Open Subacromial Decompression Surgery by Expert Orthopedics
Open Subacromial Decompression at Medicover Hospitals is performed by skilled orthopaedic surgeons with qualifications like MS and DNB. This open surgical approach helps alleviate shoulder pain and impingement. Patients often experience shorter hospital stays and improved recovery times.
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What is Open Subacromial Decompression?
Open Subacromial Decompression is a surgical procedure involving the shoulder. It targets the subacromial space, which is the area beneath the acromion (a bony projection on the shoulder blade). The surgery aims to relieve pressure and reduce friction on the rotator cuff tendons by removing bone spurs or inflamed tissue. This helps improve shoulder movement and reduce pain.
This surgery is often needed for shoulder impingement syndrome. This condition occurs when the rotator cuff tendons are compressed. If untreated, it can lead to chronic pain and limited shoulder movement. Modern surgical approaches include arthroscopic and open techniques. Arthroscopic surgery is minimally invasive, using small incisions and a camera. Open surgery involves a larger incision for direct access. Both methods aim to relieve symptoms and restore function.

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Complete Guide To Open Subacromial Decompression
Everything you need to know about the procedure, preparation, and recovery
Open Subacromial Decompression Surgery Indications
Doctors recommend Open Subacromial Decompression Surgery when non-surgical treatments fail to relieve shoulder pain and improve function. This procedure is often considered for persistent shoulder issues that affect daily activities.
Persistent Shoulder Pain
Patients often experience ongoing shoulder pain that worsens with overhead activities. On examination, tenderness and limited range of motion may be noted. When pain persists despite physiotherapy and medication, surgery may be recommended.
Impingement Syndrome
Patients report pain during arm elevation and weakness. Imaging may show narrowing of the subacromial space. If symptoms do not improve with conservative treatments like rest and anti-inflammatory drugs, surgery may be necessary.
Rotator Cuff Tendinitis
Patients experience shoulder pain, especially at night, and difficulty lifting the arm. Physical examination reveals tenderness and swelling. When symptoms persist despite rest and rehabilitation, surgical intervention may be advised.
Subacromial Bursitis
Patients complain of shoulder stiffness and pain, especially during movement. Ultrasound or MRI may show inflammation of the bursa. If symptoms do not resolve with steroid injections and therapy, surgery might be considered.
Failed Conservative Treatment
Patients who have tried extensive non-surgical management without relief may be candidates for surgery. This includes those who have undergone physiotherapy, medication, and lifestyle modifications without significant improvement.
How to Prepare for Open Subacromial Decompression?
Proper preparation for open subacromial decompression is crucial to ensure a smooth surgery and recovery process. It helps in reducing complications and aids in a quicker return to daily activities.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements 7 days before surgery. Consult your doctor for specific instructions.
- Fasting Guidelines: Fast for at least 8 hours before the procedure. This is essential for general anaesthesia.
- Pre-Surgery Hygiene: Take a shower with antibacterial soap the night before and the morning of the surgery.
- Clothing: Wear loose, comfortable clothing on the day of surgery. It will be easier to change post-surgery.
- Transportation: Arrange for someone to drive you home after the procedure. Anaesthesia effects may linger.
- Medication List: Bring a list of all medications you are taking, including dosages, to the hospital.
- Smoking and Alcohol: Avoid smoking and alcohol for at least 24 hours before surgery to aid recovery.
- Home Preparation: Set up a comfortable recovery area at home with essentials within reach.
Open Subacromial Decompression Surgery (Step-by-Step)
Overview: This procedure is performed by orthopaedic surgeons. It typically lasts 1 to 2 hours. General anaesthesia is commonly used.
- Preparation: The patient is positioned comfortably on the operating table. General anaesthesia is administered to ensure the patient is asleep and pain-free.
- Incision: A 4-6 cm incision is made over the shoulder area. This allows access to the subacromial space.
- Exposure: The surgeon carefully retracts tissues to expose the acromion and subacromial space. This is done using retractors.
- Decompression: Using a curette or harmonic scalpel, the surgeon removes any bone spurs or inflamed tissue. This relieves pressure on the rotator cuff.
- Hemostasis: Bipolar cautery is used to control bleeding and ensure a clear surgical field.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the wound.
- Recovery: The patient is moved to the recovery room. They are monitored as they wake up from anaesthesia.
Who Performs Open Subacromial Decompression Surgery?
This surgery is performed by orthopaedic surgeons. They specialise in treating musculoskeletal issues, including shoulder conditions. Their expertise ensures the procedure is conducted safely and effectively.
Recovery After Open Subacromial Decompression Surgery
Recovery from open subacromial decompression surgery requires patience and adherence to post-operative guidelines. Expect gradual improvement in shoulder mobility and reduction in pain over time.
Day 1-3:
- Rest and keep the shoulder elevated to reduce swelling.
- Apply ice packs as advised by your doctor.
- Stick to a soft diet like curd, dal-rice, and soups to avoid strain.
Day 4-7:
- Begin gentle pendulum exercises as instructed by your physiotherapist.
- Continue with a balanced diet including khichdi and moong dal for energy and healing.
- Avoid lifting heavy objects or overhead activities.
Week 2-4:
- Gradually increase the range of motion exercises.
- Incorporate more solid foods, maintaining a nutritious diet.
- Resume light activities but avoid strenuous tasks.
Week 5-8:
- Focus on strengthening exercises under guidance.
- Return to work or school if it involves minimal shoulder use.
- Continue avoiding heavy lifting and overhead movements.
When to Seek Urgent Help:
- Severe pain not relieved by medication.
- Signs of infection like fever or redness around the incision.
- Sudden loss of shoulder movement or sensation.
Benefits of Open Subacromial Decompression Surgery
Open subacromial decompression surgery can provide significant relief for those suffering from shoulder impingement.
- Pain Relief: Reduces shoulder pain by removing bone spurs and inflamed tissue.
- Improved Mobility: Increases shoulder range of motion, allowing for better arm movement.
- Enhanced Functionality: Restores shoulder function, improving daily activities and sports performance.
- Long-term Solution: Offers a durable solution for chronic shoulder impingement issues.
Risks and Complications of Open Subacromial Decompression Surgery
While generally safe, open subacromial decompression surgery carries some risks and potential complications.
Common Risks
- Infection: Risk of infection at the surgical site.
- Bleeding: Possibility of bleeding during or after the procedure.
- Stiffness: Post-surgical stiffness in the shoulder joint.
Rare Risks
- Nerve Damage: Potential for nerve injury leading to numbness or weakness.
- Failure to Relieve Symptoms: Some patients may not experience full symptom relief.
- Blood Clots: Risk of developing blood clots post-surgery.
Cost of Open Subacromial Decompression Surgery
The cost of Open Subacromial Decompression Surgery at Medicover Hospitals ranges from ₹80,000 to ₹2,50,000. The price varies based on the ward category chosen, such as general, twin sharing, or deluxe suites.
We offer transparent pricing and support for insurance and TPA, including CGHS, ESI, and major TPAs. A cashless facility is available to ease the payment process. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Open Subacromial Decompression surgery cost at Medicover Hospitals?
The cost ranges from ₹80,000 to ₹2,50,000 at Medicover Hospitals. Pricing varies based on room type and care level.
2. Is Open Subacromial Decompression surgery covered under health insurance at Medicover?
Yes, it is covered by CGHS, ESI, and major TPAs with cashless options. Please contact the hospital for current panel details.
3. Will I regain full shoulder movement post-surgery?
Most patients regain significant shoulder movement after recovery. Physiotherapy plays a crucial role in restoring full range of motion.
4. Can I lift weights after Open Subacromial Decompression?
Avoid heavy lifting for at least 6 weeks post-surgery. Gradually resume weightlifting under guidance to prevent complications.
5. What foods aid recovery after shoulder surgery?
Consume protein-rich foods like dal, curd, and lean meats. These help in tissue repair and muscle strengthening post-surgery.
6. Will I experience shoulder pain after surgery?
Some pain and discomfort are normal initially. Pain usually subsides with medication and physiotherapy over time.
7. Is there a risk of shoulder stiffness post-surgery?
Yes, shoulder stiffness can occur if physiotherapy is not followed. Adhering to exercises helps maintain mobility and prevent stiffness.