4) Take two Tylenol Extra Strength 4 times a day, the day before surgery to decrease surgical pain. Recovering from subacromial decompression surgery can be a long and somewhat difficult process. In surgery, we can stimulate a cartilage repair process of the shoulder by perforating the exposed bone and releasing stem cells to the surface of the damaged joint. The SAD surgical procedure is done arthroscopically and in the out-patient setting. gtag('js', new Date()); Most people will take about 3-5 months to feel they have sufficient strength and mobility in their shoulder and arm. Recovering from subacromial decompression surgery can be a long and somewhat difficult process. PHASE I (usually surgery to 3 weeks after surgery) Appointments • Rehabilitation appointments begin 7 days after surgery Rehabilitation Goals • Reduce pain and swelling in the post-surgical shoulder • Regain full passive range of motion (PROM) and active assistive range of Jan 19, 2018 - Learn more about the rehab, recovery time, & exercise protocols for the Mumford surgical procedure. Gradually, movement may be increased until the shoulder completely heals and becomes normal. The procedure involves the removal of a tiny part of the collarbone. There will be consideaable pain for a while, a number of weeks and you will need pain medication. Immediately after a Mumford procedure, patients will be taken to a recovery room for monitoring and to allow the effects of the anesthesia to wear off. Post-procedure Care. The Procedure . Calf pain may be indicative of a blood clot, another possible complication. Shoulder articular cartilage treatment. Clinical studies have shown that 75% to 90% of patients who underwent surgery spoke of gratification as their pain significantly decreased. ... Mumford procedure is … 3) Take a multi-vitamin with at least 500mg Vitamin C a day for the week prior and several weeks after surgery. Just in … There are a number of different anchoring techniques that surgeons are currently using. During the shoulder arthroscopy, other injuries may be detected that can also be treated, including bursal inflammation, rotator cuff tears, and cartilage damage. A Mumford procedure is the removal of the farthest outer portion of the clavicle (or collarbone) which creates a more normal amount of space for shoulder movements. Pendulum exercises are also useful, in which the patient bends at the waist, allowing the arm to hang freely. Mumford surgery isn’t complicated. Engaging in gentle mobility exercises is essential for a full recovery. Assuming that no complications develop, most patients should expect to return to a low activity level within 10 days, with a full recovery time of about three to four months. In this video Dr. William Stetson explains and performs the steps involved in an arthroscopic distal clavicle resection or Mumford procedure. Diet : The day after surgery, drink lots … 2) Stop smoking five days prior to surgery. In addition to pain medication, patients are encouraged to apply ice to the area for 20 minutes at a time to reduce the swelling. The Mumford procedure, also known as distal clavical resection, is a surgical procedure that aims to relieve shoulder pain by removing a small part of the clavicle, or collar bone. Mumford Procedure (distal clavicle resection) Rehabilitation Protocol A/AA/PROM (Increase IR) Rotation Cuff and Scapula stabilization program exercises, begin at 0’ Progress to 45’/90’ as tolerated in pain free arc Avoid cross chest adduction for first six weeks Usually, full activities are resumed about six to eight weeks following surgery, although strenuous weight-lifting activities may take longer to return. Shoulder decompression surgery, otherwise known as an acromioplasty, involves removing part the acromioclavicular (AC) joint structures and ligaments from the shoulder and is usually done in conjunction with a rotator cuff repair. With arthroscopic procedure, the bandage can be removed after 2 days, while open Mumford procedure takes a week. Strengthening is initiated at 12 weeks and the patient can return to contact sports after 24 weeks. 5 621 Science Drive • MaDiSon, Wi 53711 • uWSportSMeDicine.org rehabilitation guidelines for Shoulder arthroscopy PHASE III (begin after meeting Phase II criteria, usually 7-8 weeks after surgery) Appointments • Rehabilitation appointments are once every 2-3 weeks Rehabilitation Goals • Normal (5/5) rotator cuff strength at 90° abduction and with supraspinatus testing 1 Many people are able to make small shoulder movements relatively early in recovery. Romo is expected to be able to participate in organized team activities in May and June. Despite the widespread use of a well-described arthroscopic technique,8-10 the open distal clav- The Mumford procedure is an outpatient procedure performed under a regional block. In both forms of the surgery a small part of the clavicle is re-sectioned to create a space between the two bones. The arm is prohibited from much movement in the first few days after the procedure; it is put in a sling for maximised resting position. A regimen of physical therapy following surgery is prescribed and most patients experience full recovery in 8 to 10 weeks post-surgery. As with open surgery, arthroscopic procedures can be performed using both direct and indirect approaches. In the absence of any other issues, the bone spur will be removed, reducing impingement and protecting the rotator cuff. Right after the procedure, the staff may: Administer pain medications; Place a cold pack on your shoulder to reduce swelling and pain; At Home. Recovery from a Mumford Procedure. In both forms of the surgery a small part of the clavicle is re-sectioned to create a space between the two bones. Ice shoulder 3 - 5 times (15 minutes each time) per day to control swelling and inflammation. He will then slowly, gently swing the arm in small circles and back and forth. Patients suffering from painful inflammation, swelling, or osteoarthritis in the acromioclavicular (AC) joint where the end of the clavicle meets the shoulder may elect to have this procedure, especially if alternative solutions like physical therapy and cortison… It will take three to four months for you to fully recover. Patients are encouraged to practice deep breathing at least three times a day while recovering from a Mumford procedure. For example, a person might be able to use the affected arm when eating or getting dressed two weeks after surgery, even though the shoulder has not regained its … Ice compresses should be given 3 -5 times a day, for 15 minutes, to keep inflammation and swelling under control. Re: Mumford Procedure and recovery I tell my patients that they can return to the gym at anytime that they want once the pain is gone. Next, the joint capsule is detached from its position, and a surgical burr then shaves off the part of the clavicle that is intended to be removed. Wikibuy Review: A Free Tool That Saves You Time and Money, 15 Creative Ways to Save Money That Actually Work. On Friday, I'm having a Mumford procedure performed. Arthroscopic approach is preferred due to its reduced morbidity and faster post-operative recovery. What are the Most Common Causes of Shoulder Blade Pain? The actual recovery time is dependant on each individual and their specific situation. It involves rest, wearing a sling, and physical therapy. ARTHROSCOPIC SUBACROMIAL DECOMPRESSION / MUMFORD REHABILITATION PROTOCOL WEEK 0 - 3 AAROM advance to AROM as tolerated when pain free with pulley and cane with emphasis on elevation in the plane of the scapula and external rotation. Do these flexing exercises throughout the day of the bone of the clavicle is re-sectioned to create a between. 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