Contents
Should You Consider Surgery for Shoulder Impingement?
Published: Feb 11, 2024
While surgery used to be a common solution for shoulder impingement, recent studies question its effectiveness. Discover when surgery might be necessary and what alternatives exist.
When is Surgery Recommended?
Surgery is generally considered if conservative treatments fail after several months. Candidates typically include patients with persistent pain or suspected rotator cuff tears. Referrals to orthopedic specialists are made for tailored surgical considerations.
Types of Surgical Procedures
Common procedures include debridement of the rotator cuff or labrum and acromioplasty. These surgeries aim to relieve compression and improve shoulder function. Decisions regarding surgery take into account patient age, activity level, and comorbidities.
The Effectiveness Debate
Recent studies suggest surgery might not significantly outperform physical therapy for SIS. Many patients find relief through non-surgical treatments, questioning the necessity of surgery. This has led to more emphasis on physical therapy as a primary treatment.
Frequently Asked Questions
Surgery is considered after months of failed conservative treatments.
Procedures like debridement and acromioplasty are common.
Studies suggest physical therapy can be as effective as surgery.
Key Takeaways
Surgery remains an option for SIS but should be considered carefully alongside alternatives.
References
- Khan M, Alolabi B, Horner N, et al. Surgery for shoulder impingement: a systematic review and meta-analysis of controlled clinical trials. CMAJ Open 2019; 7:E149.
- Karjalainen TV, Jain NB, Page CM, et al. Subacromial decompression surgery for rotator cuff disease. Cochrane Database Syst Rev 2019; 1:CD005619.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
AI Doctor Visit Required
Appointments available 24/7
Top licensed doctors
Available in all 50 states
Full service care
Prescriptions, referrals & treatment
No insurance needed
All notes available in Doctronic
15-min consultation. No hidden costs.
AI Doctor Visit Required
Please Chat With Our AI Doctor First
Our AI doctor assessment helps our human doctors prepare for your video visit and provide better care
For safety reasons we have been forced to end this consultation.
If you believe this is a medical emergency please call 911 or your local emergency services immediately.
If you are experiencing emotional distress, please call the the Suicide & Crisis Lifeline at 988 or your local crisis services immediately.
Contact us
You can also email us at help@doctronic.ai
We aim to reply within 5-7 days
How likely are you to recommend Doctronic to friends or family?