Green Bay, WI       920-857-1622
PROMOTION PHYSICAL THERAPY
  • Home
  • About
  • Success Stories
  • Your Problems We Solve
    • Back Pain
    • Neck Pain
    • Shoulder Pain
    • Knee Pain
    • Foot & Ankle Pain
    • Sports Injuries
  • Blog
  • Telehealth
  • Contact
    • Contact Information
    • Ask about Cost & Availability
    • Talk to a PT on the Phone
    • Free Discovery Visit
  • Home
  • About
  • Success Stories
  • Your Problems We Solve
    • Back Pain
    • Neck Pain
    • Shoulder Pain
    • Knee Pain
    • Foot & Ankle Pain
    • Sports Injuries
  • Blog
  • Telehealth
  • Contact
    • Contact Information
    • Ask about Cost & Availability
    • Talk to a PT on the Phone
    • Free Discovery Visit

Update On Common Shoulder Surgery

1/16/2019

9 Comments

 
Picture
A new research review published in the British Journal of Sports Medicine raises questions about the benefits of a commonly performed shoulder surgical procedure when compared to conservative, less risky and expensive treatments....
Subacromial Decompression Surgery (SAD) is commonly performed for the treatment of subacromial pain syndrome (SAPS)-also known as shoulder impingement or rotator cuff disease. The biomechanical basis for this surgery is that pain is caused by bursa irritation and excessive bone formation in the area under the upper part of the shoulder blade, causing impingement/pressure on the rotator cuff tendons. If this is the case, then surgery to correct this, should result in greater pain relief and improved function than treatments that do not correct the biomechanical "problem."

An article published in the latest British Journal of Sports Medicine reviewed multiple research studies which looked at the outcomes related to SAD, a fake (placebo) SAD, and an exercise program. The conclusions from this review were as follows:
  1. Compared with placebo surgery, SAD surgery does not provide additional benefits with respect to pain, function or quality of life in adults with subacromial pain syndrome, and probably causes rare serious harms.
  2. Compared with exercise therap, SAD surgery probably provides a small, but likely unimportant improvement in pain, and man not improve function in adults with subacromial pain syndrome. 
  3. Policymakers, guideline developers, clinicians and patients should reconsider the role of SAD surgery in practice. 
Picture
Picture
For those of you who have been following my Blog regularly, this should not come as a surprise to you. Many commonly performed surgical procedures are being shown to be no better than a placebo surgery or conservative treatment with physical therapy. 

The main message remains that surgery should be the last resort for most musculoskeletal pain conditions. This new paper adds to the growing evidence that for people with shoulder pain, conservative care can decrease your pain and improve your function without the time away from your meaningful activities (work and play), undergoing expensive procedures, and risking an adverse/serious side effect. 

If you are struggling with shoulder pain, feel free to give me a call to see what your options are. 

Thanks for reading,
​Bob
9 Comments
Mark Randolph
1/19/2019 01:01:35 pm

I have an achy deep pain in my left shoulder somewhat similar to sciatica pain and it goes down to my bicep at times. Feels sort of like a buzzing or numbness in my bicep.

Reply
Bob Brady
12/3/2019 04:23:55 pm

Hi Mark,
Sorry for the delayed response here, but I just realized you had commented. The shoulder can sometimes refer pain into that region of your arm. But, I would also make sure that it is not coming from your neck as well. Some simple examination tests can determine this. Let me know if you would like to discuss further if you are still experiencing this.

Reply
Tyson Coolidge link
12/31/2019 10:24:10 am

It's great that conservative care can help decrease your shoulder pain. My sister has been dealing with some shoulder pain for a while. I'll share this information with her so that she can look into her options for professionals who can help her with this.

Reply
Bob Brady
1/15/2020 12:42:45 pm

That is great Tyson. Yes, share is with your sister and if she has any questions have her contact me by phone or email and I would be happy to answer her questions.

Reply
Ivy Walker link
1/25/2020 06:53:06 am

Thanks, ​Bob...
I appreciate the efforts you have made to highlight the importance of physical therapy and physical exercise to deal with common shoulder problems. Physical therapy has several implications and everyone should be aware of those implications. A person suffering from different types of bone or joint-related problems should hire a skilled and experienced physiotherapist to get rid of such disorders.

Reply
Bob Brady
12/11/2020 02:34:39 pm

I totally agree Ivy :)

Reply
R3 Stem Cell link
8/24/2020 03:41:37 am

Thank you for this post and individuals should avoid joint surgeries as much as possible.

Reply
Braden Bills link
5/26/2022 10:26:41 am

My shoulder has been hurting, and I'm not sure what to do about it. It makes sense that I would want to get a sports medicine specialist to help me out with this. That seems like a good way to ensure that I can get rid of pain.

Reply
Victoria Addington link
1/22/2023 05:59:12 am

You made a good point when you discussed that surgery may lead to greater pain relief. My friend keeps having shoulder pain. I should advise him to seek shoulder pain treatment from an experienced doctor.

Reply



Leave a Reply.

    Picture

    Author:
    ​Bob Brady

    "We help people aged 40+ stay active, healthy, and enjoying the things they want to do, without being limited by pain, weakness, stiffness, or injury"

    Archives

    May 2022
    March 2022
    January 2022
    December 2021
    August 2021
    March 2021
    December 2020
    November 2020
    October 2020
    September 2020
    August 2020
    May 2020
    April 2020
    March 2020
    February 2020
    January 2020
    December 2019
    November 2019
    October 2019
    September 2019
    August 2019
    July 2019
    June 2019
    May 2019
    April 2019
    March 2019
    February 2019
    January 2019
    December 2018
    November 2018
    August 2018
    June 2018
    May 2018
    April 2018
    February 2018
    January 2018
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017

    Categories

    All
    Achilles
    Arthritis
    Bulging Disc
    Calf Strain
    Chronic Pain
    Crossfit
    Degenerative Disc
    Disc Bulging
    Disease
    Exercise
    Fitness
    Foot Pain
    Green Bay
    Hamstring Injury
    Headaches
    Health
    Heel Pain
    Hip Pain
    Impingement Syndrome
    Injury
    Injury Prevention
    Knee Pain
    Low Back Pain
    Muscle Injury
    Muscle Pain
    Neck Pain
    Pain
    Physical Therapy
    Physical Therapy Clinic
    Plantar Fasciitis
    Posture
    Quad Pain
    Rotator Cuff
    Runners
    Running
    Shoulder Pain
    Shoulder Surgery
    Sleep
    Spine
    Sports Injury
    Tear
    Walking
    Welcome

    RSS Feed


​CONTACT INFO


Address: 
330 Packerland Dr. Green Bay, WI 54303


​Phone Number: 
920-857-1622

Fax Number:
(920)600-0212

Email: 
​bob@promotiongb.com

Office Hours:
​ By Appointment Only- We Are Available When YOU Need Help 

Picture

Privacy Policy (click here) 

MEDICAL DISCLAIMER:
All information on this website  is intended for instruction and informational purposes only. The authors are not responsible for any harm or injury that may result. Significant injury risk is possible if you do not follow due diligence and seek suitable professional advice about your injury. No guarantees of specific results are expressly made or implied on this website. 
 Created by PT Website Secrets