Expert Orthopedic Care, Exceptional Service
  • About
  • Info
  • Blog
  • Videos
  • Testimonials
  • FAQ

Lack of Evidence for Shoulder Decompression Surgery

11/24/2017

0 Comments

 
http://www.thelancet-press.com/embargo/shouldersurgery.pdf
The article Arthroscopic subacromial decompression for subacromial shoulder pain (CSAW): a multicentre, pragmatic, parallel group, placebo-controlled, three-group, randomised surgical trial reveals no difference between the fake (or sham) surgery and the real surgery. 

This type of shoulder surgery, know as subacromial decompression (SAD) is unfortunately still prevalent in the U.S. In this research study, both the sham surgery group and the real surgery group had something important in common: in both groups the shoulder joint was irrigated. Essentially the joint was power-washed. I believe this to be the key part of the intervention, the reason why both the fake and real surgeries provided the same results.

What I find in the clinic is that many joints have a piece of debris obstructing the joint's motion and causing pain. In the extremity joints this is thought to be a piece of fat, cartilage, bone, tendon, or similar. Of course, this can be effectively "power-washed" with repeated movement, too. My job is to find the movement that moves that piece of debris out of the way.  My patient's job is then to perform that movement throughout the day and temporarily avoid movements in the opposite direction.

If you have been contemplating shoulder surgery, please read this study and/or contact me with any questions. Hopefully medical providers will no longer suggest this as an option. -- Laura

0 Comments



Leave a Reply.

    Orthopedics Blog

    Learn more about the world of diagnosing and treating orthopedics here!
    McKenzie Method


    ​Categories

    All
    Abdomen
    Achilles
    Aging
    Ankle
    Arthritis
    Assistive Device
    Athletes
    Bending
    Biking
    Car
    Centralization
    Chairs
    Core
    Degeneration
    Diagnosing
    Directional Preference
    Discs
    Ear
    Elbow
    Ergonomics
    Exercise
    Extremity
    FABER
    Foam Rolling
    Foot
    Glutes
    Hamstrings
    Hand
    Headache
    Hip
    Imaging
    Immobilization
    Impingement
    Inflammation
    IT Band
    Joints
    Knee
    Lumbar/Low Back
    McKenzie Method
    Medication
    Meniscus
    Mobilization
    Modalities
    Morton's Neuroma
    Muscles
    Neck
    Nerves
    Numbness
    Obesity
    OST
    Osteoarthritis
    Outcomes
    Pain
    Palpation
    Performance
    Piriformis
    Plantar Fasciitis
    Podcast
    Posture
    Prevention
    Prognosis
    Proprioception
    Quadriceps
    Range Of Motion
    Rehabilitation
    Repeated Movement
    Running
    Scar Tissue
    Shoulder
    Shoulder Blade
    Sinuses
    Sleeping
    Spine
    Spondylolisthesis
    Sports
    Stenosis
    Stiffness
    Strain
    Strength/Strengthening
    Stress
    Stretching
    Surgery
    Swelling
    Tendon
    Testimonial
    Thoracic
    Tightness
    Tingling
    Verbal History
    Volunteering
    Walking
    Wrist

    Archives

    April 2021
    March 2021
    February 2021
    January 2021
    December 2020
    November 2020
    October 2020
    September 2020
    August 2020
    July 2020
    June 2020
    May 2020
    April 2020
    March 2020
    February 2020
    January 2020
    March 2019
    February 2019
    January 2019
    December 2018
    November 2018
    October 2018
    September 2018
    August 2018
    July 2018
    June 2018
    May 2018
    April 2018
    March 2018
    February 2018
    December 2017
    November 2017
    October 2017
    September 2017
    August 2017
    July 2017
    June 2017
    May 2017
    April 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    October 2016
    September 2016
    August 2016
    July 2016

    RSS Feed

  • About
  • Info
  • Blog
  • Videos
  • Testimonials
  • FAQ