Your orthopaedic surgeon (a doctor who specialises in bone surgery) will explain how to prepare for your procedure. For example, if you smoke you will be asked to stop, as smoking increases your risk of getting a chest and wound infection, which can slow your recovery.
Shoulder arthroscopy is routinely done as a day-case procedure. This means you have the procedure and go home the same day.
The operation is usually done under general anaesthesia but it may also be done under a combination of both local and general anaesthesia. General anaesthesia means you will be asleep during the operation. Local anaesthesia completely blocks pain from the shoulder area. Sometimes, the whole operation can be done under local anaesthesia, which means you will stay awake during the operation. Your surgeon may offer you a sedative with a local anaesthetic, which relieves anxiety and helps you to relax during the operation.
If you're having a general anaesthetic, you will be asked to follow fasting instructions. This means not eating or drinking, typically for about six hours beforehand. However, it’s important to follow your anaesthetist’s advice.
You may be asked to wear compression stockings to help prevent blood clots forming in the veins in your legs. You may need to have an injection of an anticlotting medicine called heparin as well as, or instead of, wearing compression stockings.
Your surgeon will discuss with you what will happen before, during and after your procedure, and any pain you might have. This is your opportunity to understand what will happen, and you can help yourself by preparing questions to ask about the risks, benefits and any alternatives to the procedure. This will help you to be informed, so you can give your consent for the procedure to go ahead, which you may be asked to do by signing a consent form.
Not everyone who has a problem with their shoulder will need to have an arthroscopy. Your doctor will usually be able to diagnose your shoulder problem by examining you and by using other tests such as an X-ray or an MRI scan.
Depending on what has caused the damage, your shoulder problem may improve on its own without treatment or with self-help measures, such as following an exercise programme to strengthen the muscles around your shoulder. Other treatments for shoulder problems may include physiotherapy, and medicines. Talk to your doctor about what treatment options are available for you.
A shoulder arthroscopy often takes less than an hour, but the time your procedure will take will depend on how much work your surgeon needs to do inside your shoulder joint.
Once the anaesthetic has taken effect, your surgeon will make small cuts in the skin around your shoulder joint. He or she will pump sterile fluid into your joint to help produce a clearer picture and then insert the arthroscope.
Your surgeon will examine your shoulder joint by looking at images sent by the arthroscope to a monitor. If necessary, he or she will insert surgical instruments to repair damage or remove material that interferes with the movement in your shoulder and causes pain.
Afterwards, your surgeon will drain the fluid and close the cuts with stitches or adhesive strips. He or she will then wrap a dressing and a bandage around your shoulder.
You may need to rest until the effects of the anaesthetic have passed. After a local anaesthetic it may take several hours before the feeling comes back into your shoulder. Take special care not to bump or knock the area.
You may need pain relief to help with any discomfort as the anaesthetic wears off.
You will usually be able to go home when you feel ready. You will need to arrange for someone to drive you home. Try to have a friend or relative stay with you for the first 24 hours after your shoulder arthroscopy.
If you have had general anaesthesia or sedation, this temporarily affects your co-ordination and reasoning skills, so you must not drive, drink alcohol, operate machinery or sign legal documents for 24 hours afterwards. If you're in any doubt about driving, contact your motor insurer so that you're aware of their recommendations, and always follow your surgeon’s advice.
Your nurse will give you some advice about caring for your healing wounds before you go home. You may be given a date for a follow-up appointment.
The amount of time your dissolvable stitches will take to disappear depends on the type of stitches you have. However, for this procedure, they should usually disappear in about six weeks but check with your surgeon.
It usually takes several weeks to make a full recovery from shoulder arthroscopy, but this varies between individuals, so it's important to follow your surgeon's advice.
If you need pain relief, you can take over-the-counter painkillers such as paracetamol or ibuprofen. Always read the patient information leaflet that comes with your medicine and if you have any questions, ask your pharmacist for advice.
It’s important to continue to do any exercises your physiotherapist recommends. These will help you to heal and may help you to recover more quickly.
You may need to keep your arm in a sling after the operation – your surgeon will tell you how long you will need to wear it for. Your shoulder joint is likely to feel sore and swollen for at least a week. This can last longer if you have arthritis. Try to rest your arm and apply a cold compress such as ice or a bag of frozen peas wrapped in a towel to reduce swelling and bruising. Don’t apply ice directly to your skin as it can damage your skin.
Your recovery time will depend on what, if any, treatment your surgeon performs on your shoulder joint. This may vary from a few days to several weeks depending on the severity of your shoulder problem and your level of fitness.
As with every procedure, there are some risks associated with shoulder arthroscopy. We have not included the chance of these happening as they are specific to you and differ for every person. Ask your surgeon to explain how these risks apply to you.
Side-effects are the unwanted but mostly temporary effects you may get after having the procedure.
After a shoulder arthroscopy you may have small scars on your shoulder from the cuts. Your shoulder and arm may be painful or uncomfortable for several weeks. You may also have some swelling and stiffness around your shoulder.
Complications are when problems occur during or after the procedure. The possible complications of any operation include an unexpected reaction to the anaesthetic, excessive bleeding or developing a blood clot, usually in a vein in the leg (deep vein thrombosis, DVT).
Complications of arthroscopy include:
- accidental damage to the inside of your joint
- an infection
- excessive bleeding into your joint
- damage to surrounding blood vessels or nerves
It’s possible that the procedure won’t work and you may need to have it again.
How much time will I have to spend off work after having shoulder arthroscopy?
It may take several weeks to make a full recovery after shoulder arthroscopy. However, this varies from person to person and depends on the type of work that you do.
Most people can usually go home on the day of shoulder arthroscopy. Your recovery time will depend on what, if any, treatment your surgeon performs on your shoulder joint. This may vary from a few days to several weeks depending on the severity of your shoulder problems and your level of fitness.
It’s important to remember that everyone is different – some people may need to rest for longer whereas others may return to work a few days after shoulder arthroscopy. If you have a manual job that requires heavy lifting, you may need to recover for longer before you can get back to your normal work.
Continue to do any exercises that your surgeon and physiotherapist have given you as they are important to help you get back to work and make a full recovery.
Is shoulder arthroscopy better for me than open surgery?
Arthroscopic surgery is sometimes better than open surgery as it may reduce the amount of pain you have after surgery and the amount of time you need to spend in hospital.
The arthroscope and the surgical instruments used in a shoulder arthroscopy are thin so your surgeon can make small cuts in your shoulder rather than a large cut that is needed for open surgery. Compared with open surgery, arthroscopy has a faster recovery time. The type of physiotherapy you need after surgery will depend on the cause of your shoulder problems, rather than the type of operation you have had.
What can I do to make my recovery easier?
It's a good idea to be as fit and healthy as possible before your operation. It's also important to follow your surgeon's advice about your recovery.
Try to be as fit and healthy as possible before your operation if you're having shoulder arthroscopy. This may help to speed up your recovery.
If you smoke, you will be asked to stop as smoking increases your risk of getting a chest or wound infection, which can slow your recovery. Your surgeon may recommend losing excess weight if you're overweight before you have your operation.
Start any physiotherapy exercises when your surgeon or physiotherapist recommends. It's important to continue with these exercises and speak to your physiotherapist if you have any concerns. This may help to speed up your recovery and help you to return to work and get back to normal activities more quickly.
It's important to follow your surgeon’s advice about your recovery.
- British Orthopaedic Association
020 7405 6507
- Shoulder arthroscopy. American Academy of Orthopaedic Surgeons. www.orthoinfo.aaos.org, published April 2011
- Surgery and arthritis. Arthritis Care. www.arthritiscare.org.uk, published 22 November 2010
- Shoulder pain. Map of Medicine. www.mapofmedicine.com, published 25 January 2013
- Shoulder pain. Nice Clinical Knowledge Summaries. cks.nhs.uk, published October 2012
- Managing rotator cuff disorders. Arthritis Research UK. www.arthritisresearchuk.org, published 2010
- Glenohumeral joint osteoarthritis. Map of Medicine. www.mapofmedicine.com, published 25 January 2013
- Rains DD, Rooke GA, Wahl CJ. Pathomechanisms and complications related to patient positioning and anesthesia during shoulder arthroscopy. Arthroscopy: the Journal of Arthroscopic and Related Surgery 2011; 27(4):532–41. doi:10.1016/j.arthro.2010.09.008
- BON. British Orthopaedic Association. www.boa.ac.uk, published 2011
- British Orthopaedic Association
We’d love to know what you think about what you’ve just been reading and looking at – we’ll use it to improve our information. If you’d like to give us some feedback, our short form below will take just a few minutes to complete. And if there's a question you want to ask that hasn't been answered here, please submit it to us. Although we can't respond to specific questions directly, we’ll aim to include the answer to it when we next review this topic.
Let us know what you think using our short feedback form Ask us a question
Produced by Rachael Mayfield-Blake, Bupa Health Information Team, July 2013.
Let us know what you think using our short feedback form Ask us a question
About our health information
At Bupa we produce a wealth of free health information for you and your family. We believe that trustworthy information is essential in helping you make better decisions about your health and care. Here are just a few of the ways in which our core editorial principles have been recognised.
Information StandardWe are certified by the Information Standard. This quality mark identifies reliable, trustworthy producers and sources of health information.
Plain English CampaignWe hold the Crystal Mark, which is the seal of approval from the Plain English Campaign for clear and concise information.
What our readers say about us
But don't just take our word for it; here's some feedback from our readers.
“Simple and easy to use website - not alarming, just helpful.”
“It’s informative but not too detailed. I like that it’s factual and realistic about the conditions and the procedures involved. It’s also easy to navigate to areas that you specifically want without having to read all the information.”
“Good information, easy to find, trustworthy.”
Our core principles
All our health content is produced in line with our core editorial principles – readable, reliable, relevant – which are represented by our diagram.
In a nutshell, our information is jargon-free, concise and accessible. We know our audience and we meet their health information needs, helping them to take the next step in their health and wellbeing journey.
We use the best quality and most up-to-date evidence to produce our information. Our process is transparent and validated by experts – both our users and medical specialists.
We know that our users want the right information at the right time, in the way that suits them. So we review our content at least every three years to keep it fresh. And we’re embracing new technology and social media so they can get it whenever and wherever they choose.
Here are just a few of the ways in which the quality of our information has been recognised.
The Information Standard certification scheme
You will see the Information Standard quality mark on our content. This is a certification programme, supported by NHS England, that was developed to ensure that public-facing health and care information is created to a set of best practice principles.
It uses only recognised evidence sources and presents the information in a clear and balanced way. The Information Standard quality mark is a quick and easy way for you to identify reliable and trustworthy producers and sources of information.
Certified by the Information Standard as a quality provider of health and social care information. Bupa shall hold responsibility for the accuracy of the information they publish and neither the Scheme Operator nor the Scheme Owner shall have any responsibility whatsoever for costs, losses or direct or indirect damages or costs arising from inaccuracy of information or omissions in information published on the website on behalf of Bupa.
We comply with the HONcode (Health on the Net) for trustworthy health information. Certified by the HONcode for trustworthy health information.
Plain English Campaign
Our website is approved by the Plain English Campaign and carries their Crystal Mark for clear information. In 2010, we won the award for best website.
Website approved by Plain English Campaign.
British Medical Association (BMA) patient information awards
We have received a number of BMA awards for different assets over the years. Most recently, in 2013, we received a 'commended' award for our online shared decision making hub.
If you have any feedback on our health information, we would love to hear from you. Please contact us via email: firstname.lastname@example.org. Or you can write to us:
Health Content Team
15-19 Bloomsbury Way