Looking for more information on shoulder impingement and subacromial bone spurs? Read my blog post here: www.michaelbraccio.com/bone-spurs-cause-shoulder-pain/
@@jases2793 i still have pain while lifting my arm for lateral raise near the acromion(shoulder ball tip) after one month . Have my appointment wih doc on 6th Jan.
Having this surgery next week. A lot of negatives about it yet everyone l spoke to who has had this surgery says they have completely healed from the sypmtoms of shoulder impingement. I think it is a real game changer. I think as long as you get a good surgeon it will be successful. I am glad you have healed.
That’s a lie . I had the procedure for impingement and they found severe labrum and bicep tendon tear and the trimming of the bone took all my pain away . Surgery worked great for me
Hi. First, I'm glad to hear that you are pain free after the surgery. For the study, all of the groups in this study did report improvement after surgery (decompression and sham). However, they didn't find a difference in outcomes between the two groups up to one year post surgery. Also, labral and biceps tendon issues were excluded in this study, so the results might not be generalizable for you.
Michael Braccio I’m getting impingement surgery on left shoulder soon . I also had double hip impingement surgery and it saved my life by a asheesh bedi at the university of Michigan . These surgeries allowed me to do CrossFit again . I tried rehab instead of surgery and it never works . Rehab only works on tendonitis on quads . I’ve also had 3 sports hernia surgeries because of my hip impingement . The rehab helped none until surgery . When you have impingement you need surgery and you need to do a year of rehab to stabilize the traps and scapula . the issue with impingement is it micro tears your rotator every time u lift overhead . And we don’t rest in time and we just keep tearing it with the pinching . Surgery is the best option . But America seems to put you through wasted time in rehab making the injury worse instead of going in and fixing it before it hits critical mass .
Had the surgery about 5 years ago...no difference in pain, though there was short-term recovery. I have now focused on joint balance/alignment through specific exercises; short version=50+ years as avid surfer and swimmer with little back and back shoulder focused workout=acute imbalance in shoulder and pec muscles pulling shoulder joint forward and in for terrible joint positioning. Now practice multiple back and side of shoulder workouts, regular stretch & massage, massage gun therapy, and tennis ball pressure therapy. Perfect? No. Resolvability? Yes. 62 years old not expecting to be completely pain-free, but it's not stopping my activity levels any more.
Had this Subacromial Decompression Surgery done on 28 Nov, 2023. Although went under the knife for a suprasinatus rotator cuff tear as per MRI but i after the surgery i was told that there was no tear ! , so they just cleaned up the soft tissues
@@MichaelBraccio although this fear will always linger in my mind if they just left the tear as it is. They did not mention it specifically in my discharge summary that I did not have a tear. In the report it was mentioned that i had a impingement syndrome so they performed subacromial Decompression surgery. To clear my doubts i will have a fresh MRI done after 3 months before resuming lifting weights in gym . Its really difficult to swallow that MRI can be so wrong . As per MRI i had Supraspinatus tendinosis with high grade intratendinous delaminated near complete thickness tear. Acromio-clavicular joint arthropathy. Fluid in subacromial - subdeltoid bursa and superior subscapularis recess.
How is your shoulder doing now? Cause I just had this surgery on November 14, 2023. They went in thinking it was a slap tear but they did Subacromial Decompression with distal clavicle resection. My recovery is going slow just wondering how this surgery affects other people cause I can’t find anything online about the recovery of this type of surgery. I definitely agree with you of how do they mistake things in an MRI. Hope your recovery has been going good.
@@chloesmith9166 my rom is full although slight pain is there(still confused whether thaat pain is due to surgery or the original pain b4 the surgery. btw my stitches were removed on 11th Dec. will try to be more consistent with my self physiotherapy from today at least because uptill now i had been doing it 1 or twice only per day instead of recommended 5 times. Are you doing physiotherapy by yourself or going to a physio ?
@@gladiatorarrives I have full ROM too but still have slight trouble only in some movements like reaching across or behind or holding my arm at any position for more than 2 seconds. But I still have swelling in the back of my shoulder on and off. I do go to physical therapy twice a week but I do what they tell me to do at home therapy twice a day. I had my stitches out November 30th the only thing that’s different from than is one of my stitches are painful when I touch it I was just told to lightly massage the stitch to increase blood flow and to decrease scar tissue forming. I am scheduled for 8 weeks physical therapy but my surgery timeline is 12 weeks but I was told by my surgeon that I won’t be completely healed till 6 months out.(which meant just don’t push it till 6 months out he told me this due to how I was a tennis player) you can ask any question I will answer if I can.
I did 10 months of PT, PRP, SW...I tried everything....in the end I got an acute subacromial impingement surgery, distal clavicle recession and posterior labral tear repair. It's been a month now. If it's going to work, who knows...time will tell. The only thing I'm sure about is that if I didn't have this procedure done, my supraspinatus will be destroyed because of the spurs I had around the area...so I think it depends on every case.
Sort of. Surgical repair can help with pain/function, but the retear rate is around 41%. So improvements aren't necessarily attributed to an intact rotator cuff. Here's the research article: pubmed.ncbi.nlm.nih.gov/35179393/
I intend to do everything I can to try and get the surgery. Who cares about if the pain lessons. Without it your just tearing those tendons on a day to day basis.
Nothing against the channel or operator, but as a chiropractor, and one who would specialize and profit from the alternative to shoulder surgery, this is basically like asking Lowe’s if it’s necessary to buy products at Home Depot.
Hello Brian, Every person is going to have some level of bias (a surgeon recommending surgery would also have the same bias). However, that's also why utilizing evidence based practice is important in determining which approach provides positive outcomes while minimizing the amount of bias.
However, my real life experience is that I know multiple people who have had shoulder impingement surgery, and literally all of them have had fantastic results. Based on the study you quoted, it would indicate that the 4 people I know are freakish outliers in the data…. Or the people creating the study are liars .
@@bn2real That's great that the 4 people you know had a good outcome. But the interpretation of this systematic review isn't quite accurate. The study found that SAD surgery doesn't provide a meaningful benefit over non-surgical care and suggests that a bone spur or bursa doesn't explain the pain in these cases. The people having the surgery improved but the surgery didn't produce better outcomes compared to placebo or non-surgical care.
Sorry to hear that I had the procedure about the same time as you. It's not perfect but improved and I remain optimistic about what things will be like going forward. I used train weights for many years before this problem so I can see and feel the imbalance. I am hoping that with the physio I can build up the muscle grouping round the area. This early post op i have to believe things will improve for my minds sake. Good luck going forward
It’s not that surgery doesn’t do anything. It’s more about non-surgical approaches like exercise produce the same outcomes. The other challenge is not knowing which presentations respond best to surgery
See an orthopaedic surgeon to be assessed. It took me 4 years of physio and steroid injections with no improvement in the shoulder before I went to surgery..
Looking for more information on shoulder impingement and subacromial bone spurs? Read my blog post here: www.michaelbraccio.com/bone-spurs-cause-shoulder-pain/
Had this surgery last year after 18 yrs of pain, Im now pain free
Glad to hear that you aren't dealing with the shoulder pain anymore!
How long did it take for your pain to go away after surgery ? what was the timeline for lifting weights ? i had mine done on 28/11/2023
@@gladiatorarrives didn’t take that long maybe week or so,back to work 6 weeks later physical work opening massive valves etc.
@@jases2793 i still have pain while lifting my arm for lateral raise near the acromion(shoulder ball tip) after one month . Have my appointment wih doc on 6th Jan.
Having this surgery next week. A lot of negatives about it yet everyone l spoke to who has had this surgery says they have completely healed from the sypmtoms of shoulder impingement. I think it is a real game changer. I think as long as you get a good surgeon it will be successful. I am glad you have healed.
That’s a lie . I had the procedure for impingement and they found severe labrum and bicep tendon tear and the trimming of the bone took all my pain away . Surgery worked great for me
Hi. First, I'm glad to hear that you are pain free after the surgery.
For the study, all of the groups in this study did report improvement after surgery (decompression and sham). However, they didn't find a difference in outcomes between the two groups up to one year post surgery.
Also, labral and biceps tendon issues were excluded in this study, so the results might not be generalizable for you.
Michael Braccio I’m getting impingement surgery on left shoulder soon . I also had double hip impingement surgery and it saved my life by a asheesh bedi at the university of Michigan . These surgeries allowed me to do CrossFit again . I tried rehab instead of surgery and it never works . Rehab only works on tendonitis on quads . I’ve also had 3 sports hernia surgeries because of my hip impingement .
The rehab helped none until surgery . When you have impingement you need surgery and you need to do a year of rehab to stabilize the traps and scapula . the issue with impingement is it micro tears your rotator every time u lift overhead . And we don’t rest in time and we just keep tearing it with the pinching . Surgery is the best option . But America seems to put you through wasted time in rehab making the injury worse instead of going in and fixing it before it hits critical mass .
@@emteller2945 hello may I ask how was the shoulder surgery and have you fully recovered now?
Tell em ☝🏾
Thank you. I'm having a procedure done next week after struggling with this thing for eight years
@@aqualix7642 How are you now
Had the surgery about 5 years ago...no difference in pain, though there was short-term recovery. I have now focused on joint balance/alignment through specific exercises; short version=50+ years as avid surfer and swimmer with little back and back shoulder focused workout=acute imbalance in shoulder and pec muscles pulling shoulder joint forward and in for terrible joint positioning. Now practice multiple back and side of shoulder workouts, regular stretch & massage, massage gun therapy, and tennis ball pressure therapy. Perfect? No. Resolvability? Yes. 62 years old not expecting to be completely pain-free, but it's not stopping my activity levels any more.
Glad that you found some things that have worked for you. Cheers.
Had this Subacromial Decompression Surgery done on 28 Nov, 2023. Although went under the knife for a suprasinatus rotator cuff tear as per MRI but i after the surgery i was told that there was no tear ! , so they just cleaned up the soft tissues
How bizarre! I suppose it was good that you didn’t actually have a rotator cuff tear!
@@MichaelBraccio although this fear will always linger in my mind if they just left the tear as it is. They did not mention it specifically in my discharge summary that I did not have a tear. In the report it was mentioned that i had a impingement syndrome so they performed subacromial Decompression surgery. To clear my doubts i will have a fresh MRI done after 3 months before resuming lifting weights in gym . Its really difficult to swallow that MRI can be so wrong . As per MRI i had Supraspinatus tendinosis with high grade intratendinous delaminated near complete thickness tear. Acromio-clavicular joint arthropathy. Fluid in subacromial - subdeltoid bursa and superior subscapularis recess.
How is your shoulder doing now? Cause I just had this surgery on November 14, 2023. They went in thinking it was a slap tear but they did Subacromial Decompression with distal clavicle resection. My recovery is going slow just wondering how this surgery affects other people cause I can’t find anything online about the recovery of this type of surgery. I definitely agree with you of how do they mistake things in an MRI. Hope your recovery has been going good.
@@chloesmith9166 my rom is full although slight pain is there(still confused whether thaat pain is due to surgery or the original pain b4 the surgery. btw my stitches were removed on 11th Dec. will try to be more consistent with my self physiotherapy from today at least because uptill now i had been doing it 1 or twice only per day instead of recommended 5 times. Are you doing physiotherapy by yourself or going to a physio ?
@@gladiatorarrives
I have full ROM too but still have slight trouble only in some movements like reaching across or behind or holding my arm at any position for more than 2 seconds. But I still have swelling in the back of my shoulder on and off. I do go to physical therapy twice a week but I do what they tell me to do at home therapy twice a day. I had my stitches out November 30th the only thing that’s different from than is one of my stitches are painful when I touch it I was just told to lightly massage the stitch to increase blood flow and to decrease scar tissue forming. I am scheduled for 8 weeks physical therapy but my surgery timeline is 12 weeks but I was told by my surgeon that I won’t be completely healed till 6 months out.(which meant just don’t push it till 6 months out he told me this due to how I was a tennis player) you can ask any question I will answer if I can.
I did 10 months of PT, PRP, SW...I tried everything....in the end I got an acute subacromial impingement surgery, distal clavicle recession and posterior labral tear repair. It's been a month now. If it's going to work, who knows...time will tell. The only thing I'm sure about is that if I didn't have this procedure done, my supraspinatus will be destroyed because of the spurs I had around the area...so I think it depends on every case.
It definitely depends on every case, which is the difficult part because it's not clear who will respond to non-surgical vs surgical care.
It's not only pain its to repair the tendons that are torn off to make them more stable.
Sort of. Surgical repair can help with pain/function, but the retear rate is around 41%. So improvements aren't necessarily attributed to an intact rotator cuff. Here's the research article: pubmed.ncbi.nlm.nih.gov/35179393/
I intend to do everything I can to try and get the surgery. Who cares about if the pain lessons. Without it your just tearing those tendons on a day to day basis.
You have to decide what is best for you. Best wishes for recovery.
Nothing against the channel or operator, but as a chiropractor, and one who would specialize and profit from the alternative to shoulder surgery, this is basically like asking Lowe’s if it’s necessary to buy products at Home Depot.
Hello Brian,
Every person is going to have some level of bias (a surgeon recommending surgery would also have the same bias). However, that's also why utilizing evidence based practice is important in determining which approach provides positive outcomes while minimizing the amount of bias.
However, my real life experience is that I know multiple people who have had shoulder impingement surgery, and literally all of them have had fantastic results. Based on the study you quoted, it would indicate that the 4 people I know are freakish outliers in the data…. Or the people creating the study are liars .
@@bn2real That's great that the 4 people you know had a good outcome. But the interpretation of this systematic review isn't quite accurate. The study found that SAD surgery doesn't provide a meaningful benefit over non-surgical care and suggests that a bone spur or bursa doesn't explain the pain in these cases. The people having the surgery improved but the surgery didn't produce better outcomes compared to placebo or non-surgical care.
Wow this was helpful! I guess I'll stick to the excercises and pausing for longer period. Thanks, man!
Glad to hear it!
im still having pains after my subacromial decompression surgery And it's been 3 months ago
Sorry to hear that! Maybe follow up with the surgeon
@@MichaelBraccio I have to on the 24th this month. My ROM is on but I can't extend behind my back nor can I extend my arm with heavy 🪨 objects 😢
@@stlouismike6207 How are you now
Sorry to hear that
I had the procedure about the same time as you. It's not perfect but improved and I remain optimistic about what things will be like going forward. I used train weights for many years before this problem so I can see and feel the imbalance. I am hoping that with the physio I can build up the muscle grouping round the area.
This early post op i have to believe things will improve for my minds sake.
Good luck going forward
@@aqualix7642 how r you now
Why is this surgery performed then if it doesn’t actually to anything? 😂
It’s not that surgery doesn’t do anything. It’s more about non-surgical approaches like exercise produce the same outcomes. The other challenge is not knowing which presentations respond best to surgery
It's been a couple of months I'm suffering from subacromial shoulder impingement , physiotherapy is not helping much ... Should I go for surgery?
There's many factors to consider. Sometimes changing exercises or the loads can be helpful. Ask your PT or get a second opinion can also be useful.
See an orthopaedic surgeon to be assessed. It took me 4 years of physio and steroid injections with no improvement in the shoulder before I went to surgery..