What is arthroscopic shoulder surgery?
Shoulder arthroscopy is a minimally invasive (keyhole surgery) medical procedure designed to diagnose and treat a range of shoulder joint conditions. During this procedure, a small camera, known as an arthroscope, is inserted through a tiny incision (<5mm). This enables the surgeon to view the interior of the joint and perform various treatments, such as removing loose bodies, repairing damaged ligaments, or addressing other issues affecting the shoulder joint.
Who is a candidate for shoulder arthroscopy?
You may be a candidate for shoulder arthroscopy surgery if you are experiencing persistent shoulder pain, stiffness, or limited mobility that has not improved with conservative treatments. This procedure is often recommended for patients with conditions such as rotator cuff tears, shoulder instability, or inflamed tissue. Additionally, individuals suffering from frozen shoulder or those who have not responded to physical therapy/injections may also benefit from shoulder arthroscopy surgery. A shoulder arthroscopy should help by freeing up the space around your upper arm bone, as well as repairing torn rotator cuff tendons so that you can move your shoulder freely and with less pain. Your orthopaedic surgeon will conduct a thorough evaluation of your condition to determine if this minimally invasive procedure is the best course of treatment for you.
Shoulder arthroscopy is often advised when experiencing any of the following symptoms:
- Persistent pain
- Swelling
- Stiffness
- Loss of mobility
Shoulder arthroscopy can also be used to treat shoulder conditions such as:
- Shoulder dislocation
- Shoulder impingement
- Frozen shoulder
- Biceps tendonitis
- Cartilage damage
- Inflammation of the AC (acromioclavicular) joint
- Rotator cuff tears
- Arthritis/osteoarthritis
Hospital fee guide price: £3,480
Procedure price subject to bespoke quotation
*Additional consultant fee not included
Before surgery
To begin the discussion about an arthroscopic shoulder surgery procedure, you’ll first need to book an appointment with one of our consultants. Before undergoing shoulder arthroscopy surgery, it is crucial to prepare both physically and mentally. Your surgeon will provide you with specific instructions to ensure a smooth procedure and recovery. You may need to stop taking certain medications, such as blood thinners, and avoid eating or drinking for a specified period before the surgery. It is also important to arrange for someone to drive you home after the procedure and have a friend or family member stay with you for the first night. Maintaining a healthy diet and regular exercise routine can also contribute to a successful recovery. Following your surgeon’s preoperative instructions diligently will help set the stage for a smooth and effective shoulder arthroscopy surgery.
During surgery
The shoulder arthroscopy procedure typically takes less than an hour to complete and is performed under general anaesthesia to minimise pain and discomfort. Sometimes an additional injection may be given (a nerve block) to help with the post-operative pain for the first 12-24hrs. During the surgery, the surgeon will make small incisions in the skin and insert the arthroscope into your shoulder. The arthroscope – an instrument containing light and a small camera, provides a clear view of the inside of the shoulder joint, allowing the surgeon to accurately diagnose and treat any issues. Depending on the specific condition, the surgeon may remove unwanted tissue, repair damaged tissue, or perform a rotator cuff repair. Once the necessary treatments are completed, the incisions will be closed, and you will be taken to the recovery room to begin the healing process.
After surgery
After shoulder arthroscopy surgery, it is essential to follow your surgeon’s post-operative rehabilitation protocol with the help of the physiotherapists. You may experience some pain and discomfort, which can be managed with prescribed pain medication. Following the surgery, you will need to adhere to a rehabilitation program that may include physical therapy to regain strength and mobility in your shoulder. Your surgeon will provide you with detailed instructions on how to care for your shoulder and what activities to avoid during the recovery period. By following these instructions carefully and participating in physical therapy, you can expect to return to your normal activities within a few months after shoulder arthroscopy surgery.
Following your treatment, a follow-up appointment with your surgeon will usually be arranged. It’s common to take about a week off work after undergoing shoulder arthroscopy. Patients are generally advised not to soak or scrub their post-operative incisions until they have healed. Most individuals can resume normal activities within a few weeks, although this can vary from person to person. Generally, the shoulder joint may take up to three months to heal, with a maximum recovery period of six months.
Appointment and Treatment Plan
Appointment
Based on your previous consultation with a doctor, an appointment will be arranged between you and your surgeon.
Treatment plan
During your initial consultation you will discuss the treatment plan and agree on next steps with your surgeon.
Pre-op assessment
If surgery is an option, then the surgeon and their team will thoroughly assess whether you’re right for the surgery. They’ll consider your current health, any previous issues, and other external matters.
Surgery
Prior to going through the surgery, our team will ensure that you’re prepped once again. If everything is confirmed, you’ll undergo the surgery and then we’ll explain the aftercare instructions.
Aftercare
If necessary, you’ll stay in a ward for a few hours to ensure that you’re ready to go home after the surgery. However, this may depend on the surgery outcome and whether you need moderate or light assistance.
Follow-Up
You’ll come in a few weeks later and we’ll give you one final check-over to ensure that you’re on track for recovery.
Experts
We are proud to provide patients with access to a wide range of clinicians, chosen specifically for their knowledge and reputation in their area of expertise. Our experts align with our values: putting you at the centre of your care and educating you on your options at each step of the journey. We encourage you to learn more about our clinicians and how they can help you below. As always, please contact our patient services team if you require any additional information.
We offer 3 ways to pay for your treatment
We exist to take the stress out of private healthcare.
Our payment options are designed to offer you easy access to our treatments and services. You can choose to pay on the day, spread the cost, or use your private medical insurance.
Our patient services team will guide you through the process, providing clear costs and support throughout your course of treatment so you can focus on the thing that matters most – your health.
Whether you pay in advance, spread the cost, or use your private medical insurance, rest assured you will be receiving exceptional care 365 days a year.
Pay in Advance
Even if you do not have medical insurance, you can still get quick and comprehensive access to private medical care.
We provide transparent pricing from your initial consultation to the completion of your treatment so you know where your stand, every step of the way.
We accept all major debit and credit cards, as well as Apple Pay for UK residents. Please note that we do not accept cash or cheques.
Pay monthly
Paying for your treatment at OSD Healthcare doesn’t need to mean settling the full cost in one go.
Many of our treatments have a pay monthly option that allows you to spread the cost of your treatment over 12 months with no credit checks required.
A minimum spend of £300 does apply. We’ll take your first payment upfront and then arrange a direct debit for your monthly payments thereafter. It’s that simple.
Pay using PMI
We are recognised by all major health insurance companies and with our extensive range of services, there are lots of benefits to using your insurance with us. Our patient services team is here to answer any questions you may have about using your private health insurance with us.
Please bring along your policy details including your scheme details, membership or policy number, expiry date and confirmation of eligibility to claim (i.e. your authorisation number). If you do not have these details with you, we will require payment from you on the day. Patients are liable for any amounts not settled by their insurer.
Hospital fee guide price: £3,480
Procedure price subject to bespoke quotation
*Additional consultant fee not included
FAQs
Shoulder arthroscopy surgery is a minimally invasive orthopaedic procedure designed to diagnose and treat various shoulder problems. This advanced technique involves the use of a tiny camera called an arthroscope, which is attached to a video monitor. The arthroscope is inserted into the shoulder joint through small incisions, allowing the surgeon to visualise the internal structures of the shoulder in great detail. This type of keyhole surgery offers significant advantages over traditional open surgery, including reduced pain, smaller scars, and a faster recovery time. By using the arthroscope and specialised surgical instruments, the surgeon can perform precise repairs or remove damaged tissue, effectively addressing issues within the shoulder joint.
Shoulder arthroscopy is generally considered a minimally invasive surgery, rather than a major one. It involves inserting a small camera (arthroscope) and specialised instruments through tiny incisions to diagnose or treat shoulder conditions such as rotator cuff tears, labral tears, or impingement syndrome. The procedure is typically less invasive than open surgery, resulting in less tissue damage, reduced pain, and faster recovery.
Although performed under general or regional anaesthesia, the recovery time varies depending on the complexity of the surgery. Extensive repairs, like large rotator cuff tears or reconstruction, may make the procedure feel more involved. While not classified as major surgery, it still requires proper preparation, postoperative care, and physical therapy for optimal results. Always consult your surgeon for details specific to your case.
The timeline for moving your arm after shoulder arthroscopy depends on the procedure and your surgeon’s guidance. In the first few days, you may perform gentle pendulum exercises to prevent stiffness, but active arm use is limited. By weeks 1–2, passive range-of-motion exercises may begin, often assisted by a therapist or your other arm. Active movements are typically introduced after 4–6 weeks, especially for minor procedures. For more extensive repairs, such as a rotator cuff repair, active movement may be delayed until the tissue heals. Full-strength and functional movements are generally introduced by 2–3 months. Always follow your surgeon’s instructions and physical therapy plan.
Medically reviewed by Mr Nawfal Al-Hadithy - Consultant Trauma & Orthopaedic Shoulder, Elbow & Hand Surgeon on 23/12/2024