Treatment without surgery
You and your doctor may decide there are some things you can do now to see if you can manage your pain without surgery.
What can I do now?
Certain exercises and stretches may help. Talk with your doctor about the kinds of exercises that may strengthen the muscles around your shoulder joint, improve your range of motion, and help reduce your pain.1
The acronym R.I.C.E. stands for Rest, Ice, Compression and Elevation. Rest to avoid further injury. Ice your shoulder on and off for 15 minutes at a time. Apply an elastic bandage for compression of your shoulder to help reduce swelling and provide some support. Elevate your shoulder when you rest by propping up your head and shoulders on a pillow or wedge. Check with your doctor to understand what treatment is right for you.
Physical therapists can help lessen your pain by teaching better posture or "form" for your day-to-day activities. Your physical therapist may recommend stretching and strengthening exercises, depending on your anatomy, joint functioning, and disease progression. They can teach you how to use assistive devices, like grabbers, zipper pulls and long-handled shoe horns and bath sponges so you can reach for things that would otherwise cause you to stretch uncomfortably or beyond your current range of motion.
Your doctor may recommend over-the-counter or prescription anti-inflammatory medicines to help reduce the swelling and pain in your shoulder. Non-steroidal anti-inflammatory drugs (NSAIDs), like ibuprofen, and steroid medications, like corticosteroid injections, can be helpful.2 Use of these medications must be monitored by your doctor.
Talk with your doctor about non-surgical approaches to decreasing your shoulder pain. If these approaches don't help, you’ve still got options. Learn more about surgical approaches to relieve your shoulder pain.
- Cortisone shots. Mayo Clinic, Mayo Foundation for Medical Education and Research. www.mayoclinic.org/tests-procedures/cortisone-shots/about/pac-20384794.
IMPORTANT INFORMATION ABOUT INSPACE
The InSpace Implant is indicated for the treatment of patients with massive, irreparable full-thickness torn rotator cuff tendons due to trauma or degradation with mild to moderate gleno-humeral osteoarthritis in patients greater than or equal to 65 years of age whose clinical conditions would benefit from treatment with a shorter surgical time compared to partial rotator cuff repair.
The InSpace Implant is not appropriate for patients with certain types of infections, known or suspected allegories to the implant and/or instrument materials, or children.
The following information provided is based on data collected in the US Pivotal Clinical Study. There is evidence of increased risk of total adverse events of the affected shoulder compared to a partial rotator cuff repair, which were reported to be mostly mild to moderate in severity. Please note that complications reported by InSpace and Partial Repair patients were reviewed by a group of experts in shoulder surgery, and it was determined that none were related to the treatment devices (i.e., the InSpace Implant or devices used for Partial Repair). There is evidence of increased adverse events associated with a serious risk of the index shoulder which includes both medical and surgical treatments. The InSpace Implant is not fixed in place and may change position in the shoulder space. Movement out of the subacromial space and/or deflation of the InSpace Implant was observed in magnetic resonance imaging (MRI) 6 weeks post-operatively in up to half of patients. In these cases, it should be noted that no re-operations were required to remove the InSpace Implant.
The risks and benefits of the InSpace Implant in patients with the following conditions should be carefully considered: severe arthritis in the shoulder or full thickness cartilage loss, deltoid muscle defect or deltoid muscle paralysis, evidence that the shoulder is very unstable, missing or non-intact ligaments in the shoulder, known loss of sensation, major medical conditions such as blood clotting disorders, conditions that suppress the immune system or any other conditions that may compromise healing, safety and effectiveness of InSpace Implant use in patients below age sixty-five (65) has not been established, and safety and effectiveness of InSpace Implant use in pregnant or nursing mothers has not been evaluated.
If a reaction occurs, it will require follow-up with your surgeon. Some examples are as follows: irritation at the site where a cut was made during surgery, local infection, inflammation, and tissue damage where the InSpace Implant was implanted, or worsening of an existing infection. Additionally, movement of the implant out of its intended location may lead to worsening of your shoulder pain, discomfort, and/or stiffness which may require a re-operation, narcotic medications, non-narcotic pain medications, or post-operative shoulder injections.
As with any surgery, your surgical procedure may cause complications or adverse events. As with any shoulder surgery involving anesthesia there are potential risks and complications, including dizziness, fainting, difficulty breathing, wound infection, wound drainage, swelling, local pain, bleeding, bruising, surgical wound opening, nerve pain or injury which could result in partial or complete loss of movement in your affected arm, tendon injury, loss of sensation in your skin and muscle around your surgical site, inflammation of the tissues that surround your rotator cuff joint, a frozen rotator cuff (inability to freely move the shoulder joint) and delayed wound healing. There is a risk that a deep vein clot will form (thrombosis) and travel to the lung (pulmonary embolism), which could lead to stroke, heart damage or death. Any of the aforementioned complications/risks could require treatment such as medicine or additional surgery that may involve replacing or removing your InSpace Implant dependent on timeframe as the implant is biodegradable.
The information presented is for educational purposes only. Speak to your doctor to decide if you are interested in learning more about the InSpace Implant. Individual results vary and not all patients will receive the same postoperative activity level. It is important to follow your surgeon’s advice regarding after surgery care (for example, physical therapy) as well as which immediate activities you may or may not perform after receiving the InSpace Implant. Not following this advice may cause complications with the InSpace Implant. Some complications may require you to have additional surgery. Ask your doctor if the InSpace Implant is right for you.
Stryker Corporation or its other divisions or other corporate affiliated entities own, use or have applied for the following trademarks or service marks: InSpace, Stryker, Together with our customers, we are driven to make healthcare better. All other trademarks are trademarks of their respective owners or holders.
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