After undergoing shoulder surgery, such as a rotator cuff repair, it is not uncommon to experience a clicking or popping sensation. While this might initially cause concern, understanding the potential causes and implications of these sounds can provide reassurance. In this blog, we will delve into the reasons behind shoulder clicking post-surgery, how common it is, and when it might warrant further attention. With insights from Dr. David Guyer, a triple board-certified orthopedic surgeon with expertise in sports medicine and anti-aging, you’ll gain a clearer picture of what to expect during your recovery process and how to ensure the best outcomes for your shoulder health. Whether you’re recovering from surgery or seeking preventative knowledge, this guide aims to equip you with the necessary information to navigate your post-operative journey confidently.

Common Causes of Shoulder Clicking After Surgery

1. Post-Surgical Inflammation:

• Following surgery, it is normal for inflammation to occur around the joint. This inflammation can cause structures within the shoulder to move differently than they did before surgery, leading to clicking sounds.
• As the body heals and inflammation decreases, you may notice the clicking lessening.

2. Scar Tissue Formation:

• The formation of scar tissue is a natural part of healing. However, this can sometimes cause increased stiffness and a temporary uneven movement which might lead to a clicking sensation.
• Stretching and physical therapy are vital in breaking down scar tissue and restoring normal movement patterns.

3. Abnormal Shoulder Mechanics:

• Post-surgery, the muscles and tendons around the shoulder are often weaker and may not fully support joint movement, causing temporary changes in how the shoulder moves.
• This altered mechanics can produce clicking or popping sounds until strength and range of motion are regained.

When to Seek Further Medical Advice

While clicking is often benign, there are situations when you should consult your doctor:

• Persistent Clicking: If the clicking sounds persist well into your rehabilitation, months after surgery, it may be worthwhile to have an evaluation to rule out any complications.
• Accompanying Pain or Swelling: Persistent pain or swelling in conjunction with clicking could indicate underlying issues such as infection or inadequate healing.
• Loss of Shoulder Function: If you experience a significant limitation in shoulder function or mobility, it’s essential to have this assessed.

How to Manage and Reduce Clicking

1. Follow Rehabilitation Protocols:

• Adhering to post-operative physical therapy is crucial for restoring strength and movement, which can help reduce clicking over time.
• Appropriate exercises prescribed by a physiotherapist can target muscle strengthening and flexibility.

2. Incorporate Anti-inflammatory Measures:

• Reducing inflammation can diminish clicking sensations. Consider cold therapy and anti-inflammatory medications if recommended by your healthcare provider.
• Diet and lifestyle changes that reduce overall body inflammation can also be beneficial.

3. Gradual Increase in Activity:

• Increasing your activity level gradually over time will allow your shoulder to adapt to new demands without causing undue stress.
• Avoid overusing the shoulder and follow your doctor’s guidelines on activity limitations and exercises.

Understanding Your Recovery Timeline

Recovery from shoulder surgery is a process that requires patience and adherence to medical advice:

• Initial Weeks: It’s common to experience clicking right away as your shoulder adjusts post-surgery. This is a period of healing and adaptation.
• 2-3 Months Post-Surgery: You should see improvement in shoulder mechanics and a reduction in clicking as muscles strengthen and become more coordinated.
• Long-term Recovery: Complete recovery could take several months, and ongoing exercises will be crucial in maintaining your shoulder health and function.

Leveraging Resources for Better Outcomes

Dr. Guyer emphasizes the importance of being informed and proactive in your recovery. Utilizing educational materials, such as his ebook “The Arthritis Solution,” can provide valuable insights regarding joint health. Additionally, exploring treatment options beyond surgery or cortisone shots can be beneficial for ongoing care.

Final Thoughts

Experiencing clicking in your shoulder after rotator cuff surgery is generally not a negative sign, but understanding and monitoring your recovery is crucial. Stay engaged with your healthcare provider, follow rehabilitation plans, and stay informed about your health to ensure the best possible outcomes. Engaging with support communities or following specialists like Dr. Guyer for educational content can also be instrumental in empowering your recovery journey. By doing so, you can confidently navigate the healing process and work towards a strong, functional shoulder.