Subacromial decompression surgery is a minimally invasive procedure designed to relieve shoulder pain caused by impingement syndrome. It is a widely performed orthopedic surgery that helps restore mobility, reduce discomfort, and improve the overall function of the shoulder. Dr. Vishal Sahni, a highly experienced shoulder specialist orthopedic surgeon with 24 years of expertise in London and India, offers advanced treatment options, including subacromial decompression surgery, at London Orthopedic Clinic Nagpur.
Understanding Shoulder Impingement Syndrome
Shoulder impingement syndrome occurs when the rotator cuff tendons and the bursa (a fluid-filled sac) become compressed between the acromion (the top of the shoulder blade) and the humeral head. This compression leads to inflammation, pain, and restricted movement. Over time, if left untreated, impingement syndrome can result in rotator cuff tears and chronic shoulder issues.
Common Causes of Shoulder Impingement
- Repetitive Overhead Activities – Common in athletes, painters, and construction workers.
- Age-Related Degeneration – Wear and tear of the rotator cuff and bursa over time.
- Bone Spurs Formation – Bony growths under the acromion can contribute to impingement.
- Poor Posture – Slouching or forward-rounded shoulders can increase the risk of impingement.
- Previous Shoulder Injuries – Trauma or previous surgeries may lead to structural abnormalities.
When is Subacromial Decompression Surgery Recommended?
Subacromial decompression is advised when conservative treatments such as physical therapy, anti-inflammatory medications, and steroid injections fail to provide relief. It is particularly beneficial for individuals experiencing:
- Persistent shoulder pain for more than six months.
- Difficulty lifting or rotating the arm.
- Pain that disrupts sleep or daily activities.
- Loss of shoulder strength and function.
The Subacromial Decompression Procedure
1. Preoperative Evaluation
Before surgery, Dr. Vishal Sahni conducts a comprehensive clinical examination, reviews medical history, and performs diagnostic imaging (X-ray, MRI, or ultrasound) to assess the severity of impingement.
2. Surgical Process
- Anesthesia: The procedure is typically performed under general or regional anesthesia.
- Arthroscopic Technique: A small camera (arthroscope) is inserted into the shoulder joint through tiny incisions.
- Removal of Bone Spurs: Any bone spurs or thickened ligaments causing compression are shaved off.
- Bursa Removal (Bursectomy): The inflamed bursa is removed to create more space for the tendons.
- Acromioplasty: The underside of the acromion is smoothed to prevent further impingement.
3. Postoperative Care & Recovery
- Pain Management: Prescribed painkillers and anti-inflammatory medications.
- Rehabilitation & Physiotherapy: Physical therapy starts within a few days post-surgery to restore mobility and strength.
- Return to Daily Activities: Most patients resume normal activities within 4-6 weeks.
- Full Recovery: It typically takes 3-6 months for complete recovery and shoulder function restoration.
Arthroscopic vs. Open Shoulder Decompression
When considering subacromial decompression surgery, patients often have two options: arthroscopic and open decompression. Understanding the differences between these techniques is crucial for making an informed decision.
Arthroscopic Shoulder Decompression
- Minimally Invasive: Small incisions, less tissue damage.
- Faster Recovery: Reduced postoperative pain and quicker rehabilitation.
- Lower Risk of Complications: Less chance of infection and scarring.
- Preferred for Most Patients: Ideal for those with mild to moderate impingement.
Open Shoulder Decompression
- Traditional Approach: Requires a larger incision to access the shoulder joint.
- More Extensive Surgery: Suitable for complex cases with severe impingement or additional shoulder damage.
- Longer Recovery Time: Increased postoperative pain and a longer rehabilitation period.
- Higher Risk of Complications: Potential for more scarring and stiffness.
Which One is Better?
Arthroscopic decompression is generally preferred due to its minimally invasive nature and quicker recovery time. However, for severe cases where additional repairs are needed, an open surgery might be recommended. Dr. Vishal Sahni evaluates each case individually to determine the most suitable approach.
Benefits of Subacromial Decompression Surgery
- Minimally Invasive Approach – Faster healing and minimal scarring.
- Pain Relief – Significant reduction or elimination of shoulder pain.
- Improved Shoulder Mobility – Enhanced range of motion and flexibility.
- Prevention of Further Damage – Reduces the risk of rotator cuff tears.
- Quick Return to Activity – Early rehabilitation ensures a faster recovery timeline.
Risks and Potential Complications
Although subacromial decompression is a safe and effective procedure, like any surgery, it carries some risks:
- Infection (rare but possible)
- Shoulder stiffness or weakness
- Incomplete pain relief
- Nerve damage (very rare)
- Recurrent symptoms in some cases
Why Choose Dr. Vishal Sahni at London Orthopedic Clinic Nagpur?
- Extensive Experience: Over 24 years of expertise in shoulder surgeries.
- Advanced Arthroscopic Techniques: Minimally invasive procedures for faster recovery.
- Personalized Treatment Plans: Tailored solutions for each patient.
- Comprehensive Postoperative Care: Structured rehabilitation programs for optimal outcomes.
- State-of-the-Art Facility: Modern equipment and world-class orthopedic care in Nagpur.
Conclusion
Subacromial decompression surgery is an effective treatment for shoulder impingement syndrome, helping patients regain pain-free movement and improved shoulder function. Dr. Vishal Sahni, with his vast experience in London and India, ensures expert surgical care at London Orthopedic Clinic Nagpur. If you’re struggling with persistent shoulder pain, book a consultation today to explore the best treatment options for you.