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Shoulder subacromial decompression is a surgical procedure performed to address impingement syndrome or subacromial bursitis, conditions where the rotator cuff tendons become irritated and inflamed due to compression against the acromion bone in the shoulder joint. This compression can occur during overhead movements or activities, leading to pain, weakness, and limited range of motion in the shoulder.
During subacromial decompression surgery, the surgeon removes a small portion of the acromion bone and any thickened or inflamed tissue within the subacromial space, creating more room for the rotator cuff tendons to move freely without impingement. This can help alleviate pain and restore normal function to the shoulder joint.
Signs that shoulder subacromial decompression may be necessary include persistent shoulder pain, particularly with overhead activities or reaching behind the back, weakness in the affected shoulder, limited range of motion, and failed response to conservative treatments such as physical therapy, anti-inflammatory medications, or corticosteroid injections.
The surgical procedure is typically performed arthroscopically, using small incisions and specialized instruments inserted into the shoulder joint. This minimally invasive approach allows for quicker recovery, less post-operative pain, and reduced risk of complications compared to traditional open surgery.
Following subacromial decompression surgery, patients typically undergo a period of rest and rehabilitation to allow the shoulder to heal properly and regain strength, mobility, and function. Physical therapy exercises are aimed at improving range of motion, strengthening the shoulder muscles, and preventing stiffness or recurrence of symptoms.
Overall, shoulder subacromial decompression can be an effective treatment option for individuals with impingement syndrome or subacromial bursitis who have not responded to conservative treatments. By addressing the underlying cause of shoulder pain and dysfunction, this surgical procedure can help individuals return to their normal activities with reduced pain and improved shoulder function.