Health&Wellness The Newsletter About Your Health And Caring For Your Body
Finding Relief After Total Shoulder Replacement
Total shoulder replacement (medically referred to as total shoulder arthroplasty, or TSA) is a surgical procedure that is done to replace part or all of the shoulder joint. It is a common procedure that many people undergo, especially those suffering from arthritic pain in the shoulder joint.
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Arif Ali, M.D.
Al Flores, PT, CFCE Director of Rehab
Health & Wellness The Newsletter About Your Health And Caring For Your Body
Finding Relief After Total Shoulder Replacement
Before undergoing total shoulder replacement, it is important to make sure that you have tried more conservative measures for treatment, including physical therapy. When other treatments do not work, surgical correction may become necessary.
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In fact, according to the Agency for Healthcare Research and Quality, approximately 53,000 Americans undergo total shoulder replacement each year. If you have recently had a total shoulder replacement procedure, or you have one planned in the near future, contact Physical Therapy Institute of Illinois today to find out more about how we can help you achieve relief and recovery. How do I know if I need total shoulder replacement surgery? Your primary physician will let you know if total shoulder replacement is necessary, based on the nature of your specific condition. This procedure is typically only done when other medical interventions have failed to provide sufficient relief. During the procedure, your surgeon will remove affected bone from the shoulder joint and replace it with artificial parts.
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The most common conditions resulting in the need for total shoulder replacement include:
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• Osteoarthritis. • Rheumatoid arthritis. • Rotator cuff disease.
• Osteonecrosis. • Severe fracture.
HOW WILL PHYSICAL THERAPY HELP MY RECOVERY? In order to ensure the best results following your procedure, it would be in your best interest to partake in both pre-surgical physical therapy treatments and post-surgical physical therapy treatments. The better your physical condition is before undergoing your procedure, the easier your recovery will be. When you participate in physical therapy treatments before surgery, your physical therapist will guide you through strengthening exercises to improve your shoulder and upper-back movement. This will help in keeping your shoulder function as strong as possible before your surgery, and it will make both the procedure and the recovery period much smoother. bed, and safely removing/putting on your sling. You will also be taught helpful tips to reduce pain and swelling on your own, such as how to properly elevate your arm or where to apply ice packs. Once you are discharged, it is crucial to keep up with your physical therapy treatments. They will become more intensive until the function in your shoulder is fully regained. You will be guided through a series of exercises, all aimed at relieving pain, promoting healing, achieving function, and preventing any further damage from occurring. These include, but are not limited to:
• Strengthening exercises. • Range-of-motion exercises.
• Functional training. • Job/sport-specific training.
It is no secret that physical therapy treatments will be needed after your surgery, as well. While pre-surgical treatments will undoubtedly help in making the process easier, you will still be in need of some guidance as you recover. You will be provided with information on any precautions you should take as your shoulder heals, such as wearing a sling or brace, or limiting certain activities. You will likely be in the hospital for a few days after your surgery, and will likely have to wear a sling for the next 2-6 weeks as your shoulder heals. It is important not to try and move your shoulder on your own, until your physical therapist says you are ready. Rehabilitation treatments will begin a day or two after your procedure, most likely while you are still in the hospital. Treatments will begin by helping you through simple tasks, such as brushing your teeth, getting dressed, getting in and out of
What’s next? If you have recently received total shoulder replacement correction, or you are in need of it in the future, contact Physical Therapy Institute of Illinois today. We will set up a treatment plan for you to ensure that your recovery is as quick, easy, and pain-free as possible. One of our highly-trained physical therapists will work closely with you and your primary physician every step of the way, in order to make sure that you are getting the best treatment possible for your specific needs. Don’t suffer through a lengthy recovery period – contact Physical Therapy Institute of Illinois today for relief! “I have not been taking any more pain medicine. Thank you!” “I want to thank you for all you have done for me. I am better than l have been in a long time. A few days after my last appointment with you I had no pain in my legs and it has not come back. I have not been taking any more pain medicine. Thank you!” - L.G.
Come Back In For A Consultation Whether you want to come in for a check-up, suffered a recent injury or you want to improve your health, you can choose the physical therapy practice you want! Come back to PTII for a consultation today!
See our physical therapists for: • Recent injury • Nagging aches and pains • Back and neck pain • Joint pain and movement problems • Walking or balance difficulties
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Try these exercises to get you moving...
POSTERIOR SHOULDER STRETCH Sit or stand with good posture. Reach across your chest. Use your other arm to pull a little bit further. Repeat 7 times on both sides.
SCAPULAR RETRACTION Stand tall, shoulders relaxed. Pull shoulder blades back and down. Don’t hunch your shoulders.
Good Stretch To Relax Your Shoulders
Always consult your physical therapist or physician before starting exercises you are unsure of doing.
PATIENT SUCCESS SPOTLIGHT
Arif Ali, M.D.
Dr. Arif Ali is a board certified orthopedic surgeon. He specializes in the treatment of shoulder, hip, and knee injuries. He has advanced training in arthroscopic techniques for treating patients as varied as competitive high school and college athletes to the weekend warrior. In addition, Dr. Ali performs procedures for complex reconstructions such as shoulder, hip and knee replacement. After completing orthopedic residency at The University of Chicago Hospitals, Dr. Ali completed two subspecialty fellowships. The first was at the renowned Hospital for Special Surgery in New York City. Training focused on surgical techniques for treatment of traumatic shoulder, hip and knee injuries. As a tertiary referral center, many patients were transferred from outside institutions for the advanced care that they needed. Dr. Ali also completed his second yearlong fellowship at The Sports Clinic in Laguna Hills, CA. Training involved specialization in
shoulder and knee disorders, with an emphasis on minimally invasive arthroscopic techniques, such as ACL reconstruction and rotator cuff repair. In addition to treating patients, Dr. Ali is an active part of the medical community. He is a Clinical Assistant Professor in the department of Orthopaedics at the University of Illinois College of Medicine. He teaches residents and is active in speaking at local and national meetings. He is an active member of the American Academy of Orthopaedic Surgeons and the Arthroscopy Association of North America. Dr. Ali is part of the orthopedic trauma team at Advocate Lutheran General Hospital and serves as the Director of Orthopedics at Avanti Wellness and Rehabilitation. He has also been featured as an expert shoulder surgeon on the program American Health Front. Dr. Ali also treats Workman’s Compensation patients, completes Independent Medical Exams.Page 1 Page 2 Page 3 Page 4
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