Dr. Anthony A. Schepsis

Coastal Orthopedics
Beverly, MA
Professor of Orthopedic Surgery
Boston University School of Medicine

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Shoulder Arthroscopy

 


 

SHOULDERARTHROSCOPY INSTRUCTIONS

 

Anthony A. Schepsis, M.D.

                                                   Coastal Orthopedics

                                                  Beverly–Lahey Health

                                                          978-927-3040978-927-3040

 

Description of what we found and did__________________________________________________________________________________________________________________________________________

You may shower in 72 hours. On day 3 remove all of your bandages and after you shower dry off the sutures and apply one band-aid over each suture site. You may rub alcohol to the suture sites.

Expect some swelling, discomfort, and ecchymosis (bruising).  This is normal. The swelling can last from several days to several weeks depending on the type of surgery you had.

Ways to lessen the amount of pain and swelling:

  • Rest in the upright sitting position (usually this is more comfortable)

  • Use the (ice compression) cryocuff (blue cuff) continuously for the first 24-48 hours. Then, 20-30 minutes, four times a day.

Medications prescribed:

  • Percocet (oxycodone) for pain: one to two pills every 4 hours as needed for pain
  • Toradol (ketorolac) anti-inflammatory: one pill (10mg) every 6 hours for pain and swelling as needed
  • Keflex (cephalosporin antibiotic) prevents infection: (500mg) one pill every 6 hours till complete
Other medications you may take for breakthrough pain after you have completed the medications above:
  • Tylenol 500mg (extra strength) two tablets every 3-4 hours
  • Advil (Ibuprofen) 200mg two tablets every 4 hours with food
 The pain medication may cause constipation. You were prescribed Colace, which should help with this. Drink plenty of fluids. If you do not have a bowel movement within 5 days then drink ½ a bottle of magnesium citrate, which is sold over-the-counter at your local pharmacy.

 You are to use the sling/swathe for _______ days / weeks.  The Sling is to be worn at all time.  Even when you sleep. Sleeping is difficult for the first week; you may sleep in a reclining chair or propped up on pillows. Pain tends to increase at night, this is normal. 

 Start scheduling appointments with your physical therapist.  We may have sent you home with a prescription for physical therapy.  You will need to start in _______ days/weeks.  This is very important.

 You need to call 617-638-5633617-638-5633 to schedule your follow up office visit for 7 – 14 days from the date of surgery.  Please do this today or tomorrow. 

Although there is a very low risk of infection, notify my office if you develop fever > 101° F, with increase pain, redness, and warmth.  Report any pus or unusual drainage immediately.

Exercises:

  ?         Rotator Cuff Protocol

?         Subacromial Decompression Protocol

?         Labral Repair Protocol

 

 Other: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

 







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