Reverse Shoulder Replacement My Shoulders?!!?

Jamie

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I agree that it's probably the "unknown" that's messin' with your brain. I'm glad it's just a few more days and then you'll be working with a known situation. My subscapularis was not damaged, but my surgeon said it was EXTREMELY shortened from the years of compensation all my muscles had to do for my bad shoulder. He was worried about the reattachment he did and made me believe I needed to take it very easy for those first 6 weeks after surgery. So, I'm guessing if your surgeon does any work on that muscle you'll probably need to do the same. But the good news was that once that poor shortened muscle healed and the therapist massaged it back into a normal length, it works just fine now. I'll hope the same for you. Best of luck. I'll be thinking of you and saying prayers. And....looking forward to hearing from you on the other side.
 
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Me2

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Hey you all! I have another long thread but am due at the hospital in less than an hour for yet another shoulder surgery. Seems like I'm a pro at this but so not. I am going in for maybe a supra and infraspinatis repair but since the tearing is so extensive that only a few fibers remain my surgeon may be doing a reverse replacement. Especially since my right first replacement is so wonderfully solid (this right shoulder replacement was actually a revision since my first on the right did not fair so well).

So if he can repair, he will but might cause some other problems if he repairs AND he is most likely leaving Pittsburgh in three months. AND this is why I am so so so worried.

I have to go but wanted to reestablish a thread. Maybe my old one could be dug up and connected? Miss you all and hoping for reestablishing a connection? Please
 

SaraK

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@Me2 - I've requested that this post be moved to your original shoulder thread (which you very helpfully listed in your signature block). Good luck with the surgery today and welcome back to BoneSmart!
 
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Jaycey

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@Me2 Welcome back! Sorry it's due to more surgery! Fingers crossed for you today. Please update when you can.
 
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Hi! @Jaycey and all! So, surgery went crazy well.

As some of you may remember, I do my surgeries with just regional block, in this case from just below my neck to fingers. I have crazy bad mental issues with sleep.

I just noticed I never updated after my revision. I've never gotten the hang of one handed typing. The revision was July 30, 2020. They found no infection and ended up just replacing the saucer side with the newer model with four screws. Recovery was amazingly quick with return to 99% range of motion. The revised shoulder feels so rock solid! I'm being easy with it most of. the time. :blush:

So, back to new issues. When I went in for my one year check on revision, I said that revised shoulder was fabulous but mentioned my left shoulder was again having some pain. He checked range of motion and strength and it appeared to be having enough to concern him. He felt confident that my shoulder would last another year or so (down considerably from an earlier 3-4 years prediction) So, come back in a month or after a little PT. After very painful PT, back again and offered MRI or steroid injection. I was having a very painful day so took steroid injection knowing MRIs take about 2-3 months to schedule. Steroid injection really worked so well that I almost cancelled MRI but did go. The shoulder specialist was in South America adopting a child so met with original general ortho who looked at MRI and said most definitely would be replacing but wait to talk to Dr. Florez as possible he would want to do repair. Dr. Florez said it would be a wait and see what happens when he gets a look see. He was confident that he could repair the supraspinatis but might cause problems depending on amount of cartilage on the humeral head so most likely reverse replacement especially since the revision was doing so extremely well. (knock on wood)

Which background brings me to today's surgery. I arrived at 6:00 a.m. in new building in hospital complex. Its amazing and well laid out. Off the elevator to front desk, check in, to next area to wait for escort to pre op, each has individual nice sized room, saw surgeon and anesthesiologist. Gave me their initials. Surgeon said he really felt that he was going to do repair which scared me to crying since he will be leaving Pittsburgh in three months. Who was going to fix it when it broke? He assured me that he would fix it if it broke. Really very close to backing out but got it sucked up and calmed down. A little bit of trouble getting the needle into the "snowman" but got a bit around and lots on the "grapes" to do the block. Must have worked since I'm still totally numb 14 hours later and just starting to get some movement....and pain. Of course its night time and don't want to wake anyone.

Anyway, first on the schedule and in surgery at 7. All the prep and draping that you get to see when awake and then probably a little more. Did a quick arthroscopic look and reversed opinion with a "Well you really do need a replacement. If I do the repair and get good tight joint you'll have quite a bit of constant pain. The humeral head is "raw" and in bad shape. So we switched gears again to replacement. Very interesting being wide awake for it. I was done by 9ish and back in my room by 10:00. I had assumed I would have to stay at least overnight but was told I was free to go whenever I could get a ride and was comfortable! :happydance::scare:I hadn't scheduled anyone to come so ended up having to wait until after 2. But it was a good thing since diaphragm quite not moving and throat not swallowing water until about Noon.

So I'm home and on to recovery. :) :-) (::fingersx: Pendulum swings start as soon as I'm comfortable! Whew! Hoping for some surgery buddies!
 

Jaycey

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Glad the surgery went well! Get some rest and save the energy for healing. We are here for you!
 

SaraK

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@Me2 - I'm glad the surgery went well! I can't imagine being awake during it. I'm sure the surgical team has to remind itself to keep the conversation appropriate. My mom had eye surgery and the assistant dropped something and cursed. The surgeon quickly told my mom there was nothing wrong and told the assistant that you never react like that with an awake patient.

You've been through all of this before and know the drill but do rest up!
 
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@SaraK The surgeon/hospital knows me well and actually schedules the same team (the same pre and post op nurse, the same nurse anesthetist, etc. They are terrific. I encourage "normal" OR chatter. The surgeon talks his way thru the surgery knowing that really helps me. Several comments to a person experiencing me for the first time noting several ways an awake patient is easier like moving onto and adjusting body into surgery chair and then back to bed.

Recovery has been normal except I forgot how rough these first days are and keep forgetting to take acetemetaphin and ibuprophin by the clock and then having to cope with getting back ahead of the pain. But doing it. Bored and restless. Impatient patient
 

Jaycey

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Bored and restless. Impatient patient
:bignono: Very early days @Me2 . Do stay ahead of the pain. From what our members report, the pain from shoulder replacement seems to ease faster than from THR or TKR. Patience prescribed in large doses as well!
 

SaraK

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@Me2 - I found it helpful to use the timer on my phone. I would reset it for the next interval when I took pain meds. Then I could be reminded but could also lengthen it out when appropriate without forgetting when I last had meds.
 

Jaycey

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@Me2 We haven't heard from you in awhile. How are you doing?
 

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