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After undergoing shoulder surgery, such as a rotator cuff repair, it’s not uncommon for patients to notice a concerning clicking or popping sensation when they move their arm. This blog aims to delve into the potential causes of these sounds, answering the burning questions that often accompany the post-operative experience. Led by Dr. David Guyer, a triple board-certified orthopedic surgeon, sports medicine specialist, and anti-aging and regenerative medicine expert, we’ll explore whether these post-surgery phenomena are signs of complications or simply part of the body’s healing process. While it’s important to note that the information provided is not specific medical advice, this educational guide will offer insights into what could be causing the clicking and when it might be time to consult your doctor about these post-surgery symptoms.

Normal Joint Sounds

Many joints, including the shoulder, naturally produce various sounds. Clicking and popping can result from the movement of tendons or ligaments over bones or due to changes in joint pressure. These sounds can occur in perfectly healthy joints and are often not indicative of any problem, especially if they are not accompanied by pain or discomfort.

Post-Surgical Inflammation

After surgery, inflammation is a normal part of the healing process. The tissues around the surgical site, such as the bursa or synovial lining, might become inflamed or thickened, leading to friction that causes clicking sounds. This is typically temporary and diminishes as inflammation subsides.

Changes in Shoulder Mechanics

Surgery can temporarily alter the mechanics of the shoulder joint. Stiffness in the shoulder and weakness in the surrounding muscles are common issues post-surgery, affecting how the shoulder moves. This alteration in movement can contribute to the clicking or popping you hear or feel.

The Healing Process

As the shoulder heals and scar tissue forms, the stiffness can cause the shoulder to move differently than it did before surgery. Breaking through this stiffness can occasionally create sounds as tissues stretch and heal.

When to Seek Further Evaluation

While clicking and popping post-surgery are typically harmless, there are instances when they should be evaluated by a healthcare professional. Persistent or worsening sounds that continue months into rehabilitation, especially if they are accompanied by pain, swelling, or restricted movement, may need further investigation to rule out any underlying issues.

It’s always advisable to maintain open communication with your healthcare provider and convey any concerns you have during your recovery. Monitoring your symptoms and reporting changes can help your doctor provide the best care possible.

Non-Surgical Alternatives for Shoulder Recovery

Dr. Guyer mentions the availability of non-surgical options as part of recovery or management of orthopedic injuries, which could be particularly beneficial for those looking to avoid repeated or additional surgical interventions. Some of these options might include:

• Physical Therapy: Tailored exercises that help strengthen the shoulder muscles and improve stability and motion range.
• Regenerative Medicine: Treatments like platelet-rich plasma (PRP) or stem cell therapy that aim to enhance the body’s healing processes.
• Lifestyle Modifications: Ergonomic adjustments, posture correction, and activity modification to reduce strain on the shoulder.

When in Doubt, Get Checked Out

Ultimately, if you are ever in doubt regarding the sounds your shoulder is making post-surgery, it’s always best to consult your orthopedic surgeon. They can conduct a physical exam and, if necessary, order imaging studies to assess the bone and soft tissues more accurately.

Conclusion

Hearing a clicking or popping noise in your shoulder after surgery is generally not something to fear. Understanding that it’s a common part of the healing process can help alleviate anxiety. However, persistent concerns should always be discussed with your healthcare provider to ensure optimal recovery and peace of mind.

By keeping informed, patients can better navigate the post-operative journey, focusing on healing and regaining function instead of unnecessary worry. And remember, Dr. Guyer is always ready to draw on his extensive expertise to educate and empower his patients through platforms like his video series and downloadable resources.

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