Reverse Total Shoulder Replacement
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- Опубликовано: 2 июл 2024
- Guest surgeon Dr. John Haverstock discusses reverse total shoulder replacements. He reviews a radiograph and the actual implant.
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Great video! I just had reverse shoulder replacement at the end of March 2024. So far, I seem to be healing just fine. This video helped me understand a lot more about the procedure and healing process. Thank you for the information. I am 76 years old.
I had mine done March 6th 2024. Still stiff on the back positions but so far happy with having it done.
I’m 75 and having this procedure done on March 11. Looking forward to being fully functional again. Every video i have looked at says this is the surgery for me. I have prepared for it by buying easy to change clothes, training my husband to clean house and cook 😊, and making family and friends aware of what to expect. Guess I am ready for this change. Thank you doctors for this excellent video.
I am also 75 and I will be having this surgery on March 15. I will be thinking about you on the 11th. I’ve been in worsening pain now for 5 years and can’t wait to have this surgery. I feel sure we will both feel better.
Fancy fancy fancy..you ORTHOPAEDIC SURGEONS, GOT TO CHANGE JOINTS AROUND!
I’ve had this surgery…it’s a god send, very thankful.
I had a reverse total shoulder replacement with great results at age 73. I’m now 80 and it’s still working good. Before surgery I had a test for allergies and they found I was allergic to nickel so my doctor had to do some research on what to use, but whatever he did worked.
I’m in the same boat. I have nickel and silver allergy. He is using titanium. Next Friday is my surgery. I’m 69 and have bone on bone Arthritis. The pain is constant. I hope it goes well.
Thank you gentlemen again as always you've delivered the goods. Loud and clear. I've been postponing this surgery for so long. Thanks for your valuable knowledge and time. We're so lucky to be informed by you. Be blessed.
I really liked the light hearted presentation. It's easier to follow along instead of a droning monotonous delivery.
That’s our goal Lillie. Most people appreciate it. Not everyone though 😀. Thanks for watching and subscribing
My husband had repair surgery done on both shoulders and the recovery was long and painful. When he was told that it had torn the right cuff again and more this time, he put off surgery so long his only option was to have RTS. We both were nervous when he finally had it done this past Jan. Boy were we surprised that the recovery was much better (I know everyone is different) and less painful. After only 3 weeks unless you knew he had surgery you couldn’t tell. He did have weight restrictions until the muscles healed but the pain is gone. He is still working on range on motion issues that he wished he had known about before (like twisting to wipe, or bending to hug) but not having the pain and being able to fish again has made all the difference.
That is awesome Dawn. Thanks for watching and subscribing
I have already had a failed rotator cuff repair, and now have so much pain that I am considering a reverse shoulder replacement. When you mentioned about toileting. I would be having the surgery on my only functioning arm. Is there a point where one can eventually take care of hygienic toilet needs with the surgical arm? This is what has been keeping me from having the surgery. 😘
Oh man..thxs for sharing..I'm scared
I had a massive rotator cuff tear that my doctors didn't catch for a year-and-a-half because it really didn't hurt that much and I could use my arm normally and even sleep on it. I just couldn't pick up anything with my right hand. I had several sets of X-rays. After my third set of X-rays and my third offer of physical therapy I refused and said I need an MRI. Surgeon looked at the MRI and said it was not repairable. He said I would need a new shoulder and then gave me a cortisone shot. He said that would give me three months to think about it because I couldn't have surgery now because he gave me the cortisone shot. That shot was the worst thing that could have possibly happened to my shoulder because it caused fiery lava pain and it felt like some of my muscles were tearing. Wouldn't you know it's almost been 3 months and the fire is starting to leave my shoulder. I am really looking forward to a shoulder replacement. The recovery does look easier than a rotator cuff repair if I had a rotator cuff left.
@@donnalovstrom2862 Don’t be scared. We were all surprised as to how quickly he recovered. Now he is wanting to have the other shoulder replaced. Here we go again. Lol
I am a 62 year old male and I had a RTS 6 months ago (via the NHS, I live in the U.K.). The post-op period was uneventful, physio went well and now I’ve got a full range of movement with the exception of being able to put my arm behind my back. Prior to the op, I had a lot of pain in the shoulder and that’s now completely gone, so (at 6 months post-op) I absolutely recommend this procedure.
Awesome to hear PD! Thanks for sharing
So awesome I just had it 9 days ago so far so good have an awesome day
My reverse shoulder replacement was 4 days ago...I hope it heals fast!
i just had mine 10 days ago my biggest fear is I try to physio too quickly and it doesn't
heal properly
7:38 thank you so much for explaining, I’ve had 3 surgeries on my left shoulder and have been in extreme pain for 4 years. Changed doctors and he was appalled at what I’ve been thru with no actual repair, so I’m having this reverse done in 2 weeks. My doc says he’s never had anyone so happy to have surgery, I just can’t wait to be out of pain and be able to put on a jacket or shirt by myself! Thank goodness for science and the things the medical field can do now as alternatives!
Agree it is a game changer
Good luck with your op and I hope it works as well for you as it has for me 😊
I had the same with a ridiculous, orthopedic surgeon, who told me to sit up in bed and sleep that way for 4 to 6 weeks, and my shoulder would heal. I went to my orthopedic surgeon, not the one at the hospital, and he was shocked that my shoulder was still dislocated and fractured in four places to the point of being shattered, I am in so much pain that I can barely breathe. Nine days until my reverse shoulder replacement. I am still gob smacked that that one doctor wanted me to sit up in bed for two months almost and have a completely shattered shoulder repair itself by itself. SMH.
68yo female - Had my second RTS June 1. First was Feb 2022. Both went exceedingly well. Recommend to anyone.
I’m fortunate that many of your videos don’t apply to me, other than my own curiosity. One thing that I appreciate is the humor that you both have, and how you play off of each other, while still providing the information. Some of your guest docs (no names, of course), are not as gifted in the humor department!
Ha Cary. The guest provide the facts within their specialty. We provide the jokes! Thanks for watching and subscribing
My girlfriend has this issue with her shoulder. She’s in so much pain. I’ll share this video with her. Awesome. Thxs Docs. ❤️🤗🇨🇦
Hope it helps Mandy. Thanks for watching and subscribing
Six weeks post reverse total shoulder replacement surgery. Post op appointment Thursday and was told no more immobilizer. I was thrilled until I realized that 6 weeks with just assisted range of motion makes for a weak arm with pain by the end of the day. Oh, well, that's what PT is for. Two weeks of active assisted and passive assisted and then to strengthening. I will be doing amazing in a few weeks, I am sure! Thanks for this video. I have watched it a couple times. Once before my surgery and tonight.
Congrats Miss Helen that’s so exciting for you! All the best going forward. Thanks for watching and subscribing
Love you guys... has a reverse total shoulder 5 weeks ago. Basically pain free the entire process. Has already changed my quality of life 1,000 percent. Looking to do the other shoulder this fall.
It’s amazing for sure
'Basically' pain free? I have had both replaced and the pain is better, but still aches quite often. Especially after any real use.
That's good to hear! I'm on day 4 post op and going on a 5 day trip in 9 wks with my daughter. I hope I'm OK by then!
Hello Nancy.... I'm now 6 months post surgery... the most transformative, greatest thing in my life was my surgery, which I have back now. My shoulder is now my kick ass shoulder when I was 20 years old... the range of movement is the best I ever had, the 24/7 pain and non use gone, I can sleep again, I ride motorcyces again, I work out. I give the credit to an amazing surgeon/healer, to God working through and with my surgeon, doing the physical therapy and a positive attitude. I wish you al the best ahead, do the PT, I was out of a sling 7 days after surgery!
Ah, I've had repair surgery done with both shoulders, one in 2017 and then 2021. A full thickness tears regarding the infraspinatus and supraspinatus of the shoulders ... Superior Capsule Reconstruction. Both operating Surgeons invited me back see them in about 10 years for this surgery talked about today. I really hope it's not necessary, but I guess I am happy you guys figured this repair out, ahh.
Fingers crossed!! Thanks for watching and subscribing
After 2 1/2 years of a hemi replacement and rotator cuff repair and too much pain! I am getting this procedure; pray it works! Im 57 years old; but cannot take this pain anymore! Thank you for the video!!!!!
Very welcome Penny. Good luck. Thanks for watching and subscribing
i’m 8 weeks post op total reverse replacement, let me say this was the best decision i ever made regarding my shoulder . i had an open procedure performed 25 years ago to stop constant dislocation , my first surgery was a success in that my shoulder never dislocated again , however they made it tight band my subscapularis was cut and repaired also causing tightness . i had horrible range of motion and finally dec to got to a shoulder specialist . i had severe glenohumeral arthritis and due to the many prior dislocations and the cut amd repaired subscapularis i was informed that a reverse was indicated. well let me tell you i have zero pain and almost total range of motion amd it’s only 8 weeks
This video is very helpful. I'm trying to recover without surgery from having my humerus yanked out of my shoulder joint and pulled down a couple of inches. I might be able to get a decent enough recovery using PT (which I started immediately after I fell). If not, I will have RTS. When I first learned about it, I was freaked out by RTS. The more I learn about it, the less afraid I am. It is a truly remarkable development. In addition to this video presentation, I appreciate many of the comments here and elsewhere by people who have had RTS surgery. Thanks everybody!
I’m scheduled to have a reverse replacement on my right shoulder next week, 2/28/23 by Dr John Baldauf in Las Vegas. I have irreparable tears of the infraspinatus and supraspinatus tendons with arthritis. He says if all goes as planned, I will go home the same day, and I will lift my hand over my head and place it behind my back. I had the same surgery on the left shoulder about eight years ago in York, Pennsylvania, and I remember it was much different. I’m looking forward to having the surgery and getting started on rehab. Thanks for sharing this information about a life-changing surgery.
Best of luck in Vegas!
@@TalkingWithDocs Thanks!
Hi Drs! Thank you for doing this RTS video! After two failed anatomic replacements on my R shoulder my Ortho had no choice but to go with the RTS. Then exactly one year later I had a RTS on my L shoulder as well. I might add that I am only 44 as of a few days ago. My pain a couple of years out now can still be significant. I indeed have a weight limit of what I can carry around. I haven't had any dislocation issues with either side as of yet but the bone aches quite badly in damp weather. Again Drs, thank you so much for doing this one! 😊
Glad to hear you are doing alright LordMcKill. Thanks for watching and subscribing
Great video! I have had this done on my right shoulder. At the time it was decided this was the best choice, I had no rotator cuff (at least that is what I saw told by my orthopedic surgeon). He had already done surgery on my right shoulder, basically completely rebuilding it for the same issue. He left this reverse shoulder replacement would give me a better outcome than the first surgery (the first surgery worked pretty well). Then he up and retired just before it was scheduled. His partner did it though. In both cases, lots of physical therapy, however with the replacement instead of rebuilding, I got to do movements much sooner. Little ones at first, but in both cases, I followed the therapist's directions and the Dr's directs to the letter. I had never seen the hardware before---very cool. The one thing I wish I had done once released from all restrictions (on the total reverse replacement) was work more on my deltoids. I didn't work consistently on making my deltoid stronger on my right side.
It feels so odd when I palpate the shoulder! You can tell things aren't normal lol
Thanks for sharing your experience Gregg. Glad you are doing well. Thanks for watching and subscribing
i also had a total reverse shoulder replacement , i had the surgery on july 8 ,2022, id can not be how much my shoulder is already moving , i also have followed my post surgical protocol , and. the improvement from 3 weeks to 6 weeks is amazing. i must agree it does feel very weird when i touch it . i’m confident i’m gonna get most of my range of motion back , i had real bad range of motion from a previous open bankart procedure where they use 4 anchors to secure labrum back to glenoid . so as a result i had a tight shoulder that just progressively got worse over the years . i made the decision ot see a shoulder specialist at Hospital for Special Surgery. it was determined i needed a total shoulder however they couldn’t make a final determination of anatomical or reverse procedure until actually intra surgery . my dr was concerned about the prior surgery also cut my subscapularis . well i ended up with the reverse and so far all is well and i’m glad i did it all the prior arthritis pain is gone and i already have more range of motion.
..how OLD are you?
@@Jerry-oo8hd i’m 58
and i have great range of motion and strength , i can now reach cups in cupboard , i can change a light bulb with my dominant left arm , my only issue is while watching tv or resting if i lean on my left arm the shoulder becomes stiff and a little sore but subsides when i stop leaning , no medication has been needed since fist 10 days
I need to do a shout-out to the surgeons who developed this technique. I had a traumatic skiing accident that severed the head of my right humerus. The only option offered was RTS. I have been physically active all my life, so I didn’t want that and consulted other surgeons for a reconstruction, but the RTS gave the best outcome. I was so tense at surgery that my BP was through the roof but my HR was 62. PT was challenging but I pushed through it. 1.5 years later, I rock climbed an approx.85 degree edifice called Rooster Rock in the Columbia Gorge, Oregon. Yesterday I did a summit attempt on Mount Hood. I ate something disagreeable which sapped my energy so I failed to summit. I did get to 10,600 ft. I will attempt again next year. I carry a 40-50 pound backpack, put the strap at my neck. I have great range of motion and can reach behind my back and undo my bra strap (right shoulder RTS) with a little help from my left hand. I am an advanced skier and look forward to next ski season.i have scheduled mountaineering climbs the rest of the summer and look forward to them. I have returned to swimming. I find the breast stroke uncomfortable; I think because of the lateral movement. But all is good. So don’t lose hope, you will get your life back. My poor surgeon, who I stressed to no end, has asked for pictures and I have sent them. I have thanked him and the PT for giving me my life back. BTW I am 72 years old but that is not significant, there a lot of us out there living crazy lives. 😊
Thank you Drs. Brad and Paul for the excellent medical information you provide to help us make informed decisions. Your site also gives a platform so we can share results from our experiences, which can hopefully benefit everyone. 👍🏻
Live your best life, you only have one.
Wow Snow Queen. That is awesome. Thanks for taking the time to share your journey. Keep doing what you’re doing! Thanks for watching and subscribing
Wowzers! You're my new heroine! Scheduled for RTSR In a few weeks after humerus fracture due to stupid fall in bathroom. Hope to get my life back soon. You give me 🔥 & hope!
This is awesome and amazing to have an alternate solution!
You doctors are keeping us up to date with the latest and greatest information and outcome for past and future procedures!
You guys are the best! But I hope to never see you professionally! 😘
Thanks for sharing another great video! 🤩
You are very welcome Vickie. Thanks for watching and subscribing
Scheduled for reverse shoulder surgery June 24, I’m 81 years old, Praying that everything goes well!
I just had this done 2 weeks ago and so far I’m happy. Post surgical pain was intense. PT is intense at times. I am a massage therapist and tennis player. I hope to return to my old life in 6 more weeks. Thanks for this video, as watching an actual surgery made me faint and made me cry!
Docs, will I be serving again (tennis)?
I had RTS 6 weeks ago and I have good movement below shoulder level. Your explanation of the deltoid muscle and how it is going to be dominant is comforting. I am now hoping movement above shoulder will improve following a more conservative protocol which I am following. My RTS was necessary after falling over a 2m ledge and smashing my shoulder!
In 1994 I had a massive full-thickness tear of my rotator cuff repaired. After 28 years I had 2 full-thickness tears, 1 partial tear, and a fractured humerus (greater tuberosity) as a result of weightlifting. I’m scheduled for my RTS July 12. I’m anxious to be rid of the constant pain!
Good luck Neil. Thanks for watching and subscribing
Been following you both for years. Had a hip replacement 2 years ago and the videos related were awesome. I wonder if you would consider doing a video on Functional Neurological Disorders. Thanks for your humour and the great work you do.
Hi mark. Thanks for the support. We can add it to the list for sure. Thanks for watching and subscribing
Very cool! The medical world keeps coming up with better ways all the time. Thank you to all doctors for being so involved. And thank to the two of you for making us aware!
Very welcome Anke. Thanks for watching and subscribing
This was fascinating, thank you!
Very welcome Linda. Thanks for watching and subscribing
I had RTS on my left shoulder in 2019. My left shoulder has much less pain since surgery. There are still days when I do to much with left side, and / or weather causes increase in pain. I have no activity issues, other than keeping my left arm load under 40 pounds.
Thanks for sharing Lane. Glad you are doing so well. Thanks for watching and subscribing
I’m having this surgery next week, March 15, and I am so excited. I’ve been in pain for years.
Thanks for sharing!
Had no idea this was an option for some.
Yes Pj. It’s very cool. Thanks for watching and subscribing
Thanks for sharing. Fixing to have a total reverse shoulder replacement due to bad fall with breaks.
Ok Delinda! You’ve got this! Thanks for watching and subscribing
Thanks for sharing this video Doctors
You are very welcome Marcia. Thanks for watching and subscribing
Another great video!!!!
Thanks L. Thanks for watching and subscribing
What's most interesting in my opinion and which is not mentioned is that because of the reversal, the rotator cuff ( a group of 4 muscles and tendons) which hold and stabilize the joint in place, cannot be used anymore, and only the deltoid muscle is used to hold the joint in place, and this is why the chance of dislocation is more likely (particularly after a fall)
Yes thankfully still relatively uncommon but the reason it is done is because the rotator cuff doesn’t work anymore. That’s the indication for this procedure
So interesting. Thanks for sharing.
Very welcome T. Thanks for watching and subscribing
Amazing medical improvements…
Yes for sure Linda. Thanks for watching and subscribing
Hello doc on this fine Saturday just saw this pop up. Looks very interesting . My shoulder doesn't hurt as much after watching this LOL . But Know it needs fixing again not looking forward to that already had both repaired once. Y'all have a great week end. I'am staying put got covid for the second time just hanging out with RUclips .
You too Kubota! Thanks for watching and subscribing
Thanks Docs..as always Good stuff!!!
Very welcome Steven. Thanks for watching and subscribing
Had mind three weeks ago today. The first two days were especially painful. I had the drugs for two days. Then toughen up and the Lord got me through. Scar is nasty and trying to heal. He was an excellent surgeon but terrible doctor. Going to see my primary care physician tomorrow for my six month evaluation of tests. Let her look at it and make sure there is no infection.
Amazing!
Glad you liked it! Thanks for watching and subscribing
Hi. Love your videos. Could you do one on GERD? Thanks.
Am getting ready and excited about the procedure! Am having my CT in 2 weeks
You can do it!
Good luck...I'm in for CT scan July 4.
@@donnalovstrom2862 Hi Donna, My best with the CT. Got my date as June 22 and post op xray and staples out on July 5! My prayer and love go to you
Looking forward to it
Had a rotator cuff tear, labrum tear, and the tendon that holds the bicep tear, never had surgery as insurance rejected it so I had injections and physical therapy only….never healed right, lost about 45% range of motion
Sorry to hear that Thomas. Best of luck going forward. Thanks for watching and subscribing
You guys are awesome and funny 🤣🤣🤣
Thanks Monica. We try. Thanks for watching and subscribing
I had reverse total shoulder replacement done it's still healing have sharp shooting pain in top bone
Thanku for video!
Welcome
I just had a reveres shoulder replaced and I broke my hummous bone It’s been 8 weeks it was very painful recovery for about 2 week
Sorry to hear that Marion
Thank you for the explanation of a reverse shoulder replacement, my appointment is on Thursday and not sure if that’s going to be the diagnosis. I’ve had both rotator cuffs repaired twice and both biceps attached so I’m thinking it’s going to be replacement time. I’m a big gym nut and how dependable are these replacements as far as weight training? Thanks
you guys are so funny and yet informative. would be great to see you guys dressed up like minions, on Halloween day 😜
I think it could happen James. Thanks for watching and subscribing
I think im heading towards this. I had an operation on my right shoulder in 2014, its been frozen badly in the socket to where, when I do weghts, my right side is much smaller than the left. Lots of pain in the winter also 😢
I have had three reconstructive surgeries on my right shoulder. I had an injury where the tendons were torn out of the rotator cuff, my labrum was torn, and my bicep was ripped off. The surgeries have failed. Recent X-rays and MRIs are showing that the tendons aren't connected (there isn't any material left). I'm not in much pain, but my range of motion isn't great, and I have zero strength. I am 49 years old. Am I too young for this procedure? What are the risks of having it done at my age?
Wadi you do when reverse shoulder replacement failed socket fills to big and did not attach the bicep it doesn’t work I’m in constant pain
An active person with a reverse shoulder replacement I hear they pop out of socket all the time is that the case? Can you play a really good golf with a reverse shoulder?
Dr. haverstock is a great addition to the two of you. He mentioned the disadvantages of this surgery but never got to the advantages except for doing this in place of a bad original surgery. So is this something someone could ask for as a first surgery instead of the anatomical procedure? What would be those advantages and disadvantages when you have not had a replacement before? Thanks Dr.
The main advantage homie is that it can compensate for a destroyed rotator cuff which cannot be repaired. Thanks for watching and subscribing
Had this surgery done in September still amazes me what they did
Hope it helped!
@TalkingWithDocs yes it definately did
Late or end stage AVN. OLE SHOULDER DOWN AND ONE TO GO. HUGE BUMMER ANS SO VERY PAINFUL.
Best of luck Jan. Thanks for watching and subscribing
Six weeks of this sling post surgery?. I’m 2 weeks out and going nuts.
Of course, I spent six weeks with a sheared humeral head and shattered right shoulder in a sling before I could have the surgery.
Sorry to hear this. It will get better!
7:25 REMEMBER- You are in charge of your Own Health! Thanx, liked subbed shared
Awesome Erik! Thanks
The video informative, thank you. I have an old football injury to my left shoulder. The rotator cuff and labrum are torn, the former in several places. Osteoarthritic changes have occurred due to instability. Obviously I will need a reverse. Where is your practice located?
Hi Kevin. It’s not really that kind of channel but we are in Southern Ontario!
Fascinating information. Can the procedure be applied to hip replacement ?
No unfortunately not James.
That is amazing. A doorknob screwed into your shoulder.
Essentially James. Thanks for watching and subscribing
Im a tetraplegic..or high functioning quadriplegic and have been for 28 years. Im in need of shoulder replacement on my left shoulder but im concerned about what ill be able to do after i heal. I have to transfer my entire body weight in and of bed, toilet shower ect and because of my level of injury the vast majority of the work is done with my arms shoulders and a little with my legs..with some therapy and stretching i could possibly do more with my legs but don't know how much more. Im just wondering what i should expect if i decided to talk to my doctor about this.
Sorry to hear this. It is hard to say as it stil require a lot of strength of the deltoid and rotator cuff. There is also a risk of dislocation depending on how the shoulder is loaded. Definitely worth a discussion though. Wishing you the best. Thanks for watching and subscribing
What actually holds the joint in position if the rotator cuff is torn or damaged completely.
Soft tissue tension. The parts are not actually held together. Like a hip replacement
Could it also be a reversed hip or knee replacement? Thumbs up!!👍
Nope Alida. Not yet. Thanks for watching and subscribing
I'm 44. I had a full thickness tear and Labrum tear in 2017. It was repaired and went through therapy. I have had numerous issues with it over the past few years. I had a specialist look at it in spring of 2022. He did the dye with imaging. There was another tear with not a lot of tissue. The doctor explained to me that 40% of people over the age of 50 have torn rotator cuffs, and that he didn't think it would be beneficial for me to have another surgery...even if I tore the ligament off the bone again. After doing some research and seeing this video, I got a little emotional. I've been there are times when my shoulder is so stiff, I feel it is the start of frozen shoulder. I've had injections, therapy and its not better. Thoughts? Thanks
Sorry to hear that. Hard to say. It could be frozen shoulder. And yes many people have tears and often surgery for older patients is not successful. We hope the cycle breaks for you. All the best
I'm 45 and due to a motorcycle accident back in 04 I am now looking at a reverse shoulder replacement. The thought of this is a one and done surgery has got me kinda freaked out. I'm trying to hold out but the pain is getting too be too much.
Yes it’s tricky Robert. Thankfully this exists though because before it the options were not very good. Best of luck with your decision. Thanks for watching and subscribing
I guess I’ll ask my Dr. if he does both shoulder replacements.
Thank you for the videos. Scott here i am 60 years old with a full think ness tear of my Supraspinatus muscle and arthritis i was told. I do have a lot of popping and cracking when i reach out or up. Wondering what is best for me at this point ? The RSR sounds a lot better ?
Hi Scott. So it depends really on the function of the rest of your cuff. If the remainder of the muscles are working a total shoulder is better. The RSR is amazing but it is a salvage procedure and if it fails you are really stuck. And you are young. Worth a chat with your surgeon for sure. Best of luck.
@@TalkingWithDocs Thank you very much. The RSR is not for me then. But we will chat about all of my options with my doctor this Wednesday. Thanks
This is amazing…are you in Canada?
Yes we are Guest Leona! Near Toronto. Thanks for watching and subscribing
after te procedure and recover, do you have full extenstion of arm in front and back positions?
No likely not full. Better. And most importantly drastically less pain.
Should I be concerned with a Serum C reactive protein level 121 mg/L and a swollen knee after TKR. 10th March 2021
It has been going up and down for about 4 weeks. Been in hospital on IV drip for 12 days. I have been out for two weeks. On more tablets
Hi Paul. So CRP will go up after surgery but then should steadily decline. Need to aspirate to look for bacteria. Thanks for watching and subscribing
Can you talk about kidney stones? Is there anything you can do for a small stone that is staying in kidney? Thanks love your videos.
Hi Ellen. We can add it to the list and we are working on getting a guest urologist on for future segments. Thanks for watching and subscribing
Me gusta oírlo en español sies posible yo Tengo problema en mi hombro izquierdo.gracia
Maybe use closed caption or translate?
Have you had experience doing this reversed surgery on a person with Type 1 Diabetes? Is the healing time different? Hospital stay any longer? Any advice is appreciated.
Hi Gail. Type 1 diabetes does increase the risk of certain surgical complications but it is not a contraindication. Thanks for watching and subscribing
I see 👀 you guys ate clown 🤡 today 😆🤣👍
I like Dr John he is humble and has a good sense of humor 👍
Hi Cinthya. Dr Haverstock is awesome for sure. Thanks for watching and subscribing
I had my right shoulder repaired about 20 years ago, The operation went well and I was pain-free for about twenty years, then my shoulder began to be very painful again. My left shoulder became very painful about ten years ago. I was given physio and injections into the joint, but this didn't help so I saw a specialist, after more injections he decided I needed an operation. I had a scan done which showed arthritis in the shoulder joint and the shoulder only wanted cleaning out. I was operated on but without my knowledge, it was done by a trainee surgeon who did the operation under the guidance of a trained surgeon. After the operation, my shoulder was much worse. When I went back to see the surgeon he wouldn't examine me and said there was nothing more he could do for me. After months of constant pain, I was sent to see another surgeon. I had another scan done and this scan showed a 30mm rotator cuff tear, snapped tendons and a snapped bicep tendon. I was again operated on. After the operation, the surgeon said there wasn't much he could do for me as there had been too much damage done in my previous operation. I eventually managed to find another surgeon who said he could do a shoulder replacement on my left and right shoulders. He said he would start with the left shoulder. That was four years ago and because of health problems, it has been postponed four times. I now have a date for the first operation, that is if nothing else goes wrong. Nobody should have to suffer as I have.
I am 37 years old, I have an irreparable total subscapular tear and had a pec major transfer to assist with restoring internal rotation. I now have OA set in on my shoulder and have big issues with mobility and pain. This procedure seems like a great option except for my age? Am I wrong? What other potential options do I have?
It is an option but not ideal for 37. Limited other options. Worth a chat with your surgeon. Good luck
Show me how many people lift their arm up
Ouch! I'm glad I gave up pingpong, so my shoulders are safe. Thanks anyway docs.
Yes Mike. Stick to PlayStation. Thanks for watching and subscribing
I had a reverse shoulder replacement 7 months ago after tripping and falling flat on my back. I am 72 yrs. old. I am better but my range of motion has not improved that much. Do I need to increase my PT at home and what exercise do I do to build up my deltoid muscle. I did PT for 3 months twice a week and had to stop because of insurance and probably didn’t do enough PT at home. I have to admit I was very depressed because the shoulder I broke was my right side and I’m right handed. I struggled not being able to work in the yard, paint and had a very difficult time fixing my hair. Is it too late for me to get more range of movement?
Hi Janet. Getting range can be very difficult. Often you can improve out to one year but the gains are much slower the further you get from surgery. Best of luck. Thanks for watching and subscribing
Hi Janet. I really empathize with you. (I also have trouble doing my hair!) I'm sorry that your insurance didn't cover more PT. That is our idiotic "Healthcare system" at its worst. Denying coverage for PT makes for more expensive medical care further down the line. Don't give up on PT at home. PT is harder and more painful as my shoulder gets better. That seems counterintuitive, but it is because I am stretching and working muscles that are tight and weakened. Maybe pay for one final PT session to ask what is safe for you to do, and make a plan for your work at home? I wish you the best of luck.
Is there any such thing as an artificial tendon?
Hi Alison. There have been with limited success. Usually a cadaver tendon is used or one from the patient taken from another site. Good question! Thanks for watching and subscribing
Curious.... how much does this procedure approx. cost?
Hi Mustang. In Canada it is hard to estimate the cost as it is all covered. This implant is about twice as expensive as the regular total shoulder though. Thanks for watching and subscribing
Could this be applicable for HIP surgery??
No Pete not at this point. There isn’t really a need for it. Thanks for watching and subscribing
What is reconstructed Shoulder replacement
Hi Patty. Not sure what you mean by that term. Shoulder replacement simply means replacing the ball (hi real head) and the socket (the glenoid part of your scapula). Thanks for watching and subscribing
I am waiting for someone to invent a shoulder replacement that will allow me to keep shooting
Yes pj the kickback is a concern. Thanks for watching and subscribing
I'm having a reverse total shoulder replacement in 4 days... I'm nervous..I'm only 46...
how long before I can take a full shower?
If it’s covered with the sticky Saran Wrap style dressing usually a couple days after surgery. Confirm with your doc though
If you're a surgeon, are you formally referred to as "Mr"? I think you are in Australia...
Hi Alison. We think it is like that in the UK and maybe Australia. Here it is just Dr. Or Paul and Brad 😀. Thanks for watching and subscribing
Thumbs up.
Thanks for watching and subscribing
Wow I didn't know you guys were so short, no wonder you like having chicks on, kidding! Hope you get to enjoy some summer breeze!
Ha Josee. Dr Haverstock is 6’4 or 6’5 we believe. Thanks for watching and subscribing
It means 🤔🤷 your shoulders at the garage for a total overhaul? Shoulders sure are complicated aren't they! Pls do a segment on God's wear and tear due to emptying the dishwasher and oh how I hate the (don't get me started on) utensils' rack!
Oh my Josee. Thanks for watching and subscribing
I was 39 , When I had my total reverse shoulder replacement , I had 12 surgeries total, and I'm not in good shape .any way anyone can help me . Please, it's not fun.