Shoulder Surgery, One Year Later

I think it was around 7/25/2009 that I had a Mumford decompression of my right shoulder.  I went back to work three days later, and in general made a very good recovery.  Over the next ten weeks, I attended weekly physical therapy sessions and learned a lot about movement and stretching, all to keep my shoulder in good shape as it healed.  The muscles had been pulled apart during surgery for the insertion of the instruments, and that left me with weird feelings.  I also had a radial nerve block which created a bit of havoc later on.  I also paid attention to my posture as I knit or did other things.

A year later, my diligence has slackened, and a few kinks appear, but the fact is, the surgery was worth it, but successful recovery is often in the hands of skilled surgeon, and in the determination of the patient to get well.  When I get back into my exercises and posture, I am doing great!

Cold Therapy, Post-Op

Ouch!  My radial nerve is hurting.  I hope that it is only temporary, from pressure from the healing process.

One of the best things to treat the swelling from the inflammation which is part of the body’s healing process is cold.  My MD recommended the Polar Care 300, which is a portable, electric ice pack.  An igloo cooler is modified, or specially made by Breg (the manufacturer), to pump cold water through a baffled pack.  This acts like an ice pack, and helps reduce post-op swelling.  Unfortunately, the bandages on my arm were so big that the ice pack did not get employed as it should have, which is very important during the first 72 hours.  Ah, well.

My surgery was done in Valencia, and the Polar Care 300 unit is sold by DME nearby.  Unlike other cold pack set-ups, the Polar Care is not bulky, very portable, extremely quiet, and incredibly well thought out.  We paid about 189.00 at DME.  Today, I am walking around with a tube to connect me to the unit, which I need to do hourly.   Hopefully the burning of the radial nerve will diminish, cuz it hurts more than the surgery!

Arthroscopic Shoulder Surgery

On 7/26 I had an arthroscopic resection of the distal clavicle of my right shoulder. Arthritis was the primary cause, with a loss of cartilage, a lot of bone spurring, and a slight tear. The tear was minimal, and could be cleaned up very easily, letting me get out of the sling and into limited use on Friday. Funny how little things, like putting on a shirt, were suddenly so difficult. But, every day, things are getting easier.

These pictures may gross you out, but given how bad my arthritis was, I’m happy to see these! The clavicle area in the shoulder had 12-13 mm (about 1/2 inch) taken out. The picture below shows you how awful it was – rough, uneven. No wonder I hurt!

To do the surgery, I had three small incisions made in my shoulder, with a camera inserted, an instrument to ablate, and one to cauterize. Other instruments were used to smooth the bone, and all sorts of things. I have a really cool DVD of it all!

This next picture shows how the bone was cut away, to finally create a smooth surface for tendons and nerves, and eventual healing of the periosteum (bone covering). The process was begun here. The silver instrument actually grinds away at the bone, and the auger-quality of it slurps up the bone as it grinds down.

This next picture shows you the bone shaved away, exposing a “new” surface, one much smoother than the old, and which will heal with a smooth covering on it. It is raw, but the healing process will cover it very nicely, like a fracture repairs itself.

Today, I really don’t feel bad at all. There is some tingling in my hand and forearm, and a general ache in the area where they took out the bone. I expect Celebrex is masking some of it, and the cold pack (a Polar Care 300 unit) is helping. I think I was probably overactive yesterday, and I didn’t sleep in my sling – but I am taking it easy today, and tomorrow – and I will definitely sleep in my sling.  I was asleep during the entire process, which took a couple of hours.  Getting me out of the anaesthesia was a different story altogether….

I feel better than I did 3 days ago, and expect I will continue to improve.  A skilled surgeon is certainly an artist, and someone to be as appreciated as talented as your favorite painter, actor, or singer!