuff surgery. Patients should be mindful of their bodies and seek medical advice if they experience increasing pain, swelling, or other complications during the recovery process.

Patients are advised to prepare mentally and arrange aftercare

Mental Preparation:

• Getting in a good headspace before surgery is beneficial for reducing stress and anxiety. Understanding the procedure and setting clear expectations can help keep patients calm and relaxed. It is important to clarify any doubts or confusion about the process with the care team.
• Practicing self-care, meditation, and other relaxation techniques can build mental resilience and reduce discomfort. Patients should aim to incorporate these practices into their routine leading up to the surgery.
• Following pre-surgical instructions is essential. Patients should pay attention to guidance on when to stop eating, drinking, and taking medications. This ensures a safe and smooth process on the day of the surgery.
• On the day of the surgery, patients should bring their medical and insurance information and be accompanied by a loved one for support.

Arranging Aftercare:

• After the surgery, patients' mobility will be limited, so it is crucial to arrange for assistance with daily tasks during the recovery period. This includes help with transportation, grocery shopping, housecleaning, and picking up prescriptions.
• Patients should be prepared for some pain after the surgery, especially within the first 48 hours as the anaesthesia wears off. It is recommended to start taking pain medication before the nerve block wears off and to continue taking it regularly to manage pain effectively.
• Patients will likely need to keep their arm in a sling for several weeks and avoid using it for everyday activities. Physiotherapy or doctor appointments will be necessary to monitor progress and guide the recovery process.
• Patients should also be aware of the wound care required after surgery. Keyhole surgery typically involves small sticking plaster strips and waterproof dressings, while mini open incisions may result in dissolvable stitches that need trimming after 10 to 14 days.
• Driving a car will be off-limits for at least a month, and heavy lifting should be avoided for several months. Patients should be cautious not to load their shoulder when pushing themselves up from a sitting or lying position.

Driving is off-limits for at least a month after surgery

Rotator cuff surgery is a procedure that repairs a tear in the rotator cuff and restores shoulder function. It is typically performed as an outpatient same-day procedure, and patients are usually discharged within a few hours of surgery. However, it is important to refrain from driving for at least a month after the surgery.

Driving a car requires the use of both hands and shoulders, and the range of motion and strength in the affected arm and shoulder may be limited after rotator cuff surgery. It is crucial to follow the instructions provided by your surgeon and physical therapist to ensure a safe and effective recovery. Attempting to drive too soon after surgery can have negative consequences.

During the first few weeks after surgery, it is important to rest and avoid strenuous activities that may put stress on the incision site and delay healing. This includes lifting heavy objects and reaching above or behind you, which can stress the rotator cuff. High-impact activities, such as exercise or sports, should also be avoided during this initial recovery period.

While every patient's recovery is unique, safety should be the top priority when considering driving after surgery. It is important to evaluate your pain level, mobility, and range of motion before getting behind the wheel. You should not drive if you are in constant pain or if rotating the steering wheel causes pain. It is recommended to wait until you can move your shoulder with little to no pain.

A recent study has suggested that patients who have undergone rotator cuff repair can safely return to driving as early as two weeks after surgery. However, traditional orthopaedic advice recommends waiting for four to six weeks before driving again. It is always best to consult with your doctor or physical therapist to determine when it is safe for you to resume driving and other normal activities.

Frequently asked questions